Attachment 1-VHA Request for Information (RFI) 2 Questions.docx

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Q999--Request for Information (RFI) for Nationwide Dialysis Services Follow-on Contract (NDSC) FY24
Solicitation number
36C10G24Q0033
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This document contains 10 questions from the Department of Veterans Affairs for a Request for Information (RFI) regarding nationwide dialysis services. The RFI seeks recommendations on establishing regional versus national contracts for dialysis care in the community, measuring clinical quality and outcomes, highlighting excellent patient experience and provider quality, ensuring program integrity and mitigating fraud, aligning reimbursement with Medicare requirements, utilizing required systems for referrals and sharing medical documentation, pricing strategies for rural areas and home dialysis, and allowing access to contractor records by the Office of Inspector General. It also asks for recommendations to encourage integrated health networks and systems to provide dialysis services to Veterans. The solicitation number is 36C10G24Q0033 for the Q999 RFI on the Nationwide Dialysis Services Follow-on Contract for fiscal year 2024.

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VHA Request for Information (RFI)

1. What recommendations should VA consider related to establishing regional versus national-based contracts for dialysis care in the community?

2. Describe how your organization measures clinical quality, including specific quality KPIs/metrics you track, how you use provider profiling approaches based on clinical quality or cost, and how you ensure dialysis providers are providing quality healthcare services.

3. How do you highlight facilities have excellent patient experience, quality scores, positive clinical outcomes and demonstrated value? What Key Performance Indicators (KPIs) do you use to rate providers in your network? Describe your rating scale.

4. Describe how your organization ensures program and payment integrity and provide suggestions on your approach to mitigate fraud, waste and abuse.

5. What recommendations would you have to support the VA in aligning reimbursement for dialysis services with the MISSION Act Medicare reimbursement requirements?

6. Explain how your organization would ensure facilities utilize VA’s recommended systems for managing the referral and authorization process and sharing of medical documentation. Provide any specific steps you may take to meet the highest use of these systems and recommendations on approaches to encourage the return of medical documentation.

7. Please provide recommendations on pricing strategies/incentives that support the delivery of dialysis in rural or highly rural areas or where there are otherwise scarce resources.

8. Please provide recommendations on home dialysis and any metrics you can share as it relates to costs and quality outcomes. What recommendations on pricing strategy would you provide as it relates to home dialysis?

9. What recommendations would you provide to allow access to contractor-maintained records (without requiring a subpoena) when requested by the Office of Inspector General (OIG)?

10. What other recommendations would you provide for VA to encourage integrated health networks, hospitals and health systems to provide dialysis services to Veterans under VA’s community care programs?

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