Sunrise Health Plan
Cut provider contracting lag by 6 weeks
Executive Summary
Sunrise Health Plan was expanding their Medicare Advantage footprint across 15 Arizona counties ahead of a CMS filing deadline. Managing 90+ providers in spreadsheets across multiple staff members left the team blind to real-time adequacy status. Blueprint transformed their workflow — surfacing critical gaps at Week 4 of a 16-week build, enabling targeted outreach before the window closed, and saving $47k in emergency contracting costs.
The Challenge
- 1
Managing 90+ providers across 15 Arizona counties in disconnected spreadsheets with no centralized view of adequacy status.
- 2
Adequacy gaps not discovered until 3 weeks before CMS submission deadline, forcing emergency contracting at premium rates.
- 3
Contracted 11 providers under emergency timelines, driving up costs and straining relationship capital with key provider groups.
The Solution
Imported all 90+ providers into Blueprint in 3 days, establishing a single source of truth for the entire network build.
County-level adequacy scoring surfaced critical gaps at Week 4 of a 16-week build — giving the team 12 weeks to act instead of 3.
Outreach campaigns replaced manual email threads, enabling systematic follow-up with priority targets across all 15 counties.
Key Results
6 weeks
Faster contracting cycle
11/15
Counties adequate at Week 4 vs Week 13
$47k
Saved in emergency contracting costs
“Blueprint gave us the first real-time view of our adequacy gap. We knew exactly who to recruit before the window closed — not after.”
Build Timeline
How the build unfolded
Imported 90+ providers and defined 15-county Arizona service area
First adequacy score run — 7 county gaps identified across 3 specialty types
All critical gaps filled via Blueprint outreach campaigns, no emergency contracting needed
LOI signed with 4 remaining lower-priority targets ahead of schedule
Submitted to CMS with full adequacy — 2 weeks ahead of deadline
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