UNSPSC 85101704: Health economics

In this classification, this commodity indicates the procedures involved to conduct an economic analysis of a healthcare system

UNSPSC 85101704 Health economics is a Commodity code that captures state and local government contracting for program administration, care management, and operational services supporting public health insurance programs, behavioral health systems, and population health initiatives. State and local buyers under this code pursue managed care operations, Medicaid administration, telehealth platform support, insurance claims processing, billing and revenue cycle management, and staffing for health facilities and school-based clinics. The Nevada Health Authority is seeking an operator for its Program of All Inclusive Care for the Elderly (PACE) program serving seniors aged 55 and older across three service areas under an RFP due December 10, 2026, with capitated monthly rates ranging from $4,532.24 to $8,804.32 per participant depending on service area and Medicaid eligibility status. The Texas Health and Human Services Commission is procuring statewide managed dental care for Medicaid and CHIP beneficiaries under an RFP due December 7, 2026, with annual dental caseloads of approximately 3 million Medicaid members and projected CHIP enrollment of 264,500 at estimated annual costs of $86.4 million to $120 million for Medicaid and $77.1 million for CHIP. The Mississippi Department of Mental Health is soliciting a sole-source vendor for teletherapy and crisis support services for 200,000 eligible veterans and first responders statewide under an RFP due October 14, 2026. The issuing bodies are primarily state Medicaid and mental health departments alongside county health systems and school districts; the code sees sustained activity across state administrative agencies managing health benefits and care delivery.

Recent opportunities concentrate in the South, particularly Nevada, Texas, Mississippi, and South Dakota, with secondary activity in Georgia, Arizona, Colorado, Florida, and Oregon. Cook County Health Plan in Illinois, County of Santa Clara in California, and the Washington State Health Care Authority represent multi-county and regional health plans. Alongside these large managed care procurements, state and local buyers are contracting for supporting services: the City of San Mateo is seeking cancer registry case management services for its public hospital under an RFP due October 12, 2026; the City of Phoenix is requesting independent medical evaluation services for disability retirement benefits under an RFP due October 16, 2026 with a $750,000 not-to-exceed ceiling over five years; and the Georgia Griffin-Spalding County School System is procuring a managed service provider for special education staffing and employer-of-record functions under an RFP due October 30, 2026. South Dakota is actively procuring Rural Health Transformation support services including case management platforms, grant administration, EMS regional coordination, and rural healthcare workforce development across multiple RFPs posted between May and July 2026, with funding from the Centers for Medicare and Medicaid Services. The code spans both direct health plan administration and ancillary population health and operational support, with Medicaid-focused opportunity concentrated in states administering managed behavioral health, dental coverage, and rural access initiatives.