Governance Log

Structured documentation of employer healthcare plan review activity.
SESSION TIMELINE
SESSION 1
Data Ingestion & Discovery
March 10, 2026
2:10 PM
Claims dataset uploaded
12-month claims file (252 records) ingested for governance analysis.
2:10 PM
2:12 PM
Plan design summary received
Current PPO plan structure documentation logged.
2:12 PM
2:18 PM
Governance lanes discovered
Decision Desk identified 3 care pathways with structural cost exposure.
2:18 PM
2:19 PM
MSK care pathway identified
54 claims flagged under musculoskeletal governance lane.
2:19 PM
2:20 PM
Metabolic care pathway identified
31 claims flagged under metabolic governance lane.
2:20 PM
2:21 PM
Women's health pathway identified
18 claims flagged under women's health governance lane.
2:21 PM
SESSION 2
Governance Action
March 11, 2026
9:45 AM
MSK governance lane activated
Employer activated structured governance for musculoskeletal care pathway.
9:45 AM
9:52 AM
Routing preview generated
12-month claims file (2,847 records) ingested for governance analysis.
9:52 AM
10:15 AM
Employer reviewed strategic pathways
Plan Paths A, B, and C evaluated during governance review session.
10:15 AM
10:30 AM
Vendor transparency review initiated
PBM economics and spread pricing indicators reviewed.
10:30 AM
SESSION 3
Governance Decision
March 12, 2026
3:00 PM
Governance decision recorded
Employer selected plan pathway and recorded governance rationale.
3:00 PM
Governance Decision Record
SELECTED PLAN PATH
Modular Direct Contracting (Path B)
DECISION DATE
March 12, 2026
DECISION RATIONALE
Musculoskeletal cost concentration and bundle opportunity identified. Employer governance review confirmed structural savings potential through direct contracting for MSK pathway while maintaining current PPO for remaining care categories.
RECORDED BY
Ferdinand Olawale, CFO