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RFI Template
| RFI DATA ELEMENTS |
| The Strategic Planning Division (SPD) in the Veterans Health Administration requires an actuarial consulting firm as prime vendor to provide health care actuarial support via consulting, modeling, and analytical services for five years with a base year plus four option periods. Consultation requirements are unique to each task. |
This potential effort is for actuarial consulting, analysis, and modeling services. The SPD and its actuarial consultant develop the VA Enrollee Health Care Projection Model (EHCPM) and other actuarial models to support development of the VA medical care budget, strategic, capital, and workforce planning, and policy analysis. VA is dependent on the EHCPM projections to support the development of more than 90 percent of the VA medical care budget. The EHCPM is used to provide insight on Veteran demand for VA health care and support VA leadership and stakeholders, including the Office of Management and Budget, Congress, the Government Accountability Office, Congressional Budget Office, and Veteran Service Organizations. The EHCPM produces twenty-year projections of Veteran enrollment, utilization, and costs at a very detailed level for each fiscal year. Tasks that support development of the EHCPM and other actuarial models involve collaboration between VHA, program offices, and contracted actuaries.
The VA health care system and the broader environment are continually changing, and the enrollment, utilization, and expenditure projections must reflect the impact of these changes. This requires that the VHA SPD and its actuarial consultants work closely with VA program offices, field staff, and researchers to incorporate their vision for the future delivery of health care services (e.g., Patient Aligned Care Team or PACT), the impact of health care initiatives (e.g., mental health), the impact of changes in VA’s infrastructure, and assess and incorporate the impact of proposed policies (e.g., cost sharing), legislation and regulations (e.g., the Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act and Honoring our PACT Act of 2022), and external events (e.g., economic recession and pandemic) on the VA health care system. Additionally, VA serves populations, such as Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn (OEF/OIF/OND) and women veterans, and provides services, such as mental health and long-term services and supports, that require specific consideration in the planning and execution of services. This task may require enhancements to the EHCPM structure, methodology, or supporting analyses to incorporate new or revised assumptions.
Additionally, VA is a dynamic health care system, with rapidly changing policies, direction, and leadership. VA requires actuarial support to meet demands for analysis, projection data, and adjustments to modeling to reflect new system priorities, structures, and approaches These tasks frequently result in assumptions that are input into the EHCPM.
As part of our market research effort, we are seeking input from industry to identify the ability of the commercial market to fulfill potential requirements.
Thank you for your participation.
| Company Information: | |
| 1 | Please enter the following Point of Contact information: | |
| Name of Firm: | |
| Business Address: | |
| Point of Contact Name: | |
| POC Phone Number: | |
| City/Town: | |
| Company Address: | |
| State: | |
| Zip Code: | |
| Website URL address: | |
| Contact Email: | |
| Please provide your company's Unique Entity ID (UEI): | |
| 2 | Please indicate your company's business structure: | |
| (select all that apply) | |
| Sole Proprietorship | FALSE |
| Partnership | FALSE |
| Limited Partnership | FALSE |
| Limited Liability Company (LLC) | FALSE |
| Corporation (For-Profit) | FALSE |
| Nonprofit Corporation (Not-For-Profit) | FALSE |
| Cooperative | FALSE |
| Foreign-Entity Owned | FALSE |
| State-Owned | FALSE |
| Franchise/Subsidiary | FALSE |
| Other, please specify: | FALSE |
| 3 | Please indicate any designations that describe your business: | |
| (select all that apply) | |
| Service-Disabled Veteran Owned Small Business (SDVOSB) | FALSE |
| Veteran Owned Small Business (VOSB) | FALSE |
| 8(a) Business Development Small Business Certification | FALSE |
| Alaskan Native Corporation (ANC) | FALSE |
| Native Hawaiian Organization (NHO) | FALSE |
| Tribally-Owned Concern (TOC) | FALSE |
| HUBZone Business Concern | FALSE |
| Economically Disadvantaged Women-Owned Small Business (EDWOSB in accordance with 19.1503) | FALSE |
| Women-Owned Small Business (WOSB in accordance with 19.1503) | FALSE |
| Small Disadvantaged Business (SDB) | FALSE |
| Small Business as per primary NAICS code 541611 | FALSE |
| Small Business as per primary NAICS code 524298 | FALSE |
| Large Business | FALSE |
| Other, please specify: | FALSE |
| 4 | Identify which of the following NAICS codes your company uses to perform Actuarial Support Services: | |
| (select all that apply) | |
| 518210 -- Data Processing, Hosting and Related Services | FALSE |
| 541611 -- Administrative Management and General Management Consulting Services | FALSE |
| 541499 -- All Other Business Support Services | FALSE |
| 541618 -- Other Management Consulting Services | FALSE |
| 541910 -- Marketing Research and Public Opinion Polling | FALSE |
| 541990 -- All Other Professional, Scientific and Technical Services | FALSE |
| 524298 -- All Other Insurance Related Activities | FALSE |
| Other, please specify: | FALSE |
| 5 | Is your company currently providing support to (Federal or State) government agencies? | |
| No | FALSE |
| Yes. Please specify which agencies/offices: | FALSE |
| 6 | Does your company currently have a VA Blanket Purchase Agreement (BPA) or other VA contract for Actuarial Support Services? | |
| No | FALSE |
| Yes. Please provide the contract number: | FALSE |
| 7 | Does your company currently have an active GSA Federal Supply Schedule (FSS) contract for Actuarial Support Services? | |
| No | FALSE |
| Yes. Please provide the contract number: | FALSE |
8 Please identify the capacity (in hours and availability) your company has to provide Actuarial Support Services:
(select all that apply)
| 40,000 consulting hours per year | FALSE |
| Surge support to cover monthly consulting hour requirements ranging from 1,500 to 3,500 per month | FALSE |
| Cyclical work demand (varies from month-to-month) | FALSE |
| Ocassional weekend consultation | FALSE |
| Availability for consultation 8 a.m. to 5 p.m., ET, M-F | FALSE |
| Provide services on a nation-wide basis | FALSE |
| Provide on-site support in Washington, D.C., when required | FALSE |
| None of the Above | FALSE |
| Other, please specify: | FALSE |
| 9 | Please identify the quantity of tasks and deliverables your company could immediately supply to meet the need for Actuarial Support Services: | |
| (select all that apply) | |
| Meet 1,000+ tasks per year to produce actuarial models | FALSE |
| Deliverables requirements of up to 100 per month | FALSE |
| None of the Above | FALSE |
| 10 | Identify the topics and areas your company has analyzed through an Actuarial Support Services contract: | |
| (select all that apply) | |
| Health Care Trend Rate | FALSE |
| Enrollment Policy | FALSE |
| Women's Health | FALSE |
| Impact of Economic Forecasts | FALSE |
| Inpatient Efficiency | FALSE |
| Outpatient Efficiency | FALSE |
| Pharmacy Efficiency | FALSE |
| Civilian Wage Policy | FALSE |
| Pandemic Impacts | FALSE |
| Dialysis and Related Services Reliance | FALSE |
| Pipeline Drug Impact Policy | FALSE |
| Long Term Services and Supports | FALSE |
| Medicare Allowable Pricing | FALSE |
| Health Care Overhead and Delivery Costs | FALSE |
| Federal legislative and regulatory impacts | FALSE |
| Other relevant experience. Please list at least one example: | FALSE |
| 11 | Identify areas in which your company has provided deliverables and consultation through an Actuarial Support Services contract: | |
| (select all that apply) | |
| Health care system enrollment projections | FALSE |
| Morbidity transitions | FALSE |
| Geographic migration | FALSE |
| Mortality rates | FALSE |
| Copay levels and adjustments | FALSE |
| Geographic area adjustments | FALSE |
| Age and gender adjustments | FALSE |
| Inpatient efficiency analyses | FALSE |
| Long term services and supports analyses | FALSE |
| Morbidity birth year cohorts | FALSE |
| Inpatient workload data | FALSE |
| Outpatient workload data | FALSE |
| Unit cost development | FALSE |
| Work RVU projections | FALSE |
| RVUs covering the entire range of healthcare services | FALSE |
| Newborn care projections | FALSE |
| Regulatory impact analyses | FALSE |
| Community care access | FALSE |
| None of the Above | FALSE |
| Other, please specify: | FALSE |
| 12 | Please indicate the industry areas for which your company has performed Actuarial Support Services: | |
| (select all that apply) | |
| Dental | FALSE |
| Insurance | FALSE |
| Medical Healthcare | FALSE |
| Other Medical | FALSE |
| Pensions and benefits | FALSE |
| Social Services | FALSE |
| Other, please specify: | FALSE |
| 13 | How recent was your company's last Actuarial Support Services contract? | |
| Current | FALSE |
| In last year | FALSE |
| Two years | FALSE |
| Three years | FALSE |
| Four years | FALSE |
| > Four years | FALSE |
| 14 | What was the duration of your company's last Actuarial Support Services contract, including option years? | |
| 1 month to 1 year | FALSE |
| 1 year to 2 years | FALSE |
| 2 years to 3 years | FALSE |
| 3 years to 4 years | FALSE |
| 4 years to 5 years | FALSE |
| 5 years and up | FALSE |
15 Please identify the detail at which your company has available, or has access to, health care benchmark data
| Per capital health care costs | FALSE |
| Per capital utilization data | FALSE |
| Data broken down under age 65 | FALSE |
| Data broken down age 65 and older | FALSE |
| Data broken down by gender | FALSE |
| Data broken down by geography | FALSE |
| Data broken down by service type (e.g., office visits, radiology, pathology, cardiovascular services) | FALSE |
| Identify primary source: | FALSE |
| 16 | Does your company's benchmark data include more than 30 million covered lives? | |
| Yes | FALSE |
| No | FALSE |
| Other: (provide details) | FALSE |
| 17 | Does your company have the ability to provide actuarial-based services as a prime vendor? | |
| Yes | FALSE |
| No | FALSE |
| 18 | How many separate Actuarial Support Service efforts has your company supported in the past 3 years? | |
| None | FALSE |
| 1 | FALSE |
| 2 | FALSE |
| 3 | FALSE |
| 4 | FALSE |
| 5 | FALSE |
| > 5 | FALSE |
| Coordination of survey data sources for comparative analysis | |
| 19 | If your company has experience coordinating data from disparate sources, how recent is that experience? | |
| Current | FALSE |
| In last year | FALSE |
| Two years | FALSE |
| Three years | FALSE |
| Four years | FALSE |
| > Four years | FALSE |
| Work with secure file transfer protocols (FTP) | |
| 20 | Does your company have capacity to ensure secure file transfers? | |
| Yes | FALSE |
| No | FALSE |
| 21 | Has your company provided customers with SAS datasets? | |
| Yes | FALSE |
| No | FALSE |
| Statistical consulting | |
22 Please identify the type of actuarial staff positions your company currently has available on staff:
(select all that apply)
| FSA-credentialed Actuaries -- more than 10 | FALSE |
| FSA-credentialed Actuaries -- 10 or fewer | FALSE |
| ASA-credentialed Actuaries -- more than 10 | FALSE |
| ASA-credentialed Actuaries -- 10 or fewer | FALSE |
| Actuarial Support Staff | FALSE |
| SAS Programmers | FALSE |
| Other, please specify: | FALSE |
23 Identify the types of experience held by your company's SAS Programming staff:
(select all that apply)
| Company does not retain SAS programming staff | FALSE |
| Data analysis in multiple environments | FALSE |
| Database and web-based application development | FALSE |
| Support actuarial consulting staff | FALSE |
| Communication with customers for requirements development | FALSE |
| Other, please specify: | FALSE |