Data Pkg 25 - OHI Development.xlsx
XLSX spreadsheet 12 KB Posted
- Attached to
- DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) Federal contract opportunity
- Solicitation number
- HT940220R0002
- Issued by
- Defense Health Agency
About this file
This document contains a draft request for proposals for pharmacy services under the TRICARE program. The Defense Health Agency is seeking a follow-on stand-alone contract to provide pharmacy benefits to TRICARE beneficiaries for an estimated period of up to nine years, including an 18-month transition period, seven 1-year option periods, and a potential 6-month extension. Services will cover retail network administration, mail order, specialty pharmacy, and coordination of clinical services. The draft RFP includes sections on contract structure, requirements for the pharmacy benefit provider network, quality management, and patient safety reporting. Interested vendors are invited to submit questions on the draft RFP by January 17, 2020 relating to the use of statements of objectives, specialty pharmacy services, retail network access, compounded medications, care coordination, and patient safety notifications. The agency intends to issue a formal solicitation in mid-2020 and hold an informational session on the draft RFP on December 11, 2019 to provide an overview and take questions from potential offerors in advance.
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Text version
Sheet1
| OHI Development | ||||||||||||||||||||||||
| Potential OHI | Jan-17 | Feb-17 | Mar-17 | Apr-17 | May-17 | Jun-17 | Jul-17 | Aug-17 | Sep-17 | Oct-17 | Nov-17 | Dec-17 | Jan-18 | Feb-18 | Mar-18 | Apr-18 | May-18 | Jun-18 | Jul-18 | Aug-18 | Sep-18 | Oct-18 | Nov-18 | Dec-18 |
| Total OHI Identified | 94,671 | 77,297 | 144,793 | 441,618 | 149,494 | 117,912 | 182,272 | 162,001 | 83,830 | 93,466 | 83,224 | 81,717 | 105,191 | 87,028 | 88,777 | 86,366 | 79,585 | 81,939 | 81,167 | 96,509 | 78,306 | 106,970 | 92,035 | 85,169 |
| Total Number of Letters Sent | 48,280 | 49,017 | 49,988 | 41,247 | 31,349 | 33,381 | 37,914 | 31,641 | 27,931 | 25,428 | 24,565 | 21,090 | 28,806 | 25,772 | 22,081 | 19,562 | 18,313 | 15,676 | 18,112 | 17,628 | 11,530 | 17,758 | 14,084 | 16,248 |
| OHI Forms | Jan-17 | Feb-17 | Mar-17 | Apr-17 | May-17 | Jun-17 | Jul-17 | Aug-17 | Sep-17 | Oct-17 | Nov-17 | Dec-17 | Jan-18 | Feb-18 | Mar-18 | Apr-18 | May-18 | Jun-18 | Jul-18 | Aug-18 | Sep-18 | Oct-18 | Nov-18 | Dec-18 |
| Total number of Forms Returned | 9,609 | 5,319 | 5,907 | 4,408 | 4,174 | 3,646 | 3,281 | 3,773 | 2,494 | 2,991 | 2,506 | 2,351 | 2,015 | 2,281 | 3,691 | 2,062 | 1,419 | 1,443 | 1,886 | 1,847 | 1,526 | 1,246 | 1,040 | 844 |
| Percentage of Forms Returned | 19.90% | 10.85% | 11.82% | 10.69% | 13.31% | 10.92% | 8.65% | 11.92% | 8.93% | 11.76% | 10.20% | 11.15% | 7.00% | 8.85% | 16.72% | 10.54% | 7.75% | 9.21% | 10.41% | 10.48% | 13.24% | 7.02% | 7.38% | 5.19% |
| Total number of Confirmations | 7,010 | 4,619 | 4,913 | 3,637 | 3,443 | 2,918 | 2,605 | 3,001 | 1,997 | 2,408 | 1,995 | 1,770 | 1,556 | 1,792 | 2,826 | 1,637 | 1,111 | 1,118 | 1,470 | 1,140 | 1,171 | 951 | 794 | 621 |
| Percentage of Confirmations | 14.52% | 9.42% | 9.83% | 8.82% | 10.98% | 8.74% | 6.87% | 9.48% | 7.15% | 9.47% | 8.12% | 8.39% | 5.40% | 6.95% | 12.80% | 8.37% | 6.07% | 7.13% | 8.12% | 6.47% | 10.16% | 5.36% | 5.64% | 3.82% |
| Total number of Denials | 1,000 | 569 | 869 | 646 | 668 | 652 | 619 | 691 | 450 | 539 | 468 | 517 | 406 | 439 | 797 | 402 | 294 | 301 | 391 | 327 | 341 | 286 | 236 | 215 |
| Percentage of Denials | 2.07% | 1.16% | 1.74% | 1.57% | 2.13% | 1.95% | 1.63% | 2.18% | 1.61% | 2.12% | 1.91% | 2.45% | 1.41% | 1.70% | 3.61% | 2.06% | 1.61% | 1.92% | 2.16% | 1.86% | 2.96% | 1.61% | 1.68% | 1.32% |
| Beneficiary OHI | Jan-17 | Feb-17 | Mar-17 | Apr-17 | May-17 | Jun-17 | Jul-17 | Aug-17 | Sep-17 | Oct-17 | Nov-17 | Dec-17 | Jan-18 | Feb-18 | Mar-18 | Apr-18 | May-18 | Jun-18 | Jul-18 | Aug-18 | Sep-18 | Oct-18 | Nov-18 | Dec-18 |
| Placeholders Created | 47,614 | 44,080 | 65,337 | 232,967 | 58,447 | 54,638 | 59,864 | 40,011 | 27,700 | 28,818 | 23,528 | 21,860 | 31,058 | 24,852 | 23,657 | 22,996 | 20,667 | 18,245 | 18,061 | 19,166 | 16,546 | 19,830 | 16,444 | 15,281 |
| Full Records Built Out | 47,051 | 33,217 | 79,453 | 205,054 | 91,042 | 63,271 | 122,398 | 121,987 | 56,127 | 64,648 | 59,696 | 59,854 | 74,133 | 62,176 | 65,120 | 63,361 | 58,915 | 63,691 | 63,106 | 77,343 | 61,760 | 87,137 | 75,591 | 69,888 |
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