How health plans build better networks with Blueprint.
Real results from network operations teams across Medicare Advantage, Medicaid, Exchange, and D-SNP.
Featured Story
“We went from having no idea if we'd pass adequacy to knowing our gap count by county, every single morning.”
Challenge
Sunrise was expanding their MA network into 14 new Arizona counties ahead of a CMS filing deadline. Their team was managing provider outreach in spreadsheets across 3 different staff members, with no real-time view of adequacy status.
Result
With Blueprint, they consolidated their entire pipeline into a single platform, set up automated outreach campaigns for gap counties, and ran daily adequacy scores. They passed their first submission with zero gap notices.
Key Results
14
Counties tracked in real time
0
Adequacy gap notices at submission
3 weeks
From import to fully operational
More Stories
Results across every line of business.
Challenge
Failed Texas Medicaid adequacy review twice using tools that didn't understand state-specific rules. Provider data scattered across three systems.
Result
Blueprint's Medicaid adequacy engine knew Texas HHSC rules out of the box. Unified all data in one import and passed on the first submission — 22 days from import to passing score.
1st attempt
To pass adequacy review
22 days
Import to passing score
Challenge
One FTE managing simultaneous Exchange/QHP builds in two states via Excel. No cross-state adequacy visibility.
Result
Blueprint's multi-state workspace let one team member manage both builds from a single dashboard, achieving 100% adequacy on first submission in both states.
2 states
Zero extra headcount
100%
First-submission adequacy
Challenge
Adequacy gaps discovered 3 weeks before CMS deadline. Emergency contracting across 15 counties at premium rates.
Result
Blueprint's real-time adequacy scoring surfaced gaps at Week 4 of a 16-week build, saving $47k in emergency contracting costs.
6 weeks
Faster contracting cycle
$47k
Emergency costs avoided
Challenge
First-ever D-SNP build — team had MA experience but had never navigated NCD-aligned specialty requirements or dual-eligible standards.
Result
Blueprint's D-SNP configuration loaded Ohio NCD requirements automatically. Heartland passed CMS model of care review on the first submission.
1st try
Model of care review passed
10 weeks
Gap visibility before deadline
Challenge
58-county California MA build with a 4-person team. 35 competing MA plans constraining provider supply in key specialty categories.
Result
Blueprint's parallel campaign management and county-level scoring let a 4-person team achieve adequacy in 47 of 58 counties on first submission.
47/58
Counties adequate first submission
4 FTEs
Team for a 58-county build
Challenge
Same 14 Appalachian counties generating deficiency notices every year due to behavioral health shortages and incomplete good-faith documentation.
Result
Blueprint's outreach log and exception package export turned 14 chronic shortage counties into properly documented good-faith filings in 3 weeks.
0
Deficiency notices (first time in 3 yrs)
3 wks
Gap to filed exceptions
In Their Words
What network ops teams are saying.
“Blueprint cut our adequacy review surprises from a quarterly nightmare to a non-event. We know our gaps every morning.”
VP of Network Operations
Regional MA Plan
“The campaign sequences alone saved our contracting team 15 hours a week. That's time we used to spend on follow-up emails.”
Network Development Manager
“We passed our first Medicaid adequacy review on the first submission. Blueprint made it possible.”
Director of Provider Relations
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.