CertifyOS

Today, we’re talking about CertifyOS and how it’s used in your organization. First, could you give us some background on your company and your role there?

We are a value-based tech company in the orthopedic space, founded about three years ago. We initially focused on building our tech stack and product while targeting self-funded employers; however, we realized that wasn’t the right fit for us. We now exclusively work with health plans, particularly ACOs and Medicare Advantage plans. Our role is to take on full risk in relation to their orthopedic patient population. I am the director of clinical programs and the only clinician on the team; I have been an orthopedic PA for about 22 years and lead the orthopedic team.

What was the need that drove you to look for a product like CertifyOS?

Aside from a few collaborating doctors, I’m currently the only clinician. When we realized that we would need multiple state licenses, I started getting them on my own. I was able to get about five, but it was an incredibly tedious and time-consuming process. I likely would have continued obtaining licenses myself, but then we also needed to start Medicare credentialing. It just felt like there were endless hoops to jump through, and we weren’t sure whether we were doing it correctly or not.

The chief of staff and I were trying to navigate this on our own. Initially, we connected with a woman who does credentialing for smaller practices, but within a month, it became clear that she wasn’t the right fit. That’s when we decided to go with a bigger vendor.

CertifyOS had reached out to us about a year prior, so we didn’t really explore other options—we just knew about them and decided to go back to them. That’s what prompted our decision.