Posted Date : October 31,2019
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : HEALTH-1472
Government Authority located in Providence, Rhode Island; USA based organization looking for expert vendor for healthcare consultant services
[A] Budget: Looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide healthcare consultant services to the government authority located in Providence, RI.
• Required Services to be Performed:
- Analyze city health care data to discern the impact of utilization, price, trends, and demographics on the cost of programs, providing summary impact reports to the city of providence’s department of human resources.
- Assist the city in its procurement process for insurance vendors, evaluating the network and financial components of proposals received, negotiations, and determining the most advantageous funding arrangement for the city of providence.
- Negotiate competitive financial contracts with all of our carriers resulting in significant savings to the city of providence.
- Guide and assist the city of providence with the implementation of complex projects and initiatives that span multiple fiscal years.
- Assist in the administration of benefit initiatives, with a focus on streamlining the city’s benefit
offerings.
- Provide ongoing support to the city of providence, through its human resources department on health insurance regulation, including advising and implementing changes under health care law, such as the affordable care act, including multiple reviews of plan designs and advise on regulatory and legal compliance.
- Provide detailed plan design and savings analysis and information for collective bargaining contract negotiations as needed.
- Provide the city actuarial projections for the its health insurance program costs against the city’s operating budget for purposes of review and analysis.
- Advise the city of providence on significant healthcare marketplace trends proactively.
- Recommend plan design provisions, contribution strategies, and health and welfare initiatives to achieve the City of Providence's targeted savings.
• Actuarial Services:
- Access and utilize claims data from third party vendors in order to establish premium rate equivalents for self-funded plans, which include national medical trending rates. such actuarial projections may include, but not be limited to a breakdown by employer type, group, or subgroup
- Calculate the financial impact of proposed plan changes
- Provide financial projections and attend monthly financial analysis meetings with the city human
resources and benefits and finance departments
- Monitor the plan’s experience and provide actuarial analysis • Market Trend Analysis
- Advise the city on plan design changes, as well as the impact on cost, and quality of care related to such changes
- Assist in designing a comprehensive wellness program that links claims experience to wellness
initiatives
- Study current plans to provide the city with the minimum value determination of such plans
- Recommend low-cost plans as a possible offering to ensure that all employees have an option for some type of affordable health insurance coverage
- Providing consulting as may be necessary on the current plans offered by the city and recommend
alternatives as requested
• Communications:
- Provide sample language and materials for communicating particular benefits
- Prepare presentations and present to employees and retirees as requested
- Ability to create custom communication materials to educate employees on City benefits • Reporting and Analysis:
- Analytical reports may be required by employer type, region, carriers, coverage tiers, employment
status, and other breakdowns as required, which could include demographic analysis
- Provide the city of providence with complex monthly financial reporting which tracks the financial
impact of the plan and also compares the plans based on actuarial projections against budget
• Compliance and Audits
- Available members of team to train human resources and benefits office on any compliance topic (i.e. aca requirements, HIPAA, cobra
- Advise and assist with HIPAA requirements, including advising the city on rules surrounding personal health information and communicating employees' individual rights
- Advise, assist, and train human resources staff on cobra rules, regulations and requirements
• Meeting Attendance and Presentations:
- Attend monthly financial meetings
- Attend frequent in person and teleconference meetings with City staff and vendors as required
- Attend after hours meetings as requested, including public meetings where testimony is required on public record
• Litigation Support:
- Testify in legal cases as required (i.e. depositions, arbitrations, etc.)
- Provide documents and information for legal case discovery as requested
- Assist the benefits office and Law Department with in
[C] Eligibility:
Onshore (USA Only)
[D] Work Performance:
Not Applicable
Budget :
Deadline to Submit Proposals: November 12,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : HEALTH-1472
Government Authority located in Providence, Rhode Island; USA based organization looking for expert vendor for healthcare consultant services
[A] Budget: Looking for proposal
[B] Scope of Service:
(1) Vendor needs to provide healthcare consultant services to the government authority located in Providence, RI.
• Required Services to be Performed:
- Analyze city health care data to discern the impact of utilization, price, trends, and demographics on the cost of programs, providing summary impact reports to the city of providence’s department of human resources.
- Assist the city in its procurement process for insurance vendors, evaluating the network and financial components of proposals received, negotiations, and determining the most advantageous funding arrangement for the city of providence.
- Negotiate competitive financial contracts with all of our carriers resulting in significant savings to the city of providence.
- Guide and assist the city of providence with the implementation of complex projects and initiatives that span multiple fiscal years.
- Assist in the administration of benefit initiatives, with a focus on streamlining the city’s benefit
offerings.
- Provide ongoing support to the city of providence, through its human resources department on health insurance regulation, including advising and implementing changes under health care law, such as the affordable care act, including multiple reviews of plan designs and advise on regulatory and legal compliance.
- Provide detailed plan design and savings analysis and information for collective bargaining contract negotiations as needed.
- Provide the city actuarial projections for the its health insurance program costs against the city’s operating budget for purposes of review and analysis.
- Advise the city of providence on significant healthcare marketplace trends proactively.
- Recommend plan design provisions, contribution strategies, and health and welfare initiatives to achieve the City of Providence's targeted savings.
• Actuarial Services:
- Access and utilize claims data from third party vendors in order to establish premium rate equivalents for self-funded plans, which include national medical trending rates. such actuarial projections may include, but not be limited to a breakdown by employer type, group, or subgroup
- Calculate the financial impact of proposed plan changes
- Provide financial projections and attend monthly financial analysis meetings with the city human
resources and benefits and finance departments
- Monitor the plan’s experience and provide actuarial analysis • Market Trend Analysis
- Advise the city on plan design changes, as well as the impact on cost, and quality of care related to such changes
- Assist in designing a comprehensive wellness program that links claims experience to wellness
initiatives
- Study current plans to provide the city with the minimum value determination of such plans
- Recommend low-cost plans as a possible offering to ensure that all employees have an option for some type of affordable health insurance coverage
- Providing consulting as may be necessary on the current plans offered by the city and recommend
alternatives as requested
• Communications:
- Provide sample language and materials for communicating particular benefits
- Prepare presentations and present to employees and retirees as requested
- Ability to create custom communication materials to educate employees on City benefits • Reporting and Analysis:
- Analytical reports may be required by employer type, region, carriers, coverage tiers, employment
status, and other breakdowns as required, which could include demographic analysis
- Provide the city of providence with complex monthly financial reporting which tracks the financial
impact of the plan and also compares the plans based on actuarial projections against budget
• Compliance and Audits
- Available members of team to train human resources and benefits office on any compliance topic (i.e. aca requirements, HIPAA, cobra
- Advise and assist with HIPAA requirements, including advising the city on rules surrounding personal health information and communicating employees' individual rights
- Advise, assist, and train human resources staff on cobra rules, regulations and requirements
• Meeting Attendance and Presentations:
- Attend monthly financial meetings
- Attend frequent in person and teleconference meetings with City staff and vendors as required
- Attend after hours meetings as requested, including public meetings where testimony is required on public record
• Litigation Support:
- Testify in legal cases as required (i.e. depositions, arbitrations, etc.)
- Provide documents and information for legal case discovery as requested
- Assist the benefits office and Law Department with in
[C] Eligibility:
Onshore (USA Only)
[D] Work Performance:
Not Applicable
Budget :
Deadline to Submit Proposals: November 12,2019
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$