36C10G24R0038 Attachment G - Model Update Flow Chart.pdf

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R408--Actuarial Support Services
Solicitation number
36C10G24R0038
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This document is an Annual Update Flow Chart for the Enrollee Health Care Projection Model (EHCPM) for the Department of Veterans Affairs. The flow chart details a comprehensive process for developing healthcare projections, breaking down the model into key sections such as Model Foundation Decisions, Policy Assumptions and Decisions, Enrollment Projections, Overarching Analysis, Private Sector Based Projections, VA Experience Based Projections, and Model Update processes.

The flow chart outlines multiple interconnected steps and considerations, including policy assumptions (like Post 9/11 Era Combat Veterans, Mental Health, Women's Health), enrollment methodology, workload analysis, demographic benchmarks, morbidity transitions, budget impact analysis, and strategic planning. Key areas of focus include VetPop proxy data, community care data analysis, emerging experience monitoring, geographic migration tracking, patient analysis, mortality rate updates, and final model validation. The chart provides a structured approach to developing complex healthcare projections and deliverables for VA planning and budgeting purposes.

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Other files

File Type Posted
36C10G24R0038 0004.pdf PDF
RFP 36C10G24R0038 Amendment 0003.pdf PDF
RFP 36C10G24R0038 Amendment 0002.pdf PDF
36C10G24R0038_2 1.pdf PDF
36C10G24R0038 0001.pdf PDF
36C10G24R0038 Attachment J - Contractor Rules of Behavior from 6500 Appendix D.pdf PDF
36C10G24R0038 Attachment B - Sample Budget Impact.pdf PDF
36C10G24R0038.pdf PDF
36C10G24R0038 Attachment M - CLINs and SubCLINS.docx DOCX document
36C10G24R0038 Attachment K - Labor Mix Proposed by Vendor.xlsx XLSX spreadsheet
36C10G24R0038 Attachment F2 - Example of Previous Years Deliverables that were Unknown at time of Award.pdf PDF
36C10G24R0038 Attachment E - 2023 BY22 Model Documentation and Analysis Report.pdf PDF
36C10G24R0038 Attachment D - Actuarial Responsibilities Grid.xlsx XLSX spreadsheet
Document 1 - VHA National BAA Template.pdf PDF
36C10G24R0038 Attachment L - Cost Breakdown.xlsx XLSX spreadsheet
36C10G24R0038 Attachment F1 - Deliverables Schedule Table.pdf PDF
36C10G24R0038 Attachment C - VA Enrollee Health Care Project Model and Advanced Appropriation Timeline.pdf PDF
36C10G24R0038 Attachment A - Sample Report Writer.pdf PDF
36C10G24R0038 Attachment I - Historical Labor Mix.pdf PDF
36C10G24R0038 Attachment H - Past Performance Questionairre.docx DOCX document
36C10G24R0038.docx DOCX document
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36C10G24R0038

ATTACHMENT G

Annual Update Flow Chart Enrollee Health Care Projection Model (EHCPM)

E. Policy Assumptions and Decisions

G4. Priority/Morbidity Transitions

G1. VetPop Proxy

C2. Workload Analysis, Baseline Development, Global RVUs

I. VA Experience Based Projections

H1. DoCM Analysis H3. Private Sector Demographic Benchmarks

H6. Reliance

H. Private Sector Based Projections

E6. Rx

H4. Private Sector Plan Benefits Benchmarks

E7. Dental

H8. Private Sector Based Model Factors

I2. VA Experience Based Model Factors

H7. Morbidity

E1. Trend Analysis

J1. Assemble Model Factor Tables

J6. Projection Year Model Update

J2. Base Year Model Update

L. Scenario Production M. Strategic Planning O. Budget Support

J9. Model Review

J7. Budget Impact AnalysisJ4. Actual to Expected Adjustments

J3. Base Year Expected Utilization Projections

F4. Develop VA Baseline Unit Cost

J5. Budget Recon

H2. Efficiency Analysis

H5. Datamatch Processing

G. Enrollment Projections

G12. Final Projection - Deliverable to VA

G2. Emerging Experience Monitoring

E3. Enrollment

G10. Alternate Enrollment Policy Scenarios

G11. Enrollment Update Impact Analysis

G9. County Enrollment Projections

E4. Local Area Adjustments

E8. Mental Health Assumptions E11. Women's Health

G6. Patient Analysis

F2. New Enrollee

E9. Efficiency

E2. Economic Scenario Assumptions

G. Enrollment Projections

G13. Other Enrollment and VetPop Deliverables

G3. Enrollment Rate Update G5. Geographic Migration

D. Master Enrollment File

G7. Mortality Rate Update

P. Model Validation

E10. Patient Aligned Care Team

I1. VA Experience Based Regression Model

A. Model Foundation Decisions

E5. Post 9/11 Era Combat Veterans

F. Overarching Analysis

F6. Overarching Analysis Factors

A2. Area Mapping Update A3. Enrollment Methodology ChangesA1. Formulate HSCs

J. Model UpdateG8. Final Enrollment Projection Model

A4. VA Facility Listing

B. VA Provides Data

F5. Cohort Analysis

M3. Parent Facility Projections

M2. HSPC Projections N3. Model Reporting and Assessment

N1. Documentation Report

O3. Budget Impact Analysis

O2. Communtiy Care Admin EstimatesO1. Report Writers

N. Model Communication

O4. Supplemental Budget Exhibits

F3. Women's Analysis Modeling

Annual Model Prep

O5. Ongoing Support

E12. LTSS

M1. HSPC Actual to Expected Adjustments

E13. MISSION/Choice E14. Dialysis

E15. PACT Act

J8. Key Driver Tools

K. Updated EHCPM

N2. Model Update Briefings

F1. Post 9/11 Modeling

C1. Community Care Data, Completion, Payment Speed Analysis

E16. COVID E17. VA EHR Modernization E18. Other

Flowchart

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