Transcript
Dave Wallach (00:00) ooh, I thought I was gonna be the last one on. I just dropped off another call.
Erica Lloyd (00:09) Yeah.
Angela Opalak (00:18) Hello. You look cute. My goodness.
Erica Lloyd (00:22) I’m in Florida.
Dave Wallach (00:24) You’re looking all fancy for Florida?
Erica Lloyd (00:27) Well, I was like, I need a shirt. Yeah.
Dave Wallach (00:30) It’s a good place to start wearing a shirt.
Erica Lloyd (00:34) Well, I took the kids to the zoo this morning. So I was in like a tank top.
Angela Opalak (00:38) Did they see alligators?
Erica Lloyd (00:40) Yes, we saw all we saw all.
Angela Opalak (00:43) The alligators absolutely.
Angela Opalak (00:52) Hello?
Erica Lloyd (00:53) Hey, Angela. Good to see you again. Good.
Angela Opalak (00:56) To see you guys?
Erica Lloyd (00:57) How are you? Good?
Angela Opalak (00:59) How are you guys? Happy Monday? Yes, happy Monday.
Erica Lloyd (01:03) I’m in your state today. I’m in Florida.
Angela Opalak (01:05) Oh, are you, what part of Florida?
Erica Lloyd (01:08) We’re in apollo beach. It’s near it’s like… my in laws have a house there. So we took the kids down for spring break.
Angela Opalak (01:17) Oh, fun. The weather is so nice right now. It should be a great time.
Erica Lloyd (01:23) Yeah, it was nice this morning. It was a little overcast so it wasn’t too hot. It’s raining now and then it should get nice again.
Angela Opalak (01:31) Yeah, I think we’re supposed to get rain just like today because I’m on the other coast, but I think it’s just supposed to rain today and the rest of the week is probably going to be pretty nice. So, yeah, yeah.
Erica Lloyd (01:42) Lucked out. Yeah. Well, thanks so much for carving out some time. Good to see you again. We have a new face. I’ll let Dave introduce himself and then we can jump right in.
Dave Wallach (01:51) Hey, Angela. Nice to meet you, Angela.
Angela Opalak (01:53) Nice to meet you too.
Dave Wallach (01:55) What part of the east coast of Florida are you on?
Angela Opalak (01:57) I’m in the palm beach area.
Erica Lloyd (01:59) Okay.
Dave Wallach (01:59) Yeah. My wife would move to Florida tomorrow. She’s already got half a bag packed, but I’m trying to hold off a little bit longer but, yeah.
Angela Opalak (02:08) Are you in the northeast?
Dave Wallach (02:10) I’m in New Jersey? Yeah. Okay. It’s like a natural progression from jersey to Florida. Yeah, exactly. It’s so.
Angela Opalak (02:19) True. It’s so true.
Dave Wallach (02:21) We’ve always been to the east coast but we’re going to go check out the west coast this summer and, yeah, see some areas.
Angela Opalak (02:28) Yeah, I don’t love the west coast, like California. No.
Dave Wallach (02:32) No, no. The west coast of Florida. Oh,
Angela Opalak (02:34) the west coast of Florida has my heart completely. I would live in certainly, the sarasota area. My husband grew up in fort Myers which we love too. So, yeah, yeah, awesome. West coast of Florida has better beaches too, that’s.
Dave Wallach (02:51) right. It’s more relaxed.
Angela Opalak (02:53) Yeah, very, a little more expensive. I’m not going to lie, but, yeah.
Dave Wallach (02:58) Okay.
Dave Wallach (02:59) All right. When we get closer, I’ll reach out to you with some ideas. Sure. Anyway. Nice to meet you. I manage one of our enterprise partnerships teams here. Erica mentioned you guys have had some great conversations and happy to be here.
Angela Opalak (03:11) Yep. Thank you.
Erica Lloyd (03:13) Yeah. So why don’t we jump right in Angela what I was thinking for agenda? Let’s review the proposal. We had a couple of questions. Thanks for sending over the scoping information. So I think this will be almost like a proposal workshop because as you know, like the consumption based model, we need to make sure we’re accurately scoping before we get into implementation. So let’s just workshop a little bit. So I just did for year one, we’ll get your feedback and then we’ll make sure that we firm it up with your help. Okay? Let’s then hold a few minutes. I want to go through a little bit more built out of a project plan. So we can just make sure from a timeline perspective, we’re in lockstep and we’re also not like skipping over any steps that are going to be really critical to getting this implemented. And then let’s just align on criteria and next steps. I know, you know, this was in your first 60 days, something that was on the high on the radar.
Erica Lloyd (04:12) So I figured that would be a good way for us to kind of help progress this forward? Does that feel right for you?
Angela Opalak (04:17) Sounds good?
Erica Lloyd (04:19) Okay. Anything else… that you were hoping to cover today?
Angela Opalak (04:23) No, I think like I said, I want to make this decision in the next week or two for sure. So any loose ends that we have today, I’m hoping to at least be able to go back and if there’s questions I can’t answer, we need to go back and get more information. I’m happy to do that. I had a little bit of trouble trying to figure out which of our payers are roster related versus not.
Angela Opalak (04:49) And I also was able to get some more clarity that we’re probably not going to be doing any additional acquisitions this year. So that was helpful for me too because I didn’t think so, like what we have in the house now is where we’re going to be this year. So at least finishing up this year, not any more ads. So. Okay.
Erica Lloyd (05:11) Did the acquisitions impact consumption like the number of providers that you need to credential or is it just like understanding from a revenue perspective?
Angela Opalak (05:19) No, I think well, they did a lot of acquisitions last year, probably not in the best way. So I do feel like they lost some revenue. Those providers have since been added. But I do think I still have some providers that are pending as part of those acquisitions. Meaning like we’re working through transitional services agreement now. So I think I was right. I think we said maybe five or six on the last call that would need to be credentialed and that is still accurate. Yeah. OK. Yeah, I don’t think anything materially changed but I did get updates Friday about, you know, just we’re kind of taking a break and cleaning up this year. So we won’t be doing any major, you know, major acquisitions, yeah. OK.
Erica Lloyd (06:09) A break is always good sometimes, right? Yeah. Especially with acquisitions. My goodness. Yes. OK. You know what my, I want to make sure because I’m usually working off of two screens since I’m not at home. I am actually, yeah. Can we start on? Do you mind sliding on slide four? Yeah, I see you over there. Thank you. Sorry about that. And I can also the project plan so and let’s actually, sorry, let’s just start on three and then I’ll go to four. So just go to three real quick. I think like as you’re Angela, kind of the point of this one is really just making sure that we are aligned to how you’re thinking about. I know you’re I think it was three different vendors you were going to look at. So it’s probably hard to keep them straight possibly. So I just want to, this will just kind of ground us back on like some kind of unique value propositions with medallion. So just making sure that you’re leaning into agentic AI to power the workflows and automate quite a bit of the workflows, contractually committed slas, that is really unique to medallion, the visibility understand you were looking to solve that you were having write offs because providers were getting scheduled with patients that were not in network and you really had the team had absolutely no way to say when that’s happening. So I think that’s kind of unique selling point. I know we didn’t necessarily show to you in, we didn’t show you in the demo yet. But like I said, if you want to do that, we can do that. And then obviously this will really enable you to reduce opex and just have peace of mind as you’re going through that. This is kind of taken care of and not something that you have to have. Oversight. Any questions on this? Does this resonate?
Angela Opalak (07:54) No, I’m good. Okay.
Erica Lloyd (07:56) All right. Let’s just pull forward. Thanks Mel. So when, and the reason I’m showing this is just is kind of anchoring on if we just if you’re just putting a number in front of Michelle, she may be like, what is this?
Erica Lloyd (08:11) So this is credentialing stream. I’m not sure. I know we weren’t sure what the cost was that you’re spending on credit stream. And I know we’re not necessarily trying to line up the renewals.
Angela Opalak (08:25) Right.
Erica Lloyd (08:26) Eventually, obviously, there’ll be a cost reallocation, right? Typically, we see 75 to 100 just for the software. And then we were saying with benefits ftes probably anywhere from 60 to 75 K with benefits for your ftes that you could reduce, probably at least three head count, which could be reallocated into the medallion Roi. Does this feel right for you it?
Angela Opalak (08:53) Does I’m, still not sure on the Healthstream? I asked for a copy of the contract because no one could find it. So, I have no idea. I know what we’re paying. I don’t want, I just don’t know anything about like renewal and how long the contract is. I mean, I just don’t know, but hopefully I’ll have a little bit more insight into that this week.
Erica Lloyd (09:17) Okay. Are we about on track with what the spend is?
Angela Opalak (09:21) Well, we, it’s like they keep adding on for every like 10 providers, we have to pay extra fees, and then we add additional users. We have to pay extra fees. So once I get the contract, I’ll be able to really quantify it and we can put that number in.
Erica Lloyd (09:39) Because.
Angela Opalak (09:39) right now, I think I told you not everyone has access there’s, very little transparency and I think that has to do with paying for additional user licenses.
Erica Lloyd (09:50) Yeah. Okay. That’s helpful. Thank you for that. Okay? And then ftes, it’s still, you’re still thinking about reducing probably three ftes and because it didn’t make financial sense to keep it in house, correct? Okay. Sounds good. Okay. Let’s pull forward and let’s just workshop. This will be the, our, we essentially. So for year one and Mallory’s going to tag team this one with me. So what we did when we were talking about doing different phased approaches was we wanted to make sure we had just like a straw man for you from a cost allocation… year one’s going to include implementation which you’re not going to do for years two and three, but we want to make sure we’re forecasting your hiring and growth appropriately. Yeah… I’ll have Mallory run through the math on how we got to these numbers, but let’s workshop it because I don’t know if we’re 100 percent accurate on these based on what you sent us. And then we’ll also go through what the purple is. I know you were mentioning you are going to pursue delegated credentialing, we weren’t sure when that was going to happen. So that’s why that’s in purple is like, okay, optional there. So let’s just before we get, you know, start sending over any more, anything order forms or anything like that. Let’s just go through there and mal, I’ll turn it over to you. But anything, any questions before I just start jumping in here?
Angela Opalak (11:24) No, no, I’m good for right now. Yeah, perfect. All.
Mallory Smith (11:29) Right. Thanks. And we’ll kind of just run through the numbers here. So ultimately core seats, if you remember, it’s just a seat for the provider and the platform that’s how we charge as part of our pricing model.
Mallory Smith (11:40) So we have about 120 current providers looking to add about five over the next year or so and then compliant monitoring since delegation is a part of our conversation. And then we’ll go ahead and include ncqa level compliance… which I’m not actually seeing on this. So Erica we might have to go back through and add that. Am I missing it?
Angela Opalak (12:08) Is that what you mean? The ncqa? So.
Mallory Smith (12:11) We’ve credentialing to it? Yeah. So just the ongoing monitoring aspect of it?
Angela Opalak (12:15) Yeah, yeah.
Erica Lloyd (12:17) Oh, sorry. That might. Sorry that’s on me. Apologies that should be.
Mallory Smith (12:21) In there.
Dave Wallach (12:21) Mallory, that would be for 125 users. Is that right? It?
Mallory Smith (12:24) Would be, yes, Angela.
Dave Wallach (12:25) It’s not, it’s a minimal cost, so it would be, it’s not a big number at all. So don’t worry about it when we add it in. You wouldn’t even notice it.
Mallory Smith (12:34) Okay. And then ncqa level credentialing, we do have 125 of that that’s just to go through. So basically payers will have a look back period on how you’ve been credentialing. So they’ll need all the providers credentialed to ncqa standards. So we would just do that. But again, at that volume three day SLA, that could be very quick work especially since caqh has 100 percent of the elements we need, for ncqa credentialing. Okay? So the next one we have up delegation roster generation. So of course, we’ll help you get delegated agreements set up and supported. We will then credential those providers to ncqa standards. And then we typically see somewhere between two and three delegated agreements per year for a customer of your size. Does that sound in the ballpark of what you’re expecting or wanting to explore?
Angela Opalak (13:26) I wouldn’t even know if I mean to be honest, like I, I’m trying to dig into how they’ve done it. Like some of the payers are telling me their roster, you know, and then like some of the new contracts I’ve seen that they’ve signed in the last couple of years, have, you know we had to send updated rosters? So I would assume that we have an opportunity there. I just don’t know, you know, and I know you guys roll over, right? So if we don’t use it in year one and we need to roll it over in year two, then, that works that way, right?
Mallory Smith (14:01) Yes, that is correct. Yeah, it’s really not. It’s not going to be the end of the world either way, right? Because we do have that skew flexibility and we can always change these numbers around as needed. Yeah. Okay, perfect. And then so that’ll be credit support, audit management. That’s number. That number just basically coincides with the roster generation. So for every delegated agreement, they’ll require a monthly roster, we’ll do that roster for you. We’ll have the new providers added, the term providers, the demographic updates, the licensing changes, anything of that nature. So we’ll manage that fully for you and send that to you on a monthly basis for each payer and then finally audit management. So every year a payer is going to basically come to you and say we need to do an audit here’s. The list of providers. We’ll just give them access to the medallion platform. They get read only access. We do have role based control of course, and then we provide them with everything that they would need for audit purposes. You have the conversations with them. We’re there to support. We can be a part of those conversations if necessary. So that’s just to ensure that comprehensively these are all the elements that you’ll need for delegation. Sound good? Yes, perfect. So I’ll just head back up here to payr moments itself. So you have about five new providers. We’re thinking somewhere between 15 plans or so. I know that number you’re going to get a little bit more concrete for us. So we’ll set 75 for now and then payr revals. We just took the number of average payers times your number of providers, and then divide that by three so that you can expect to see a rolling 600 revals or so a year based on your current provider volume. Does that make sense from a volume perspective?
Angela Opalak (15:43) It does. Yeah. Okay, perfect. And.
Mallory Smith (15:47) Then par analysis, my favorite one. So this is the number we came up with that if you wanted us to check for all of your providers with all the plans, then you’re looking at about 1,200 lines or so. So. It’s definitely in my opinion worth it because they’re going to give you a full spreadsheet of all the information plus recorded in the software to let you know if they are active as far as the billing status goes, what their par effective date is, what their credentialing date is, contract load, tax id, demographic, what practice locations are a part of it. So not only are you getting all of that more of like a project style, but you’re also getting that in the platform?
Angela Opalak (16:25) So,
Mallory Smith (16:26) your historical data will be cleaned up.
Angela Opalak (16:29) Yeah, I mean, that’s a big deal. I don’t think what we have is 100 percent accurate and that’ll also help me identify if I have providers that need to be added to other locations or whatever. Like there’s going to be tasks coming out of that. I just, you know, just to cover the geography, you know, absolutely. Yeah. Okay. Angela.
Dave Wallach (16:50) Curiosity, do you know if that service or analysis is something that’s offered by any of the other vendors that you’re looking at?
Angela Opalak (16:59) So on one of the vendors, it is as part of their implementation costs because they want to start with the right information obviously. So, I do understand it and their implementation costs are similar to yours. It is offered the third company I don’t meet with until later this week. They were, the salesperson was out last week on vacation for spring break. So we’ll meet later this week.
Mallory Smith (17:27) Well, all I’m saying is that Eric is out on vacation, but she’s still here.
Angela Opalak (17:31) Okay.
Mallory Smith (17:31) So,
Angela Opalak (17:32) that’s.
Mallory Smith (17:32) true. As far as like people that like you Angela.
Angela Opalak (17:35) I think you?
Dave Wallach (17:37) Can’t trust those salespeople to go on vacation and just disappear?
Angela Opalak (17:41) Yeah, yeah. I appreciate it. Erica. I do points for medallion there, yeah.
Mallory Smith (17:47) We’ll miss that.
Erica Lloyd (17:49) I’m running in that’s my excuse then.
Angela Opalak (17:52) While.
Dave Wallach (17:52) I’m off mute Mallory. I just want to make one other comment. It’s not in order of this right now but Angela, if I remember correctly, from what Erica shared with me from your prior experience with medallion, I know the implementation was significantly lower.
Angela Opalak (18:08) Yes, right. Okay. Lower cost or like more painful cost, lower cost. Was it? No?
Dave Wallach (18:15) Okay. Then maybe I mixed it up with something it was.
Angela Opalak (18:17) Extremely painful. Okay, like really painful. And I think this one will not be that painful. We had a lot of entities. They did not want to use the modio export, which the marketing people really pushed. We ended up having to do about a 17 or 1,800 line implementation spreadsheet for you guys, which was very painful. It took probably four times as long as it really should have. And that’s both of our faults. Meaning, I think it wasn’t set up well in the beginning with sales. And then I think just us trying to fix it on the back end because we had a lot of tins and a lot of entities and a lot of providers just made it even more difficult. You know, I’m not holding on to that, but I am holding on to that because I don’t think it’s going to be like that here because it’s a single tin location like single tin, single npi. So it’s very straightforward.
Dave Wallach (19:23) Mallory, do you think a call with Sammy having a conversation with Angela would be helpful? I,
Mallory Smith (19:29) do I think as we progress through? But what I will say too is that rather than if you’re unsure of the data rather than implementing and migrating all that over, if you’re already looking at par analysis, we’re going to be populating that anyway. And.
Angela Opalak (19:42) I don’t even know because I wasn’t on the couple of sales calls, I don’t know if they offered par analysis or if we even, I know we didn’t take them up on it, which I probably would have said we do need to do that. But again, you know, I’m not there anymore, but I, you know, I just want to do it right here because I do think when you do a lot of acquisitions and you don’t have a really good foundation, I just feel like there’s room for too many mistakes and I want a really clean platform. And so, I’m willing to spend the money to get it, you know, so.
Mallory Smith (20:16) Yeah, that definitely resonates with me.
Angela Opalak (20:19) Yeah… I.
Erica Lloyd (20:21) think we, I put in the project plan also just something around implementation with, our head of technical solutions. So why don’t, I, in the last like eight minutes here, why don’t, I just pivot over there? If that sounds good? So, I guess as I’m pivoting there, I guess initial gut check on this on the proposal. Yeah.
Angela Opalak (20:44) I mean, I’d be interested to see what year two and three might look like. Yeah, you know, I’m not surprised at the cost. And I, I’d also like to see what terms are available on that, if at all. But I’m interested to see what two and year two and three look like.
Mallory Smith (21:05) Yeah. And if I could speak up to that directly, actually, I don’t know if you have it in the slides or not. Eric or I can just speak to what that would look like from a reduction standpoint.
Erica Lloyd (21:13) No, I think you should think from a cost, yeah. Oh yeah. Yeah, from a cost, yes, sorry, go ahead, so.
Mallory Smith (21:19) What I would say, first year two, you’re not going to have the implementation cost so that’ll be covered. The ncqa credentialing would basically go down to five. So it’s going to be a significant reduction there. The credentialing setup and support will not be necessary again because that’s just a one time setup cost setup and media agreements will present you with templated policies and procedures. So you will still have the roster generation. You’ll also have the audit management. And then you’re… revalidations should start dwindling because we’re getting you established with delegated agreements so that you don’t need to go through the re, credentialing process again with those payers. So just off the top of my head that’s what we’ll be reducing from a volume perspective.
Angela Opalak (22:07) Okay. And then is there any wiggle room if you just go back to that slide? I’m sorry, I think Mallory you’re driving or maybe Erica, but if, is there any movement on the revalidations? Will that change just knowing where our providers are? That seems a little bit high to me since we’ve had, but I’m just not sure. Like I said, is it something that you guys will adjust as we move forward? It just seems like the par analysis spot on the payr revalidations? I just feel like it’s kind of high. But is that something again that we’ll adjust or roll over… the?
Erica Lloyd (22:51) Volume is high.
Angela Opalak (22:53) I mean, 600 especially we’ve been doing and I would assume that’s re cred work, right? Yeah, it would be interesting once the par analysis is done to see who’s up for re, credentialing and when maybe we could revisit that. But I don’t… know because I think you guys, if I’m not mistaken, there’s a spot in the platform that says when they’re due for revalidation, right? I was just actually looking because I’m still working at my other company in transition. So I’m like going over here like trying to, but I’m just wondering if that’s like that just seemed like a lot to me but otherwise everything else seems fine.
Mallory Smith (23:41) Okay. I would probably say… if it needs, I was.
Erica Lloyd (23:47) saying if we need to, if that. So like I said, these are that’s it was kind of like a workshop if we are too high, if we’re overshooting on the number, we can reduce that if you think it needs to be lower like give us guidance there.
Angela Opalak (24:00) Yeah. I mean, I think it’s unfortunate but I don’t know what I don’t know truthfully and I’m you know, I feel like they’ve you know, been doing the re creds as they’re requested. And I think to your point, Mallory, you said if we move to delegated, those go down anyway, so that was the only spot where I felt like, wow, that looks kind of high to me. But to be able to tell you Erica how high I think it is, I just can’t I mean, I just wouldn’t even know it just seemed like a lot, but I could absolutely be wrong about it too, you know, I just don’t know.
Erica Lloyd (24:41) It did seem like a high number of payers for the number of providers. So that like when Mallory and I were looking at the numbers at the scoping, we’re like this seems like a high number of payers, and Mallory checked me and said it very well could be that many payers. But if we’re inaccurate, you know?
Angela Opalak (24:58) And I think another thing to consider is we are a multi state, right? Not every provider is going to be contracted with every payer based on just what the state has. So it’s almost like we have to handle it like regionally but it’s really by state and there’s a little bit of crossover in Kentucky and Indiana because even our payers work that way, like we have a contract like the carolinas for example, the blues work together like the certain payers are like together. So certain networks handle both states at once. So I just don’t you know, I think we’ll have to play it by ear but I, it is a little interesting but I’ve worked in multi state organizations before where, you know, sometimes just the conversation with the payer and we move to the delegated or we move to a different way of credentialing them. But they haven’t really worked very hard on their national sort of contracts and working with payers on a more national. I mean, we’re in seven states. So I think there’s some room to improve, but I think it’s more like strategic contracting side, not credentialing side, you know, if that makes sense. So. All right. But I’m good. I mean, I thought it might be around this.
Erica Lloyd (26:31) Okay. Hey, that’s good. That’s a good thing, right?
Angela Opalak (26:33) Yeah.
Erica Lloyd (26:35) Okay. Do we, I wanted to make sure we had a couple minutes to go through just like how you’re deciding and next steps, do you have a hard stop, or do you have a few minutes to keep going?
Angela Opalak (26:43) I do have a hard stop, but I can give you a little bit of an update. I mean, I would also, I don’t know if you sent me the master services agreement and.
Erica Lloyd (26:54) I have not yet. Yeah.
Angela Opalak (26:55) So I will need, I definitely will need that for review.
Angela Opalak (26:59) And then also the, you know, how we will pay it. So, you know, what do I have to pay upfront versus monthly? I think Michelle’s definitely going to want to see that… and then what’s the earliest we could start implementation. And I think it says on here, when does it say? May first we could start implementation? Is that accurate? So.
Erica Lloyd (27:28) We can start as soon basically as soon as you execute the agreement. Give us like we use the ask for a week. We could probably even compress it. We, that nicely like to give our implementation week to.
Angela Opalak (27:41) launch.
Erica Lloyd (27:42) The project, we can start certain high priority work for you during implementation, but we’d like to also just realistically give you at least eight to 12 weeks for a full deployment of medallion. So I was working backwards if you saw whenever you, if you signed it, you know, two weeks from now, we could kick off implementation a week later. So.
Angela Opalak (28:05) I did this trying to.
Erica Lloyd (28:07) Be realistic on timelines. How does this timeline feel for you? I mean.
Angela Opalak (28:10) It feels good. It’s definitely in line with what I wanted Erica. So thank you for hearing me when I say like I’ve got to get moving so that actually looks realistic and definitely doable. I think I just got to get it in front of Michelle. So I think it would help to have the payment terms and all of that ironed… out for her. Okay?
Erica Lloyd (28:37) Our standard payment terms are annual payments. So it’s typically invoice net 30 if you decide medallion is your vendor of choice and you want to move forward with medallion, and we need and there’s… different payment terms. Like we, obviously, we don’t do monthly payment terms that’s just like to count from a revenue perspective to collect reconcile payments every single month. But if we needed to be, if we had, to shift a little bit to like biannual, or something like that, if we’re vendor choice, that’s not going to hold us up from a partnership. So, okay, if that’s like a sticking point for Michelle?
Angela Opalak (29:13) Yeah, it probably is going to be because I feel like we’ve done a lot of acquisitions and cash flow for us is a really big sticking point. You know, we’ve also had a lot of growth, but I know that’s going to be something that I’m going to have to work through with her if we move forward with you guys, okay?
Erica Lloyd (29:33) Yeah, cash is, yeah, everyone’s always thinking about the cash flow. Yeah.
Angela Opalak (29:38) Yeah. So.
Erica Lloyd (29:42) Yeah, we’ll work through that. I guess the biggest thing I can send you the msa, I guess just understanding what is like how the decision’s being made so we can support you like.
Angela Opalak (29:53) Yeah. I mean, a lot of it, it’s it, I have one more call. I think it’s Thursday and then I’ve got to put the options in front of Michelle, which would include the msa, from budget perspective, how we would need to pay.
Angela Opalak (30:09) So, obviously, I need to prepare her for that. And then, and then what am I going to do with my existing staff and really put together that Roi? So that’s kind of next steps for me? Okay? So.
Erica Lloyd (30:23) Roi, I only cause I know we had, we were still quantifying, I only put together what the staff that you would be able to downsize. I did not put Roi together of how we could meet materially impact.
Angela Opalak (30:35) Like.
Erica Lloyd (30:36) Not, you know, the, any write offs and denials if we did like a one year look back what that looked like, and then also quantifying the impact of like turning away patients and what that’s doing to revenue, like.
Angela Opalak (30:49) Yeah. And I think that would be helpful if I had that data to give you. And I did ask cause they’ve had a consultant in place for a little bit. So I did ask them to run sort of an adjustment report based on like credentialing problems like the doctor not being credentialed or the mid level. So I did ask for that. So I’ll be able to at least know what we ate last year for that. You know, as far as new referrals, I just don’t think they do a good job tracking that, you know, like when we have to turn a patient away because the doctor’s credentialed because I think historically they’ve just seen the patient and worried about it later. So I think I’m going to have more of an opportunity to give her a real vision of what we’ve given up because they just go ahead and see the patient because, there’s no system for them to look at to say, wait a minute that doctor is not on that plan or he can’t go to that location. That’s part of having the platform in place for me is just for them to be able to make better choices. So, but, I can certainly quantify that. Once I get that report back from my business analyst to tell me like what did we eat last year in credentialing? You know, so that’ll just add to my story with her. I think I’m really going to struggle with the payment terms. And now I understand why my CFO at my other company was like asking me on a weekly basis. When is medallion live? And when are you cutting your people back? Because she fronted the money for it. So now I get it. I did not know that was the term at psa. So I get it now. But let me see what I can do. But I have one more company to look at Thursday and then I’ll get back with you guys. But if you, like I said, if you can get me your boilerplate msa, that would be helpful. I can at least get that reviewed. And then I’ll just share, you know, I’ll just try to populate my Roi. I think I might get the credstream contract in the next couple of days. I just requested it Friday. So hopefully I’ll be able to plug those numbers in too and have more of a real number for them. Okay.
Erica Lloyd (33:15) Let’s do. So I’ll send you the boilerplate msa. Do you want me to send the order form with that?
Angela Opalak (33:23) Yeah, that would be like the pricing structure. Yeah. Erica, yes, send that to me too. And, you know, if we can’t get everything wrapped up this week, it’ll certainly be within that week after. I mean, I’m really going to try to push Michelle to approve in the next, like I said week or two at the latest because I’ve got to get a change going, okay?
Erica Lloyd (33:51) Okay. Yeah. I mean, yeah, let’s help you get that change. Okay? I’ll send that to you within the next like day or so the order form and msa, and then let’s just do, I really want to make sure we’re like staying on track with the project. I’m sure you have like a 1,000,000 other things on your plate. So let’s just do same time. How about same time next week? Yeah, we’ll go through everything and if we, if we’re if anything comes up before that, let me know. We can also set up in the meantime if we want to a call with our head of solutions consulting, or technical solutions, to also talk about like a step down plan for your fta and what implementation. I know you’ve been what could look like bespoke to commonwealth. Okay?
Angela Opalak (34:33) Sounds good. Thank you guys. I appreciate it. Thank you so much. We’ll talk soon. All right. Thank you. All right. Bye.