FinalEvaluationDocument.pdf

This Final Evaluation Document presents the scoring results for RFP #122436 O5, issued by the State of Nebraska Department of Administrative Services for Administrative Support Services related to the state's employee health care prescription drug benefit plans. The solicitation sought a Pharmacy Benefit Manager (PBM) to provide comprehensive administrative support services for approximately 13,600 enrolled members, including active employees, pre-65 retirees, COBRA participants, and their dependents. Services required encompass claims adjudication, member enrollment, formulary management, clinical management, pharmacy network management, and member services. The RFP was released on June 9, 2025, with proposals due by July 18, 2025, at 2:00 p.m. Central Time. The contract term is scheduled to begin on July 1, 2026, and run through June 30, 2029, with two optional one-year renewal periods available. An anticipated contract award was scheduled for October 2025.

The evaluation was conducted using a three-part scoring system allocating 25 points for Corporate Overview, 55 points for Technical Approach, and 20 points for Cost Proposal, totaling 100 possible points. Five vendors were evaluated: Blue Cross and Blue Shield of Nebraska, Inc. (14.13 corporate, 29.62 technical, 16.80 cost; ranked 1st with 60.55 total points), MedImpact Healthcare Systems, Inc. (11.75 corporate, 29.95 technical, 17.60 cost; ranked 3rd with 59.30 total points), Optum Rx, Inc. (9.75 corporate, 30.65 technical, 20.00 cost; ranked 2nd with 60.40 total points), United HealthCare Services, Inc. (12.75 corporate, 29.20 technical, 18.50 cost; ranked 4th with 60.45 total points), and Rightway Healthcare, Inc. (10.75 corporate, 25.11 technical, 19.40 cost; ranked 5th with 55.26 total points). Administrative service fees are structured on a per member per month (PMPM) basis with guaranteed pricing for pharmacy network services, and no administrative fees are payable until the benefit plan year commences on July 1, 2026.