LSJ FY25-0069_Redacted.pdf

This Limited Sources Justification (LSJ) documents a Firm Fixed Price (FFP) task order with Mercer (US), LLC through the General Services Administration Multiple-Award Schedule Program for the Defense Health Agency (DHA). The contract provides essential actuarial services to support the development and implementation of capitation rates for the Competitive Plans Demonstration (CPD) population, with key tasks including data cleaning, file construction, proxy capitation rate analysis, reconciliation of enrollment data, and ongoing rate adjustments for the TRICARE Health Plan.

The contract includes a base period from 9/1/2025 to 8/30/2026 and three option periods extending through 12/31/2028, all funded through Operations & Maintenance (O&M) funding. Market research conducted in April 2025 determined no other source could satisfy the requirement in the necessary timeframe. The demonstration project is scheduled for ongoing evaluation until the end of 2028, after which actuarial services will be competed in the commercial marketplace. Mercer was selected based on their unique qualifications in developing the CPD rate model, with the implementation of rates critical for transitioning TRICARE to a full risk managed care product.