Transcript
Mike Manson (00:00) hey, William. Good morning. Hey, Mike. Happy Monday. Let me just check on my team. Garrison’s not going to be able to make it, but we’re good without him.
William Moore (00:23) All right. My speakers were not turned up. Sorry, I didn’t hear anything you’ve said so far.
Mike Manson (00:30) Okay. I was just saying hello and happy Monday.
William Moore (00:34) Good morning. Happy Monday. Good.
Mike Manson (00:36) Morning, Naomi should be joining as well, but we can get started without her. So I was doing some digging last week. Welcome Lia, happy Monday to you as well. I was doing some digging last week on potential solutions for the attestation piece. We actually have another customer right now who was asking for a similar, you know, is there any workarounds for that?
Mike Manson (01:04) I think we have a potential solution that I wanted to run by you and see if that’s going to be a good option for us. And the option would be to basically, we would need to get some language approved from our legal team, but we would basically have an agreement and we could, you know, we could have this sent directly to the admin and SMS and they can, you know, even print it out or wherever they want to sign it either digitally or physically, but just basically an agreement that the providers would sign to allow basically give the admin the ability to attest on their behalf. And then the admin would then go in and attest that their information is accurate and that would give us, that would work for us legally because this is all really a legal and compliance thing. I mean, you know, I think with any model like this, there does need to be some kind of attestation happening or we can’t legally work with the payers?
William Moore (02:08) Yeah, that makes sense. And I get that you’ve got to be covered in that regard. How specific would I mean? Is this like a power of attorney granted to a single individual? Or are we talking about just generally the physician signing away knowledge and providing permission to an organization or an agency to operate on their behalf. So in other words, can we put in there, you know, oneoncology or medallion or a combination of both, can be the individual, the agency to provide the documentation on behalf of the provider?
Mike Manson (02:55) Yeah. I think that would make sense. I want to. I just was getting brought up to speed on this on Friday afternoon. I haven’t had a chance to speak to our legal team that was working on this. So I’d want to just meet with them. They would probably have a draft and, you know, if you wanted to redline, you know, we could, I think it makes sense to have it as specific, right? For oneoncology and medallion, but,
William Moore (03:19) I mean, it doesn’t have to be like Jane doe, like a single individual, right? So, like if there’s turnover with that admin in position, are we going to have to get it re, signed every time?
Mike Manson (03:28) Oh, right. Right. I see. Okay. Yeah, that would make sense. I don’t know off the top of my head, but I’ll take that back to legal and bring that up, okay? And.
William Moore (03:39) Yeah. Anything that we’re going to put out for anybody to sign position employee? Anything? It’s all going to go through the legal. So they’ll absolutely have to take a look at it and.
Mike Manson (03:49) Redline it. Okay? I should be able to hopefully turn something around in the next few days here and send it over to you for redlining.
William Moore (04:00) Okay. Just really quickly, taking a small step back. Everyone’s aware that we have the approval to send out the invites as they are currently designed and configured for any new starts, correct?
Lia Hood (04:17) Yes… Naomi, I emailed everyone last week. I think it was Friday and Naomi was going to walk us through, sending out the actual invite. When we have our meeting a little bit later. Naomi, I will not be on that call, but if you’ll walk Shirley through it, I would appreciate it.
Mike Manson (04:38) Absolutely. Yes. So.
William Moore (04:41) We’re in a good spot moving forward. So Mike, let me see what you can come up with in the meantime.
William Moore (04:46) What I’m going to do, I did run this by Nirav last week and he looked at me like you don’t know what you’re asking for. But I strategized with Jen after our last call and we’ve come up with a potential deployment solution using the existing agreements. We are basically going to have to roll it out in waves. It’s going to be slow. We’re going to have to meet with the admin, educate them on the process, make sure that they know how to log in to coach and guide the providers, how to log in and literally physically schedule time to go sit next to them, to walk them and handhold them through the process if we can come up with a faster solution. Obviously, that’s ideal. But in the meantime, I’m going to start making sure that we’ve got a meeting on the calendar probably for next week, so we can start walking the admins through it regardless of what the outcome is. We want to talk to the admin to make sure that they’re aware of what’s coming. And then we’ll decide, are we going down path a that’s a little, you know, lighter lift for the providers or path B, which is the way it’s currently designed. A will get us to signature across the board much faster though.
Mike Manson (06:03) Okay. And this is for the new providers, correct? No.
William Moore (06:07) This is for everybody else. So the new providers, we have a solution for, yeah, for all the other providers, I’m trying to figure out what that path is going to be. So you’re working on, the lower barrier to entry. And then in the meantime, we’ll be developing a contingency plan for the plan as it currently exists.
Mike Manson (06:29) Gotcha. Okay. That makes sense. Gotcha. Okay. That sounds like a good plan. I’ll keep an eye out, for times for next week and we can provide availability so we can get something booked to, no.
William Moore (06:43) I’m not that wasn’t the intent’s not to schedule time with you guys. We’ll go ahead and get a meeting on the calendar with the admins for the practices associated with SMS, so that we can educate them basically the office manager, the practice administrator, so they know what’s coming.
Mike Manson (07:00) Okay. Gotcha.
William Moore (07:01) Ready to execute regardless of whether it’s the lower barrier to entry solution, where they just need a position signature on a document or if it’s literally hand holding them through the process of clicking on the invite, walking through, reviewing their data, doing the attestation, we are just going to go ahead and get time on the calendar to force… adherence of one of the two solutions. So, just so you know, that’s we’ll go ahead and start educating them next week regardless of which path we’re going down.
Mike Manson (07:33) Okay. That makes sense. Anything else that’s top of mind, do?
Lia Hood (07:41) We have any movement on, the evolent as a payer and the, and there are a couple others that were in that same boat.
Lia Hood (07:52) There are a few that are still in our court. But evolent was one where I think you were going to work on?
Mike Manson (08:00) Yeah, I did escalate it. Unfortunately, I don’t have, I don’t have, a good answer for you, or really, any update at current? I wish I did, I’ll bump that again is, I don’t know like Naomi in the past, if they, if oneoncology has a contact there that they could get us introduced to, would that be because I think the problem is that we just haven’t been able.
Naomi Denson (08:26) To get anybody, I think we already have made contact with them, Nicole’s owning, that process with PE?
Lia Hood (08:34) Yeah. And the problem is that it’s it is quote, not a national payer we have to provide national… information to in order for you to load it in your system to say anybody can join the network instead of just us, right?
Naomi Denson (08:53) Yeah. So, when we add payers to medallion, it makes it available to all customers and we can’t limit it to just oneoncology. So they don’t typically add payers that any other customer, whether it be not really necessarily nationwide but an open network for any provider or group to join.
Naomi Denson (09:18) Which.
Lia Hood (09:19) then puts the work back on my team and I have to manage two different systems.
Naomi Denson (09:26) Yeah. I know they were looking into it. I’m trying to find the thread I was seeing if Nicole was on, but it doesn’t look like it. Yeah, let me ping back to Nicole and Brenda and see where they’ve landed so far.
Mike Manson (09:46) I mean, do we know, like what is the scope for Avalon? Is that… do we know like roughly how many enrollments that is?
Lia Hood (09:57) I don’t.
Mike Manson (10:05) yeah. We’ll push on that again and try and get some kind of an update for you in the next few days.
Naomi Denson (10:13) Okay.
Lia Hood (10:13) And I’m working on a few others with our contracting team that there were questions about.
Mike Manson (10:20) Questions for.
Lia Hood (10:21) That were asked of us. And so I’m trying to get clarity from our contracting team to see if what… type of contract they are to a couple of them. The contracting team has already come back and said they don’t show a contract. So now I’ve got to do some digging on our side. Yeah. So there’s still a little bit that’s on us. I know Nicole is still working on a few… but I imagine there’s going to be one or two more that may be like evolent.
Mike Manson (10:59) Okay. Yeah. I mean, as soon as you, as soon as we can get that information, I can try and do the same thing. Just try and escalate and see what we can do with it.
Naomi Denson (11:10) Yeah. I’m pinging them right now and hopefully we can have more updates by the time we meet this afternoon with Shirley, but we’ll definitely reach out and let you know what I find.
Mike Manson (11:31) Yeah. Sounds like we should be able to start getting the new providers start submitting requests very shortly here, which is exciting.
Naomi Denson (11:40) Yeah. We got all of the group enrollments loaded for those payers that we did map and confirm that are approved. We just have those few that are still outstanding.
Naomi Denson (11:55) So we can go with the new providers we’re inviting today. We had talked about just requesting the payers that we were able to load so far?
William Moore (12:02) And I believe, do you still need to load the letter so that we can push the invite?
Naomi Denson (12:08) Well, we had sent, the provider custom invite back to Leah and Shirley. I don’t know if you guys, I know you guys sent back some corrections. KP made those. I didn’t know if you were wanting to adjust those at all since we’re new providers.
Lia Hood (12:25) No, no. And they’re okay. I was waiting on, I thought… I replied back last week when I was given the go ahead. We’re good with that with the letter, the way it is.
Naomi Denson (12:39) Okay. Yep. And then it’s ready. It’s good to go is.
Lia Hood (12:44) It, so, is it already loaded ready for the invites to go out? It is okay. Fantastic.
William Moore (12:52) All right. Great. We can push the button on that today.
Naomi Denson (12:55) Yep. I’ll work with Shirley in our call this afternoon to get those out… and Lia, I didn’t see, I had asked in my follow up email, I responded to you Friday to see if are these providers that are already in medallion? We loaded them or we’re adding brand new providers that were not part of the import?
Lia Hood (13:13) These are brand new. These are net new providers. Okay?
Naomi Denson (13:17) Yep. I’ll work with her, show her how to add them or do a refresher with her on adding the new providers. And then we’ll determine next steps and getting the invites out.
Lia Hood (13:28) Fantastic. Thank you.
Naomi Denson (13:30) Absolutely. Happy to help.
Mike Manson (13:35) We’re also still pushing for fixes on the caqh too that we want to get that fixed ASAP. So we should have updates for you on what we can do to make the caqh upload a little smoother as well. Yeah.
Naomi Denson (13:50) I made a lot of noise on that one for you.
William Moore (13:53) Thank you. Absolutely.
Mike Manson (14:01) Anything else?
William Moore (14:05) No, I think that’s good for now. Mike, just let me know what you can come up with after you talk to legal. And like I said, we’ll go ahead and get the meeting scheduled on our side because we’re going to have to operationalize this process one way or the other… but certainly would appreciate whatever you can do to make this as easy seamless and frictionless as possible for those providers.
Mike Manson (14:27) Yep. I’m about to get on a plane in about an hour, but I’ll get the request out to our legal team. I’ll try and get time with her tomorrow, and we’ll get something turned over to you hopefully in the next few days here. I’ll keep you posted in real time. What’s going on my end?
William Moore (14:44) Okay. Sounds good. Thank you all.
Naomi Denson (14:46) Right. Thanks, everyone. Thanks.
Lia Hood (14:48) Everyone.
Mike Manson (14:49) Talk to you soon bye.