Transcript
Garrison Goodman (00:00) hey, howdy?
Taylor Ryan (00:04) Alright.
Garrison Goodman (00:07) Is it hot down there? It’s.
Taylor Ryan (00:10) actually beautiful out. It like rained over the weekend and then it’s like it cooled down quite a bit. It was really hot but this week has been great.
Garrison Goodman (00:22) Deal. Yeah, you guys got some good food spots out by where Jace’s family lives.
Taylor Ryan (00:29) Yeah. I mean, barbecue and tex mex are like getting my fill, which is nice. San Antonio is actually a pretty good food city. Believe it or not. There’s a culinary institute here. So there’s like a lot of good food, which is nice.
Garrison Goodman (00:45) Yeah, I went down… I can’t oh, yeah, it was when the spurs played the warriors. Oh, yeah. Me and a group of buddies drove down there just for the game and for the day and stayed the night and had a blast on the river walk there and going… to the game. It was super fun. Nice. Yeah.
Taylor Ryan (01:07) It’s fun here. I mean, it’s very different. It’s a lot smaller.
Garrison Goodman (01:10) Than I thought it would be. Yeah, like the city itself?
Taylor Ryan (01:15) Yes, the downtown is small. Yeah. All right. It looks like they’re here. So I’m going to let them in.
Taylor Ryan (01:26) Hey, Jimmy.
Garrison Goodman (01:31) Hello. How are you? All good? How are you? I’m here? I’m around.
Taylor Ryan (01:37) Oh, no, hey.
Garrison Goodman (01:40) Good afternoon.
Taylor Ryan (01:41) Good afternoon. Hey, Becca. Oh, I think you’re on mute.
Rabecca Adams (01:49) I’m fine. How are you? I’m.
Taylor Ryan (01:51) good. Thank you. It’s four.
Rabecca Adams (01:53) O’clock on Wednesday. Apparently, my brain has left the building.
Taylor Ryan (01:56) Totally hear you. Yeah, one of those weeks especially after, like, I don’t know about you guys, but I don’t you know, Easter weekend, you know, whether you celebrate or not, I feel like a lot, it’s just people are getting together. You know, some people have off it’s yeah, it’s one of those weeks for sure.
Rabecca Adams (02:13) It definitely is. And then with all, the different emails going back and forth because we’re not only onboarding medallion, we’re onboarding a RCM vendor at the same time. So I’ve got two different sets of questionnaires going.
Taylor Ryan (02:26) Oh, I’m sorry, I know and thank you for getting on a call with us like I, after I had to send back another email, I was like she’s gonna kill me. I feel so bad. No.
Rabecca Adams (02:38) It’s okay.
Taylor Ryan (02:39) Yeah, hopefully we can get through this and take some of the workload off of you and, you know, like focus on other things. So, thank you for your patience. Thank you. Yeah. And I don’t think you’ve met garrison before. I know, you know, I’ve spoken to you, Jimmy and Becca, but garrison, let me let you introduce yourself really quick.
Garrison Goodman (03:00) Yeah. Hey, y’all, Jimmy, we’ve met before Rebecca. Nice to meet you. I look after, the team here, Taylor and I actually, the way back, it’s actually how I heard about medallion. And so we worked together for a long time. But so I met some other folks at your organization as well on the calls with Jimmy too, so well, well informed, but excited, to be working with you.
Rabecca Adams (03:23) Perfect. Excited to be working with you too. So if my camera starts misbehaving, it’s because I need to install updates and my computer’s trying to do that during the call of.
Garrison Goodman (03:32) Course.
Taylor Ryan (03:34) As as it happens, no, you’re totally fine. If you need to go off camera, don’t worry about it, don’t worry about us, no.
Rabecca Adams (03:40) It’s fine.
Taylor Ryan (03:40) Yeah, just let us know if you have any issues but awesome. Well, why don’t we kind of jump into things if that makes sense? I figured I would just give you like I don’t know how communications are internally. I know Michelle is like running around doing a lot of different things. And she, I was texting her earlier this week and she’s like, honestly, can you just reach straight out to Becca, and try and work through this? So let me just kind of take a step back right now. Like what we’re working through and like our understanding is our CRO, is working with Erin who had requested some pricing. And so the goal we’re trying to gather what we need to give our CRO the pricing, to share with Erin. I really appreciate all the info that you had sent over that was more of a sizing exercise to kind of help the team understand like how many, you know, admins, we would expect you guys to need to handle the workload and things like that. So we already have some of what we need. We’re just hoping to fill in the gaps. So, I figured that, you know, I don’t know if you took a look at the email, but I just, I have the list of questions that I’d sent over and I figure we can kind of go one by one. And before I go through that, maybe it would be helpful for me to under, to explain a bit more about just like our pricing model, so that you can kind of understand like some of the questions that we’re asking and like what we’re trying to get to. Does that make sense?
Rabecca Adams (05:12) It does. Yeah. Okay.
Taylor Ryan (05:13) And is that also your understanding? Let me start that, you know, back up there are the way that I’m understanding it. Is that okay, cool. Yeah. They.
Rabecca Adams (05:23) Were telling me that this was needed in order to even price out the contract. So I understand where you’re coming from. Yep. Okay, perfect. Yeah.
Taylor Ryan (05:31) And so we’ll try and make it as simple as possible. Essentially, we’re trying to build out like a three year, you know, pricing option for you guys and the way that we price is very a la carte. So, when you think about, you know, like for your team, the things that are going to matter are like payer enrollment, I think is a big piece of what you’re looking at us for credentialing, and then on the payer side of the business credentialing for payers and so, or credentialing as a payer. And so I think at a high level that’s what we’re trying to understand. And the biggest metric I would say that we use to price is number of providers. So a lot of the questions you see are coming back to… that being said, what’s important is that we understand like the work that it’s not as straightforward as, okay. How many providers do you have and how many plans are you enrolled with? It’s? Really like how many enrollments do you guys need supported? Some of them I know are already done. And so that’s that I think is like what we’re just trying to understand so that we give, you know, exact counts for what you need supported. Does that make sense?
Rabecca Adams (06:43) It does… right? So the number we’ve given you so far is 160 which is our total number of current providers right now. With that, we do have several that are in flight right now, of course, because some of them are providers that are in the process of joining. Some of them were actually cross credentialing between vmd and harbor. In the Austin area. We cross credential. Okay? And I’m trying to get a good number on that for you. We also have some issues at harbor where some of ours were not credentialed correctly. So we’re still, we’re actually going back and credentialing again for some of our existing, so.
Taylor Ryan (07:25) Got it.
Rabecca Adams (07:27) Jimmy, what would you say? The number in flight for vmd is right now in.
Jimmy Price (07:32) Flight? Well, that number kind of is right now too as well only because obviously, you know, with vmd, we have a, we have a current structure already in place with them with providing enrollment and there’s providers that are going to recreds, there are providers that, you know, are still going through the process in terms of initials as well. So… excuse me. So based on, let me see.
Jimmy Price (08:08) I would say currently, we have… about… five or six that are in flight right now, but by the time we start up this whole thing, they’ll be already processed, you know, they’re already going through the process. So in terms of moving forward, I really can’t put a number on it in terms of moving forward. Once you guys come on, what will have to be done in terms of initials. Obviously, I think right now we’re looking at probably about 10 to 12 that we’ve already done for this particular year. And I could see another 10 to 12 happening again before the end of this year. And then you multiply that times all the payers you’re probably looking at, you know, the 121 130, you know, enrollments per SE.
Taylor Ryan (09:10) On the BMD side, well?
Jimmy Price (09:13) Yes, on the vmd side, but by that time… and that’d be vmd and harbor health honestly to tell you the truth because we’re all one now, so.
Rabecca Adams (09:24) By the.
Jimmy Price (09:27) time you guys come on, that’ll be all encompassing. So it’ll still be around that same number… I’m trying to think here.
Rabecca Adams (09:35) And I think that’s pretty accurate and.
Taylor Ryan (09:38) That’s for payor enrollments, right? That’s for?
Jimmy Price (09:40) Payor enrollment? Yeah.
Taylor Ryan (09:41) And so when you said like the providers, you said like 10 to 12, are those like anticipated new hires or are those folks that maybe like weren’t successfully enrolled the first time and are now going through the process that?
Jimmy Price (09:59) Is a good question. And that is something that we probably need, to research a little further in terms of who do we just need to start from the bottom up and go ahead and get them moved?
Rabecca Adams (10:12) So, I would, yeah, and on the harbor side that’s anybody who started since September. So we’ve got one, two… three… four, five. I think we have six that I think need to be completely restarted from, you know, the bottom up. And those include some of our specialists. Then we have, I think we have, we’ve got one, two, two new hires that are in the process of credentialing right now that will need to be validated. And then we’ve got, I think four that were cross credentialing on the harbor side. So you’ll already have that information on the vmd side. We just need, to get, the payer enrollments out to the payers under the harbor tax id.
Taylor Ryan (11:08) Okay. Got it.
Rabecca Adams (11:10) If that makes sense. Yeah.
Taylor Ryan (11:13) I think that’s and that was one of the questions that I had in the list just trying to understand like, you know, as you guys are, I know that the acquisition is complete, but obviously, like all of the merging of the like internal systems is still happening. So that was a piece that I was trying to understand. Can you talk to me a little bit about like what the process is right now for the cross credentialing or like and what that will look like in, you know, the future? Like in an ideal state?
Rabecca Adams (11:46) Yeah. So Jimmy launches cross credentialing out of medallion at this point, whatever information we receive back, we utilize to launch the credentialing process on the harbor side because it’s easier if we maintain just one set of communications with the provider. So we’re not double asking for license. We’re not double asking for all the signatures we need. So that’s how we’re currently doing it. Future state it’ll all be in medallion. We’re just going to cross credential across the other tax cities.
Taylor Ryan (12:18) Got it. And are you going to continue to maintain like the vmd tax ids and the, I guess like enrollments that they have separate from harbor?
Rabecca Adams (12:31) So enrollments will eventually combine. We’ve got somebody who’s working on contract renegotiation for that. Got it. But the tax ids, the plan is to leave them as is. So vmd actually practices as harbor health physicians group of whatever area they’re in now. So El Paso whatever. And then in Austin, there is a possibility we’ll collapse tax ids just because it makes more sense in the Austin area to have one tax id so that everybody’s practicing the same, but that has not been fully decided yet.
Taylor Ryan (13:11) Okay. Got it. Okay. So what I’m hearing is like from an enrollment from a direct enrollment standpoint, Jimmy, you said initially like 120 130 was probably right across the both sides?
Rabecca Adams (13:28) Is.
Taylor Ryan (13:28) that, so like doing the math based on the like six folks that need to be re enrolled that you had mentioned. Becca. And then the two new hires are all of those folks getting enrolled across 34 different payers, like 34 direct enrollments for each one?
Rabecca Adams (13:49) So yes, for the most part, and.
Taylor Ryan (13:52) Then, sorry, go ahead, I.
Rabecca Adams (13:54) Was going to say some of those. So when I broke that out, I do have a line of business breakout on that. So the 33 payers. So it’s going to be blue cross medicare advantage, blue cross commercial and blue cross medicaid like that. So some of them we may be able to do under one provider application and others, we may need multiple applications for the payer.
Taylor Ryan (14:14) Okay. Yeah. And I think like, you know, growth, is not going to be, you know, completely exact, like I think as long as we can get like within, you know, a fair margin of error, I think that we’ll be in a good spot. There are, you know, like, I know that that’s not, this isn’t part of what we’re talking about right now. But there, basically, there is a piece of the contract that allows for like a 20 percent margin of error that if you have unused or if you even need more, you can pull forward. So there, there’s room in there for a little bit of flexibility. But if I’m hearing that correctly, so is it fair for me to take like six plus two plus like 10 to 12 that you said Jimmy and multiply it by like let’s say 30 to be a bit more conservative. Is that… I think that’s fair for new enrollments?
Jimmy Price (15:11) And, well, yes and well, depending because we still on the vmd side, there’s still a delegated roster process. So the PE is not necessarily PE per SE. We’re just pushing out delegated rosters to the payers and then they’re loading them. And, I do that physically. Okay. And, and that’s something that you guys, I don’t think you guys even do that. Anyway, that’s something that we’ve always done on the village side. Now, you guys have managed the rosters and provided us the rosters, but we submit those. So I don’t know if that’s in that particular realm, of PE for you guys. So cause that’s taken about one, two, three, four, five, six payers out of the mix, seven payers out of the mix.
Rabecca Adams (15:56) Yeah, that’s fair. Yeah. So should we say by 25 plans, then I was gonna say.
Taylor Ryan (16:01) Yeah. Okay. And so then I know that Michelle had, you know, done some rough projections of growth. So should we, is on top of that, should we assume in the next 12 months that another like 25 new hires based on her numbers would start, or no?
Rabecca Adams (16:21) You could use her numbers. I think that’s fair to say just because of the amount of turnover we’re having right now… of course, I mean, it’s kind of normal, when you have an acquisition, we’re seeing the physician turnover right now. So I would say that’s a, I would say that’s a fair assumption.
Taylor Ryan (16:42) Okay. So I guess for the sake of that, those numbers, I think 20 between, the vmd folks that you’re that you mentioned, Jimmy plus, the eight new hires and folks that need to be enrolled times 25 plus the additional 25, right? Is that a fair? Okay, cool. So that gets us to let me just, I just want to put the number out there to make sure that you guys feel good about it. So that would get us to around 1,100 enrollments. Does that sound right? And?
Jimmy Price (17:25) This is by the end of the year or just in?
Taylor Ryan (17:29) Basically the next 12 months. So it’s like thinking about like the enrollments that are outstanding right now plus enrollments. That would happen if you hire 24 five new providers by the end of the year or in the next 12 months. Okay… great. And then, Jimmy.
Jimmy Price (17:49) Are you in agreement with that? Because you see it more in depth?
Taylor Ryan (17:51) Than?
Jimmy Price (17:51) I do. Yeah, I’m trying to do my little rain man numbers in my head real quick. So, and I.
Taylor Ryan (17:59) can put this together and like I can send it back to you guys after so that you can visualize it and, you know, go through and say, yes, agreed or correct? If any of the numbers that, we come to don’t feel right after the call. So, don’t stress about having to do it on the fly. Jimmy. I’ll make sure I’ll send it back for review.
Jimmy Price (18:20) I would say that that’s probably a little more accurate when you’re talking about the number of providers and subtracting, some of the payers. Another thing that I do that I continually do and I won’t do this moving forward. Is, I manage one, I manage the medicare so that’s another one that won’t go into that. So that’s probably right as an estimate. Now, does that include any kind of revals or anything like that as well? No trade initial? Yeah.
Taylor Ryan (18:47) That would that’s just like straight initial. I was gonna, I was gonna talk about rebounds next.
Jimmy Price (18:53) Okay. So yeah, I would say that’s that, that’s a little bit more accurate. That’s fine. It’s.
Taylor Ryan (19:01) accurate. Okay, great. And we can, yeah, I’ll like I said, I’ll send it over. And, if, you know, do the math and it feels off, just let me know. We can, we can change it. Okay?
Jimmy Price (19:11) Okay.
Taylor Ryan (19:12) Great. So for revalidations… I took a crack at, the number. So the way, like the easiest way to do it would probably be your full 160 providers, I… divide, you know, multiply that out by plan. So if we’re if 25 is the number that we feel good about… we’ll use that number. And then, do you know, like I know it can vary, but on average, the plans that you guys work with work across, you know, how often, are they doing revalidations every three years? Is it closer to every five years?
Jimmy Price (19:50) Most most commercial payers, are they used to be two years? Most commercial payers are moving to three years. Now, now, the point the problem, is finding those revalidates, you know, some of these, some of these dates are, some of these contracts or credentialing has been done so long ago. Those, those dates are not really known. That being said, there’s only a few payers out there that actually will have you repay for revals. A lot of the payers will do the revals automatically, which means there may not be much for you guys to do on that end except for just making sure, well, and maybe just on our end, making sure that everything is up to date in medallion and stuff like that. In terms of certifications, licenses, all those good things. But to your point, and then medicare and medicaid, those types of things are all five years.
Taylor Ryan (20:44) So.
Jimmy Price (20:45) And I know from our standpoint that won’t be for a while because we’re going through reval right now with most of these right now. So that will be another five years from now.
Taylor Ryan (20:55) Okay. So, I guess for, the medicaid, medicare, we can, you know, that won’t fall into the next three years so we can forget about those in terms of the plans that, you know, require like actual revalidations where you have to, you know, go through the process. I think that that’s probably what we want to count of. Do, you know, like is there a number that you feel comfortable, like, roughly how many plans require the full reval?
Jimmy Price (21:28) Yeah, I’d have to get back to you on that one because I actually am running into an issue with some plans that are actually having you repaper them.
Jimmy Price (21:37) And I want to make sure that I’m doing this right? But like Becca said, a lot of them will just pull caqh stuff. So we just have to make sure that that’s up to date. And I think the only way that you guys would be involved in the majority of those that the ones that aren’t that are done automatically is based on the communication when we update the communication with the payers and state, hey, this is who you’re contacting for revalidations, not revalidation, but revalidation, and regret, re, credentialing. I can’t get that out because.
Jimmy Price (22:14) I’m trying not to do the vmd way because we.
Taylor Ryan (22:18) have, what do you mean by that?
Jimmy Price (22:19) Because there are you guys on the vmd side, you guys have email set up for our payers. So they reach out to you all and obviously include us as well, just to let you know, hey, this provider is being recredentialed things of that nature. So, I don’t I wouldn’t know exactly all the time if they’re filling out those actual applications or not only time I would know when those applications are really needed is when medallion themselves will reach out to us or the payer will reach out to us and state, hey, we are missing this particular application, Da, you know, so.
Taylor Ryan (22:55) Okay. It’s kind.
Jimmy Price (22:58) Of case by case with each payer, but give me some time and I’ll figure it out. I can get you that. Okay?
Taylor Ryan (23:05) Yeah, absolutely. And I mean, you know, like we can also review like if I can check in with, you know, the account manager that works with villagemd, if that would be helpful or we could even spend time with you, Jimmy, and go through the current BMD workflow and help you just understand like, you know, how that’s all working today and in an ideal state how it would work, you know, moving forward once you’ve got everything under, you know, one… one platform, if that would be helpful. We’re happy to, no that.
Jimmy Price (23:40) Would be helpful. Okay. Yeah, yeah.
Taylor Ryan (23:43) Well, we can, absolutely, yeah, I know Noah is not on this call, but I think, you know, Jimmy like you’ve been using medallion for a few years now and over time, the product changes, the way that you’re doing things changes. Obviously, there’s been an acquisition like we can maybe, you know, I’ll find time with you, to speak with Noah. So we can kind of take a look at like how you’re using things today and either, you know, recommend better ways of doing it, if there are things that like have, you know, enhanced and we can help, you know, streamline workflows but we can also use that as an exercise just to get, you know, a valid number here. Yeah. So, okay. We’ll table that for now. I think the other thing that we want to understand is in terms of, so like we’re talking about that was the whole PE side. I know you mentioned caqh management. I would assume, you know, that’s something that we offer managing and updating those profiles. And, I was under the assumption that would be something that you guys wanted just based on the RFP and that’s by provider count. Does that, do you know if that, if you know, you guys are having us manage the caqh profiles right now on the villagemd side, Jimmy?
Jimmy Price (25:03) No, we manage them, BMD manages, okay?
Taylor Ryan (25:06) The caqh profiles?
Jimmy Price (25:07) Yeah. Do.
Taylor Ryan (25:08) You happen to, I mean base the RFP, you know, that was one of the requirements. So I was gonna price that out. Do you have any insight into like what the desired state is going forward? Like if you want to use a platform, to manage as much of that as possible?
Rabecca Adams (25:25) I think honestly Jimmy, that’s probably something we should discuss with some of the senior leadership. I’m not sure that the providers would be very open to sharing their caqh passwords and such, and that’s where we run into issues. Typically, we even have those problems internally when we try to get the information from providers. We’re fighting with one today who swears, we changed her password on her and she.
Jimmy Price (25:48) Oh, no, no.
Taylor Ryan (25:53) I totally hear you. Okay. Well, that’s another thing that maybe, we can follow up on and just see, you know, what’s going to be feasible for, you know, your provider’s preferences and.
Rabecca Adams (26:03) Yeah.
Taylor Ryan (26:04) What’s what’s possible? The other thing the other line item that I’m just looking at here is number of. So we talked about, the payer enrollments when we think about credentialing. So like actually, you know, doing credentialing files. I think that’s the other thing that, we need to understand like outside of actually enrolling with payers, how many providers I guess are going to need, maybe current providers are going to need to be recredentialed? And then can we make the assumption that all net new providers would need to also be credentialed when they’re hired? Is that fair?
Rabecca Adams (26:40) It’s fair to assume that? Okay. And then I think I would just use, your revalidation numbers. So take that 160 divided by three and say that’s the number that are going to need, you know, recredentialed this year because probably it should be on the same cadence technically.
Taylor Ryan (26:56) Yeah, that makes sense. Okay, great. All right. Let’s see. I think I’m just going through the list. And then the other question in terms of licensing, do your providers manage licenses? Yes, their licenses? Yeah. Okay. So that’s not something that harper or vmd take on?
Rabecca Adams (27:18) No, do.
Taylor Ryan (27:20) You like monitor expirations or anything like that for them or it’s completely on them?
Rabecca Adams (27:25) Yes. Yeah. We need to monitor it. Okay?
Taylor Ryan (27:29) Great. And then… and that’s just on a provider count and everybody’s I know that you guys just acquired a Seattle based company. Are all of your providers, just Texas or are there any other states that there would be licensing in?
Rabecca Adams (27:49) It’s a great question. They’re not aware, but we’re likely phasing most of them out. So they will be just Texas licensed, but currently, they are Texas and Florida licensed. Okay? And,
Taylor Ryan (28:05) then the other piece is on the payer side. So, Jimmy, I don’t know how closely you’re managing the payer process today. The impression I was under was that that’s really all braemer?
Rabecca Adams (28:23) Is.
Taylor Ryan (28:23) that accurate?
Rabecca Adams (28:25) That is accurate. Okay?
Taylor Ryan (28:28) Did you see any of the questions that were in the list on the payer side?
Rabecca Adams (28:33) I did let me look here. I.
Taylor Ryan (28:36) Can tell right now actually.
Rabecca Adams (28:39) Braemer, seems to think that he doesn’t have to answer these questions.
Taylor Ryan (28:43) Okay. Well, I can chase down braemer, if he’s the Guy to answer them.
Rabecca Adams (28:50) No, it’s fine. Honestly, I was told today, it’s probably going to roll under me too. The mpi file that includes only type one providers, so direct credential providers and how many delegated providers do we have in our network that we’re going to have to get from one cred. So I think braemer is going to have to get that for us because I don’t know how aware they are of what’s happening at this point. Okay? So they should be doing ongoing monitoring for the network. So all of the sanction checks should be being done by one cred… because they have to follow ncqa guidelines just like we do. So all of that should be in there. And for the payer honestly, I don’t know if they have an mpdb account. So that would again be another braemer question. He may have to track that one down though.
Taylor Ryan (29:46) Okay, perfect. All right. Well, right, at time, perfect timing. I think that gives us most of what we need. I know that there’s some follow up to be done on the revals. But this, I really appreciate you going through this exercise with us. This is super helpful. Let me just go through, I’ll fill out the list and highlight the numbers that we came to and then I’ll leave the revals outstanding and just wait to hear from you on that, Jimmy or I guess we’ll set up time to go through things with you. I guess if that’s an easier way to get that number… is that fair? Or would you prefer to take a look yourself before we dive into the?
Jimmy Price (30:36) I’m easy. I mean, we can do it together. That’s.
Taylor Ryan (30:40) not a problem. Okay. Perfect. Well, then that being said, do you want to try and find time now just while we’re live here?
Jimmy Price (30:48) Yes, I do. Yes. I do let’s see.
Rabecca Adams (30:52) We can try to get brammer on that call for you as well. Okay? I’ll reach out to brammer and tell him he does have to answer some of these questions because we wouldn’t have the answers? Okay?
Taylor Ryan (31:01) No, I appreciate that. And I’m also, you know, happy to help track him down.
Jimmy Price (31:09) Let’s see. I mean availability, you want to do this, probably next week early next week?
Taylor Ryan (31:17) I mean, we could do as soon as tomorrow, but you tell me we could do Friday, you let me know how much time you need to kind of, you know, get things in order and what your availability looks like. I know that you’re probably really busy, but we can do this week.
Jimmy Price (31:34) Actually, probably Monday would be the best day for me… pretty open that entire day except for around one 30. Just block out one 30 to two 30. And other than that, I’m available at any… time, okay?
Taylor Ryan (31:50) Perfect. One 30, two 30 central. How is 12 30?
Rabecca Adams (32:00) Sounds good. Cool. Just going to take a peek at brammer’s calendar and see if he’s available. Oh, yeah.
Taylor Ryan (32:06) That’d.
Rabecca Adams (32:06) be great.
Rabecca Adams (32:13) Geez actually, Mondays are his clearer days. You said 12 30?
Taylor Ryan (32:18) 12 30 central? Yep, he.
Rabecca Adams (32:21) Actually has 12 30 available. Oh, great. Let’s put that in there.
Taylor Ryan (32:28) Okay.
Rabecca Adams (32:28) It’s the advantage of all of our calendars being open. Yeah.
Taylor Ryan (32:35) Do you, Rebecca, would you like to be on that as well?
Rabecca Adams (32:39) Acme is optional for now just because I do have quite a few outstanding projects right now, but I’ll try to join?
Taylor Ryan (32:47) Okay. Yeah. I’ll put you on there as optional?
Garrison Goodman (32:50) Okay. One quick question for y’all, we haven’t had a chance to catch up with Michelle for a couple weeks, but our CRO is talking to Aaron on your side and seems like things are going well from that perspective. But we were curious if y’all had heard anything around like kind of the timing of when you all are looking to start doing things, it would just help us kind of align resources, on our side.
Rabecca Adams (33:16) We have a hard deadline on it actually. So we have to start as soon as possible. Our, our hard date to be done with the vmd side of it is June 20 eighth. Okay.
Garrison Goodman (33:31) So, in… terms of like, I know our executive meeting, I think they’re going to work out, you know, pricing and hopefully a contract structure, you know, who should we start to kind of connect with regarding like implementation, and timing and,
Jimmy Price (33:48) you know?
Garrison Goodman (33:50) Kind of planning on that.
Rabecca Adams (33:51) It’ll be Jimmy and I.
Rabecca Adams (33:53) Okay. So we’ll plan that out with you and we’ll get everything up and running. Likely, it’ll be Jimmy and Marlene who will be doing a lot of, the lift on it, but I will still be involved okay?
Garrison Goodman (34:08) And then, so as far as, you know, assuming our CRO is named Kyle, assuming Kyle and Erin come to terms that are reasonable, your guys’ expectation is, hey, get that contract signed and then let’s start implementing ASAP or is there, do we need to start like blocking calendars off and make sure that we have availability, to do this in the upcoming weeks? Great question.
Jimmy Price (34:37) I.
Rabecca Adams (34:37) don’t know how long it’s going to take to go before operating committee and for them to agree. So setting the timeline is a little bit more difficult to have you block out your schedules, but we do need to start ASAP as soon as, when the contract is signed. So it might be worth touching base with your, with Kyle and seeing what he thinks the timeline is going to be for the signature. And I’ll also touch base with Erin to see how quickly she thinks she’ll be able to move through everything because we do have to present at operating committee today. So I actually did one presentation at operating group today, and I think they meet every other week they meet.
Garrison Goodman (35:17) Every other week. Okay. So with the goal be, I guess in two weeks to have everything presented to them?
Rabecca Adams (35:25) That would be my goal. Yes.
Garrison Goodman (35:27) Okay. Well, then maybe when we meet on Monday next steps, we can kind of do a scoping call for implementation, and maybe we can schedule that next week as well. Perfect. Okay, great. We’ll go ahead and coordinate that and that information is super helpful. And I don’t know if medallion was discussed in your operating committee meeting today? No. Okay. And then as far as the operating committee, who’s all part of that?
Rabecca Adams (36:00) It’s our senior leadership team. So the CEO, the coo, the CFO, okay? If they have a C in front of their name, they’re there.
Garrison Goodman (36:09) All right. Okay. So Aaron and Kyle worked through contracts. We’ll work through implementation with you. And I think Rebecca, you said you’re also looking at an RCM vendor? Do you happen to have an idea of like how long, kind of like the legal review and like processes, for things at harbor?
Rabecca Adams (36:28) The red lines happen fairly quick. Okay. So like for the RCM vendor, I would expect red lines to be done within a week and we just went to operating group today. Okay? So it should be a fairly quick process once we’re there.
Garrison Goodman (36:44) Okay. That sounds good. That makes sense. So fairly quick. Okay. So would Aaron manage the red line and like contracting process?
Rabecca Adams (36:57) She would along with our legal team, so she’ll take the lead on that portion of it. Okay? All right.
Garrison Goodman (37:06) Well, then we’ll have Kyle ask her when she wants to kind of start that assuming they’ll come to terms here pretty quick. But yeah, any, anything that you have heard internally that would be, you know, kind of helpful for us to put together, for Aaron or maybe any outstanding questions on the medallion front?
Rabecca Adams (37:25) Not from, not from what I’ve heard Jimmy. Have you heard anything from anyone at.
Jimmy Price (37:29) this point? No, at least not this week. It’s been a little quiet on that front.
Garrison Goodman (37:34) Cause we, yeah, we did recommend kind of like a, you know, a multi vendor strategy for bramer side of the house for a lot of the kind of like roster management on the payer side. And just curious if we haven’t really heard kind of what the decision was on how they’re thinking about managing things over there, Jimmy. I know you were part of some of those conversations. I don’t know if you’ve gotten word on that.
Jimmy Price (38:00) No, nothing. Nothing has been at least not to me. Not that I’ve heard. Okay. So I’m assuming probably once we get bramer on here, we’d be able to address that too. That makes.
Garrison Goodman (38:11) sense. Yeah, we’ll ask them on Monday. Okay? Well, thank you all.
Rabecca Adams (38:16) Thank you.
Jimmy Price (38:17) Guys. Appreciate it.
Taylor Ryan (38:18) Yeah, awesome. We’ll yeah, I’ll follow up via email, send out that invite and we can kind of go async until then, but otherwise, we’ll talk to you Monday.
Rabecca Adams (38:27) All right. Sounds great. Thank you again.
Garrison Goodman (38:30) Alrighty. Bye bye.
Rabecca Adams (38:30) Bye bye.