Attachment-B-Cost-Reply.xlsx
XLSX spreadsheet 103 KB Posted
- Solicitation number
- ITN-12365
- Issued by
- Florida
About this file
This is a Cost Reply Attachment (Attachment-B-Cost-Reply.xlsx) for an Invitation to Negotiate (ITN No. DMS-24/25-249) issued by the Florida Department of Management Services for Healthcare Transparency Services. The solicitation seeks a vendor to develop an online platform enabling state health insurance enrollees to compare healthcare service costs and quality, with an implementation date of January 1, 2026. The initial contract term is four years, with potential for up to four additional one-year renewals. The document provides multiple cost response worksheets, including Per Enrollee Per Month (PEPM) Fees, Utilization Based Fees, Contingency Based Fees, and Fixed Monthly Price options. Responses are due by May 16, 2025, with an evaluation phase from May 21 to June 11, 2025, and negotiations planned from June 16 to August 1, 2025.
The cost reply attachment allows vendors to propose pricing across different models, with projected enrollment ranging from 194,787 to 198,495 participants. While specific fee amounts are not filled in, the document provides structured worksheets for vendors to outline their pricing strategies. The estimated annual contract amount is approximately $1,200,000, subject to legislative appropriation. The platform must integrate with Florida's existing health insurance landscape, which includes four medical benefit plan design options through Florida Blue Cross Blue Shield and three separate HMOs. The contractor will be required to maintain various insurance coverages, including commercial general liability, with minimum aggregate amounts of $5 million, and provide a performance bond or irrevocable letter of credit not exceeding 20% of the annual contract amount.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment-F-PUR-7801.Vendor-Certification-Form.docx | DOCX document | |
| Attachment-D-Technical-Reply.xlsx | XLSX spreadsheet | |
| DMS-2425-249.ITN.Healthcare-Transparency-Services.pdf | ||
| Attachment-E-Business-Assoc-Agreement.docx | DOCX document | |
| DMS-2425-249 Q&A.docx | DOCX document | |
| Attachment-A-Statement-of-Work.docx | DOCX document | |
| Attachment-B-Cost-Reply.xlsx | XLSX spreadsheet | |
| Attachment-C-Draft-Contract.docx | DOCX document |
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Text version
B-1 Instructions
| Invitation to Negotiate for the State of Florida, Department of Management Services. |
| DMS-24/25-249, HEALTHCARE TRANSPARENCY SERVICES |
Worksheet B-1: Cost Reply Instructions
Instructions: Respondents should read this worksheet for information to supplement the instructions in Worksheets B-2 through B-5.
| Respondents shall provide a response to at least one (1) of the worksheets contained herein (Worksheet B-2, B-3, B-4 and/or B-5), and may respond to two (2), three (3) and/or all four (4) worksheets. Below is a summary of the cost reply scenarios. |
| Worksheet B-2: Per Enrollee Per Month (PEPM) Fees |
| Worksheet B-3: Utilization Based Fees |
| Worksheet B-4: Contingency Based Fees |
| Worksheet B-5: Fixed Monthly Price |
During the negotiation phase, Respondents may be required to provide additional information to the negotiation team for review.
&G &"-,Bold"Attachment B - Cost Reply B-1: Instructions
ITN No.: DMS-24/25-249, Healthcare Transparency Services &A &P of &N
B-2 PEPM Fees
HEALTHCARE TRANSPARENCY SERVICES
Worksheet B-2: Per Enrollee Per Month (PEPM) Fees
| Instructions: In the table below, Respondents may provide the Per Employee Per Month (PEPM) fee for initial contract and renewal contract terms. | ||||||||
| Table 1 | ||||||||
| INITIAL CONTRACT TERM | RENEWAL CONTRACT TERM | |||||||
| Jan 2026 | Jan 2027 | Jan 2028 | Jan 2029 | Jan 2030 | Jan 2031 | Jan 2032 | Jan 2033 | |
| Projected Enrollment | 195,490 | 196,217 | 196,960 | 197,719 | 198,495 | 194,787 | 194,787 | 194,787 |
PEPM Fee:
Projected Annual Fee: $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0 $ - 0
&G &"-,Bold"Attachment B - Cost Reply B-2: Per Enrollee Per Month (PEPM) Fees
ITN No.: DMS -24/25-249, Healthcare Transparency Services &A &P of &N
B-3 Utilization Fees
HEALTHCARE TRANSPARENCY SERVICES
Worksheet B-3: Utilization Based Fees
| Instructions: In Table 1, Respondents may provide the Per Member Per Month (PMPM) fee by utilization band for the initial and renewal contract terms. If providing PMPM utilization fees in Table 1, the Respondent must also define what it considers as utilization within Table 2. | ||
| Table 1 | ||
| Initial Contract Term | Renewal Contract Term | |
| Enrollment Utilization Bands | PMPM Fee | PMPM Fee |
| <= 20,000 | ||
| 20,001 - 37,000 | ||
| 37,001 - 55,000 | ||
| 55,001 - 74,000 | ||
| 74,001 - 92,000 | ||
| > 92,000 |
| Table 2 |
| EXPLAIN HOW UTILIZATION WILL BE APPLIED |
&G &"-,Bold"Attachment B - Cost Reply B-2: Utilization Based Fees
&A &P of &N
B-4 Contingency Fees
HEALTHCARE TRANSPARENCY SERVICES
Worksheet B-4: Contingency Based Fees
| Instructions: In Table 1, Respondents may provide the percentage of savings that their fee will be based on for the initial and the renewal contract terms. If providing contingency fees in Table 1, the Respondent must also provide an explanation regarding how the fees will be applied within Table 2. | ||
| Table 1 | ||
| Initial Contract Term | Renewal Contract Term | |
| Contingency Fee | Contingency Fee |
| Table 2 |
| EXPLAIN HOW THE PROPOSED FEE WILL BE APPLIED |
&G &"-,Bold"Attachment B - Cost Reply B-4: Constingency Based Fees
&A &P of &N
B-5 Fixed Monthly Price
HEALTHCARE TRANSPARENCY SERVICES
Worksheet B-5: Fixed Monthly Price
Instructions: In the table below, Respondents may provide their fixed price per month for the initial contract and renewal contract terms.
| Table 1 | ||||
| INITIAL CONTRACT TERM | ||||
| Jan-Dec 2026 | Jan-Dec 2027 | Jan-Dec 2028 | Jan-Dec 2029 | |
| Fixed Price Per Month | ||||
| Fixed Annual Fee: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
| Table 2 | ||||
| RENEWAL CONTRACT TERM | ||||
| Jan-Dec 2030 | Jan-Dec 2031 | Jan-Dec 2032 | Jan-Dec 2033 | |
| Fixed Price Per Month | ||||
| Fixed Annual Fee: | $ - 0 | $ - 0 | $ - 0 | $ - 0 |
&G &"-,Bold"Attachment B - Cost Reply B-5: Fixed Monthly Price
&A &P of &N image1.png
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