ATTACHMENT_4_Sample_Task_Order_1.docx

ATTACHMENT 4 Sample Task Order 1

STATEMENT OF WORK

Domain 1: Policy and Economic Analyses

Background and Need

Drug overdose death rates in the United States have nearly quadrupled since 1999; most of this increase has been driven by increases in deaths from prescription opioid painkillers. One potential way to decrease prescription painkiller misuse (e.g., obtaining the same prescription from multiple doctors) and overdoses is to implement Patient Review and Restriction Programs (PRRs). PRRs monitor prescription claims to identify patients using multiple providers and/or pharmacies and restrict reimbursement to a single designated physician and pharmacy (unless use can be justified on medical grounds). Thirty-three states currently have PRRs for their Medicaid programs, however there is wide variability in how states have implemented PRRs (e.g., how patients are identified and assigned to the program).

The purpose of this sample task order is to provide an opportunity for Offerors to demonstrate the capacity to conduct a policy analysis of PRR programs that assesses health and economic impact at the state level.

Objectives

The purpose of this analysis is to understand if and when PRRs are effective in decreasing prescription painkiller misuse and overdose. The analysis should examine health impacts, economic impacts and budgetary impacts.

Scope of Work The contractor shall provide all labor, expertise, materials, supplies, equipment, and facilities to perform all services required to carry out the work under this task order. The Offeror shall describe their capacity and approach to conducting this policy analysis.

Task 1: Start Up Meeting

· The Contractor shall arrange and conduct an initial meeting (either in person or by teleconference) with the CDC Contracting Officer’s Representative (COR) and other relevant staff within 2 weeks of the effective date of the task order. The purpose of the meeting will be to review and clarify the scope of work and delivery schedule for tasks, to delineate roles and responsibilities, and to establish communication protocols. Each task and deliverable will be reviewed.

· The Contractor shall submit an agenda for the above meeting within 1 week of the effective date of the task order.

Task 2: Maintain Communication with the COR

· The Contractor shall coordinate with the CDC COR. The Contractor shall maintain regular communications with the COR and CDC staff involved with the project. The chief means of communication will be conference calls that will be scheduled every other week throughout the project period. Additional calls will be scheduled as needed. The Contractor shall provide an agenda and meeting minutes for each call. All conference calls shall be scheduled and administered by the Contractor. The Contractor shall respond to all emails and telephone communications from the COR within 2-3 working days.

Task 3: Monthly Progress Reports

· On the 10th day of the month following the month being reported, the contractor shall prepare and submit a monthly progress report containing the current status of work and a financial status report. The report shall contain, at a minimum, the current progress on each of the requirements set forth below, the financial status of the project, problems encountered during the month, solutions implemented, planned activity for the upcoming month, and any other information mutually agreed upon between the contractor and the CDC COR.

Task 4: Policy Analysis Plan

The Offeror shall lay out a policy analysis plan for each question below. New data collections are assumed not to be necessary. Thus, the policy analysis plan for each question should note what data sources will be used to answer each question, what type of analyses (e.g., literature review or specific statistical analysis) will be conducted, and how conclusions will be drawn. Key questions to be answered through this policy analysis include:

1. To what extent are PRRs effective in decreasing prescription painkiller misuse and overdose? Specifically, to what extent are PRRs effective in decreasing prescription misuse in general and specifically overdose injuries, admissions to healthcare facilities, and deaths?

1. What are the key features of PRRs that drive decreases in misuse in general and specifically overdose injuries, admissions to healthcare facilities, and deaths?

1. What are the estimated costs associated with implementing each of these key features?

1. What are the economic advantages and disadvantages for states to implement or modify their Medicaid PRR program?

1. What is the estimated annual fiscal burden that would be imposed upon CMS if:

4. All 33 states with current PRR plans utilized them for 80% of their identified population at risk?

4. The remaining states not currently operating under a PRR implemented this plan for 80% of their identified population at risk?

1. What is the estimated annual fiscal savings that CMS would accrue if all states implemented PRRs for 80% of their population at risk?

1. What are some of the major challenges states face when seeking to implement at PRR within their state?

1. What are the policy implications of these findings?

1. What other information (e.g., current state laws, rural state vs. urban state) needs to be considered when promoting PRRs as a policy option to address prescription drug misuse and overdose?

Task 5: Final Reports

The Contractor shall submit the following reports:

· Report 1 - PRR Policy Analysis Report: An in-depth report that describes how the Offeror implemented Task 4: Policy Analysis Plan. This report should note data sources used to answer each question, the type of analyses (e.g., literature review or specific statistical analysis) conducted, and what the conclusions were for each question.

· Report 2 - PRR Policy Brief: A four-page policy brief that utilizes information from Report 1 to inform state Medicaid administrators of benefits and challenges of implementing PRR.

There shall be a total of three versions of each report submitted for CDC approval: preliminary, final draft, and final. The Contractor shall present a final report of the project to the CDC COR within four weeks after receiving comments and recommendations on the draft report. The Contractor shall submit the final report, incorporating CDC’s comments and recommendations. The submission shall be in both paper and electronic format.

The Contractor shall electronically submit the final report to the COR. The finalized report is to be “camera ready”, meaning that the report is accurate, complete, and suitable for preparation of negatives. The camera-ready copy shall be printed on one side of the page only. Pages shall be numbered and formatted according to CDC’s convention (e.g., lower-case Roman numerals for front matter, Arabic numbers for body of the report); pages shall have a 1” margin on all sides. Endnote or other reference manager software shall be used to compile reference lists and bibliography. Citations should be “grabbed” electronically by the software from PubMed or another source to render them as accurate as possible. The report shall be submitted in both hard copy and electronic format (via email in Microsoft Word format to enable use in Web preparation). Electronic files for charts, etc., prepared in another program (e.g., Excel) shall also be submitted via email. Tables and charts must be delinked from underlying databases.

Deliverables Summary Table

The following deliverables shall be provided to the COR and relevant CDC staff no later than the dates specified below:

Frequency Due Date

Preliminary Policy Analysis Plan with data sources, analytic strategy, timeline, and budget

Final Evaluation Design and Executive Summary 1 Draft

1 Final Within 1 month of task order award

Within 2 months of task order award

Preliminary Draft

Final Draft

Final Within 6 months of task order award

Within 8 months of task order award

Within 10 months of task order award

Preliminary Draft

Final Draft

Final

Within 10 months of task order award

Within 11 months of task order award

Within 12 months of task order award.

Place of Performance: The work to be performed under this contract will be performed at the Contractor’s facility.

Contractor Travel: Contractor will not be required to travel during the performance of this task order for data collection.

Data Rights (If applicable): The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

CDC Collaboration & Input: The Offeror shall work collaboratively with the CDC policy staff on analytic issues. CDC and designated staff will provide expertise based on their training, experience, and expertise.

Government Furnished Property, Equipment, and Services: None

Price Estimate: The Government price estimate for this Sample Task Order is between $100,000 to $300,000. Offerors are encouraged to propose within this price range but should propose prices that are reasonable and appropriate for their proposed technical effort.