MB-5212 - USA (Delaware) - Medical Third-Party Administration Services - Deadline June 18,2021

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-5212

Government Authority located in Delaware; USA based organization looking for expert vendor for medical third-party administration services.

[A] Budget: Looking for proposal

[B] Scope of Service:

(1) Vendor needs to provide medical third-party administration services for the group health insurance plan and provides medical and prescription drug benefits to approximately 129,000 active and retired employees of the state and their dependents, including approximately 16,000 employees, retirees and their dependents from non-state groups that are allowed to participate in the group health insurance plan according to state code.
- Offer solutions that increase group health insurance plan spend through advanced alternative payment models.
- Offer solutions that reduce group health insurance plan diabetic cost per-member-per-month.
- Offer point-of-enrollment and point-of-care engagement platform and consumerism tools along with solutions to increase group health insurance plan member engagement in those tools.
- Deliver all enrollment processing and claim administration functions of a typical third party administrator.
- Provide experienced account management personnel who are responsive to the needs and requests of the statewide benefits office.
- Provide reporting on group health insurance plan member experience using providers contracted through alternative payment models.
- Support plan provisions that optimize the effectiveness of the group health insurance plan benefit offering.
- Offer solutions that aid plan participants in navigating the health care system to efficiently meet their clinical needs.
- Integrate with other benefit programs and vendors supporting group health insurance plan participants.
- Support investments in access to primary care.
(2) A mandatory pre-bid meeting will be held on May 5, 2021.
(3) All questions must be submitted no later than May 14, 2021.
(4) The term of contract will be three years.

[C] Eligibility:

- Onshore (USA Organization Only);

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Friday, 18 June, 2021

Pre-proposal Conference Date : Wednesday, 5 May, 2021

Question Answer Deadline : Friday, 14 May, 2021

Category : Medical Billing and Coding

Country : USA

State : Delaware

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