The Network Build Diagnostic
Two weeks to a build plan you can run, with us or without us.
Before anyone recruits another provider, find out exactly where the network stands, what will hold up the date, and what to do about it first. The plan is yours to keep.
- Two weeks
- From kickoff to a plan in hand.
- Fixed fee
- Quoted in writing before you commit.
- The plan is yours
- No commitment past the two weeks.
What you walk away with
A plan, not a slide deck.
Recommendations need someone to turn them into work. This is the work, already laid out: who does what, by when, and what has to be true at each checkpoint for the date to hold.
- 01A county-by-county gap map against the standard you'll be held to
- 02The providers to target first, ranked by how much each one closes
- 03A credentialing calendar that shows when signed providers become payable
- 04A dated build plan: a go-live date your team agrees to, an owner on every workstream, and what has to be true at each two-week checkpoint
- 05A straight answer on whether your current date is achievable, in week two rather than week ten
What we look at
Six places builds go wrong.
- Footprint and adequacy baseline
- What CMS, your state, or the Marketplace requires, county by county and specialty by specialty, against a fresh pull of your provider file.
- Contracting backlog
- Every contract in flight: who owns it, where it's stuck, and the signing pace you actually have.
- Credentialing inventory
- The current queue, the committee schedule, and whether credentialing will hold up go-live.
- Provider data quality
- CAQH, NPI and taxonomy, and directory accuracy. Bad data surfaces at go-live unless someone looks early.
- Staffing and ownership
- Who is really running the work, and whether they're on this build or splitting time across three others.
- The regulatory clock
- Every submission date that can't move, with the go-live plan built backward from it.
How it starts
Three steps to a plan.
- 1
A 20-minute call
Tell us the market, the date, and what's stuck. We'll tell you plainly whether a diagnostic is the right next step.
- 2
A fixed quote in writing
Scope, fee, and start date in writing before anything starts. Nothing open-ended.
- 3
Two weeks to the plan
We work alongside your team and hand you the plan at the end of week two.
- What does it cost?
- It's a fixed fee. We quote it in writing after the first call, once we understand the scope, so you know the full cost before you commit. No hourly billing.
- Do we have to hire you for the build?
- No. The plan belongs to you. Clients have taken the plan and run the build with their own team, and that's a good outcome. The diagnostic has to be worth the fee on its own.
- What if our date isn't achievable?
- Then you'll hear it at the end of week two, with the reasons and the options, while there's still time to act on them.
- What do you need from us?
- Your current provider file, the contracts in flight, the credentialing queue, your filing dates, and one person on your side who can get us answers quickly.
- How is this different from a strategy engagement?
- A strategy engagement ends with recommendations. The diagnostic ends with a plan your team can start running on Monday: names, dates, and checkpoints.
Talk to the founder
I've watched a lot of builds go quiet around week six. Usually it isn't strategy. It's that nobody owns the hard middle. Tell me where yours is stuck and I'll tell you straight whether we can help, and what I'd do first.
Dave Smith
Founder, Kearny Street Management
Building provider networks since 2002, for payers and for providers.
A 20-minute call. No pitch and no slides, just a straight read on where your build stands.
Not ready to talk? Take the two-minute readiness check