MHCC 27-013 Attachment B Financial Proposal Form.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
MHCC 27-013 EVALUATION OF UNCOMPENSATED CARE GRANTS
Solicitation number
BPM059726
Issued by
Maryland

About this file

This is a Financial Proposal Form for MHCC 27-013, an evaluation contract issued by the Maryland Health Care Commission to assess the impact of uncompensated care grants provided to federally-qualified health centers and local health departments. The evaluation will measure whether a $25 million shift from hospital rate adjustments to community settings preserves access to care, reduces unnecessary emergency department utilization, and contains statewide healthcare costs. The form requests pricing for six key deliverables: Project Management, Performance Indicator Set and Data Sources, Data Collection and Management Plan, Evaluation Plan, Summary of Analytical Findings and Conclusion, and Commission Presentation. Offerors must provide labor hours and rates for three position categories—Project Lead, Programmer/Statistician, and Project Associate—with corresponding totals and a fixed price contract amount.

The Financial Proposal Form provides columns for offerors to enter hourly rates and hours for each position classification across all deliverables, with a line item for each major task and a final total contract price calculation. The form includes signature blocks for authorized representatives of the offeror and requires submission of the offeror's name, address, and contact information. No specific pricing information, set-asides, contract term, or deadline dates are populated in this blank form template.

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Text version

Sheet1 MHCC 27-013 Financial Proposal Form

Key DeliverableProject LeadProgrammer/StatisticianProject Associate
HoursRate$Total$HoursRate$Total$HoursRate$Total$Total Fixed Price
3.2.A Project Management$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.B Performance Indicator Set and Data Sources$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.C Data Collection and Management Plan$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.D Evaluation Plan$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.E Summary of Analytical Fuindings and Conculsion$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
3.2.F Commission Presentation$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
Total Contract Price$ - 0
Submitted by:
Offeror:
Offeror Name (please print or type)
By:
Signature of Authorized Representative
Printed Name:
Printed Name
Title:
Title
Date:
Date:
Address:
Company Address

File details come from the government source that posted it. Updated .