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Spectrum Medical Partners

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Spectrum Medical Partners

Snapshot

Multi-entity post-acute provider group (primary entity: Psych Health Associates — psychiatry/behavioral health); Medallion prospect at process-mapping + demo stage; evaluating Medallion to replace manual Modio + Excel + DocuSign workflow for facility partner applications and payer enrollment.

Profile

  • Enterprise-wide org with multiple sub-entities; largest is Psych Health Associates.
  • Focus: post-acute facility (SNF, rehab) partner applications — NOT hospital credentialing; hospital volume is waning.
  • Currently uses Modio (provider data), Excel, and DocuSign for all credentialing workflows — described as “two dimensional” and heavily manual.
  • New acquisition: 90 additional buildings + 80 more therapists incoming — primary driver of scale pressure.
  • Data stored domestically (per Samantha Bouchard, 2026-04-20).

Operations

  • Psych Health Associates: ~120 partner applications in flight; ~20–40 pages each; team of 5 (2 FT + 3 PT at varying capacity); throughput ~25 apps/week (~100/month).
  • Other entities: 2 additional FT staff + 4 at ~50% capacity doing same workflows manually.
  • 30-day turnaround target for getting providers credentialed into new facilities (internal SLA — driven by revenue start dates for new facilities, not a contractual requirement).
  • Payer enrollment managed centrally by Connie across all of Spectrum; CAQH credentials stored in Modio where providers share access.
  • First encounters at new facilities carry higher reimbursement — urgency to credential faster has direct revenue impact (per Patrick Chunn).

Key Contacts

Spectrum Medical Partners — Patrick Chunn (pchunn@spectrummedpartners.com); Meghan Grchan, Executive Project Manager (mgrchan@spectrummedpartners.com); Aubry Baird, Vice President (abaird@cflim.com) — VP overseeing Psych Health Associates facility credentialing team; Connie (last name TBD) — handles payer enrollments + CAQH management across all of Spectrum.

Medallion — Brendan Cherry, Enterprise Account Executive (brendan.cherry@medallion.co); Samantha Bouchard, Solutions Consultant (samantha.bouchard@medallion.co).

Active Work

Open programs

  • Process mapping + demo underway; covered provider data management, CAQH integration, partner application workflow, and dashboards/reporting in 2026-04-20 call. Payer enrollment demo not yet completed — scheduled for follow-up session.
  • Samantha Bouchard to send Aubry Baird a Loom video on application tracking and filtering (priority/start-date views, outstanding-oldest view).
  • Brendan Cherry to follow up with Meghan Grchan same-day (after 3pm) or early 2026-04-21 (before 9am) to align on next steps.

Open Issues & Requests

Operational pain

  • Facility contact instability: credentialing contacts at SNFs/rehabs turn over frequently; no standard process owner (could be medical records, HR, or admissions); Aubrey’s team manually maintains a contact list per facility. Medallion will take on contact maintenance during implementation.
  • Follow-up burden: with 120+ applications, Aubrey’s team does weekly follow-up on every open application; escalates to executive (Dr. Vega DNP, Dr. Kotler) when facilities are unresponsive by week 2. One facility quoted 120-day credentialing turnaround.
  • Facility rules variability: SNFs/rehabs set their own credentialing rules; can be sold to new management companies overnight, invalidating prior process knowledge.
  • Emergency privileges inconsistent: some facilities allow temporary/emergency privileges; many do not or cap it at once per year.
  • Provider responsiveness: providers often piecemeal data over days or weeks; Modio does not proactively drive them to complete profiles.
  • 10-99 staff: some contractors refuse to share CAQH credentials, requiring manual outreach to keep attestations current.

Decisions & Commitments

  • 2026-04-20 — Brendan Cherry: agreed to send IT/data security documentation to Patrick Chunn post-call.
  • 2026-04-20 — Samantha Bouchard: will send Medallion import template to Megan/Patrick; will create Loom video for Aubry showing filtering/tracking by start date and outstanding age.
  • 2026-04-20 — Samantha Bouchard: confirmed Medallion data is stored domestically; most seamless migrations come from Modio (CSV export to Medallion import template or bulk CAQH import by SSN + last name + CAQH ID).
  • 2026-04-20 — Medallion standard implementation timeline: 8–12 weeks; modio migrations can run ~6 weeks; net-new provider value in 3–4 weeks.
  • 2026-04-20 — Brendan Cherry: implementation plan would include building out all partner facility profiles (using Spectrum’s existing process data + Medallion research); Medallion takes over process maintenance as facilities change management.

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