Copy of HIX PMT RFR Attachment B - Cost Response Worksheet__20220209.xlsx

Tatsiana --->

Change Log

Instructions Massachusetts Health Insurance Exchange Program Project Management and Testing Services Request for Responses Attachment B - Cost Response

Instructions The Bidder must submit a price response in accordance with the instructions presented in this Attachment B. All assumptions made or constraints taken into account made in arriving at the prices proposed in these price tables must be clearly described. Bidders are encouraged to include narrative to describe the assumptions on which this price response is based and the constraints considered by the Bidder.

&P

Start-up Contract Readiness, Transition, Start-Up Activities (Contract Effective Date -- December 31, 2022)

Instructions:

The price table below shall reflect the fully-loaded total fixed price per month for Contract Readiness, Transition, and Start-Up Activities. As needed, please insert additional rows.

Labor and Staff costs must reflect the Staff Loading Chart submitted by the Bidder as required in Section 5.4.B.

For the purposes of this Cost Response, Bidders should assume a Contract Effective Date of July 15, 2022, and should prorate the Month 1 costs accordingly.

Hardware and software costs, including all Contractor proprietary solutions and any solutions or related components of Third Parties required to perform the Services as proposed in the Contractor's Response to the RFR or required by the Contract.

Third Party vendor technology costs must be passed through to the Commonwealth with no markup. Additionally, Bidders must disclose any open-ended pricing agreements with Third Party technology vendors, and must provide the terms of any price increase cap agreements with such vendors.

Any costs otherwise not detailed above that would be incorporated into EOHHS's transition. Please specify a description of the cost.

Ongoing Operations Ongoing Operational Costs -

Instructions:

The Bidder shall provide a fully-loaded monthly fixed price for Project Management, Testing and Validation, and Other. The costs shall be broken out as follows:

- Project Management: Includes the costs of providing all Services excluding: (1) services set forth in Attachment A, Section 2.5, Contract Readiness, and (2) services set forth in Attachment A, Setion 2.7, Testing and Validation, Any Key Personnel who support both Project Management and Testing and Validation Services (e.g. Project Director) should be included under Project Management.

- Testing and Validation Sevices: Includes the costs of providing all services set forth in Attachment A, Section 2.7, Testing and Validation Services

- Other: Any additional costs that the Bidder does not believe can be allocated appropriately to one of the two Service Categories

Any proposed change in the fixed price in Year 2 over Year 1, or Year 3 over Year 2 must be accompanied by a justification or explanation of how the proposed increase was calculated.

SG Med_Med+Dent Startup

OPTIONAL SERVICE

Enrollment and Premium Billing - Implementation Costs for Small Group Members with Medical and Dental Policies

The price table below shall reflect the total price for Start-up and Transition activities associated with optional services for Small Group Medical and Dental Enrollment and Premium Billing. This includes the price for fulfilling Contractor requirements in Section 2 of RFP Attachment X (Draft Health Connector Customer Service Agreement) and any associated Administrative requirements. Fixed fees associated with each component presented in the table below shall be populated by the Bidder. As applicable and indicated in the table, Bidders are also asked to provide estimates of hours required to complete each task. Bids will be evaluated in consideration of the level of detail provided in the response. As needed, please add additional rows.

SG Med_Med+Dent Ongoing

OPTIONAL SERVICE

Enrollment and Premium Billing - Ongoing Operations for Small Group Medical and Dental Members

Instructions:

The price tables below reflect the Bidder's proposed price for optional ongoing services provided to Health Connector small group members with a medical and dental policy during the ongoing operations period, but is not expected to begin prior to July 1, 2022. Bidders are required to enter a price proposal for each operations year (July 1 through June 30).

For ongoing operations, the Bidder shall select one of the three available options below: reimbursement based on a "per subscriber" or "per member" per month (Option 1a or Option 1b); reimbursement based on volume or transaction pricing (Option 2); or reimbursement based on fixed costs (Option 3).

Once a pricing model has been chosen and completed, the Bidder shall complete the "Annualized Cost Breakdown" table, which will provide the Health Connector with a comprehensive view of the Bidder's proposed cost structure and how the chosen pricing model above is allocated across significant cost buckets. For example, if a Bidder identifies $100 in ongoing operations costs in Year 1 (whether the Bidder has chosen Option 1a, 1b, 2 or 3, it is expected that in the "Annualized Cost Breakdown" table that the $100 would be allocated across the major cost items (e.g., labor, licensing, hosting).

The Bidder shall also identify any and all costs that would be passed through to the Health Connector in the "Pass-through Costs" table.

As needed, please add additional rows.

Year 5* 7/1/2020-6/30/2021 7/1/2021-6/30/2022 7/1/2022-6/30/2023 7/1/2023-6/30/2024 7/1/2024-6/30/2025

*- Option Years, if awarded by the Health Connector

Rates

Functional Titles Please specify any functional titles that will be associated with these services. This should include both transition and ongoing operations. Please add rows as applicable.

*- Option year, if awarded by EOHHS

Kari --->

Start-up & Transition v2 # Start-up and Transition Costs Author: Author:

Will need to check all this language with Eliot of course and you already have Tatsiana scheduled I believe Proposed Price Author: Author:

I would change this to Proposed Price or something…

Fee or Rate Author: Author:

Hardware and software costs associated with design, development and implementation of Contractor systems

Costs associated with the migration of data from the Health Connector's existing customer service vendor into the Contractor's CRM and other systems Author: Author:

do we need/have to be specific about data moving from system(s) to system(s) here?

Will need to check all this language with Eliot of course and you already have Tatsiana scheduled I believe Author: Author:

I would change this to Proposed Price or something…

Author: Author:

Fee or Rate by Title/Position Author: Author:

do we need/have to be specific about data moving from system(s) to system(s) here?

Author: Author:

I would format these cells in such a way as a bidder can only enter numeric values or something - I would do this for this column (fee/rate), hours and total columns and cells Author: Author:

Costs associated with hiring, onboarding and training staff to ensure that Contractor staff are knowledgeable of the Health Connector programs, policies and all system functionality. In addition, staff must be fully equipped to successfully transition responsibilities from exiting Vendor to the Health Connector

Costs associated with testing and quality assurance to ensure that Contractor's system is ready for go-live.

Costs associated with set-up of all Contractor data extracts to the Health Connector and availability and submission of standard suite of reports.

Any costs otherwise not detailed above that would be incorporated into the Health Connector's transition

Ongoing Structure v2 Ongoing cost structure for Enrollment and Premium Billing Contractor shall select one of the three available options below. Hybrid models of available cost models below will not be accepted.

For ongoing operations years 1-3, rates shall remain flat. If option years are awarded to the Contractor by the Health Connector, a maximum rate increase of 3% each year is allowed but will be based on the CPI index.

Will need to define CPI index or whatever we are using to determine COLA.

Business Function of Preffered Pricing Model

RFI Response Pricing Model:

• Premium Billing

• Noticing

• Enrollment

PMPM Breakdown by Cost Bucket do we need any other buckets???? Talk to SMEs…I added Labor

Year 5*

RFI Response Pricing Model:

Year 5* 7/1/2020-6/30/2021 7/1/2021-6/30/2022 7/1/2022-6/30/2023 7/1/2023-6/30/2024 7/1/2024-6/30/2025

*- Option Years, if awarded by the Health Connector

Year 5* 7/1/2020-6/30/2021 7/1/2021-6/30/2022 7/1/2022-6/30/2023 7/1/2023-6/30/2024 7/1/2024-6/30/2025

*- Option Years, if awarded by the Health Connector

Author: Author:

I added Labor please update description

Author: Author:

Will need to define CPI index or whatever we are using to determine COLA.

Author: Author:

do we need any other buckets???? Talk to SMEs…I added Labor

Ongoing Breakdown

Rate Card v2

Year 5*

Mike --->

Start-up & Transition

Labor costs associated with design, development and implementation of the Contractor-owned systems (Excluding Reporting Costs - See Table 1.1, Item #7) 2 IT Start-up and Transition Hardware and Software Costs Hardware and software costs associated with design, development and implementation of Contractor-owned systems (Excluding Reporting Costs - See Item #5) 3 Data Migration Start-up and Transition Costs Costs associated with the migration of Customer data from the Health Connector's existing customer service vendor into the Contractor's CRM and other systems 4 Staff Readiness Start-up and Transition Costs Costs associated with hiring, onboarding and training staff to ensure that Contractor's staff are fully knowledgeable of the Health Connectors' programs and policies, Exchange systems functionality and Contractor-owned systems and are fully equipped to successfully transition responsibilities from exiting Vendor to the Connector 5 Testing and Quality Assurance Costs Costs associated with testing and quality assurance to ensure that Contractor's system…..

6 Reporting Start-up and Transition Costs Costs associated with design, development and implementation of a reporting system and custom reports package that meets the needs of the Health Connector as defined in Section 9 (Reporting Requirements) of RFR Attachment C 7 Other Costs Related to Transition and Implementation Any costs otherwise not broken out above that would be incorporated into the Connector's transition

Ongoing Structure Ongoing cost structure for Premium Billing & Enrollment Contractor shall select one of the three available options below. Hybrid models of available cost below models will not be accepted.

For ongoing operations is years 1-3, rates shall remain flat. If option years are awarded to the Contractor by the Health Connector, a maximum rate increase of 3% each year is allowed

Business Function of Preffered Pricing Model

RFI Response Pricing Model:

• Noticing

• Enrollment

Year 5*

Year 5*

RFI Response Pricing Model:

Year 5* 7/1/2020-6/30/2021 7/1/2021-6/30/2022 7/1/2022-6/30/2023 7/1/2023-6/30/2024 7/1/2024-6/30/2025

*- Option Years, if awarded by the Health Connector

Year 5* 7/1/2020-6/30/2021 7/1/2021-6/30/2022 7/1/2022-6/30/2023 7/1/2023-6/30/2024 7/1/2024-6/30/2025

*- Option Years, if awarded by the Health Connector

Rate Card

Year 5*

Customization

FTE

TM Rates

Payment for any Time and Materials-based Task Order shall be made based on the rates provided in this table.

Bidder shall provide the fully-loaded hourly rate for each resource proposed for the duration of the HIX engagement, including any contract extension(s). Rates shall be fixed for the initial term of the Contract, and thereafter any proposed increase shall be negotiated by the Parties but in no case shall exceed 2% per year or the change in the Consumer Price Index, whichever is lower.

Bidder shall list Key Personnel by name and descriptive title/position. All others may be listed by descriptive title/position only. Bidder shall also indicate for each resource whether such resource will be peforming their work Onshore (i.e. within the United States) or Offshore (i.e. not within the United States). EOHHS expects that the rates for Offshore resoures appropriately reflect the labor costs in each resource's country of operation.

Additional Services

Proposed Pricing for Additional Services (Ref Section 5.5)

The Bidder shall propose pricing for each of the three Additional Services as described in Section 5.5. For each, Bidder shall indicate whether the Bidder is proposing a Fixed Price or T&M model, provide the applicable details, and any underlying assumptions or contracts. For T&M, the Not To Exceed (NTE) amount must be based on the fully loaded hourly rates provided. The cost proposal and supporting information must align with the Bidder's project plans as required under Section 5.5.

Hardware and software costs, including all Contractor proprietary solutions and any solutions or related components of Third Parties proposed to be used. Please specify

Any costs otherwise not detailed above. Please specify.

Hardware and software costs, including all Contractor proprietary solutions and any solutions or related components of Third Parties proposed to be used. Please specify

Hardware and software costs, including all Contractor proprietary solutions and any solutions or related components of Third Parties proposed to be used. Please specify.

Third Party vendor technology costs must be passed through to the Commonwealth with no markup. Additionally, Bidders must disclose any open-ended pricing agreements with Third Party technology vendors, and must provide the terms of any price increase cap agreements with such vendors.