Transcript
Mira Guha (00:00) hi, MK. How are you?
MaryKatherineBuckley (00:03) I am struggling with my computer, but good all.
Mira Guha (00:07) Good. I was about to say, I think my WI fi might be on the Fritz because everything is loading really slowly. Oh, I get it. I get it. I.
MaryKatherineBuckley (00:18) Completely get it.
Mira Guha (00:20) I was in a call a few weeks ago and the WI fi went out partway through and it was a nightmare trying to like join from my phone and everything. So I’m really glad. Yeah, yeah.
MaryKatherineBuckley (00:29) I don’t have a ton on my end, so hopefully we can get through this with no issues, but.
Mira Guha (00:35) Fantastic. Well, I’m just going to preemptively do this. I have a number of things but depending on how much time we want to kind of dwell on everything, I don’t know that it would take a ton of time, yeah, but want to like focus on what makes the most sense for you as far as where the priorities are. All that good stuff. Yeah, amazing. So kind of some of our similar stuff. I’m kind of trying to find a way to streamline this a little bit more. So it’s very easy to see kind of what the big highlights are for current like operational metrics and stuff. So let me know if that’s working for you or not working but want to go over kind of just where we are right now in the partnership timeline, relining on your priorities and feedback, of course, like the operational metrics, all that good stuff. Quick peek at consumption. I don’t know that we want to delve into the roadmap today. I thought I would just kind of share the deck about kind of what’s on the horizon. And then if you have questions, let me know or we can schedule more time to go over that and then just next up.
Mira Guha (01:33) So I thought it would be kind of nice to see just where we are and where we’ve been real quick. So sign the agreement in August. We don’t have to read all of this but basically kind of kicked things off. Sorry, I think that was supposed to say eight 31. I’ll fix that before I send it over. First work, hitting the platform, late September implementation, completing in November, first batch of licenses. I know we kind of chatted about doing this kind of pilot with those and seeing that first one I think completed within about two weeks, which was great. That renewal that was requested, first renewal, completed just a little bit after that in December, on our last ebr, we talked about a couple of things really an enrollment focus for sure, aging lines being a priority. So I want to revisit that today. And then I don’t know why that says Q3. I was definitely like tired when I made this yesterday first ebr of Q2. My brain thinks it’s the next quarter already, but yeah, I feel.
MaryKatherineBuckley (02:29) like time’s flying. So I believe it.
Mira Guha (02:31) It sure is. I’m getting married at the end of the month. So I don’t know what year it is anymore.
MaryKatherineBuckley (02:37) That’s so exciting. Congratulations.
Mira Guha (02:40) Thank you. But that’s probably part of why my brain’s like it’s July, right? Yeah, yeah, totally.
MaryKatherineBuckley (02:46) It’s done. You’re back from your honeymoon?
Mira Guha (02:49) It will be over before I know it, I know. But yeah, just a couple quick things about what we’re seeing. Currently not a lot going on in licensing. I think we had kind of an influx when we started those, but only one request in process right now. I think it’s a renewal. We’ve done 25 licenses to date. Currently, there are 97 enrollments in progress. 36 have been completed. Obviously those tend to take a little bit longer. We can take a look at any statuses if we need. As of right now, we’re seeing from intake to complete on licenses pretty quick about nine days before those are being submitted, average turnaround time from requested to completed 36. I think especially because a lot of these are renewals that’s able to be a really quick turnaround enrollments we are seeing from application submitted to enrollment completed 48 days. I will say we usually expect 90 to 120 if not more depending on the pay or all that good stuff. So, pretty happy with those numbers as of right now, of course, we can always try to find ways to do better. And I noticed there was a huge spike in requests in December.
Mira Guha (03:52) I don’t know if we chatted about this last and I think that kind of affected some of those turnaround times. But as of right now or last data from March, 40 days fewer on that turnaround time. So just wanted to flag that also just get a gut check from you if it seems like things are going a little bit better than the last time we chatted or if you have any like additional feedback in general on those pieces?
MaryKatherineBuckley (04:17) I don’t think I do. No. I think kind of what you’re saying tracks with what I’m seeing? Yes. Fantastic.
Mira Guha (04:24) So, I mean, again, we can always try to find ways to be better. Yeah, I.
MaryKatherineBuckley (04:28) mean, I think there’s like one or two where it’s I’ve noticed that like, you know, a note will say something and then it doesn’t get tasked out for a week or two but nothing. It’s not happening all the time. We’re all human, right? Yeah. Well.
Mira Guha (04:43) I appreciate you saying that, yes, we are obviously the typos already in this are an indication of that, no, absolutely. And if we can try to find ways to tighten that. And I wanted to also check, are you meeting with Jacqueline since we transitioned you from Lee, I?
MaryKatherineBuckley (05:01) Guess we were supposed to meet earlier this week but we ended up having some technical issues. Yeah, like the invitation was still with Lee. Okay. I don’t know whatever we couldn’t have it. It’s not a big deal. We didn’t really have much to talk to her about. Yes. We’re meeting every other week. That was the short answer.
Mira Guha (05:19) Okay, great. I’m just going to put a note that we’re doing the bi weekly of the every other week. Awesome. Yeah, I think Jacqueline’s out. She’s.
MaryKatherineBuckley (05:27) out this week.
Mira Guha (05:27) Yeah, for part of this week, so I was trying to reach out to her, but yeah, as long as things are going well there, that’s great to know. Hopefully she’s able to provide that additional kind of hands on day to day support, but fantastic she created this.
MaryKatherineBuckley (05:42) Tracking spreadsheet that I think is going to be really useful.
Mira Guha (05:45) Amazing. I think it’s all good. Yeah, fantastic. That is what I like to hear. And if for any reason, something isn’t going well and you need help with escalating, I am here to help with that to the right folks on our end. Awesome. I’ll try to keep a close line of communication with her as y’all are working on things and we’re revisiting those priorities. Perfect. Thank you. Yeah, of course. I just wanted to say tasks are looking really good. There are only eight open tasks and with like about 100 enrollments in process that’s really not crazy. A number of those are over 30 days, but I think we’ve had this conversation. Some tasks you can’t act on right away or just sometimes they’re going to sit there for a while. Most of them are admin tasks. So just the two provider tasks, average task completion time being 14 days again, some are going to take longer than others median task age, similarly 52 days. I don’t know if we have any concerns. I made a note just here and I’ll put it in the feedback slide that there might be a little bit of a kind of a delay in like notes versus tasking, like you said, sounds like it’s not like a super chronic issue but any other like observations or feedback on that?
MaryKatherineBuckley (06:51) No, nope. Nope. I think. Okay, pretty good.
Mira Guha (06:57) Excellent. Okay. Great. Cruising through here. So I did want to just, this is the exact same slide we used last ebr. So big thing being just kind of as far as what’s ahead and what’s going on right now. I know we were kind of doing that big push since December when we saw that influx of lines and focusing on like that expansion for enrollments in California. I just wanted to revisit and see it sounds like things are maybe looking a little smoother here, but I think we’re.
MaryKatherineBuckley (07:29) kind of in the same spot. We’re kind of seeing… how the existing requests play out. And we are also working internally on really looking at our contracting strategy. So more to come on that, but kind of as soon as we come up with the strategy, I’ll let you know.
Mira Guha (07:49) Okay. Gotcha. So still kind of focusing on California for now?
MaryKatherineBuckley (07:54) Once we get California medicaid, yes, but California medicaid is still outstanding. Okay. And I think we may be refocusing on a couple of other states to try to get some more coverage in those states where we have some higher volumes and better reimbursement.
Mira Guha (08:12) Okay. Gotcha. Perfect. Well, hopefully Jacqueline will be a good resource as you’re kind of attacking that strategy. Yeah, as soon as.
MaryKatherineBuckley (08:20) we come up with it.
Mira Guha (08:22) Fantastic. We’d love to hear that. And if you ever have questions before, I will say, I think lately what I’ve been seeing that’s been working well with certain folks is if you do have questions about like certain requirements or processes depending on like what your goals are, and which state and payer, never hurts to ask us and hopefully we can say if this is what you’re wanting to do here’s, how you should request it. Great. So if I’d like any of the duplicates or like, hey, this was actually the wrong way to do that line of business or, you know, for that service, let’s create a new one. Okay. Awesome. Yep. Fantastic. She is here to help our team is here to help. I also don’t know if you saw the recent update that our support email changed? Oh, no. Okay. I will make a note of that just in.
MaryKatherineBuckley (09:06) Case you are, the message could have come to you, but I’m.
Mira Guha (09:10) it’s not a huge change. It’s just instead of support at medallion co, it’s now help at medallion co.
Mira Guha (09:16) Okay. I think if you try to reach out to the support one, it’ll send you an automated. Hey, this is the new one but I’ll just put it in our follow up so you’re aware. Okay, thank you. Same process. Otherwise support team is still here. Jacqueline will be great for anything specific and for your meetings, but for the kind of day to day questions, assistance support is still here to help. Yeah, fantastic. And then anything else on enrollment? Any other feedback or just like kind of upcoming thoughts? Okay?
MaryKatherineBuckley (09:47) I don’t think so. No, I think once we kind of firm up our strategy, I will have more thoughts fantastic. But don’t right now.
Mira Guha (09:55) Gotcha. No worries. Sounds like we’re kind of steady state right now. Yeah, completing some things, but sounds like a plan. Things don’t stay.
MaryKatherineBuckley (10:04) Steady state around here for long though. So we’re going to enjoy it while we can.
Mira Guha (10:08) Yeah, enjoy just like a little bit of calm before a new round of chaos.
MaryKatherineBuckley (10:12) Yeah, exactly.
Mira Guha (10:15) Hopefully, not too bad going forward, but great. Any changes with the kind of potential addition of contracted employees or just other kind of hiring initiatives? No.
MaryKatherineBuckley (10:28) No, we’re kind of steady state on that until we fix one or two internal issues. Okay? Yep.
Mira Guha (10:35) Yeah. Let us know if anything changes especially as far as kind of the growth stuff which we can talk about contract in a second as you kind of get more insight into what that will look like. Happy to make sure we’re covering that great. And I know we’re just like you said, we’re not really seeing a ton of licensing right now. We’ve just got that one in the hopper right now. But any other kind of upcoming potential licenses we might be doing just if you sporadically?
MaryKatherineBuckley (11:04) No new licenses that I’m aware of right now, but I’m going to go in and do kind of the next tranche of renewals, just based on, I think we have a bunch of renewals coming up in may June July.
Mira Guha (11:16) Okay. Just kind of based on like what we have as existing licenses in medallion. Yeah.
MaryKatherineBuckley (11:21) They’re all in medallion. I’m just going to kind of go through and request them perfect.
Mira Guha (11:25) Okay. That’s something we can also think about with the current contract. Anything else? No, that’s it feedback or upcoming? Excellent. I’m just going to go ahead and fill this out after we meet today. It sounds like there’s not a ton that’s changed since last time. So, I’ll just kind of confirm that here and then use that for posterity for our next call. So, as far as just kind of pain points we discussed last time, I know we talked about the aging lines. Thing. Sounds like we’re kind of in the same boat there, maybe seeing some progress, but there are still some old lines. I think I saw a couple that were still from 20 25, which obviously not ideal. But sometimes that’s just the situation with some of these. Yeah, any other thoughts or feedback changes there? Anything we want to maybe kind of focus on from a higher level or that I can work on with the team?
MaryKatherineBuckley (12:18) No, just, you know, focus really remains on making sure that we, you know, come in around that 90 day mark for most of the enrollments… which I guess you said kind of at the top of the meeting, we are on track for that, but we also had a bunch in December which are kind of coming right up on those 90 days here. Perfect. So, yeah, see how those play?
Mira Guha (12:41) Out. That sounds great. And I’ll take a look at when I, when Jacqueline’s back in office, I’ll see if I can kind of get a, just a gut sense from her as to like, is there anything we can do to help with any blockers or anything? Or if there’s just like common friends? Yeah, that.
MaryKatherineBuckley (12:54) Would be great. Yeah.
Mira Guha (12:56) Let me make a note of that, specifically on the older lines. I saw some of them are marked as priority, which is good. So, I’m glad we’re taking advantage of that feature. If we need to adjust to make any others priority, of course, we should be able to do that. And I know we talked about this. I don’t think we’ve like really had any updates on this, but more reporting, on the stopped requests and just kind of better visibility as to the reason behind them. Is that still kind of a pain point or just an ask?
MaryKatherineBuckley (13:29) It is still a pain point? Yeah. Okay. Yep. I.
Mira Guha (13:33) Will follow up with the product team and enroll the operations team on that as well. Because I know sometimes it says like reason like line was stopped and it’s like that does not really necessarily.
MaryKatherineBuckley (13:46) Yes. And then sometimes it’ll be like client request and I’m like, well, the only reason I requested it is because you told me the panel was closed. So I want to know that the panel was closed, not that the client requested it.
Mira Guha (13:58) Yeah, that just seems like a quality issue there. So that’s definitely good feedback. And then also sometimes I think something I want to revisit with the enrollment team as well is when that does happen, we have, a panel closure is like maybe offering some sort of like next step that’s like let us know if you want to try again in six months or like how we want to strategize this.
MaryKatherineBuckley (14:18) That would be awesome. Yeah. So like if you guys have any feedback on like when that payers panel, like typically they open their panels, that would be super helpful.
Mira Guha (14:29) Let me make a note of that, step lines for panel closure plus steps. Okay? Because I know that’s something like they will talk about like we can reevaluate, but I think we just could use better like clarity in platform. So I’ll definitely. And.
MaryKatherineBuckley (14:46) If there’s like some way to like track it or flag it, that would be even better. But I know that’s like an extra step.
Mira Guha (14:53) Yeah, but I mean, that’s it’s helpful feedback especially if it just brings more clarity. It doesn’t mean you’re like digging through the notes to figure out exactly why it was stopped. Correct? Yeah. Exactly. Yep. Absolutely. Anything else? Anything platform wise, workflow wise?
MaryKatherineBuckley (15:07) No, nope. I think we’re in, I think, you know, there’s two, those are still the key points.
Mira Guha (15:14) Perfect. Okay. I’ll just kind of update that feedback piece then before I send this out, but it sounds like it’s pretty similar to last time. Yeah, great. So just wanted to take a look here as far as where we are current year’s consumption.
Mira Guha (15:30) So this is just for the year one of your contract. Given we’re on, keep me honest, a two year here. So looking pretty good as far as the enrollment still have 22 left but a healthy level of consumption there. Obviously, the implementation being that one time charge, yeah, have a couple of the licenses that we’ve been using a lot of compact and renewals. I know we’ve been kind of doing it as a pilot. So one of my kind of thoughts today especially since we might be doing some renewals is if we want to like formally bake those into the contract, doesn’t have to be maybe right now, but sometime maybe future state next few months just kind of thinking about. Yeah.
MaryKatherineBuckley (16:08) I think kind of as we go into the year two of the contract, I think it would be good to just take stock and say what makes sense, right? Like we’re not using those revalidations necessarily, et cetera.
Mira Guha (16:27) Exactly. And I think that makes a ton of sense. We’ll definitely continue monitoring just kind of the percentage of dollar utilization. And usually when we’re kind of around that 70 to 80 percent is where we start to really think about executing that addendum or like starting to plan for an addendum. We don’t necessarily have to sign anything but just having something planned. Yeah.
MaryKatherineBuckley (16:50) I think that makes a ton of sense yep.
Mira Guha (16:52) Perfect. We have four months with, I think the next slide will show us exactly just how much so we have 18,000 dollars, a little over 18 and a half 1,000 Ish remaining for the next four months. We are kind of we are on the like higher side. But as far as just like, you can see the numbers being 75 percent of the way through the contract with 78 percent of the dollars used. We’re kind of tracking right where we should be.
MaryKatherineBuckley (17:18) Yeah, we front loaded a bunch of those agreements, those requests that I wasn’t necessarily expecting so absolutely.
Mira Guha (17:25) And I think that happens a lot. We like get the platform. We do a big push. So it’s.
MaryKatherineBuckley (17:30) just so easy to start adding things you’re just like, yes… like this one sounds good.
Mira Guha (17:35) It is extremely easy to suddenly you’ve submitted, you know, 150 requests. So I’d say for right now, I think it’s just like something we should be thinking about. But like you said, there are places where with escuflex, we are not utilizing contracted items. We’re kind of on target for others. I think the licensing will be good for us to track long term. I’m guessing by the time we meet next week, we’ll have a better sense of like, do we want to start solidifying next steps? Yeah.
MaryKatherineBuckley (18:06) I definitely think we are going to want to add licensing into like year two of the contract.
Mira Guha (18:11) Awesome. It’s been good. It’s.
MaryKatherineBuckley (18:14) just so much easier for the doctors and we recently added an initial slot to them every day. So anything we can do to help them out, I think is good.
Mira Guha (18:21) Awesome. The only thing I might consider if we were open to like preparing an addendum a little earlier, our team, I’m not going to assume this is the case, but there might be kind of more options for incentivized pricing. You’re kind of just consuming at the unit, right? For those, if we were to try to bake those in now, I can try to kind of confirm or start putting something together and no, you know, obligation to sign or anything. But just so you can see all contingent when they say, but also helps us with like the resource planning and making sure like now that it’s in your contract, we’re focused on like metrics for that and having your engagement manager kind of be a little bit more hands on with that, having the licensing team a little more hands on too, so I can go ahead and look into that for you and maybe see if there’s something I can share with you to review but just wanted to kind of.
MaryKatherineBuckley (19:14) That would be great. Yeah, especially because I do think there are, there is a good number of license renewals coming up, yeah.
Mira Guha (19:21) And I’ll take a look after this too and see just how many and that might be like 100 renewals. We should probably put those in there. Yeah.
MaryKatherineBuckley (19:28) Right. Yeah.
Mira Guha (19:31) Okay. I will go ahead and bring that to our team and I’ll take a look at what those numbers look like today. But, yeah, as far as just where we are, consumption’s looking really healthy, there’s just eight enrollments in that upcoming request section. I don’t know if you’ve been in the usage tab, but if you, at least recently since we updated it, if you scroll to the bottom, there’s a section with upcoming requests, so have been requested, but haven’t been consumed yet because we haven’t completed that intake phase. Yeah. So there’s eight in there that’s only 1,600 dollars worth of consumption. So, if it was like 20,000, I’d say, yep, addendum time, but that’s pretty negligible as far as just where we are right now. And just, the pacing of the contract. Yeah, I.
MaryKatherineBuckley (20:12) Think there’s just under 40 license renewals that we’ll need before the end of our contract.
Mira Guha (20:18) Okay. That is good to know. Yeah. And I’ll just make note of that before, and that’s before end of contract, not even before end of year one of the contract before.
MaryKatherineBuckley (20:29) End of year one of the contract. Yes. Okay. Yeah, that gets us through the end of July. We signed the contract in August, so. Perfect.
Mira Guha (20:38) And I can also look at through end of contract too and see if we want to just kind of factor those into a potential addendum. So I’ll go ahead and I’ll mess with it and again, send something over. No obligation, to move forward with it, but just to kind of have it in your hands and see what that might look.
MaryKatherineBuckley (20:54) Like perfect. Thank you. Oh.
Mira Guha (20:57) So, I think that’s pretty much all I had for today. It sounds like we kind of went over this with like the upcoming priorities and planning. Sounds like we’re again still kind of steady state as we are waiting for some things to wrap up, gonna be kind of reevaluating strategy. Probably in the next few months. It sounds like, yeah, we have a good sense on what the renewal licensing might look like. The only other thing I wanted to flag is that as we’re kind of trying to get more strategic with these executive meetings, our team is really looking to see if we can get the folks who are usually the signer, the decision maker on any kind of contractual stuff, joining the calls wherever possible.
Mira Guha (21:34) And if Jr cannot, like, we can always, you know, send the deck and just make sure there’s visibility prevents any confusion or communication delays or issues going down the line. So, just wanted to flag to see. I don’t think I ever, I don’t know if I ever met Jr if like we were on the pick off call together or.
MaryKatherineBuckley (21:51) Maybe he’s I don’t know if you have or not.
Mira Guha (21:55) Okay.
MaryKatherineBuckley (21:58) No, but this is definitely a focus for him. So, and I.
Mira Guha (22:03) can copy him on the follow up I sent today just so he can kind of see where we are at right now. Yeah, that would be great. And for the calls going forward, I’ll just go ahead and add him if he can make it great, if he can’t perfect. I think.
MaryKatherineBuckley (22:14) That would be awesome. Yes, fantastic. I think this is the right level call for him to be on perfect because I think he, like, he was asking me to join a call because this is obviously a focus for us. But like I was like, the bi weekly call doesn’t make sense. That’s two in a week, so.
Mira Guha (22:29) Exactly. And that’s kind of the whole idea. And like I’ve had a lot of calls recently where I like have to explain like joining with the engagement manager makes sense for this person. But on your team, it doesn’t make sense for that person. So, that’s why I meet with you also monthly maybe a little more doable than bi weekly. So, that sounds fantastic. I’m, going to go ahead and update these slides. I’m going to send it over the Q to roadmap stuff that should be most relevant to you is included there. Perfect. Let me know if you have any questions. I’ll kind of start putsin’ around with your numbers and a potential addendum. It sounds like we’re pretty much on track for enrollments though, so I might not, yeah.
MaryKatherineBuckley (23:05) That we are in decent shape, yeah.
Mira Guha (23:08) Fantastic. And then, yeah, we can always kind of re, evaluate in our next call, but any other questions for me?
MaryKatherineBuckley (23:14) No, nope.
Mira Guha (23:16) Amazing. Super easy, MK, it’s always a pleasure chatting. I hope you have a wonderful weekend. Thank you. And I’ll send the follow up soon. I,
MaryKatherineBuckley (23:24) appreciate it. And I’m probably not gonna talk to you before, but I hope you enjoy your wedding and have a wonderful time.
Mira Guha (23:30) Thank you so much. Looking forward to it. It’s oh, my God, it’s right around the corner.
MaryKatherineBuckley (23:34) But yes, it’s so close. All right. I will talk to you soon. Thank you. Talk to you later.
Mira Guha (23:38) Bye.