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Medicare Advantage14-county MA expansion

A new Medicare Advantage entrant

Surfaces adequacy gaps at Week 4, not Week 12

Illustrative scenario based on a common network-build situation — not an actual customer. Blueprint is a new product.

Executive Summary

Consider a plan expanding its Medicare Advantage footprint across 15 counties ahead of a CMS filing deadline. Managing 90+ providers in spreadsheets across multiple staff members leaves the team blind to real-time adequacy status. Blueprint changes that workflow — surfacing critical gaps at Week 4 of a 16-week build, enabling targeted outreach before the window closes, instead of emergency contracting at premium rates.

The Challenge

  • 1

    Managing 90+ providers across 15 counties in disconnected spreadsheets with no centralized view of adequacy status.

  • 2

    Adequacy gaps not discovered until weeks before a CMS submission deadline, forcing emergency contracting at premium rates.

  • 3

    Providers contracted under emergency timelines drive up costs and strain relationship capital with key provider groups.

The Solution

  • Import all 90+ providers into Blueprint in days, establishing a single source of truth for the entire network build.

  • County-level adequacy scoring surfaces critical gaps at Week 4 of a 16-week build — giving the team 12 weeks to act instead of 3.

  • Outreach campaigns replace manual email threads, enabling systematic follow-up with priority targets across every county.

Key Results

Week 4

Gaps surfaced — not Week 12

12 wks

Of leverage to recruit selectively

1 source

Of truth for the whole build

Instead of finding out at submission whether you'll pass, Blueprint gives a real-time view of the adequacy gap — so you know who to recruit before the window closes, not after.

How the workflow helps — illustrative scenario

Build Timeline

How the build unfolded

Week 1

Import 90+ providers and define the multi-county service area

Week 3

First adequacy score run — county gaps identified across several specialty types

Week 6

Critical gaps filled via Blueprint outreach campaigns, no emergency contracting needed

Week 10

LOIs signed with remaining lower-priority targets ahead of schedule

Week 14

Submit to CMS with full adequacy — ahead of deadline

Ready to see results?

Your build could look like this.

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