6300 RFP for TPA Attachment H Total External Cost Comparison.docx

This document is an Attachment H Total External Cost Comparison for RFP S-29100-00011086 - Third Party Administrator and Provider Network Services for Off-Site Healthcare, issued by the Department of Corrections (DOC). The attachment provides historical information on total paid claims, number of claimants, cost per claimant, and paid claims per member per month (PIPM) for fiscal years 2020 and 2021. The data shows a 7.7% increase in total paid claims from FY2020 to FY2021, with the number of claimants decreasing by 13.9% and the cost per claimant increasing by 28.3% over the same period.

The related state and local contract opportunity is for Third Party Administrator and Provider Network Services for Off-Site Healthcare, to be awarded by the State of Oregon. No additional details are provided on the scope, timeline, or contract term for this opportunity.