Transcript
Noah Laack-Veeder (00:00) hey, when are you traveling? I’m.
Taylor Ryan (00:03) in San Antonio. So, I’m actually like there. Yeah. After our calls today, my mother in law is driving us, which is really nice of her.
Noah Laack-Veeder (00:12) That’s nice. Gonna get snacks for the car ride.
Taylor Ryan (00:15) Yeah, for sure. Yeah. And we have my dog with us. So, yeah, that’s good. Yeah. So cam is joining this one. He’s gonna drop after like bramer drops as well. I talked to him about it and prepped him and everything. But, yeah, we’ll do the first half payr stuff bramer, hopefully, and then the second half or, you know, whenever we’re… done with the payr stuff, we’ll hop into the other. All right. They’re in the waiting room. I’m gonna give cam another like 30 seconds and then I’ll let them in.
Noah Laack-Veeder (00:57) And if you want me to, I can do a quick, very quick intro to the team.
Taylor Ryan (01:03) Have you met them? Okay?
Taylor Ryan (01:22) Yeah, cam hasn’t either. So we’ll have him, we’ll do intros and then shemba do it.
Noah Laack-Veeder (01:29) Yeah. I mean, we don’t really need to have them introduce themselves to us if it doesn’t make sense.
Taylor Ryan (01:33) Yeah. Okay. There’s. , cam. Hey, hey, cam. All right. They’re in the waiting room. So I’m gonna let them in. Noah actually hasn’t even met these guys. So we’ll just start with intros. Okay. All right.
Taylor Ryan (01:59) Hey, team.
Bramer Owens (02:04) Hello?
Taylor Ryan (02:07) How’s everyone doing?
Jimmy Price (02:08) All right. Good. All right. For a Monday all.
Taylor Ryan (02:13) Right? For a Monday, we’ll take it. Hopefully everyone had a good weekend. All right. Well, thank you for joining. I know Jimmy, Rebecca. I know that we spoke last week, bramer, thank you for jumping on here. We’ll probably let you go after we’ll, probably only need like 30 minutes of your time, but wanted to get the group together. I think, you know, Jimmy Rebecca myself and Noah will take the second half to walk through some of the provider side stuff. But bramer, I think what we were really hoping to understand is, you know, any feedback on the recommendation that we gave as well as some context we’d like to get your help on for pricing. So that’s the goal of the call today. I’ve also got my VP on who you all have not met. And then Noah, I know that we’ve had, Noah was involved early in conversations, but I think you bramer were more familiar with Scott who’s our expert on the payer side. Noah is essentially the expert on the provider workflows. So I’m going to let Noah, cam, introduce themselves really quick. And then if it’s all right, we can jump into things.
Noah Laack-Veeder (03:27) Yeah, I’ll start. So, I’m Noah lead decision consultant. We’ll say on the provider side, so great to meet you all. And I’ll be focusing more in the second half of the call.
Cameron McCormick (03:38) Thanks, Noah. I’m Cameron Mccormick VP of enterprise sales here at medallion. Taylor is in my organization and I’ve heard a lot about harbor health, been at the company for close to four years and located in San Francisco. Great to meet you all.
Taylor Ryan (03:56) All right. And then if we want you, can the harbor side, you guys want to introduce yourselves really quick?
Bramer Owens (04:07) Sure. I’m brammer Owens. I work on the insurance plan side mostly and do network development.
Bramer Owens (04:16) Awesome.
Rabecca Adams (04:18) I’m Rebecca adams, I work on the medical group side. I’m director of revenue cycle for the medical group. Credentialing falls under my purview here. And.
Jimmy Price (04:28) I’m Jimmy price and I am in credentialing group. I do all the credentialing provider enrollment and whatever Rebecca tells me to do.
Noah Laack-Veeder (04:39) Great to meet you all.
Taylor Ryan (04:41) Awesome. All right. Well, now that we’re all acquainted, I think if we could kick things off with the payer side of the house, so bramer, if you wouldn’t mind like maybe if we start with a bit of, you know, where you guys are at since we last spoke, I know that there’s been a lot of work that you guys have been doing internally to sort of figure out the go forward plan on the payer side, but maybe just so that we can best understand how to support your decision if that’s still up in the air or if you guys have kind of come to a decision on, you know, how you want to operate going forward, if you plan to continue using your current vendor, if you plan to use medallion for, you know, the cbo piece, whatever that decision making may look like it would be great to just get an understanding of where you guys are at in that process.
Bramer Owens (05:27) Is Michelle on because I thought maybe this is breaking news, but Jimmy, I thought we said we were going to work with medallion for credential providers on the health plan. Is that not correct? That’s?
Rabecca Adams (05:41) Correct. Michelle’s, not on, though. Yeah.
Bramer Owens (05:44) Okay.
Taylor Ryan (05:45) So, to be clear and that’s kind of what our assumption was, but I think the last time that I touched base with Michelle and then just speaking with Rebecca and Jimmy last week, I think that we wanted to just make sure that we were closing the loop with you and no one was speaking on your behalf on that decision.
Taylor Ryan (06:03) So not crazy news, but just good to have confirmation that is the direction that you’re going so that we can kind of help figure out what implementation is going to look like. And just for your knowledge, I think Rebecca and Jimmy have been helping us put together, some context for what we need for a pricing exercise. Essentially, our CRO is working with your coo, Aaron to get pricing. And so the final piece that we need is just an understanding of what volumes look like on the payer side of the house. So I think that’s mainly the open item that we had assuming that, you know, and now that you’ve answered the question, assuming that was the direction that you wanted to go, that you would be using medallion for the credentialing piece?
Bramer Owens (06:48) Yeah. I mean effectively, I think we took your emailed recommendation and said, yeah, it probably makes sense to move forward medallion for our directly contracted providers that we’re responsible directly for credentialing. So.
Cameron McCormick (07:02) That’s and I.
Bramer Owens (07:04) Think the number, so the number, I can give you some numbers, but we’re also looking at like our general network strategy for 20 27. And I mean, there’s some contingencies there, but let me just talk to Erin. She’s aware of all those contingencies. And so what I would say is let me talk to her and then she can best represent like, you know, just how that would look, you know, going forward. But, you know, that being said, we’ve got groups now and some of them are coming up for re, credentialing relatively soon. So, I mean, I think, but I don’t think it’d be any or due prior to when y’all would be active with us. We’ve also not discussed this with our current credentialing vendor. So there’s also some timing elements here we have to manage. But does that answer your question or no? Because?
Taylor Ryan (07:54) We’re still let me.
Bramer Owens (07:55) say that more. Let me say it more. Sorry before I, we’re scoping out based on y’all’s recommendation, pdm and rap network groups. So pdm for us is provider data management because I was, I don’t because I guess after detailed review, it looked like most of your other health plan clients already have an alternative solution for that. But I’ll pause there and answer your questions you have. Yeah.
Taylor Ryan (08:22) No, I think. And maybe I think you had seen maybe let me just share. This is the email that I had sent over to Michelle and I, it sounds like it made it to your desk as well. These are the questions, that we were reviewing. And so maybe it would be worth me sending over like more detailed questions to go through. This is, we reviewed this last week with Rebecca and Jimmy. And as you can see, we had some answers, but a lot of this, I think that we’re going to need from your side of the house. And this is again just to get Erin some preliminary pricing given, you know, that you guys want to move forward with medallion for the credentialing piece on the payer side. So these are just some of the questions that we need answers to get the sizing that we need, for, to provide a quote. Does that make sense?
Bramer Owens (09:13) Yeah. Shoot them over. I’ll get you. Okay.
Taylor Ryan (09:16) I.
Bramer Owens (09:16) think the, I mean, I guess part of it though is let me just say it this way. We’re also looking at our ncqa pending audit or I guess not audit. It’s. Probably the wrong term or accreditation like our survey effectively. So like for today, we don’t like credential like hospital based groups, right? We don’t credential facilities. I see all that to say they’re directly contracted. So I guess what I’m gonna do is give you the list of groups that we directly credential today. And then if you, then if we come to find out, we have to credential like another type even though like Texas doesn’t require it, but ncqa does require it, then we may have to change the scope to include that. Okay?
Taylor Ryan (10:08) Yeah. I mean, I think maybe we can model out two different scenarios like if it’s easy to model out, you know, one with without those use cases and then one with, we can always model out the two different options. But maybe I’ll send, I’m going to, I’m going to meet, I’ll meet with Scott internally who I know you guys had spoken with, who will have, you know, more insight on the payer side and maybe we can just detail out a couple more questions that we can use to help model out those two scenarios if that makes sense? Yeah.
Bramer Owens (10:41) Send me an updated request of items you need. I’ll try to get it done and I’ll come there sometime this week just to make sure we’re in line?
Taylor Ryan (10:48) Okay, perfect. Yeah, I’ll work on that and send it to your email. I think honestly, braymer, I think that’s mainly what we were trying to get an understanding of from you. So I think while we have you on cam, anything that you would add there or, you know, are we good to kind of let braymer know no?
Cameron McCormick (11:09) I think we’ll circle up internally to just review the information that we have from your team already and what’s outstanding. And we can send you an email either today or tomorrow.
Cameron McCormick (11:20) And then our CRO is meeting with Aaron Thursday. So if you have the bandwidth to respond, we can start working on pricing and implementation planning. And I think the only other question that I had is just around the timeline to try and finalize contracting and start implementation. I’m not sure if you can share more about kind of what that looks like on your side, but those would be the only questions that I have.
Bramer Owens (11:49) I defer to Aaron to be honest. I mean, I think that timing will be dependent on negotiations and finalizing the agreement. So, and then we’ll have to figure out some kind of cutover because we have groups going to credentialing every, not every week but every month. And so that’s something that we’ll have to kind of figure out like what that looks like transitionally.
Bramer Owens (12:14) And then there… may be some period of, I don’t know how y’all typically do it. This is outside my purview, but I mean, we’ve credentialed these folks under, you know, one, there’s other considerations we have to factor in like we need to actually create our own credentialing committee or at least one for the health plan.
Bramer Owens (12:34) So there’s other things that have to happen that are going to sync with this that are kind of more in our ballpark. So let’s… talk to Aaron, I guess is the easiest way to say it… sounds good. Yeah, one thing, this would be a silly question after the fact. But Jimmy, since, you know, obviously our medical group, is credentialed… with our health plan, that roster format. I think we reviewed as part of the diligence that our health plan requires that’s not going to be an issue for median to produce, right? We’ve already kind of checked that box or no in terms of the required fields and items we need for to place them as a network. I guess.
Jimmy Price (13:28) That would be Taylor, that would be a question for you. But from what I’ve seen on the village side, they’ve been able to accommodate us in all the rosters that we’ve been able to. Okay?
Bramer Owens (13:37) I don’t see any concerns with us being able to produce that roster. Okay? Only because, okay, I mean that’s.
Noah Laack-Veeder (13:44) a really good question like that. And that’s an important one. We support the rosters based on your templates. I don’t see any issues there. Yeah.
Bramer Owens (13:52) You’ve seen them? Okay? I was just okay, because now, because right now we get one roster from every source going forward. We’re going to get rosters from different sources. We’re going to consolidate so that’s something I want to figure out parity is something that’s going to be really important there for matching.
Jimmy Price (14:09) Okay. Well.
Bramer Owens (14:10) Happy to help answer your additional questions. If not, I’ll get, I’ll find your email and I’ll do my best to get it done by Thursday. And with Aaron Pryor, great. Okay.
Taylor Ryan (14:21) Yeah, I should be able to get that email to you. Like cam said either later today or early tomorrow. Okay? And then I’ll wait to hear. Yep sounds.
Noah Laack-Veeder (14:28) Good. Thank you all. Awesome. Thanks, Aaron. Nice to meet you. I appreciate.
Jimmy Price (14:30) It all right?
Taylor Ryan (14:32) Well, that being said, cam, feel free to stay on.
Taylor Ryan (14:36) I know we all have a company off site this week in Austin. So we’ve got people traveling today, so cam will probably drop at some point, but I think we can kind of move into the other piece of the puzzle here, which is just getting some clarity on how you guys are running… the, a couple things on the payer side or on the provider side. I think I brought Noah up to speed on the conversation we had last week and I think what we really need to clarify is the process for revalidations and just get, you know, a clear number of volume or a clear number to put to the volumes in the quote. So part of that is, you know, maybe Jimmy, us having some questions for you… and then hopefully we can get to, you know, a number that everyone feels good about by the end of this. Does that sound good that?
Jimmy Price (15:29) Sounds fine. Yeah.
Noah Laack-Veeder (15:32) And before we get started… Taylor and I just did some back of the napkin math that typically we do with organizations mostly because revalidation events can be hard to forecast.
Noah Laack-Veeder (15:42) Exactly. So we usually try to do is take the number of new enrollments that are going to be needed, and then divide that by five because most payers have like a three to five year revalidation window. With that all being said, we were looking at around 1,200 revalidations a year. So, I mean is that number without kind of going into more detail? Does that sound directionally correct? Or do you feel like we’re way above the mark way below the mark?
Jimmy Price (16:13) Huh, that’s that, that’s a very interesting I’m 1,200 on the year.
Taylor Ryan (16:24) And maybe I can pull up the math that we kind of use. I’ll put the email that I sent over.
Noah Laack-Veeder (16:32) I’m trying to see, but yeah, Jimmy kind of, what are you kind of thinking about in terms of trying to figure out what this number is?
Jimmy Price (16:41) Yeah. And when you say 1,200 a year, that would, to me, that would assume that there’s multiple payers having to have revalidations in that particular year, which obviously, that’ll be the case, for some, but I don’t think 12, I think 1,200 is a big number, Because, and that’s part of, the work we have to do on our side is making sure we can find those revalidation dates so we can get an actual valid number, on things like that. And that’s just something we have to do when we reach out to the payer to grab. It’s… kind of hard to put a number on it without having those dates. And the majority of… the payers say it stands, medicare and medicaid. They, medicare and medicaid are typically five, it’s not typically, they are every five years. Yep. So, that kind of pushes those out further out. And in this particular case, we just, we were just going through revalidations for the group in itself. So that takes the group whole out of, that whole equation there, for both medicare and medicaid now, in terms of on top of that, and this is something that Rebecca would probably have to confirm, maybe not now, but maybe later, through village, we particularly do the medicare, and medicaid revalidations ourselves because it’s just easier for us to have access to it and get those signatures opposed to it going through all these different hands and kind of managing. Yeah, I agree with that.
Noah Laack-Veeder (18:19) So, it sounds like maybe from the count, we wouldn’t want to have medicaid and medicare being part of it. What you just said, yeah.
Jimmy Price (18:26) Exactly. So, I mean,
Noah Laack-Veeder (18:27) maybe, I mean, I know it’s I know it’s, difficult to forecast it exactly, but I think what, with other conversation happening, we’re trying to get, you know, as close as we can to some sort of number. So, like, so the math that we had was that,
Jimmy Price (18:43) We’re looking.
Noah Laack-Veeder (18:44) Like, yeah, and Taylor’s going to share her screen. So, if we’re looking at 160 providers with 23 plans, this would theoretically if they’re all needing, revalidations at once, about 3,700. Now, definitely not going to be the case, right? We divide that number in some fraction. It seems like it’s going to be less. Another way we can think about this is from the village side. I took a look at the number of revalidations and I think there’s about like 800 total that I saw in there. And if you think like that’s a number that’s pretty similar to how many you’re going to need here that we can do, we can use that as well, but it seems like maybe that’s going to be even a little bit too high. So.
Jimmy Price (19:34) Yeah, I, because, yeah, that’s going to be a little high because they also have the Houston market probably in that, what you were looking at. And then on top of that, I’m assuming you’re looking at all Texas markets because when you look at maybe there’s multiple, yeah.
Noah Laack-Veeder (19:48) Yeah, maybe we can do it this way. So, like, Taylor of this, we’re looking only today, you only have 160 providers, correct?
Jimmy Price (19:56) Right. And so,
Noah Laack-Veeder (19:58) if we just assume that maybe one fifth of them need to have a revalidation, that would be 32 providers. And then if we say look like of the 23 plans, they might need revalidations… for, I don’t know a fifth of those as well. Do you think that’s the math we should do to get this, Jimmy that?
Jimmy Price (20:25) Might be a little more accurate, Noah? Yep.
Rabecca Adams (20:30) And like we,
Jimmy Price (20:31) mentioned to Taylor on our last call,
Rabecca Adams (20:34) Revalidate.
Jimmy Price (20:36) Revalidate, re, credentialing versus re, cred, revalidate, I say reval when we deal with medicare and medicaid, and I say re cred, when we deal with the commercial payers, so, excuse me?
Rabecca Adams (20:45) With re.
Jimmy Price (20:46) Credentialing a lot of the payers, will automatically re credential on that actual anniversary date, well, probably anywhere from six months to 90 days prior to that anniversary date. And I would say, of all the plans we have, I’ve only come up with two of the plans that actually re paper revalidations or re credentialing. So.
Rabecca Adams (21:11) The other.
Jimmy Price (21:13) Payers will automatically start that process via whatever information is in caqh, things of that nature. And if caqh is up to date and good, then a lot of times we won’t even know that they’re going through re, credentialing until we either need to, correct a deficiency of some sort or update something in caqh on our end or we got, we get our approval, one of those couple of things. So, when revals are being done, they’re automatically being done.
Rabecca Adams (21:45) So, by the time.
Jimmy Price (21:46) medallion would step in, it would be to either, provide a, approval date because obviously, medallion will be having that correspondence with the payer or updating us and telling us that we need to update caqh or provide more information. So.
Rabecca Adams (22:05) It’s it.
Jimmy Price (22:06) The, the revals are actually much Symplr than the initial enrollments. So that number that you put out there is probably the equation that you put out there is probably more accurate than one fifth.
Rabecca Adams (22:22) Based.
Noah Laack-Veeder (22:22) based on that, I mean, I, it sounds like it’s closer to 250 if they wanted to have a little bit of buffer. Yeah. And Rebecca, I see you nodding too. Does that sound about right? That does?
Rabecca Adams (22:34) Sound about right. Yeah, I can tell you we don’t besides medicare and medicaid, we don’t see much come through here as far as like the recreds, as Jimmy was talking about. I mean, we don’t see much come through unless there’s a problem as Jimmy mentioned. Yeah, we don’t see too much of anything from any of the payers. Now, now that being said, we’re also not as old as village. So, and we’re much smaller. So, we may just not have seen them because for various reasons, I mean, we all know, they may have, they may have gone to the wrong spot, whatever it does happen.
Jimmy Price (23:10) But Jimmy, I.
Rabecca Adams (23:11) kind of wanted, to, just, sorry. My dog’s got me all turned sideways in the chair because she’s decided my leg space is hers.
Noah Laack-Veeder (23:17) We’ve all got dogs. Yeah… you know what? I think? We should just have your dog Rebecca, just, we should put like 102 103 100 on a piece of paper with a dog.
Jimmy Price (23:29) Treat. And.
Rabecca Adams (23:30) Just let her pick, yeah.
Jimmy Price (23:32) Right. That’d be a much easier decision. Yeah, maybe put.
Noah Laack-Veeder (23:34) Like three dog treats on the 300. Just so we’re like, you know, giving us a better shot at being correct there.
Rabecca Adams (23:44) Then we’ll have a fight because there’s both dogs over here right now. Oh, hey.
Noah Laack-Veeder (23:48) More the merrier, right? Sorry, your question, Rebecca didn’t mean to interrupt you there?
Rabecca Adams (23:53) Oh, no, no. You’re fine. We’re in the process of a lot of contract renegotiations. And I don’t know if that’ll mean anything for the recred side of it, Jimmy, do you know? Yeah?
Jimmy Price (24:04) It should not because recred is different from contracting.
Jimmy Price (24:08) I mean, they can be, I know it is, yeah, from another entity and then come over to us and they could be recredentialed a couple of months in. So it should not. But as the negotiation for those contracts come up, that can give us an opportunity to get those reval dates. So that would be huge to have at that time. Let’s bring.
Rabecca Adams (24:33) that up to Megan because Megan can get those, Megan green, not Megan from our team. Let’s bring that up to Megan and see as she’s doing the renegotiations, if she can get us those recred dates.
Jimmy Price (24:47) Yeah. So.
Noah Laack-Veeder (24:49) We’re kind of working. I know we’re all kind of like pushing different directions, but like what we’re trying to do is arm Erin with a number that you, Jimmy and Rebecca feel comfortable backing because she’s going to be like, hey, how did you get these numbers? And they’re going to be like, well, got them from Jimmy and Rebecca and then just make sure you feel comfortable with it given that there is still more analysis to be done and not kind of slowing this down as much as we can. Does the 250 sound like a number that you would be willing to back up if asked?
Jimmy Price (25:18) It does, it does for me? Yeah. Okay. Yeah. My only.
Rabecca Adams (25:22) concern with it is we brought a massive amount. So, this is three years ago that we brought on our clinicians that were at ascension, and so we will have a lot of them have recently resigned, but probably a good 20 to 25 clinicians who will be hitting the year three mark with our payers under our contracts this year. So that does possibly present a problem where we could have additional, but that would just be for this year.
Noah Laack-Veeder (26:04) So you.
Jimmy Price (26:04) think.
Noah Laack-Veeder (26:05) there might be more revalves in the first year. Yeah.
Rabecca Adams (26:08) Because of the way our growth happened at harbor… there was a mass, there was a mass hiring of about 30 plus, it was about 30 to 35 clinicians in July and August of 23. And that’s when we onboarded them to our payer contracts, that does not mean that’s when their regret dates are, though, but there… is that possibility that some of them could be or a little bit higher percentage of them could be going through revalidation this year. Okay. Well, I… mean, ultimately, what?
Noah Laack-Veeder (26:50) We need and I know I’m not, the truth is right. We can present like a rough number, like if you think that it’s roughly gonna, if we need to have a little bit of buffer, Rebecca, like we have something called skew flexibility, which means that like we can borrow from down years as well. Okay? So, I mean, but if you’re like.
Jimmy Price (27:13) Yeah.
Noah Laack-Veeder (27:14) We have 250, but it’s gonna be like 260 that’s.
Jimmy Price (27:18) different.
Noah Laack-Veeder (27:18) Than saying, hey, year one, we think we’re gonna need closer to 500.
Jimmy Price (27:23) And I know.
Noah Laack-Veeder (27:23) We’re kind of just all doing back of the napkin math. But given what you said for year one, what would you feel comfortable making that number given you said it might be a little higher than you expected?
Rabecca Adams (27:40) Yeah, for year one, I think it’ll all even out eventually but… I don’t know Jimmy, would you be okay with like 300 as the number instead of the 250?
Jimmy Price (27:52) That’s actually the number I was thinking in my head.
Noah Laack-Veeder (27:55) So, it’s 300 year one. And then 250 years two and three.
Jimmy Price (28:00) That’s what?
Rabecca Adams (28:01) I would say, yeah, okay.
Noah Laack-Veeder (28:04) Okay, great. Sweet. And so, yeah. So Jimmy and Rebecca just to ask directly when Erin is going to talk to our leader, Kyle, he’s going to ask, you know, how we got these numbers? We say, hey, we had a meeting with your organization. They felt very comfortable about 302 50 kind of the math that we did was roughly look, we got to have some buffer, but we have 160 providers. We want to get them about one fifth of them probably. And then one fifth of the plans a little bit more buffer.
Noah Laack-Veeder (28:34) We felt comfortable around 300 and then 250. Yeah. Yep. Okay. Yeah. Excellent. I think that was my mission today and you helped me get my mission accomplished.
Rabecca Adams (28:46) Awesome. Good.
Jimmy Price (28:48) Somebody got something accomplished today. Yeah.
Noah Laack-Veeder (28:50) Well, I mean, if I can take a win, I’ll get it. I also this morning, Jimmy, I’m not sure if you’re a lawn Guy. I put some grass on my lawn. Mission accomplished would mean that the grass seed actually grows into grass. So we’ll see. Okay, that’s well, only time will tell so.
Jimmy Price (29:08) Yeah, yeah.
Rabecca Adams (29:09) Are you getting enough rain to get it to grow? Is that the key here?
Noah Laack-Veeder (29:13) Oh, yeah. This year, I’m really worried about the mosquitoes because we’ve gotten so much rain. I live in Wisconsin by the way, I’m not sure.
Rabecca Adams (29:20) Oh, okay. I’m in Illinois. Yeah, I’m in the Chicago area. Yeah.
Noah Laack-Veeder (29:25) So, we’ve gotten a lot of rain. So my lawn is lush green right now. It’s very lush.
Rabecca Adams (29:33) So, I’m.
Noah Laack-Veeder (29:35) like, I want it to be even more lush. So we’ll see, well, I’m in Houston.
Jimmy Price (29:39) And we get rain sporadically. So, when we do get it, it’s a hurricane or a flood, and then we dry out for the next three months.
Noah Laack-Veeder (29:47) That’s.
Rabecca Adams (29:48) unfortunate. Yeah, it.
Noah Laack-Veeder (29:49) Sounds like Jimmy, you need the sprinkler system, which, yeah, I saw a video of some Guy who’s putting sand in his lawn, and then he had these sprinklers so I’m like, I don’t know how much money he’s spending on his water bill a month, but he does have a really nice lawn, wow, our neighbors.
Rabecca Adams (30:04) Set up like an auto watering system for their plants and gardens. So when I go, so I am up early for the gym, I leave the house at like 445, four 30, 440.
Noah Laack-Veeder (30:14) Five. Oh, wow. Cool.
Taylor Ryan (30:15) Commitment.
Rabecca Adams (30:16) and it’s watering the flowers and stuff already. I’m like, oh,
Noah Laack-Veeder (30:20) look at this. I was like.
Rabecca Adams (30:22) We need something like this. I need something to water all of them. So I don’t have to do it. Yeah.
Noah Laack-Veeder (30:27) Hey, can you guys come over here and do mine too? Please? We have.
Jimmy Price (30:30) A sprinkler system set up here and it is, it’s a hit and miss because being here in Houston and Texas in general when it doesn’t rain, then they don’t want us to use any water. So, I mean, we have that water restriction, so it, no one wants to get that little sticky note on your door saying, hey, you’ve used your allocation of water already. So there’s always that, but totally, it’s par for the course being here in Texas. I mean, what can we do?
Noah Laack-Veeder (30:59) Yeah.
Taylor Ryan (31:00) I’m fortunate that I live in southern California. So, we don’t get a lot of rain, but I have, if you’re ever, I don’t know what plants you’re talking about, Rebecca, but I’ve got a little garden in my patio, and I’ve been gone for the past week and a half and I set up a drip irrigation system. I thought that these things would be so expensive, so difficult. It was like 40 bucks for a little solar powered pump. And then, you know, just figuring out like where to put everything in your plants. It’s crazy what you can get on Amazon these days.
Noah Laack-Veeder (31:35) Also.
Rabecca Adams (31:36) I do my infusions from home when I have an infusion. And so, the tubing and the bottles and stuff that they send with your infusions can be used as watering to do watering in your garden. So, somebody had told us that.
Noah Laack-Veeder (31:49) Yeah, so.
Rabecca Adams (31:51) My husband saves all of it and rinses it out because it’s just ivig, it won’t hurt them and he’s like, yeah, I could just, he’s like I can use these and I can run like a tubing system. I’m like you go ahead because nope.
Noah Laack-Veeder (32:03) Yeah.
Rabecca Adams (32:04) This girl, this girl’s not doing it.
Noah Laack-Veeder (32:06) Yeah, that’s what I tell my wife. I’m like, yeah, your garden is going to look great. You just need to tell me what I need to dig up and where I need to put things… team.
Taylor Ryan (32:16) Effort.
Noah Laack-Veeder (32:17) exactly. Yeah.
Rabecca Adams (32:19) Yeah, no, we’ve got all of it planting right now. He’s got his cabbages out there. He’s starting to put in, potatoes and string beans and everything. It’s that time of the year again? Yeah.
Taylor Ryan (32:29) Totally. I know. I just got my, it’s a little, I could do it a little earlier in socal, but I just got my tomatoes, my strawberries, my, my pepper plants. I, just, I just transferred my seedlings, I’m so excited.
Jimmy Price (32:47) Well, I’ve.
Rabecca Adams (32:48) got to get my strawberries this weekend.
Jimmy Price (32:50) Yeah, you guys are so much more advanced than me because I don’t grow anything. So, hey, Jimmy I.
Noah Laack-Veeder (32:59) never said I grow anything. I just said, I put seeds in my lawn, so.
Jimmy Price (33:03) It’s.
Taylor Ryan (33:05) so, rewarding it’s so fun, it’s a lot of.
Jimmy Price (33:08) work but it’s very rewarding. It is. Yeah. And the,
Rabecca Adams (33:12) strawberries have to go in like this weekend because they have to be harvested by mid to late to.
Jimmy Price (33:18) Late June.
Rabecca Adams (33:19) At the latest, so, I told my husband I’m like I got to go get the strawberry plants and take a table and just dedicate them to the strawberries so that we get, yeah… it’s amazing because our grandkids like the strawberries when they grow, they’re just.
Taylor Ryan (33:31) So good, like, it’s crazy how different they taste than buying them from the store and you could go to, I mean, maybe local farmer’s markets and stuff, but there’s just nothing like a fresh strawberry from a garden. Like truly, it tastes like a different fruit. Yeah.
Rabecca Adams (33:47) It’s super sweet. You can go pick it and just eat it right off the vine. It’s so sweet. Yeah, it’s different. Yeah.
Jimmy Price (33:53) You said you guys make me feel like such a slacker that I am.
Taylor Ryan (33:57) Honestly, the first time that I grew anything, all I had was one of those like hanging baskets of strawberries and it’s very easy to keep up like, it’s not that much maintenance, just make sure it gets sun and water. And after I did that one year, I’m like I went in all in on my strawberry plants the following year, so you can always dabble, you know, and see what you think.
Jimmy Price (34:20) I will try… we.
Rabecca Adams (34:23) Have a greenhouse this year. Oh.
Taylor Ryan (34:25) Wow.
Rabecca Adams (34:27) See, Jimmy. That’s all you got to do, get a little greenhouse where you can keep the moisture trapped inside. So you don’t have to worry so much about the water,
Jimmy Price (34:36) You make it sound so simple.
Taylor Ryan (34:39) Well, I know who I’m calling for questions?
Noah Laack-Veeder (34:41) Well, hey, you.
Jimmy Price (34:42) Know what we, well, I know who to go to if I do have questions, yeah, exactly.
Noah Laack-Veeder (34:45) Yes. Yep. Rebecca’s.
Taylor Ryan (34:47) the resident gardener, exactly?
Rabecca Adams (34:49) No, no. My husband, I’m just learning from him.
Jimmy Price (34:52) Well, like, you know?
Noah Laack-Veeder (34:53) Jimmy, you’re the revalidation expert, right? We’ve got the number now, so we can, we got that. So we’ll be able to, we all got some wins today for sure.
Taylor Ryan (35:02) Yeah, right.
Jimmy Price (35:03) One thing crossed off the list. I did have one question though and we may have talked to this in the very beginning and I don’t know if you can answer it or not. There’s one tool that really helped vmd out. And I’m wondering if you guys can do it as well and you can probably if you go back to look at vmd’s whole setup, you can probably see it there. It’s what we call the red green report and that red green report, basically the approvals, the participation out of network in network ordeals that were in medallion would actually go straight to that red green report for people in the front offices and back offices to see is that something that we would be able to have as well? Yeah, absolutely. I’m.
Noah Laack-Veeder (35:46) actually going to go look and see. Was it a custom report that they built for you or was it just something in the report builder? Do you know? It was a?
Jimmy Price (35:54) Custom report. Our id at that time it department got with your guys’ it department and configured this whole report up. As far as the it part is concerned. I can’t tell you anything but that, that’s it how they configured it. I couldn’t tell you. But again, at that time and we don’t need this for harvard, we just need something that when these approvals go just for someone to look at, we need access for our front desk, verifying… participation and stuff like that because we only have so many people that will have access to medallia. Yeah, let me show.
Noah Laack-Veeder (36:34) you what I think is… what you’re looking for? Let me share my screen… that red green report. Usually, what I hear with that is like, hey, I just want to see effective dates and status across the board, exactly. Very.
Jimmy Price (36:51) Simple. Can.
Noah Laack-Veeder (36:52) You see payers on your screen? Yeah, this is what I’d call that red green report. For any provider. You can go in here and see if they’re active and for which payer, this is typically what organizations will use. Obviously the demo environments and everything is super accurate here. But also, this would be if you want to go across different locations, we’ll have the par, effective status for each location as well. Is this what you’re looking at thinking about? Well?
Jimmy Price (37:21) I know how to get to that because I’m still in medallion on the village side. So I know how to get to that. But for those that want to see it themselves, see, I can see that. But everybody else won’t have access to this particular piece. How would they be able to the information that we push out? How would they be able to see that formulated into a I’m, trying to see if I can even find a red green report? Yeah, if.
Noah Laack-Veeder (37:43) you want to just show me that’d? Be probably easier?
Taylor Ryan (37:48) Yeah. And if it is.
Rabecca Adams (37:49) A custom report, just make sure that’s built into the pricing because that is something everybody has requested that we maintain. Is that red green report?
Noah Laack-Veeder (37:57) Okay. Yeah. If you, if there’s a way you could Jimmy, I can also see on my end if I can find that red green. But if you can send me that, I can make sure it’s included in the pricing. So you, so you have it. I’m like I’m in the village, I’m in the village environment right now… it’s like a pair. Yeah.
Jimmy Price (38:24) So, what would happen is that it would, the information would shoot out to a different payer space and it would be provided on a separate link. Okay. I’m trying to see because I don’t have access to it anymore. I barely just kind of kick me out of that stuff. So I can’t really. Yeah, I would have to have somebody honestly kind of screenshot it for me. Yeah. Is that something that?
Noah Laack-Veeder (38:46) Would be hard to do?
Jimmy Price (38:47) Yeah, I don’t think so. Okay. I’m going to just gosh… what I’ll do is I’ll look around and maybe if I can find something, I’ll shoot it over to you guys in the email just to kind of give you an idea of what I’m talking about. Obviously, I’m looking for it now and I won’t be able to find it since I have you as soon as you guys hang up, I’ll locate it.
Noah Laack-Veeder (39:10) Yeah, that’s all my email is easy and we’ll make sure we’re in a thread, but look if you can’t find it, if you just want to give me a quick, summary again in email of what that report had. Okay? And then I can just make sure our team, can have that, in the quote as well.
Jimmy Price (39:28) Yeah, I think I can probably do that because the Guy that was working on that particular report is still with village and I’ll see what he can pass along to me. And, maybe I can just forward it, you know, kind of forward it that way.
Noah Laack-Veeder (39:42) Yep. Okay. That sounds good.
Jimmy Price (39:45) All right, cool. Beans, cool beans. Well, I really appreciate your.
Noah Laack-Veeder (39:48) Time and great to meet you all. Great to hear about your garden as well Rebecca.
Rabecca Adams (39:54) I should not claim it. I really shouldn’t I just go out there and start to harvest things when he needs help last year, I got to do the sweet potatoes which next year or this year, I’m not going to dig those things up. Those bad boys are hard to get out of the ground. Yeah.
Taylor Ryan (40:09) I haven’t grown them myself, but that’s what I’ve heard.
Jimmy Price (40:12) Okay.
Taylor Ryan (40:14) It is.
Rabecca Adams (40:16) I was sitting on the ground. I was covered in dirt, sitting on the ground like a little shovel trying to dig them out. I’m like this is stupid. I’m here with the dogs covered in dirt.
Taylor Ryan (40:27) Yeah. Oh, man. But anyway, you guys.
Rabecca Adams (40:32) Have a great afternoon. Thank you again.
Taylor Ryan (40:35) Let us know.
Rabecca Adams (40:37) If there’s anything else you guys need, all right?
Taylor Ryan (40:38) Yeah, sounds good. And we’ll follow up. I think Noah, we had some follow up that we wanted to share with them on implementation. Okay, right? So, we’ll follow up with that as well, because I know that was the next item on your minds, but we really appreciate the time and just working with us on these numbers. I know it can be a hairy exercise.
Jimmy Price (41:00) No, I appreciate your time. I really do getting these questions answered and it can be a lot of time. So, no, we appreciate you. Yeah.
Noah Laack-Veeder (41:08) Absolutely.
Rabecca Adams (41:10) Excellent.
Noah Laack-Veeder (41:11) Thank you both.
Jimmy Price (41:12) Thank you. Have a great.
Rabecca Adams (41:13) Afternoon, bye bye.
Taylor Ryan (41:14) Bye bye.