How Blueprint changes a network build.
Common network-build situations across Medicare Advantage, Medicaid, Exchange, and D-SNP — and how Blueprint's workflow helps.
Illustrative scenarios based on common network-build situations — not actual customers. Blueprint is a new product.
Featured Story
“Instead of finding out at submission whether you'll pass, you see your gap count by county every single morning — while there's still time to act.”
Challenge
A plan expanding its MA network into 14 new counties ahead of a CMS filing deadline, managing provider outreach in spreadsheets across several staff members with no real-time view of adequacy status.
Result
With Blueprint, the entire pipeline lives in a single platform, outreach campaigns target gap counties automatically, and adequacy is scored continuously — so shortfalls surface at Week 4 instead of the week before submission.
Key Results
14
Counties tracked in real time
Week 4
Gaps surfaced — not Week 12
Days
From import to operational
More Scenarios
How the workflow helps across every line of business.
Challenge
Adequacy reviews are hard to clear with tools that don't understand state-specific Medicaid rules, and provider data is often scattered across three or more systems.
Result
Blueprint's Medicaid adequacy engine applies Texas HHSC rules out of the box and unifies provider data in a single import — so the team works from one real-time view instead of reconciling spreadsheets.
1 import
To unify scattered provider data
Built in
State-specific Medicaid rules
Challenge
Running simultaneous Exchange/QHP builds in two states via Excel leaves no cross-state adequacy visibility and no audit trail.
Result
Blueprint's multi-state workspace lets one team manage both builds from a single dashboard, carrying the playbook from one state directly into the next.
2 states
One shared workspace
1 playbook
Carried state to state
Challenge
Adequacy gaps discovered weeks before a CMS deadline force emergency contracting across counties at premium rates.
Result
Blueprint's real-time adequacy scoring surfaces gaps at Week 4 of a 16-week build instead of Week 12 — turning a deadline scramble into selective, on-your-terms recruiting.
Week 4
Gaps surfaced, not Week 12
On-time
Recruit selectively, not desperately
Challenge
A first-ever D-SNP build means navigating NCD-aligned specialty requirements and dual-eligible standards a team's MA experience never covered.
Result
Blueprint's D-SNP configuration loads state NCD requirements automatically and remaps provider records against NCD categories — so gaps are visible early, not at model-of-care review.
Auto-loaded
NCD specialty requirements
Early
Gap visibility before deadline
Challenge
A 58-county California MA build with a small team, where dozens of competing plans constrain provider supply in key specialty categories.
Result
Blueprint's parallel campaign management and county-level scoring let a small team focus effort on the highest-impact gap counties first, instead of spreading thin across all 58.
58 counties
Managed from one dashboard
Prioritized
Highest-impact gaps first
Challenge
The same Appalachian counties generate deficiency notices year after year due to behavioral health shortages and incomplete good-faith documentation.
Result
Blueprint's outreach log and exception package export turn chronic shortage counties into properly documented good-faith filings in a format CMS accepts.
Documented
Good-faith effort, automatically
CMS-ready
Exception package export
Why we built Blueprint
Built by people who've done the builds.
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 — and we're bringing it to the network-development teams who do this work.
The scenarios above are illustrative — based on the situations we've lived through on the build side, not on actual customers. As Blueprint earns real-world results, we'll share them here.
Your build could be next.
Schedule a 30-minute demo and we'll show you Blueprint on a real network build for your state and LOB.