Stop finding gaps
the week before submission.
Blueprint is the all-in-one CRM and real-time adequacy platform for health plan network builds.Most teams don't discover provider shortfalls until Week 12 — when emergency contracting is the only option. Blueprint gives you a live adequacy score from Day 1, so your team catches gaps at Week 4 while you still have time to fix them on your terms.
Built by network builders · Setup in days · No long-term contract
Sunrise Health MA · Arizona
Week 8 of 16 · 50% complete
Providers Signed
0
59 in motion
In Pipeline
0
0 queued
Counties Adequate
0/15
73% coverage
Build Progress
0%
Week 8 of 16
Provider Pipeline
| Provider | Stage | |
|---|---|---|
Phoenix Medical Group Internal Medicine | Negotiating | |
Tucson Primary Care Assoc. Family Medicine | LOI Signed | |
Cochise Valley Physicians Multi-specialty | Contacted | |
Banner Health Network Cardiology | LOI Sent | |
Yavapai Regional Medical Primary Care | Outreach | |
Sun Health Cardiology Cardiology | Signed |
Interactive preview · Click “Check Adequacy” to see Blueprint Analytics in action
Built for network development teams — Medicare Advantage, Medicaid, Exchange & D-SNP
Decades
combined network-build experience
0
states pre-configured
CMS, State & NCQA
compliance frameworks
4 LOBs
MA, Medicaid, Exchange, D-SNP
See it before you buy it
This is what your network build looks like in Blueprint.
Not a slide deck — the actual product. Switch between dashboards below, then open any one live and click around.
Real-time county × specialty adequacy scored against CMS HSD standards — every gap, quantified.
Open the live Adequacy dashboardThe Problem
Most teams find out they're failing adequacy when it's too late to fix it quietly.
You have a team, a timeline, and a submission deadline. But if your build lives in spreadsheets and email threads, you won't know you're short on providers until the clock has nearly run out — and by then, every fix comes with a price.
External Problem
No single source of truth
Provider data in one spreadsheet, outreach notes in email, contract status in someone's head. Every status update requires a meeting — and someone's version is always wrong.
Internal Problem
You're flying blind until it's too late
You won't find out you're short until the deadline is two weeks away. By then, the only option is emergency contracting — at above-market rates, with providers you wouldn't normally choose.
Philosophical Problem
Your team deserves better than duct-tape tools
Salesforce and HubSpot weren't built for network ops. You spend months configuring a generic tool — and it still doesn't know what a county is, what an LOI stage means, or how to score adequacy.
What's at stake
A missed gap doesn't stay quiet for long.
A single county below threshold cascades fast. Here's what network teams face when gaps go undetected until the deadline.
CMS deficiency notice
One failing county triggers a formal deficiency. You're now on a corrective action timeline — with CMS watching every move and your enrollment window at risk.
Emergency contracting
Providers know you're desperate. They negotiate harder. You sign contracts you wouldn't have agreed to with two extra months — paying a premium you'll carry for years.
Another year without the LOB
If you miss submission, you wait. The market moves, competitors gain ground, and your members go without coverage. One bad build sets you back 12 months — minimum.
Blueprint teams catch gaps at Week 4, not Week 14. That's 10 weeks of leverage — enough to recruit selectively, not desperately.
See how Blueprint prevents thisBlueprint CRM — The Plan
Everything your build needs. Nothing your build doesn't.
Provider pipeline, contracting stages, outreach campaigns, county-level tracking, team collaboration, credentialing workflows — all in one workspace built for the way network ops teams actually run a build.
Provider Pipeline
Track every provider from prospect → outreach → LOI → negotiation → signed → credentialed. See your entire pipeline at a glance, filtered by county, specialty, or priority.
Provider Outreach
Built-in outreach sequences for LOI introduction, follow-ups, contract reminders, D-SNP outreach, and more. Auto-log every touch to the provider record.
County-Level Tracking
See which counties are covered, at risk, or need more providers — tied directly to your pipeline so you know exactly what's needed where.
Team Collaboration
Your whole team in one workspace. See who's working on what, leave notes on providers, assign follow-ups, and run weekly build reviews together.
Build Timeline
16-week (or custom) engagement timeline with milestones. Always know what week you're in, what's due, and whether you're on pace.
Credentialing Workflows
Track credentialing status for every signed provider. Flag missing documents, monitor committee queues, and catch delays before they blow your timeline.
Blueprint Analytics — Score the Build
Know if your build will pass — before you submit.
Blueprint Analytics is the adequacy scoring engine built directly into your CRM. One click checks your in-progress network against CMS and state rules. Think of it as a submission readiness score — updated continuously as your team works the build, not just when you manually check.
One-click adequacy scoring
Click 'Check Adequacy' at any point — not just at submission. See pass / at risk / failing by county and specialty.
Recruitment targeting
Analytics tells you which providers would move your score fastest — so your team focuses outreach where it actually matters.
Progress over time
Watch your adequacy score improve week over week as your CRM pipeline converts. From 'not close' to 'submission ready' in one view.
Adequacy Score — AZ Medicare Advantage 2026
78/100Cochise needs 3 more providers · Yavapai needs 3 more
Network Intelligence — AZ Medicare Advantage 2026
Market ViewArizona Heart Specialists
Cardiology · Cochise
94
Adequacy
87
Enrollment
Banner Neurology Network
Neurology · Maricopa
62
Adequacy
83
Enrollment
Tucson Primary Group
Family Medicine · Pima
78
Adequacy
71
Enrollment
Verde Valley Medical
Internal Medicine · Yavapai
88
Adequacy
45
Enrollment
Adequacy score / Enrollment impact — updated live
Know more than whether you pass. Know where you stand.
Blueprint Network Intelligence adds a market positioning layer to your CRM and Analytics data — so your team recruits strategically, not just compliantly. Built for the same CMS, state, and NCQA compliance frameworks your adequacy scoring already covers.
Provider Impact Scoring
Every provider ranked by adequacy contribution AND enrollment/retention impact. Recruit the right ones first — for compliance and for market position.
Competitive Gap Analysis
See where United, Humana, or BCBS have coverage you don't — county by county, specialty by specialty. Delivered as a managed Market Position Report.
NCQA Compliance Dashboard
CMS and state adequacy are only one track. NCQA accreditation standards are tracked in the same workspace — outreach docs, credentialing evidence, and milestone dates.
CRM + Analytics + Intelligence = complete network command.
Three products. One data layer. Every provider you move through the CRM automatically updates your adequacy score and your market intelligence — no reconciliation, no re-entry.
Blueprint CRM
Manage the build
- Move providers through pipeline stages
- Run outreach campaigns automatically
- Track contracts and credentialing
- Coordinate your team in real time
- Keep leadership informed weekly
Blueprint Analytics
Score the build
- One-click adequacy scoring at any time
- County and specialty-level gap analysis
- Recruitment targets that close gaps fastest
- Score improves as your pipeline converts
- Submission-ready confidence before you file
Network Intelligence
Position the build
- Provider impact scoring — adequacy AND enrollment
- Competitive coverage benchmarking vs. market
- NCQA compliance tracking alongside CMS/state
- Market Position Report (managed service)
- Strategic must-have provider identification
Three products. One platform. One trusted partner.
Your CRM pipeline feeds your adequacy score. Your adequacy data powers your intelligence layer. Every insight connects — no reconciliation, no re-entry.
The Simple Plan
Three steps from where you are to submission-ready.
No six-month implementation. No custom dev. You're working from Blueprint within a week.
Import your network
Bring in your current provider roster, target list, or in-progress build. Define your service area, LOB, and plan year. Takes about an hour.
Work from the CRM daily
Your team manages outreach, tracks LOIs and contracts, runs campaigns, and holds weekly reviews — all inside Blueprint. No more spreadsheet wrangling.
Check adequacy anytime
Click 'Check Adequacy' whenever you want a score. See where you're passing, where you're short, and which providers to recruit next. Launch with confidence.
Blueprint vs. what you're using today.
| Capability | Spreadsheets | Generic CRM | Blueprint |
|---|---|---|---|
| Provider pipeline by county & specialty | ✕ | ✕ | |
| Contracting stage tracking (LOI → Signed) | ✕ | Partial | |
| Outreach campaign sequences | ✕ | Partial | |
| Credentialing workflow management | ✕ | ✕ | |
| County-level adequacy scoring | ✕ | ✕ | |
| Real-time adequacy gap analysis | ✕ | ✕ | |
| Recruitment targeting from gaps | ✕ | ✕ | |
| Built-in build timeline & milestones | ✕ | ✕ | |
| Team collaboration (network ops roles) | ✕ | Partial | |
| Line of business-aware (MA, Medicaid, etc.) | ✕ | ✕ |
The Success Picture
What your team looks like after one build on Blueprint.
No scrambling. No emergency contracting. No last-minute adequacy surprises. Just a team that runs builds with confidence — and launches on time.
9+ weeks back per build
No more reconciling spreadsheets, chasing status updates, or manually checking adequacy. Your team gets hours back every week — hours that go back into contracting.
Catch gaps at Week 4, not Week 14
Continuous scoring means you see shortfalls before they become emergencies. Recruit when you have time to be selective, not when you're desperate.
A build process you can repeat
Next year's expansion, next state, next LOB — you already have the playbook and the platform. Every build gets cleaner, faster, and less stressful.
Why we built Blueprint
The tool we always wished we'd had.
Blueprint is a new product, built by a team with decades of hands-on experience running health-plan provider network builds — and we're bringing it to the network-development teams who do this work.
Blueprint is a new product, built by a team with decades of hands-on experience running health-plan provider network builds. We built the tool we always wished we'd had.
Built from the build side
Decades of network-build experienceWe know the 16-week scramble — manually scoring adequacy county by county, chasing providers through disconnected systems, and finding gaps far too late to fix them quietly.
We know the 16-week scramble
MA · Medicaid · Exchange · D-SNPSo we built Blueprint to surface adequacy gaps at Week 4 instead of Week 12 — and we're bringing it to the teams who do this work every day.
Made to be the tool we needed
New for 2026What is your current network ops process actually costing you?
Most teams don't know until they run the numbers. The real cost isn't just spreadsheet hours — it's adequacy deficiency risk. A single CMS enrollment freeze can cost $125K–$500K+ in lost revenue. Blueprint teams reduce that risk by 85%.
Adjust for your states, team size, and LOBs. Takes 90 seconds.
Annual Net Savings
$5.4M
after Blueprint cost
Estimated ROI
11,279%
first-year return
$256K/yr
Labor Saved
$5.2M
Risk Reduced
< 1 mo
Payback
3-year value projection
Works for every line of business.
Blueprint supports the rules, workflows, and terminology for:
Medicare Advantage
Medicaid
Exchange / QHP
D-SNP
How strong is your network build program?
25 questions. 5 categories. A scored report with specific recommendations for every gap — pipeline, adequacy, credentialing, reporting, and strategy.
Your network doesn't stop needing attention after submission.
Blueprint stays active between builds — monitoring adequacy drift, flagging provider terminations, tracking CMS CAP deadlines, and keeping your data submission-ready for annual re-filings. One platform, every phase of your network's life.
How Blueprint changes the build.
Common network-build situations and how Blueprint's workflow helps. These are illustrative scenarios — Blueprint is a new product and these are not actual customers.
Surfaces gaps at Week 4 instead of Week 12
“Continuous county-level scoring means shortfalls show up while there's still time to recruit selectively — not in the deadline scramble.”
A new Medicare Advantage entrant
Illustrative scenario
State-specific adequacy rules built in
“Blueprint models Medicaid adequacy by state out of the box, so the team isn't reverse-engineering rules late in the submission timeline.”
A regional Medicaid plan
Illustrative scenario
One workspace across multiple states
“A repeatable playbook carries from one state's build into the next — same pipeline, same scoring, no starting from zero.”
A multi-state Exchange/QHP plan
Illustrative scenario
Questions we hear from network ops teams
The network ops playbook.
Guides, templates, and frameworks written for network build teams.
CMS Adequacy Standards: What Network Ops Teams Need to Know
A plain-English breakdown of the access and time-distance standards your MA and Medicaid networks must meet — and how to audit them before submission.
8 min readThe Provider Contracting Negotiation Playbook
Proven negotiation frameworks for moving providers from LOI to signed contract faster — without burning the relationship.
10 min read7 Adequacy Filing Mistakes That Cause Network Submissions to Fail
The most common errors network teams make in their annual adequacy filings — and exactly how to avoid each one.
6 min readPlan your build before you build it.
Seven free tools for health plan network ops teams. No account required.
Deadline Calculator
Reverse-engineer your build timeline from your CMS submission date.
Open toolProvider Calculator
Estimate minimum provider counts by specialty and county type.
Open toolHSD Categories
CMS specialty categories with time/distance standards and tips.
Open toolAdequacy Standards
2025 CMS time and distance standards for all four LOBs.
Open toolBuild Checklist
48-item master checklist organized by build phase.
Open toolROI Calculator
Quantify the cost of manual tracking vs. Blueprint.
Open toolOutreach Templates
10 ready-to-send provider recruitment email templates.
Open toolReady to build in your state on day one.
Blueprint ships pre-loaded with CMS time-distance thresholds, HSD specialty categories, and county-level adequacy data for the top 40 MA markets.
A platform built by practitioners. A team that acts like partners.
Blueprint was built by people who have run network builds. We understand what it costs when a county drops below threshold at Week 12. That practitioner experience is in the product — and in how we support every client, every build.
Dedicated implementation from day one
Every Blueprint client gets a dedicated implementation contact. We configure your workspace, load your data, and train your team. You're not reading docs alone.
Advisory access throughout your build
Our team has stood up networks across MA, Medicaid, Exchange, and D-SNP. When you hit a gap notice, a credentialing jam, or a CMS question — we're reachable, not ticketed.
Managed services when you need more
Feasibility Report before you build. Market Position Report for competitive strategy. Exception packets for CMS. Done-for-you services alongside the platform — not instead of it.
Decades
combined network-build experience
40
states pre-configured
CMS, State & NCQA
compliance frameworks
4 LOBs
MA, Medicaid, Exchange, D-SNP
Your next build doesn't have to feel like the last one.
See Blueprint CRM, Analytics, and Network Intelligence working together on a real build — pipeline, adequacy scoring, provider impact — all live, in one session. Real data for your state. No slides.
What happens at the demo
30 minutes
We run a live adequacy score on a county or two in your service area. You see actual output, not slides.
Real data
Tell us your state, LOB, and a target county. We pull live CMS data and show you your gap picture on the spot.
You leave with
A county gap list for your service area. No sales pitch required to get value from the call.