Transcript
Kirsten Neville (00:00) hi, Puneet. Good morning. Puneet. Good morning. Can you hear me? You’re muted so I can’t hear you unfortunately.
Punith Subramani (00:20) Oh, my bad. My bad.
Kirsten Neville (00:21) Don’t worry.
Samarth (00:24) How are you? My?
Punith Subramani (00:26) Founder will be joining us in a couple of minutes. Apologies for that.
Kirsten Neville (00:30) Oh, no worries at all. We can wait. Where are you calling from?
Punith Subramani (00:40) Sorry, where?
Kirsten Neville (00:41) Are you calling from? Where are you based out of?
Punith Subramani (00:43) California?
Kirsten Neville (00:44) Okay, great. Just.
Punith Subramani (00:46) A minute. I’m just checking in with Samarth. He must be there in the room.
Kirsten Neville (00:52) Hi, good morning, Samarth.
Samarth (00:54) Hey, Kirsten. Sorry about that. My previous call went over a couple minutes, so.
Kirsten Neville (01:00) No worries at all.
Kirsten Neville (01:01) Yeah, thank you both so much for being here this morning. Yeah, I just got a quick intro if you need. So, would you guys mind telling me a little bit about your role and what Drew you to medallion?
Samarth (01:14) Yeah. So, just to give you some context, basically, I already run a DTC company that does very similar to hames, Roman, if you’re familiar with them, where medallion for elective healthcare conditions, been running that for the last few years, scaled that up. And now we are basically looking to expand into chronic care management and RPM services. So, these are basically like two categories under medicare that are like CCM and RPM codes, which basically enable companies to provide long term recurring care for patients with diabetes, heart disease. And… you know, just chronic and reflect conditions and… what we were kind of. So, what we’re doing is basically buying out PC in Colorado which already has medicare license in place and, but it’s only really eligible for… fee for care kind of medicare services and not really in the medicare advantage plans. So, but our physicians is licensed in all 50 states. So, our goal is basically to get the physician set up for medicare fee for service, medicare in the rest of the country, as well as advantage plans in both Colorado and the rest of the country. So, so, yeah, just looking for someone to help us with credentialing contracting in these places and want to see if that’s something you guys can help with?
Kirsten Neville (03:00) Okay, great. So, to understand correctly, you want to operate out of all 50 states, right? In the United States. Is that right?
Samarth (03:06) Ideally over time, I mean, we could sequence it, yeah.
Kirsten Neville (03:10) Okay. And you’re you are more an RCM company, is that right?
Samarth (03:16) I know. So RCM is yet another service where we do billing for other practices.
Samarth (03:22) But what we really are doing like this would be a consumer healthcare company where we would just do chronic care management for patients.
Kirsten Neville (03:32) Okay. So, how many total providers do you have or are you representing right now?
Samarth (03:38) So, right now, we would only have a couple on board, but we would expand that up to like 30 to 40 over the next, like over the next year or so. So, basically, what we’re doing right now is we’re running our pilot in Colorado, and once that works like, and as we prove our concept, we will scale that up pretty quickly. So, we’re already venture backed. So we would effectively be able to scale extremely quickly once we figured out our business model and have our credentialing in place. Yeah.
Kirsten Neville (04:10) Okay. So, but you only have, how many providers right now?
Samarth (04:15) We only have a couple of providers?
Kirsten Neville (04:16) Right now, and you’re planning on having 30 to 40 like within the year within six months?
Samarth (04:22) I’d say within the year, conservatively if not more. Yeah. Okay. And, and I.
Kirsten Neville (04:30) guess, like, what would be the typical number of providers per client organization that you work with?
Samarth (04:39) Sorry, when you mean, you work with I’m a little bit confused like.
Kirsten Neville (04:43) If you, do you, I guess, I mean, like, do you represent other?
Samarth (04:48) Oh no, no, no, I, no. So, I own and operate the whole setup. I would.
Kirsten Neville (04:53) Okay. Yeah.
Samarth (04:55) There’s no one I’d represent, it would be like, I own the PC. I own the mso that services the PC, and I’m looking to add providers to my own PC and get them credential. I mean, get them medicare eligible in every contracted in every state.
Kirsten Neville (05:12) Okay. So you’re really not an RCM company?
Samarth (05:16) Oh, no, no. We’re not a RCM. Yeah, just, the thing is like, I think because we spoke about like because the email, like we started off casa RCM as like RCM and just caused like a bunch of confusion. So, just forget the RCM part of like the thing, no.
Kirsten Neville (05:34) No worries at all. I just want to make sure I understand. So, and then, to that end, how many do you have direct enrollment payers right now?
Samarth (05:45) So, we honestly, we are, so, what I did was we are basically bought out… a PC like a PC with a physician on, with a couple of physicians on board and they only have medicare enrollment. We have no other payer contracting. We in either Colorado or any other state?
Kirsten Neville (06:11) Okay. So, just one for now. Yeah. Okay, great. Well, it sounds like you have a lot of exciting growth happening this year. And yeah, that’s just, really great to hear. Unfortunately, you know, without the providers right now because you only have two or three providers right now, this would just be below something that we would normally partner with. So, and we have a deal floor just to be candid with you, and it just wouldn’t make sense. I think budget wise financially to partner on because you just wouldn’t really meet that without the providers right now. So, when you do have more direct enrollment payers and you do have more providers, like you have existing providers that you’d be bringing on, you know, say you have 40 in six months from now and you plan on adding 10 more by the end of the year, it might make more sense to have the conversation at that time. Does that make sense?
Samarth (07:11) Got it. But just to get a sense on one thing, if, when you are doing these enrollments, are you… like, do you help like get enrolled with like, medicare advantage? Like all of these plans? Is that really the service that you’re providing? Or is it just credentialing?
Kirsten Neville (07:32) No, no, we do enrollment as well. Oh, okay. It’s not just credentialing, you know, and of course, like, we have different, I guess plans. You could call it for lack of a better word where, you know, certain things meet your needs, and that’s what you need. Maybe credentialing is all you might need in the future, but yes, we do all of those services.
Samarth (07:53) Got it. And is it a managed thing, or is it like one of these like AI things where, like, it’s just doing like, is it like a human also, whenever you do it?
Kirsten Neville (08:03) Yeah, it’s an end to end service. So, it’s a software and a service, that we do provide, correct? Got.
Samarth (08:09) It, oh, perfect. That awesome. So, yeah, I guess we’ll reach back out when, if, and when it like makes sense then.
Kirsten Neville (08:17) Awesome. Yeah, that would be great. And it, you know, it sounds like, you know, you’re venture backed as you mentioned, and you have a lot of really exciting plans, it sounds like you’re going to be pretty big. So, please do reach out just even in the next few months and we’d love to have a conversation.
Samarth (08:32) 100 percent. Is there people that you recommend that you have seen have been helpful for like earlier, like companies?
Kirsten Neville (08:41) I, I’m sure they exist, but I don’t know some of them. Oh, okay. Perfect. Yeah, no worries. Great to meet you both. Thank you both so much, and I hope to talk to you again soon.
Samarth (08:52) Bye.