Cascade Select
Expanded to 2 new states without adding headcount
Executive Summary
Cascade Select needed to manage simultaneous Exchange/QHP network builds in Washington and Oregon — two states with separate rules, separate county requirements, and separate submission timelines. One FTE had been managing both in Excel with no visibility into cross-state adequacy. Blueprint's multi-state workspace let that same team member run both builds from a single dashboard, carry institutional knowledge from the Washington build directly into Oregon, and achieve 100% adequacy on first submission in both states without adding a single headcount.
The Challenge
- 1
Each state required separate builds, separate adequacy rules, and separate tracking — with zero visibility across both from a single view.
- 2
One FTE was managing both Washington and Oregon builds in Excel, creating single-point-of-failure risk and no audit trail.
- 3
Starting the Oregon build from scratch after the Washington build meant losing all institutional knowledge and repeating duplicated effort.
The Solution
Blueprint's multi-state workspace let one team member manage both builds from a single dashboard, with state-specific adequacy rules applied automatically per county.
Washington build served as a template for Oregon — providers, outreach sequences, and scoring benchmarks carried over in days, not weeks.
Real-time cross-state adequacy scoring meant gaps in either state surfaced immediately, allowing sequential prioritization of the team's time.
Key Results
2 states
One team, zero extra headcount
40%
Reduction in build time vs prior year
100%
Adequacy on first submission in both states
“The repeatability is the big unlock. Same playbook, new state — we didn't start from zero. Blueprint carried all the institutional knowledge from WA into the OR build.”
Build Timeline
How the build unfolded
Washington build imported — 55 providers across 12 counties
Oregon build stood up in parallel using Washington as template; state rules auto-applied
Washington adequacy fully achieved; team shifts focus to OR gap counties
Oregon gaps identified and filled via targeted FQHC outreach in 3 rural counties
Both states submitted; both passed adequacy review on first attempt
Ready to see results?
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