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Medicare AdvantageCalifornia

A large statewide Medicare Advantage plan

A 58-county build, prioritized by adequacy impact

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

Executive Summary

California is among the most complex states for Medicare Advantage network adequacy — 58 counties spanning dense urban metros, inland valleys, and remote rural areas, with dozens of competing MA plans driving provider supply constraints. Consider a plan building a viable MA network across all 58 counties with a small team. Blueprint's California-specific county classification data, parallel campaign management, and real-time adequacy scoring make the difference between a focused build and a deficiency-heavy scramble.

The Challenge

  • 1

    58 California counties with dramatically different classifications — from LA's dense urban core to remote Sierra Nevada rural counties — each with different HSD thresholds.

  • 2

    Dozens of competing MA plans have contracted many of the highest-impact specialists in urban cores, leaving limited provider supply in key specialty categories.

  • 3

    A small team managing simultaneous outreach across 200+ target providers across 58 counties with no campaign automation.

The Solution

  • Blueprint's California county classification map comes pre-loaded, with urban/suburban/rural thresholds automatically applied for all 58 counties by specialty.

  • Recruitment priority ranking highlights which gap counties have available providers — so the team focuses effort on the counties with the most adequacy impact.

  • Parallel campaign sequences for multiple specialty tracks run simultaneously; the team reviews outcomes, not logistics, every morning.

Key Results

58 counties

Managed from one dashboard

Prioritized

Highest-impact gaps first

Parallel

Outreach across specialty tracks

California at scale with a small team only works when the tool tells you where to focus. Parallel campaign management and real-time county scoring make a 58-county build tractable.

How the workflow helps — illustrative scenario

Build Timeline

How the build unfolded

Week 1

Providers imported; 58 counties configured with CA-specific thresholds

Week 3

First gap analysis: county-specialty gaps identified across specialty categories

Week 5

Parallel outreach campaigns launched; team focuses on highest-impact gap counties

Week 9

Priority gaps closed; remaining counties flagged for good-faith documentation

Week 14

File adequate counties plus good-faith exceptions ahead of CMS review

Ready to see results?

Your build could look like this.

Schedule a 30-minute demo and we'll walk through Blueprint on a real network build for your state and LOB.