6175- S-44300-00017084 RFPAttE Price Proposal.docx

DOCX document 24 KB Posted

Attached to
RFP for NCQA-certified HEDIS measurement vendor
Solicitation number
S-44300-00017084
Issued by
Oregon

About this file

This is a Price Proposal Attachment (Attachment E) for RFP S-44300-00017084 issued by the State of Oregon, acting through the Oregon Health Authority, seeking an NCQA-certified vendor to produce and report HEDIS and non-HEDIS measures for the Oregon Health Plan. The RFP requires the selected vendor to produce approximately 30 HEDIS measures and 14 non-HEDIS measures, along with hybrid measure operations and ongoing certification maintenance. The contract term spans six years, including a Year 0 onboarding and implementation phase followed by five years of operational service (Years 1-5).

Proposers must submit comprehensive, all-inclusive pricing using the mandatory pricing table that includes specific categories: Onboarding and Implementation, HEDIS Measure Production, Non-HEDIS Measure Production, Hybrid Measure Operations, Certification Maintenance, Quarterly Data Refresh Cycles, Reporting and CMS Submissions, Hosting and Cloud Infrastructure, Licensing Fees, and Support and SLA Services. Proposers may also offer optional services such as chart retrieval and abstraction, custom measure development, supplemental data integration, and change orders at separate unit costs. Proposers must disclose all pricing assumptions including maximum supported population volume, number of Coordinated Care Organizations, annual refresh cycles, user licenses, storage limits, hybrid measure volumes, and support hour limitations. The total contract cost for all mandatory services across the six-year period must be clearly stated in the proposal.

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6175- S-44300-00017084 RFPAttF.docx DOCX document
6175- S-44300-00017084 RFPAttC.docx DOCX document
6175- S-44300-00017084 RFPAttA Sample Contract.docx DOCX document
6175- S-44300-00017084 RFPAttG.docx DOCX document
6175- S-44300-00017084 RFPAttB.docx DOCX document
6175- S-44300-00017084 RFPAttH Solutions Requirements.xlsx XLSX spreadsheet
6175- S-44300-00017084 RFPAttD.docx DOCX document
6175- S-44300-00017084 RFP Main Document.pdf PDF

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RFP S-44300-00017084- NCQA-CERTIFIED VENDOR TO PRODUCE AND REPORT CERTIFIED HEDIS® AND NON-HEDIS MEASURES Att E

ATTACHMENT E

Price proposal

1. Instructions to Proposers Proposer must submit pricing using this Attachment E. Pricing must be complete, all-inclusive, and reflect the full cost of performing all work described in Attachment A.

Proposer must complete all sections. Proposer may add rows as needed to reflect their pricing structure but may not remove any required categories.

2. Mandatory Pricing Table (Comparable Pricing) Proposer must provide pricing for each category. These categories are standardized to ensure comparability across all proposals.

Category
Description
Year 0 (Onboarding)
Year 1
Year 2
Year 3
Year 4
Year 5
Total
Onboarding & Implementation
Environment setup, onboarding, ingestion validation, initial logic confirmation
HEDIS Measure Production
Annual calculation, QC review, reporting for ~30 measures
Non-HEDIS Measure Production
Annual production, validation, QC for 14 measures
Hybrid Measure Operations
Chart retrieval, abstraction, hybrid scoring (if applicable)
Certification Maintenance
NCQA certification upkeep, documentation, annual submissions
Quarterly Data Refresh Cycles
Quarterly ingestion, validation, and recalculation work
Reporting & CMS Submissions
Quarterly and annual reporting required by OHA, CCOs, and CMS
Hosting / Cloud Infrastructure
Hosting, storage, security, performance components
Licensing Fees
Measure engine licensing, analytic tools, application fees
Support & SLA Services
User support, helpdesk, SLA‑based response and resolution

3. Optional / Additional Services (Non-Comparable Pricing) Exclude from Total Contract Cost Proposer must list any optional services not included in Section 2. These services will not be scored but may be purchased at OHA’s discretion.

Optional Service
Unit Description
Unit Cost
Estimated Units
Extended Cost
Chart Retrieval (per chart)
Retrieval of medical records
Chart Abstraction (per chart)
Manual review and abstraction
Custom Measure Development
Development of new homegrown measures
Supplemental Data Integration
Integration of supplemental clinical data
Change Orders / Custom Work
Hourly rate for custom analytics or coding

4. Pricing Assumptions (Required) Proposer must disclose all assumptions used to determine pricing, including but not limited to:

· Maximum supported population volume and any associated tier thresholds.

· Number of Coordinated Care Organizations included in pricing.

· Number of annual data refresh cycles included.

· Included user licenses, storage limits, processing caps, or performance thresholds.

· Any hybrid measure volume assumptions.

· Any limits on included support hours.

5. Total Contract Cost (Required) Proposer must provide the total cost for all mandatory services for the full 5‑year contract period.

Total Cost (Years 0–5): ________________________________

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