Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-7164

Government Authority located in New Hampshire; USA based organization looking for expert vendor for medicare advantage benefit administration service.

[*] Budget: Looking for Proposals

[*] Scope of Service:

(1) Vendor needs to provide medicare advantage benefit administration service to the government authority located in New Hampshire.
1. The State seeks to provide high quality, cost-effective benefits to its Medicare participants. The State is soliciting offers on a fully insured, national passive MA PPO plan, with the same benefits for services rendered in or out-of-network. The proposed MA PPO plan should mirror the current benefits design for Medicare-eligible State participants within CMS guidelines. The current benefits are outlined in Section 3 of this RFP document.
- Encouraged to identify and offer features or enhancements that provide additional value without adding cost as well as any creative solutions that will achieve the State's goals.
- Of particular interest are programs that focus on wellness, medical management, member case management services, maximization of CMS funding and minimization of claims cost.
2. The state is exploring whether to carve-in the drugs and provide a fully insured medicare advantage prescription drug (MAPD) plan instead of the current plan that includes the fully insured MA medical plan and carved-out self-funded EGWP. The State is not seeking proposals for stand-alone prescription drug plans.
(2) All the questions must be submitted no later than March 8, 2023

[*] Eligibility:

- Onshore (US Only);

[*] Work Performance:

- Performance of the work will be Offsite.

Expiry Date : Thursday, 30 March, 2023

Question Answer Deadline : Wednesday, 8 March, 2023

Category : Medical Billing and Coding

Country : USA

State : New Hampshire

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