Transcript
Nic Schisler (00:00) hi, Sarah. Good morning. Good.
Sara Shelton (00:01) Morning. How are you? I’m.
Nic Schisler (00:03) good. Yourself doing?
Sara Shelton (00:04) Pretty good.
Nic Schisler (00:06) How is spring treating you out there in Tennessee?
Sara Shelton (00:10) Oh, everything’s blooming my gosh.
Nic Schisler (00:12) I can relate. We’ve had very little rain and lots of pollen. I must say I.
Sara Shelton (00:20) Drive a black car and my car has a hint of green on it now.
Nic Schisler (00:25) Yes, we have a black car as well and it has been quite the task to keep up with it, to keep it looking not lime green mixed with black. I must say.
Sara Shelton (00:40) There’s no point in washing it at this point.
Nic Schisler (00:42) I know it’s just crazy. Well, it’s just crazy. I mean, we literally haven’t had any rain here since maybe sometime in late January. Hey, Jason. Hey, good to see you all. Thanks for making time. Happy. We could reschedule so we could all be together this morning for a little bit. How’s everything been with you? All? Well, I hope.
Jason Haney (01:04) Good, busy. It’s always crazy. And then, I know now we’re in April QT, right?
Nic Schisler (01:13) I know it’s kind of hard to believe. I’m sure we’ll sit here in the next 120 days or so and be like, can’t believe we’re in the middle of summer Q3 already? How was your, I know that you and Robin connected with Derek and Leah a couple of weeks ago, kind of about some of the AI stuff we’re rolling out. How did that conversation go with you all?
Jason Haney (01:42) I think it was fine. I don’t recall going deep into a lot of AI. Okay. I don’t know what? Maybe, yeah.
Nic Schisler (01:51) Okay. It.
Jason Haney (01:52) Was kind of a, I don’t know 10, 15 minute kind of check in, I guess. Okay?
Nic Schisler (01:58) Okay. I don’t have much to cover today. On our end, a couple of things I kind of wanted to recover because I don’t know if we addressed this back in January when we originally connected another piece that I’d like to raise to you all that I clearly think we need to start working towards and maybe there’s just some backstory here that maybe I’m missing. I don’t understand that we can talk about too from a payr enrollment perspective and we can kind of dive into that as well if that sounds good and trying to just keep it all very, you know, high level open discussion, not throwing a bunch of slides at you here this morning. Okay? First and foremost, I think you obviously know myself and, you know, Ray now, I don’t know if you all have had the opportunity to meet with gabby or Amy yet. I think maybe the next quarter or so, it might be good to try and see if they just can’t sneak in at some point and say hey to you all. But I report into Gabrielle. She leads our account management team. So, you know, if and when we have some issues… you know, other commercial aspects that we need to discuss at some higher strategic levels, we might bring her in where appropriate. And then Ray reports into Amy frana, she leads our engagement team here. So if and when we get into a bit of a roadblock or a red scenario from an ops standpoint, and we need to kind of figure out some process y, stuff. We’ll certainly bring in Amy as well. Okay. So I wanted to make sure you kind of knew who’s, who we’re reporting to if you need their contact information, please let me know. I’m happy to share that with you all as well. Too. Okay. And then from an executive standpoint, we covered Amy. But Keith collins is our chief financial officer, and Kyle carbine is our chief revenue officer… a little bit of knowledge for you. Kyle and Keith both joined our organization within the last year. But these are our first kind of C suite executives in this role. So I think it’s just kind of going to show, you know, how medallion’s continuing to scale, how we’re continuing to build on our C suite team. And some exciting news too. I don’t know if Derek maybe shared this with you all a week or two ago, but we just hired our first chief operating officer as well too. And we’re very excited about him. He’s coming to us from airbnb, he’s got a lot of, you know, expertise in building out customer success teams, processes, et cetera. So we’re very excited about his hire. He started this past Monday or last Monday, the 20 third. So I believe probably when maybe the timing’s right as well, it might be good to kind of have him see if he can’t make some time to do an intro with you. All. Okay. So just wanted to make sure you kind of had some idea of some of the leadership things that were happening here. Any questions, concerns with any of that I’ve shared with you? Okay. All right. Two quick things that I wanted to cover from a partnership update, obviously the pass through fees. Happy we were able to kind of get, you know, that report updated on your behalf. So it kind of makes things a little bit easier on your end to manage kind of who’s who, how you need to bill and then obviously getting them approved internally on our end, Jason, Sarah, I know you both reached out to me in regards to kind of, you know, the net 10 payment terms, right?
Nic Schisler (05:23) And as I mentioned, like that’s, just standard across all of our customers. Essentially, there’s really no wiggle room there at the end of the day again. I think as long as we’re being good partners, we’re getting them resolved within a timely manner, they’re not lingering out there for 40 50, 60 business days. I don’t think we have a problem with that. I think if there’s a time where you have an idea of hey this is still processing. We know we’re at like the 20 day mark. We’re just giving you a heads up. We’re working through it. I think if you just kind of keep open communication with us, so then I can let our finance team know it should be a non, a big non issue there, Sarah?
Jason Haney (06:07) I know you’re getting those reports. Is there enough information on there currently for you to move a little faster than we were? Or what’s.
Sara Shelton (06:18) yeah, I was actually turning that around within a day or two. I think what, when I was talking with someone in accounting, they had the turnaround time for, to pay those invoices at 30 days and she was getting the approval to move it up to the 10 day mark.
Sara Shelton (06:33) So hopefully that will be a faster turnaround of getting those invoices paid. I just found that out last week. I think it was last week that’s great. Thank you for working with your team. So everything is there that I need to, you know, document the lines of businesses and all that stuff though. Great.
Nic Schisler (06:49) Thank you for working with your team to see if you can speed those up again. You know, from my standpoint, again, as long as we’re kind of just keeping open lines of communication, it’s really a non issue. The bigger piece that I really want to spend some time talking about here this afternoon is when we originally did the five year agreement with you all. Not only was credentialing a part of the agreement but also payer enrollment, right? Getting providers enrolled with payers. So, I was doing a little bit of digging around last week and I was just noticing when I go into the medallion system, I see the payer enrollment tab there, but there’s no requests in process yet there’s no payer information in there yet. There’s no. So I’m curious, Sarah, Jason and I don’t know who the best is to frame this to. But do you have any idea of why we haven’t started this process for you? Were we just focused on credentialing? And are you ready to get, you know, PE going? And if you are, then Ray and I can certainly kick off those conversations with you.
Jason Haney (07:57) I know that’s on our true health side. So I’m not certain why… there’s nothing going in there yet, but try to find out yeah.
Nic Schisler (08:09) I appreciate it. On the ahp side, there’s nothing in there. So I don’t know if it’s maybe me misunderstanding. When I look at the agreement, it’s all one agreement from what I’m seeing, I believe. So.
Jason Haney (08:25) When you say the ahp side, I don’t know how we’re set up on your end, if that’s everything globally or if there’s a there’s two.
Nic Schisler (08:32) Instances, when you log into medallion, there is a true health instance. And there’s the American health instance when I go in go.
Jason Haney (08:41) Ahead. Oh, so, is there activity on the true health side?
Nic Schisler (08:45) I believe that there is, I can double confirm that with you all.
Jason Haney (08:48) Then that’s Sarah, you correct me if I’m wrong, then I think that’s fulfilling what we needed. There, ahp does not have any providers. Okay. All the providers sit with true health.
Nic Schisler (09:02) Let’s confirm this right now. And I know Sarah, you’re only on the ahp side of the ops call with Ray on a weekly basis. Correct? You’re not on the true health one.
Sara Shelton (09:14) That’s correct. And I was going to ask you about the payer enrollment we weren’t in. We don’t know anything about from my standpoint, anything about the payer enrollment on our side. Okay?
Nic Schisler (09:26) So the good news, is I do see it set up underneath the true health side and there are requests in process. Essentially. Okay. So I think we should be okay there from a setup point, I think to me it was more of seeing the agreement, it’s all under one agreement. But now, I’m understanding how you kind of probably have it separated out into two instances and two buckets of who’s handling what? Okay. I just wanted to make sure we weren’t getting into a.
Jason Haney (09:52) bigger.
Nic Schisler (09:54) Situation of being like, hey, we were supposed to be handling this but we’re not right now. Essentially. Okay. Well, good. What I thought might be a bigger conversation does not need to be. So that’s a good thing right now. I don’t have much more but I am curious, you know, Jason… this is maybe geared towards more you, we’re sitting here now in the beginning stages of Q2, right?
Nic Schisler (10:20) From an ahp side of things, where is it that, you know, medallion can help you more as we move through the year? Do you see any potential more provider growth for yourselves? You know, between now and the end of the year? I’m just kind of trying to get a gauge of what it looks like between now and the end of December with you all.
Jason Haney (10:42) Yeah. So I mean some of that there’s probably Sarah can answer as well. I know on the true health side, we will continue adding providers through the year. So from that payer enrollment piece, we’ll see that continue, we are doing some 20 27 expansion from a service area. So anticipate we’ll keep seeing new providers come in from a credentialing component, but Sarah… do you have any open needs on your end? Not?
Sara Shelton (11:20) Right now I was going to mention that too that, you know, the growth would be from expansion coming up. So probably closer toward the mid to end of the year, we’ll have more providers that will be pushing through for sure.
Sara Shelton (11:36) But any needs right now, I think we’re smooth sailing. I know that Christy had some questions with Ray yesterday regarding some of the archive providers but they, I think are working through that as well. So I think we’re just still learning, you know, the ins and outs of the system by all means.
Sara Shelton (11:56) So that’s you know, but the working with Ray and everything is great. Great communication. She’s fast to respond and she’s always willing to get, you know, whatever questions she can’t answer. She’s always, you know, following up with us letting us know how things are rolling and all that stuff. Awesome.
Nic Schisler (12:16) Ray’s fantastic. I love. Ray and I are actually neighbors, we live like 10 minutes from each other. I don’t know if you know that, but yeah, yes. She and I talk on a weekly basis. We have multiple customers that we work on together within our book of business. So she and I talk daily if not multiple times a day. I’m actually speaking with her later this afternoon. So I’ll make sure to share that sentiment with her this afternoon. So I’m super pleased to hear that she’s fantastic. Okay. Well, we can keep it short and sweet. I think the PE piece was the big thing for me. I wanted to make sure that we weren’t kind of approaching a red area which I’m happy that we’re not, I’d love to kind of keep this connection going as we move forward through the year. So, Sarah, if it’s fair, I’ll work with you just to maybe try and find a daytime that works best reoccurring. And then if something comes up, folks are out of the office vacation sick, whatever. We can always just take that async and reschedule if needed. How does that sound both to you? All… that’s fine with me. Okay, great. Nick.
Jason Haney (13:17) One thing I have a question on that maybe it’s going to Sarah, but I haven’t seen.
Jason Haney (13:23) So one of the most attractive pieces about medallion was this kind of network effect. So that as you grow and bring on additional payers, then there could be those associated cost reductions. Is there like a report out, or what that growth of network looks like or how many of our providers are covered by other payers as well? Like I’d be interested in seeing like that overlap? I.
Nic Schisler (13:59) haven’t seen anything. I’m not aware of anything, but I’m happy to have some conversations internally with our data team and see if there’s anything that either we can create… or just based off of how we have the data in the system today, how we have them enrolled with certain payers and just having access to all the payer directories if it’s something that we can pull.
Nic Schisler (14:20) So, let me have that conversation. If it is. I don’t see why we probably can’t deliver that to you all. Yeah. Okay. And I’ll ask Ray too to see if maybe she’s heard of this from any other customers. This is a great question. It’s the first time I’ve actually got this question. It’s.
Jason Haney (14:37) in your all’s pitch for new customers. But a year or so ago when we first started talking with Jordan fletcher, like.
Nic Schisler (14:45) Okay.
Jason Haney (14:46) The component was, hey as we grow your cost, your unit cost goes down. So my hope would be that’d be like some core reporting.
Nic Schisler (14:56) Yeah. That’s good to know, that, yeah, that’s good to know that was covered with you in the sales process. So, I appreciate you sharing that with me. Okay. Let me have some internal conversations about. I also don’t know if they’re coming from a perspective of a contracting perspective where if you’re hiring more providers, doesn’t mcdalian get more creative from like skewed pricing perspective. So I don’t know if that, are you sure that’s not what they were speaking to? No, it was.
Jason Haney (15:24) Literally, if Jason’s the only person credentialing Nick, I pay full freight. But if Sarah and Jason are both credentialing, Nick, we each pay only 50 percent and then et cetera. Et cetera. On down?
Nic Schisler (15:40) Got it. So that essentially.
Jason Haney (15:41) Every time you signed up a new customer, my cost would go down sure.
Nic Schisler (15:46) That makes sense. Okay. Yes, let me have some internal conversations and I can circle back with you on that. That’s not a problem. Yep. Okay. All right. Hope you all have a good rest of the week. Do not hesitate to reach out at all. If you need anything from me or Ray please. I know Ray is going to chat with you a little bit later on tomorrow, Sarah, but she and I will connect. And if we need anything from you all, we’ll obviously be in touch. Okay. All right. Thank you. Both. Good to see you talk to you soon.
Sara Shelton (16:14) All right. Thank you. Bye.