SOW_2016_1.doc

Statement of Work

Request to Purchase Estimates of Workers’ Compensation Costs Background

The National Health Expenditure Accounts (NHEA) are estimates of health spending for the United States produced by the National Health Statistics Group (NHSG) in the Office of the Actuary. The NHEA is a matrix designed health spending account that summarizes health spending by major health service categories as well as the major sources of funding for each service category. Included in the source of funds for the NHEA are estimates for health spending under workers’ compensation programs. For purposes of more fully developing workers’ compensation data for the NHEA and evaluating the inclusion of workers’ compensation data for the SHEA, the NHSG would like to purchase a state-level database of workers’ compensation premiums and benefit expenditures.

Project Objectives

The NHSG needs to obtain workers’ compensation premiums earned in 2014, as well as medical and cash benefits paid and incurred for injuries occurring in 2014 for each state. The incurred cost data should include benefits paid and reserves set aside for future payments. The data will be used to construct national source of fund estimates for workers’ compensation in the NHEA.

Scope of Work

The contractor will deliver a PC-based database file to the NHSG by June 18, 2016. The file must include state-level estimates of workers’ compensation premiums and cash and medical claims paid and incurred for all 50 states in 2014. The database file must contain comprehensive estimates of workers’ compensation costs for each state by type of insurer including private carriers, state funds, federal programs, and self-insurers. The file must also contain estimates of the number of workers receiving workers’ compensation benefits in each state, as well as the cost per covered employee and per $100 of worker payroll.

The contractor will provide a report detailing all methods used in generating the data, any idiosyncrasies in the data, and an assessment of trends in the medical costs related to workers’ compensation. The contractor will also be responsible for providing all personnel, materials, supplies, and services required to support the development of the data file and will utilize software that allows for easy data retrieval by the government.

Section 508 Compliance

The deliverables shall comply with the standards, policies, and procedures below. In the event of conflicts between the referenced documents and this SOW the SOW shall take precedence.

Rehabilitation Act, Section 508 Accessibility Standards

1. 29 U.S.C. 794d (Rehabilitation Act as amended)

2. 36 CFR 1194 (508 Standards)

3. www.access-board.gov/sec508/508standards.htm (508standards)

4. FAR 39.2 (Section 508)

5. CMS/HHS Standards, policies and procedures (Section 508)

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