Transcript
Tina Matthews (00:02) hi.
Fatima Nunes (00:04) Hi, happy Monday. Happy Monday. Are… you good to go? Were you able to finalize the, yes.
Tina Matthews (00:18) Well,
Mallory Smith (00:18) to a certain point, I kept it in edit mode just so we can move things around today. But yes, I am ready to present. That answers your question. I.
Fatima Nunes (00:29) Mean, I thought it looked great and I think honestly, this is a first pass and it’s only going to look better with the information she gives us. I.
Mallory Smith (00:38) Hope so. And I think it hopefully gives her the visual that she needs to understand like, okay. So, this is what I need to do at this point and this is when I can start submitting with medallion versus with symplr and yeah.
Tina Matthews (00:49) Things?
Fatima Nunes (00:50) Like that, exactly. I love it. Okay. Awesome. Thank you for doing that. I am going to let, so it looks like Tina just joined. I’m going to let her in. All right. Okay. All right.
Fatima Nunes (01:15) Hi, Tina. Hi.
Tina Matthews (01:17) How’s it going?
Fatima Nunes (01:18) Hey, it’s good. Happy Monday. How are you? How was your weekend? It?
Tina Matthews (01:24) Was good. Yeah, yeah, too short, but, you know, they all are.
Fatima Nunes (01:29) Well, you want to know what I always say? It’s too short. And last night, I looked at my husband and I said, is it just me or did this weekend feel very long? Oh, wow. Like I had to feel like I caught up with things. I hung out with family. I.
Tina Matthews (01:42) Needed to have your weekend.
Fatima Nunes (01:43) Yeah, me too. So I don’t know what it was about this weekend though because I was still nonstop but it felt like I had an additional day. I don’t know I might be onto something. I’ll let you guys know if I figure it out.
Tina Matthews (01:58) Wow.
Fatima Nunes (02:00) Awesome. Tina. Great to connect with you. I know we have the next 25 Ish or minutes or so blocked off. I think, you know, it’s been a few weeks since we last spoke so, for today, I’d love to start off just with any updates on your end, hear how things are going? Any new developments? And then Mallory will walk through a few implementation resources that she put together to just give, you know, better sense of what that would look like. And I think that’s pretty much it on the agenda front. Does that sound like a good use of time?
Tina Matthews (02:32) Yeah, yeah, I am. I don’t really have any updates on my end. I, you know, we did the presentation. I know that bill was very excited about it. He had some follow up questions that I think I sent to you just about the implementation and he had some questions on my end that I needed to address earlier regarding our symplr and mdstaff contracts. And so we’ve got all that information together. I sent that info to Sherry and bill and I haven’t heard back from them. Sherry says, you know, they’re meeting this week and so I will likely get some information from her this week… but yeah, I think the fact that, you know, we’re stuck with symplr for at least probably the next 10 months, you know, is kind of what they’re taking a look at and what that cost is going to, what that is going to cost us.
Tina Matthews (03:36) And what are our, you know, what are some things that we can do? Is there, you know, if we don’t use the service, but we continue to have the view access. Does that change how much we pay for it? So, I think they’re just doing some analysis on their end to figure that out what that cost is going to be to figure out when we can move forward and what makes the most sense to move forward. So, I’m just waiting to hear back from Sherry and bill.
Fatima Nunes (04:03) Okay. No, that’s super helpful. And it makes sense. I think you and I right? You’ve been very candid around your MD-Staff contract, the Symplr contract and it’s just making everything align so that you’re not necessarily losing money, but you do have this very real challenge that you’re looking to solve for. So how do you balance the two? Yeah. Okay. So it sounds, I know one of the questions that bill had for you was to gather all the documentations around Symplr MD-Staff. Do you have any idea on what the cost for? Like the next 10 months, on what you would be out of pocket if you were to terminate? Oh gosh. If we.
Tina Matthews (04:41) Ended up having to go with them, I think, let me just look really quick.
Tina Matthews (04:53) Trying to see what I sent them as what the cost was?
Tina Matthews (05:01) Yeah, it’s you know, if we had to continue with them at the cost that it’s costing us now, we’re probably looking about 25,000 dollars… you know, for the next 10 months or so. And, with MD-Staff, it’s much Symplr. Our contract ends, you know, really, I mean, it’s a yearly renewal. So it doesn’t necessarily end. It’s just, we paid them in August. This starts up again in August. Our intention is to term with them before that deadline… you know, based on the contract term date. So we will likely do that with MD-Staff. It’s just a matter of we’re still paying for that system. Until then, we’re still paying for symplr for, you know, close to another year. So I really do think that that’s kind of where the sticking point is for them right now.
Fatima Nunes (05:55) Got it. Okay. Yeah. And I remember you mentioned that you had paid upfront for symplr and you had just renewed that contract?
Tina Matthews (06:04) Recently? Yeah. So.
Fatima Nunes (06:07) Do you think, I guess right now, what it comes down to is, hey, do we just want to stick with symplr until the contract runs out? No. And then that’s when we will evaluate medallion or vendor. Yeah.
Tina Matthews (06:22) No, I don’t think that that’s what they’re evaluating. I think it’s a more, I mean, even if we ended up paying that 25,000 dollars, I think what we would get on our return would be well worth the whole okay, we’re going to stick with symplr thing, you know, for a little while, but we’re going to move forward. I think if they made that decision that we’re moving forward, no matter what we’re going to get that money back. Even in just the stuff that we’re writing off right now, it takes care of that amount of money. So it’s just a matter of me trying to explain it to them in terms of, yes, I understand that we just signed it. You know, we just entered into this year with them and it’s a yearly thing and that we can’t term. You know, we have to term 90 days before that renewal happens. So, it’s just a matter of explaining to them that here’s the cost of continuing with them. And, you know, figuring doing some analysis to figure out, okay, are we, I mean realistically, if we’re not sending things to symplr, they can’t charge us for that, the stuff that we’re not sending them. So is it just they’re going to charge us for the baseline stuff? Like, you know, the view access that we have. Okay, well, if we tell them to turn off view access because we’re terming our contract, they may say that we, well, they can’t do that piece but, you know, you don’t have to continue to send things to us. So, I think there are ways for us to mitigate that cost. And I just need to come up with some language that is going to help them understand like, hey, yeah, we do still have to remain with them but, you know, here are some things that we can do. And I can also pull data to say here’s what we’re writing off on a monthly basis. So we can continue to write that off or we can, you know, make these improvements move forward, at least gain those revenues and, you know, not pay for some service over here that we’re not really using other than possibly some licenses.
Fatima Nunes (08:22) Absolutely. No, that makes sense. And I think here like thinking back at the presentation that you had with bill, one of the strongest things based off what you mentioned, the strongest points or the feedback you got is just around the data that you had around the Roi, potential Roi on accelerated revenue, just on the credentialing front alone. If you were to reduce that from 45 days down to three. And so, I think especially when speaking to finance, just the numbers, the data like that’s all they care about totally. So, I love that you’re kind of thinking about, hey, the Roi with medallion or a new vendor is going to supersede that cost of?
Tina Matthews (08:56) Symplr? Yep. And this is my highlight.
Fatima Nunes (08:59) And I guess to take a step back, I know, I mean, this is probably a month and a half ago already, you had mentioned that it was between qgenda medallion. Your recommendation was going to be for medallion. Is it safe… to assume that right now? It’s are we going to move forward to medallion? We have to figure out how we’re going to do that or is that still the vendor of choice still up in the air?
Tina Matthews (09:24) No, I don’t think the vendor of choice is up in the air. I think it was clear and at least that’s what bill was saying as well. Just it’s clear. It’s clear why I reached the decision that I did and why I was making the recommendation to move the way we were moving. So, he’s not trying to say, gosh, well, you know, here’s a lower cost option solution. Why won’t, we, why don’t we consider this? The way I framed the conversation is, yeah, that is an option we could consider that, but we’re not getting anything. We’re we’re getting the same thing that we’re getting now in instead of, you know, two vendors, one, right? So I had to at least frame it from the perspective of, okay, you know, what are we looking to do and what are we looking to do today? Versus, you know, six months versus six years from now and is this tool going to get us there? And I, bill really got it. And he understands it and he asked great questions. I don’t think he’s even going the route of how do we, you know, how do we maybe look at these other vendors? I think his whole thing is okay if we’re going to take this step, what about this? And what about this? And what about this? And it’s just my job to answer those questions as they come up.
Fatima Nunes (10:42) Okay. Understood. So it sounds like you’ve gathered that information for him already for him and Sherry, you emailed that to them last week?
Fatima Nunes (10:49) Yep. And then later this week, Sherry and Richard have that conversation and they’re going to look through the data, look through all of that. And then is the ultimate goal for them to get back to you end of this week and say, hey, Tina, this is the path forward. This is how we want to move forward or do you think? Yeah?
Tina Matthews (11:05) I’m not that I’m not certain of, I meet with my boss on Wednesday afternoon or Wednesday morning. So I’ll have a little bit more information from her then, and I’ll know more. I have been like messaging them like crazy and I just don’t want to send another message like, hey, I just sent you this email on, you know, Wednesday afternoon. I have it’s Monday. I haven’t heard back which is what I’ve been doing.
Fatima Nunes (11:28) That’s like me with you.
Tina Matthews (11:32) I’ve just been like nobody’s saying anything. Why am I getting crickets? How come you guys haven’t replied? And so, you know, it’s funny because Sherry will then reply to me immediately. Like my God about this. We just didn’t tell you. And so I’m like, so should I bother you every day or should I dial it back? And she said nope we got your information, we’re going to talk about it next week and then, you know, we’ll go from there. So I’m just trying to be as patient as possible and wait until Thursday. And if I haven’t heard anything, then it’s at least been a week and I can say, okay, I was bothering you every two days before. It’s been a week, you know, what’s the next step?
Fatima Nunes (12:08) Yeah. And in.
Tina Matthews (12:10) this case, I have time, you know, time’s not on our side. I can push back by saying, you know, we’re coming up to this deadline with mdstaff, and I need a decision made so that we can send out this letter. And so I can, you know, send out this email to our account manager over there. So they have this information well ahead of the deadline. So I’m waiting till Thursday, and if I don’t hear anything, I’m going to ping them again, using that as my leverage to say I need an answer.
Fatima Nunes (12:38) Right, right. No, I totally understand just balancing being following up in a professional way. So they don’t get annoyed. Oh my God, story, I feel like story of my life. Just you’re eager to have an update even if it’s a good one, a bad one. But it’s like, okay, I.
Tina Matthews (12:54) Just wish I just wish they would reply to the email and just tell me like, hey, we’re going to talk about this the next day next time. And then that gives me some, you know, like, okay, well, I’m not going to bother them again because they obviously aren’t going to speak until, you know, Wednesday or Thursday, but I’ve got nothing. You know, the waiting is killing me.
Fatima Nunes (13:14) I know. No.
Mallory Smith (13:16) She’s she’s like, am I being too clinky? So like she’ll frequently call me and be like, I followed up and it’s been two days, but like, should I reach out today? Do you think I should reach out tomorrow? And I’m like this reminds me of like when we were in high school, like, should we text her boyfriend now?
Tina Matthews (13:28) I know, right?
Fatima Nunes (13:34) And then you have Dave. So, you know, I think you met Dave. He’s my manager. Yeah, and I’ll have conversations. He’s like, hey, like planned parenthood sounds so positive. Tina sounds like she did great in her presentation, like when’s the next call, like what’s the feedback from bill?
Fatima Nunes (13:48) And I’m like, I don’t know. He’s like, have you tried following up with her? I’m like, yeah, so I think every, you know, it just trickles down. Yeah.
Tina Matthews (13:57) And, this is like notorious for, at least for our affiliate of planned parenthood. I swear, it feels like everything moves so slow. It’s like we need you to get this information now, so we can make a decision for the budget. And then you get the information and it’s like, okay, well, I thought you needed to make a decision right now. Like what, where’s my decision? I’m ready to move forward… and, you know, other departments know that we’ve done this analysis and, you know, we are, you know, likely moving to a new vendor and they’re all reaching out to like, okay, what’s happening? You know, has anybody made a decision? Are you guys going to be using a new tool soon? You know? And then, you know, the hate mail comes from, I hate this and I, you know, I tried to go into mdstaff and get this information. I hear you guys are moving to a new vendor, what’s the latest? And it’s like my gosh.
Fatima Nunes (14:48) No. And I know everything’s coming to you because they’re not going to be reaching out to their CFO about this. They’re going to reach out to you. Yeah. So, yeah, totally, I totally hear you and I totally understand just kind of the frustration of not having an update even if it’s, a no or a yes, whatever it is. Just having an update. Yeah. Where does this stand today? Yeah.
Tina Matthews (15:08) Yeah, and I’m you know, really certain that we’re moving forward. I just need the go ahead to start, you know, the wheels in motion and that’s what’s driving me nuts. It’s it’s just like, okay… you know, when I checked in with Sherry week before last, she was like, yeah, bill and I talked about it and he’s all on board. So, you know, here are his questions. Okay. Well, it took me, you know, three or four days to get answers from our account manager, from our legal counsel, from you. And I got all that compiled in a nice little email and it’s like, I sent over, I send over the information and then it’s just crickets again.
Fatima Nunes (15:46) So that’s what I was going to ask you. I know in the email you sent last, you had requested the order form in the standard msa?
Tina Matthews (15:54) And.
Fatima Nunes (15:54) then you mentioned you were going to follow up with Richard. So, does Richard have the msa? Is he reviewing it kind of what’s the status of?
Tina Matthews (16:00) No, he doesn’t have that information yet. So I sent all of that to Sherry and bill. Okay, along with, our contracts for symplr and MD-Staff with some language that Richard sent me, you know, that was really helpful in us understanding what our next steps would be with the, with our two contracts or with, our two vendors. And that’s the information I wanted to get over to them along with the implementation period that you had sent me the implementation information that you sent me and, the order form and, the msa. So, they have all of that. It’s just a matter of, and they have all of the analysis I did with our account managers with the vendors. And so they have the answers to their questions. I just think that, you know, they’re doing some analysis on their end to figure out, what this really means and that’s what I’m hoping that they come back with is a question regarding gosh, well, it sounds like we’re going to need to stay on with symplr for a little while longer. You know, what does it look like if, you know, with us paying for that? And I can really map out all the things that I said and were our current challenges and say, okay, here are all the things that will continue if we don’t hear back. If we don’t move forward, you know, with medallion, we need to, we need to start this process and, you know, stop the writing off these dollars and, you know, that would take care of the whole symplr piece itself. So I just, they have everything they need, to make a decision. I know they’ve already made a decision. They just need to tell me so we can move forward.
Fatima Nunes (17:39) Right. So this is what I’m thinking I’m going to transition. This has all been helpful. Tina. Thank you. I do want to give Mallory the opportunity to transition into some of the implementation resources that she put together for you and I’m thinking versus just following up with them later this week like this could be a touch point that you utilize like, hey, just met with medallion just to get more resources around implementation to complement the details I sent, sharing them with you. And that is kind of like a follow up a ping to remind them that you’re still waiting for a response, but this will be, I think extremely helpful. Okay. So, I’ll just pass it over to Mallory and then she’ll take us into that.
Tina Matthews (18:16) Yeah, thanks. Yeah, of course.
Mallory Smith (18:18) Okay. Thanks. Fatima. All right. Let me go ahead and share my screen and Tina, just to level set, this is something that I put together just as a visual diagram just to help you share with your team. Should you want it, we can use our time today to basically review it, see if there’s any boxes that I need to move around. It follows, this is made with lucidchart. So it follows like this is the process that needs to happen. It’s a decision criteria based on this response, when does this actually need to terminate? But ultimately, my goal today is just to make sure that you’re aware from if we take eight to 12 weeks for implementation, what’s happening at each phase? And I think the biggest question especially as you’re like transitioning from vendor to vendor, whenever you think of credentialing at a moment is what do you do with the current actions that are taking place? So you have providers on board and you still have active enrollment, what’s happening with those enrollments? What’s happening with the credentialing? So I built this out with four different swim lanes. Let me confirm first. Are you able to see my screen?
Tina Matthews (19:22) I can see it but it’s really tiny.
Mallory Smith (19:24) Okay. I see if I can make it any bigger. Let’s see. Is that better? Yep?
Tina Matthews (19:31) It is, I can’t see the whole thing now but it is better that’s.
Mallory Smith (19:35) okay. So.
Fatima Nunes (19:36) Yeah. Ma, we have to, it looks like if you want to, I don’t know if there’s a way you can, yeah, although there.
Tina Matthews (19:41) We go there we go. Yeah. So.
Mallory Smith (19:42) Yeah. Let me just start here. And then it kind of shows, it cuts off MD-Staff at the bottom, but that’s fine. So we’ll kind of just move through here. So, thinking pre implementation, you’ve already corrected one thing for me actually. So did you say you have to give a 90 days to symplr and MD-Staff? Yes, to notify. Okay? 90.
Tina Matthews (20:01) Days before the renewal period? Okay?
Mallory Smith (20:03) See it used to be 60 days. So they’ve locked down on that. So that’s good to know. So essentially you would sign the contract, make sure all of that’s good. Then give them the heads up or the notice. So we can do this from a couple different premises if you want. If you end up having to keep symplr for the year, I can adjust the dates and so forth. We don’t have to immediately cut off the access or anything to symplr. If you do want to stop using them from a product or services perspective, then I have it built out like that too today. So essentially pre implementation contract execution, you’ll notify symplr and mdstaff, they will be able to gather the information for you. So you’ll basically let them know like, hey, I need a full export of my data that’s currently in the platform, all open tickets, all open action items, enrollment requests, whatever it may be. They should be able to give it to you in a digestible format, typically a CSV file. So that would be step one. And then once you have that, I’m going to show you our template in just a minute. It’s basically just mapping the spreadsheet. So if they have, they send back the information it has. Column a is first name, column B is last name. If our template says last name, then first name, then you’ll just drag the columns around to match. So that’s really what we consider when we’re looking at data mapping as a part of this process. Okay? So essentially pre implementation, you’ll give them the notice. You’ll have the kickoff call with medallion in week one. We’ll then I’m going to actually send you the spreadsheet after today’s, call, just so you have it. So you can start compiling it, getting an idea of what information you’ll need to make sure we have a good partnership here, the data input. So you’ll help populate, we’re going to keep meeting with you on a weekly basis. Just to help you with that spreadsheet, make sure you don’t need any additional information as well at the same time, we know that you still have active enrollments that are needing to happen. So if you do stay with symplr or you do want to send them more applications, this is my decision tree. If you’re still sending enrollments, yes, then request the final enrollments from symplr. If not, would you be working the applications internally? So let me pause for just a minute. Do you have any enrollments right now that are in process with symplr?
Tina Matthews (22:30) Yeah, we do. Okay. And.
Mallory Smith (22:32) do you have any new ones that you’ll need to submit? Let’s say that we sign the contract tomorrow. Do you have any that you need to submit in the next month? I would say.
Tina Matthews (22:42) There’s no way on my end that I would know that would be something that I would have to talk to hre about and figure out, you know, we’ve got positions out there that they’re trying to fill it’s. Likely that they would hire a clinician or a doctor in that time, but I’m not certain. So if they’re sure that they’re going to make an offer sometime in the next 30 days, I guess they would be able to tell me that information, okay?
Mallory Smith (23:07) Thank you. Then I’ll go through and I can actually add that… I’ll clean this up. You said, hre, yes.
Mallory Smith (23:22) All right. I’ll put that in there. The reason I ask is you will be able to submit or start submitting enrollment requests at the beginning of week four, usually about week four or five of the implementation process. So for those two weeks that we’re going through, we’re importing your data. Yes, you want to submit anything to symplr that’s absolutely fine. We can then do what we call a transfer line. So if you end up wanting to break things off with symplr, but they still have a few applications currently in process, I’m going to pull up the spreadsheet next. This is going to be our data import template. So, for instance, I’ll zoom in as well with providers. We need to know their email npi profession, type first and last name, start date, caqh. What we also allow is that when you have provider enrollments, we have what’s known as a transfer line, which means that symplr submitted the application, but medallion is able to pick it up and follow through with it until you get that completion. So if there’s ever any concern that symplr submitted it, but they were ending the contract, they may not follow up on it. They may not let us know if missing information is there. Then you would basically come through, let us know the payer name the application that was submitted. And then you would indicate, let me see if I can find it here. Yes. So you would indicate if it’s a transfer line. So essentially one of the data points that we’re tracking here, you’d let us know if it’s new enrollment, if it’s a demographic update, if it’s a transfer, and then we’ll be able to take it over from there. That way, you’re 100 percent sure compliance wise that, yes, they submitted it, but medallion can at least follow up and complete that for you. Okay. Any questions there? No?
Tina Matthews (25:13) No, that’s wonderful. Okay. Cool. Tina, is this kind of what you had in mind in terms of data migration? And we’re just trying to get a pulse check there. Yeah, totally. Yeah, definitely. I mean, you know, we were already starting to think like, okay, well, you know, we send stuff to symplr because we’re going to have to continue to move forward during implementation and then kind of, you know, trying to manage the two vendors at the same time until we’re at a place where we can then just submit through medallion. But this actually sounds wonderful. Okay, good. Yeah.
Mallory Smith (25:51) Okay. Thanks, Tina. Yeah. So then that takes care of MD-Staff and Symplr, really what we would need is just for you to let them know I need all the information consolidated preferably into a CSV file that’ll be easier easiest on you. So as we’re going through and helping you transform the data and so forth from there, we’re going to get the information from the different systems, populate that template weeks two and three. You’re going to supply us with that spreadsheet that I just showed. And then we’ll be able to actually import that into the system. So we’ll do the data ingestion, we’ll do quality checks. We’ll make sure that the npis are matching up that the enrollment lines are matching up licenses, all of those different specific demographics in the weeks three to four process. This is where your new providers can go through a test to their profiles. And then you can start submitting requests in that week four or five range. So if you have credentialing, if you have enrollments and things like that. And… then if I scroll or just keep scrolling, and then that final, just that gap, we see anywhere from eight to 12 weeks. For this one, the implementation is complete. All new requests can be made. The platform you’re responsible for just inviting new providers requesting the credentialing and enrollment applications you need at that point? Wonderful. Is that clear as far as what is expected of you in this swimline here versus what medallion would be doing? Yes. Okay. Wonderful. And then I’ll just go ahead and wrap here at the bottom. So if you do say with Symplr, you do have to end up using them. You do want them to follow up on their enrollment applications. Then you do have the ability that I’m going to go ahead and say… I’m actually going to remove request final. I’m just going to say request enrollments just depending on what ends up coming from that decision. And then you can also deliver any of those via the same spreadsheet. So you could send us a second iteration of it or if you’re like, hey here’s the spreadsheet I sent you two weeks ago, but we’ve actually added a few lines that’s completely fine. We’ll be able to adjust the spreadsheet the same way. And then this could be basically the termination with Symplr. So if you decide we’ve been able to end it, you’re looking at three to four weeks partner with medallion, you can basically be hands off with Symplr. And then with mdstaff, it’s even easier. You can pretty much be done within the first one or two weeks. Wonderful. Okay, great. All right. So, I’m going to zoom out just a little bit. What I can do, I can send this to you in a more digestible format, maybe like a PDF profile or PDF format. That way you can review it, make sure that the actions make sense with what we’ve said. If you need me to add any additional steps for your internal team, for your oversight, then absolutely, let me know. But this is something I just want to have as a takeaway for you.
Mallory Smith (28:50) Okay. Yeah, that sounds great. Awesome. And also, I can change the colors, but I thought these were very eastery and I thought that was appropriate. It.
Tina Matthews (28:57) Is very pastel. I love it. Yes.
Mallory Smith (29:00) Okay. I.
Fatima Nunes (29:01) know, Tina Mallory messaged me this morning and she says, hey, what do you think about the colors? And I’m like, I think it looks fine. I was trying to think like what are planned parenthood’s colors? And she goes, yeah, I think Tina will love it with Easter. Yep. I’m like I hadn’t even thought about that. I love.
Tina Matthews (29:16) Pastel. So, this is awesome. Good.
Mallory Smith (29:19) Okay. All right.
Mallory Smith (29:20) Well, I’ll go ahead and stop sharing, but I’ll send this over to you as an action item as well as that spreadsheet just so you guys on it? Okay.
Tina Matthews (29:27) And interesting, while we were sitting here, I got a ping from Sherry. What did she say with the question?
Tina Matthews (29:34) The order form has an elevated number of providers and she’s asking if you all she’s like, do you know if they would adjust that? So if the number we sent, we said when we were going through this process was 160 providers, but let’s say we really only have 135. Are you, are you all adjusting that?
Fatima Nunes (29:59) So, I… think what we did, so two things, I think what we based it off of was 160 current providers, not expecting to hire any new providers, but you’re saying what you actually have in the system is 135. Well.
Tina Matthews (30:14) I think that’s what she’s saying. I don’t know if it’s actually 135. I’d have to run a report but we, our volume of providers is different. We’re closing a couple of health centers, three to be specific, that’s happening by April first. I believe. So if that is happening, we’ve got an elevated volume is what she’s saying. She’s like I’m taking a look at this order form and compared to where we are today versus what I knew back in December and January, the numbers are off and she’s saying, will you guys adjust for that?
Fatima Nunes (30:49) Yes, absolutely. We want, you know, we want the data and the volumes to reflect as closely as possible to your current state. And so we would work with you, right? We could re, scope it. I think the only, so the answer to Sherry’s question is, yes. I think the only thing to consider there is some volume based discounting based off the volume as a total on the contract. So that might adjust. I don’t know. I’d have to rerun the numbers but absolutely, we can drop that number, any of the line items. We can either increase or decrease.
Tina Matthews (31:21) I’m going to run, I’m going to run new data so that she’s comfortable so that they’re both comfortable with the actual numbers, the real numbers out of mdstaff, and then anything that they’re projecting and then see if I can get approval on the projection and then send that to you guys. So that you have that, that’s a valid question. Again, it looks like they’re moving forward but I just, I, this just, these little questions that was great timing though. I know no.
Fatima Nunes (31:51) That’s good that she’s asking. I think one, I think that’s a great question because I think the big goal with medallion we want to be, we want our contracts to be flexible. We understand that business changes, business needs change and we want to be able, to pivot with you guys. And so, yes, as soon as you re, scope it, you can, we can get another call. We can update the data that’s not an issue at all. Okay. I’m trying to think the only other thing that we didn’t factor in and I don’t know if you want to factor this in. I know we did it for the enrollment side. We factored in two new providers added per month. So we were looking at 24 per year, but on the provider count as a whole, we just kept 160. We didn’t a lot for any future growth. So, so just keep that in mind. If you want to kind of give yourself a buffer for, you know, an additional 24 a year, then let’s add that in because I know that’s something that’s not in right now but in the enrollments and revalidations, and everything else accounted for provider growth. But on the provider count, we didn’t account for that, yeah.
Tina Matthews (32:54) Yeah. And, I think that was kind of on purpose about, you know, where we are right now with the current administration there, there likely isn’t going to be any growth especially if we’re closing health centers. So where we are today, I think that’s comfortable, but I will mention that to them and see if the numbers that I provide to them before I share them with you, look accurate.
Fatima Nunes (33:15) Okay. Perfect. I think that’s a great plan. And I’m happy that she messaged you. I think it sounds like, you know, they’re spending time on it. They’re reviewing the data. They’re taking the time to look at the order form that’s all, good momentum there. Yeah, totally. Okay. So, I know we’re four minutes over. The last thing I wanted to ask you and I don’t know your thoughts on it right now is Dave and I were talking. We’d love to get, you know, reconnect with Sherry or even possibly with bill and just get us all on a call just to ensure executive alignment.
Fatima Nunes (33:45) We understand that these projects, these decisions are group decisions and ultimately get some of this work off your plate a little bit, get the heat off of you. And then just all these questions that they could have direct. They could just ask us directly. Is that something that you’d help facilitate whether it’s next week or the following depending?
Tina Matthews (34:05) On, I can ask them. I truly think that this is going to be a really difficult time to get them on a call… because, you know, again, they left this decision to, they left this work to me. All I had to do was get executive approval and so, I know that that’s what they’re working on to pull them in another meeting. I don’t know that that’s going to be possible, but I can certainly ask, okay, yeah. Okay.
Fatima Nunes (34:30) Perfect. Just wanted to throw that out there. If it’s helpful. We just want to get work off your plate and then also the opportunity for them to feel supported from us. Yeah.
Tina Matthews (34:38) And I think that’s how I’ll frame it too is, you know, that it might be really, it would be really good for us to all get on a call. I don’t foresee that. I don’t foresee that, you know, something coming off of my plate because this was really one of those things where it was Tina roll with it and just make this happen. Sherry is extremely busy and I can tell you trying to pull in just a half an hour to have a conversation with her and I work for her.
Fatima Nunes (35:04) Is very.
Tina Matthews (35:06) Challenging and a lot of times, you know, when she’s telling me she’s 400 emails behind and I’m trying to schedule her for something she’s like that is my valuable time. This better be worth it. And if what we’re going to do is talk about something that all that they feel like they’re already kind of making a decision on, that might just be a little bit of a struggle. I’m just being honest, but, I will ask.
Fatima Nunes (35:31) Okay, perfect. I think we trust you. We know that you’re running point on this, however we can help supplement support. Yeah.
Tina Matthews (35:40) I appreciate it.
Fatima Nunes (35:41) In addition of the work that you have, please count us in more than happy to meet with them when the timing is right? I think right now they’re in the due diligence phase making sure everything aligns. And so I think it’s worth just bringing it up to them. And even if it’s not in the next two weeks, in the next three weeks, maybe just getting them 15 minutes just so we can reconnect.
Tina Matthews (36:00) Yeah. Okay.
Fatima Nunes (36:01) Perfect. So in follow up, we will share the implementation resources. I think that would be a great kind of like value add that you can share to bill and Sherry later this week. If you haven’t heard from them. Okay? Is there anything else that we can send you that would be helpful Tina?
Tina Matthews (36:17) I don’t think so. At this point, you know, I think we’re really close. I think they, well, I know they already have a decision. I think they’re just like you said, they’re just making sure that they are touching on every single thing. I think having the msa was wonderful because the minute I get the official approval, I can send it to Richard. And, you know, Richard every time I send him something, he is just really good about running through it and then sending me his questions. And Richard, if anything that’s somebody that we could hop on a call with that is, you know, a valuable asset to this is him saying, okay, here are the questions that I have, and then getting those answered so that I can send them over, to bill. And, you know, bill and Richard work very closely together. And so if Richard says something okay, this is how we’re moving forward then?
Fatima Nunes (37:15) Okay. So.
Tina Matthews (37:16) It may be, you know, easier for us to get on a call with Richard and get that flow that information over to bill so that, you know, that might be helpful too… but it was really helpful in that you sent that to me because I can immediately send it over to Richard and get that, you know, get that going. Perfect.
Fatima Nunes (37:34) Okay, perfect. Sweet. I’m happy to know that was helpful. And so, I’m thinking, I know we’re hoping to get some feedback end of this week. Can we schedule 15 minutes, maybe sometime middle of next week just to have it on the calendar? Okay?
Tina Matthews (37:47) Yeah, yeah. Let’s do it. I’m looking.
Fatima Nunes (37:49) Tuesday, same time? Like 12 30, your time, three 30, me and mal’s time?
Tina Matthews (37:56) The 30 first?
Fatima Nunes (37:58) The 30 first? Wow. I can’t believe it’s the end of March.
Tina Matthews (38:02) I know I could do, you said the same time like noon my time, so.
Fatima Nunes (38:08) 12 30 your time, 12 30? Pacific? Would that work? Yeah?
Tina Matthews (38:12) I could do that? Alright?
Fatima Nunes (38:14) Perfect. I’ll go ahead. I’ll send that out if we need to meet sooner or push it out, just let me know and we can accommodate, of course. Okay.
Tina Matthews (38:22) Yeah, yeah. That works. Perfect.
Fatima Nunes (38:24) Awesome, Tina. It was great. Catching up with you. Good luck with all the work you have going on. And then we’ll send all these resources via email shortly.
Tina Matthews (38:30) Yeah, thanks so much of.
Fatima Nunes (38:32) Course. Take care. Talk to you next week.
Tina Matthews (38:33) Thank you. Bye bye.