120174 O3 EVALUATION 04292025.pdf

This document is a Proposal Evaluation Worksheet for RFP Number 120174 O3, issued by the Nebraska Department of Correctional Services (NDCS) for a third-party administrator to process healthcare claims for incarcerated individuals. The solicitation sought a vendor to provide comprehensive claims processing services, including electronic claims management, provider network administration, and reporting for an estimated 5,872 inmates. Five companies submitted proposals: Blue Cross and Blue Shield of Nebraska, Correctional Health Partners, Falling Colors Corporation, Innovative Claims Strategies, and UMR, Inc. The evaluation process included a 110-point scoring system with components for Corporate Overview (20 points), Technical Approach (60 points), and Cost Proposal (20 points), plus 10 points for oral demonstrations.

The evaluation worksheet reveals that UMR, Inc. achieved the highest final score of 99.38 points (90% of total points), ranking first among the competitors. The state chose a "per person" cost model and conducted a Best and Final Offer (BAFO) process with the top three scoring proposers. The contract is expected to have an initial four-year term with two optional two-year renewal periods, with pricing to remain fixed for the first four years and subsequent increases limited to 5% per period. The successful vendor will be responsible for processing approximately 24,704 medical claims totaling $15.6 million and 250 dental claims totaling $51,454 annually, with network coverage required in specific Nebraska cities including Omaha, Lincoln, York, Tecumseh, and McCook.