Q&A Document RFP S-44000-00009689.pdf

RFP # S-44000-00009689 Market Stabilization Actuarial Services Page 1 of 3

DMARKET STABILIZATION ACTUARIAL SERVICES

FORMAL SOLICITATION #S-44000-00009689

QUESTIONS & ANSWERS

Question Answer

Section 2.4, Scope of Work/Specifications

1 RFP pg. 8

“Agency anticipates that it may require additional actuarial analyses Services that exceed Agency’s capacity to conduct in-house actuarial staff time or might benefit from access to large, longitudinal national databases that are not available to Agency.”

Will the use of publicly available Unified Rate Review Tool files be sufficient in place of access to large, longitudinal national databases?

No, Oregon requires the additional Federal Clearing house Data when collecting partial formation from eligible health carriers who report their data to Department of Health and Human Services via the E.D.G.E Server.

2 RFP pg. 8

Please clarify if the budget for the initial 2-year contract term should encompass only the following services specifically related to the 1332 reinsurance program as specified in Section 2.4 in the first three bullets, “• Analysis and modeling for the Oregon Reinsurance Program regulatory and enrollment changes.

• Update payment parameters (attachment point, coinsurance rate and cap) for the Oregon Reinsurance Program for contract term in accordance to current state law, and a methodology report outlining the assumptions and methods used.

• Calculate data elements required by the Centers for Medicare & Medicaid Services, Center for Consumer Information and Insurance Oversight for pass-through funding.”

The Contracts are a minimum 5 years.

Yes, The State of Oregon may ask for additional analysis for Legislative Bills and Policy implementations that impact the Oregon Reinsurance Program.

RFP # S-44000-00009689 Market Stabilization Actuarial Services Page 2 of 3 and not the anticipated additional actuarial services such as merged market analysis or reestablishing a state reinsurance pool.

3 RFP pg. 8

For the “actuarial services annually” items, do you anticipate that the consultant will perform modeling of the

ORP:

1. Both with and without the assumption that the enhanced premium tax credits available under the IRA extend beyond CY 2025?

2. With the assumption that any other state programs will be introduced that would cause demand for coverage in the individual ACA market to be different than without such program(s)?

1. Yes

2. Yes

4 RFP pg. 8

Can you confirm our understanding that for the “additional actuarial analysis Services”?

“The successful bidder must have access to a large, longitudinal national database that is not available to the Agency”, such as the MarketScan database?

All successful bidder(s) are require to have access to all federal clearing houses for healthcare data (EDGE Server etc.)

5 RFP pg. 9

The bullet at the top of the page indicates “reestablishing and expanding a state reinsurance pool.” How does a new reinsurance pool differ from the current reinsurance program in place in the State under its Section 1332 waiver?

This (state reinsurance pool) would be a replacement program if the PPACA 1332 Waiver sunsets.

Section 3.3.5, Technical Proposal (Mandatory Scored)

6 RFP pg. 11

With regard to the requested management plan, milestones, timing, strategy, etc. please confirm if this should cover the “actuarial services annually” or also include the “additional actuarial services.” If both, since the

The Contracts are a minimum 5 years.

Yes, The State of Oregon may ask for additional analysis for legislative Bills and Policy that impact the Oregon Reinsurance Program

RFP # S-44000-00009689 Market Stabilization Actuarial Services Page 3 of 3 additional actuarial services are not yet known with certainty, what scope should we consider/anticipate for this portion of the response?

For example, should we outline how we would approach modeling a merger of the individual and small group markets?”

Are there other potential additional actuarial projects we should provide a project management, timeline, etc. for?

Section 3.3.9, References

7 RFP pg. 13

May individuals from another agency within the State of Oregon serve as a reference?

Yes.

Section 4.5.1, Delivery through OregonBuys

8 RFP pg. 15

If we wish to include information in our proposal that is proprietary and trade secret, may we provide a second copy of our proposal with those items redacted that can be used for any public data requests?

DCBS does not require bidder(s) to potentially expose proprietary data for the sake of PHI/PI/HIPPA in accordance to public data request to protect the interest of the Public -at- Large.

General Questions

9 Please provide your estimated budget limit or budget range for this project.

This bidding process will be confidential until a contract has been accepted.

10 Which organization has previously completed this work, and for what duration?

This Oregon Reinsurance Program has been launched under Wakely for five years then NovaRest for five years.

11 Does the state have a budget for the core scope of work outlined in the RFP? If so can the budget and term (in years) that it would cover be shared?

This bidding process will be confidential until a contract has been accepted.

12 Revisions to Attachment A, Sample Price Agreement

Per Section 5.4 of the RFP, any revisions to the Price Agreement will be negotiated post award.