Questions to Vendors - 36C10G27Q0001.xlsx

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R408--Health Care Actuarial Support Services
Solicitation number
36C10G27Q0001
Issued by

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This is a Request for Information (RFI) vendor questionnaire designed to assess industry capability for providing health care actuarial support services to the Department of Veterans Affairs (VA) Veterans Health Administration (VHA). The solicitation number is 36C10G27Q0001, with NAICS code 524298 and Product Service Code R408. The RFI is issued by the VA Enterprise Procurement Office on behalf of the VHA's Strategic Planning Division and serves as market research to inform the procurement method and final Statement of Objectives (SOO) for this requirement.

The potential contract requires an actuarial consulting firm as prime vendor to provide health care actuarial support via consulting, modeling, and analytical services for five years (one base year plus four option years). Key responsibilities include developing and maintaining the VA Enrollee Health Care Projection Model (EHCPM), which produces twenty-year projections of Veteran enrollment, utilization, and costs at detailed fiscal-year levels supporting over 90 percent of VA's medical care budget. The contractor must support budget development, strategic planning, capital and workforce planning, policy analysis, and modeling that incorporates health care initiatives, infrastructure changes, policy impacts, legislative and regulatory requirements (including the MISSION Act and Honoring our PACT Act of 2022), and external events affecting the VA health care system. The questionnaire assesses vendor capabilities across multiple dimensions including business structure and certifications, NAICS code alignment, current government and VA contract experience, capacity for consulting hours and task deliverables, expertise in specific actuarial topics and deliverable areas (enrollment projections, morbidity transitions, unit cost development, regulatory impact analyses), access to health care benchmark data covering 30 million+ covered lives, staffing of credentialed actuaries (FSA and ASA), SAS programming capability, and experience with secure file transfer protocols. Responses were required no later than 2:00 PM on October 21 (year not specified in excerpt).

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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:
1Please 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):
2Please indicate your company's business structure:
(select all that apply)
Sole ProprietorshipFALSE
PartnershipFALSE
Limited PartnershipFALSE
Limited Liability Company (LLC)FALSE
Corporation (For-Profit)FALSE
Nonprofit Corporation (Not-For-Profit)FALSE
CooperativeFALSE
Foreign-Entity OwnedFALSE
State-OwnedFALSE
Franchise/SubsidiaryFALSE
Other, please specify:FALSE
3Please 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 CertificationFALSE
Alaskan Native Corporation (ANC)FALSE
Native Hawaiian Organization (NHO)FALSE
Tribally-Owned Concern (TOC)FALSE
HUBZone Business ConcernFALSE
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 541611FALSE
Small Business as per primary NAICS code 524298FALSE
Large BusinessFALSE
Other, please specify:FALSE
4Identify which of the following NAICS codes your company uses to perform Actuarial Support Services:
(select all that apply)
518210 -- Data Processing, Hosting and Related ServicesFALSE
541611 -- Administrative Management and General Management Consulting ServicesFALSE
541499 -- All Other Business Support ServicesFALSE
541618 -- Other Management Consulting ServicesFALSE
541910 -- Marketing Research and Public Opinion PollingFALSE
541990 -- All Other Professional, Scientific and Technical ServicesFALSE
524298 -- All Other Insurance Related ActivitiesFALSE
Other, please specify:FALSE
5Is your company currently providing support to (Federal or State) government agencies?
NoFALSE
Yes. Please specify which agencies/offices:FALSE
6Does your company currently have a VA Blanket Purchase Agreement (BPA) or other VA contract for Actuarial Support Services?
NoFALSE
Yes. Please provide the contract number:FALSE
7Does your company currently have an active GSA Federal Supply Schedule (FSS) contract for Actuarial Support Services?
NoFALSE
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 yearFALSE
Surge support to cover monthly consulting hour requirements ranging from 1,500 to 3,500 per monthFALSE
Cyclical work demand (varies from month-to-month)FALSE
Ocassional weekend consultationFALSE
Availability for consultation 8 a.m. to 5 p.m., ET, M-FFALSE
Provide services on a nation-wide basisFALSE
Provide on-site support in Washington, D.C., when requiredFALSE
None of the AboveFALSE
Other, please specify:FALSE
9Please 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 modelsFALSE
Deliverables requirements of up to 100 per monthFALSE
None of the AboveFALSE
10Identify the topics and areas your company has analyzed through an Actuarial Support Services contract:
(select all that apply)
Health Care Trend RateFALSE
Enrollment PolicyFALSE
Women's HealthFALSE
Impact of Economic ForecastsFALSE
Inpatient EfficiencyFALSE
Outpatient EfficiencyFALSE
Pharmacy EfficiencyFALSE
Civilian Wage PolicyFALSE
Pandemic ImpactsFALSE
Dialysis and Related Services RelianceFALSE
Pipeline Drug Impact PolicyFALSE
Long Term Services and SupportsFALSE
Medicare Allowable PricingFALSE
Health Care Overhead and Delivery CostsFALSE
Federal legislative and regulatory impactsFALSE
Other relevant experience. Please list at least one example:FALSE
11Identify areas in which your company has provided deliverables and consultation through an Actuarial Support Services contract:
(select all that apply)
Health care system enrollment projectionsFALSE
Morbidity transitionsFALSE
Geographic migrationFALSE
Mortality ratesFALSE
Copay levels and adjustmentsFALSE
Geographic area adjustmentsFALSE
Age and gender adjustmentsFALSE
Inpatient efficiency analysesFALSE
Long term services and supports analysesFALSE
Morbidity birth year cohortsFALSE
Inpatient workload dataFALSE
Outpatient workload dataFALSE
Unit cost developmentFALSE
Work RVU projectionsFALSE
RVUs covering the entire range of healthcare servicesFALSE
Newborn care projectionsFALSE
Regulatory impact analysesFALSE
Community care accessFALSE
None of the AboveFALSE
Other, please specify:FALSE
12Please indicate the industry areas for which your company has performed Actuarial Support Services:
(select all that apply)
DentalFALSE
InsuranceFALSE
Medical HealthcareFALSE
Other MedicalFALSE
Pensions and benefitsFALSE
Social ServicesFALSE
Other, please specify:FALSE
13How recent was your company's last Actuarial Support Services contract?
CurrentFALSE
In last yearFALSE
Two yearsFALSE
Three yearsFALSE
Four yearsFALSE
> Four yearsFALSE
14What was the duration of your company's last Actuarial Support Services contract, including option years?
1 month to 1 yearFALSE
1 year to 2 yearsFALSE
2 years to 3 yearsFALSE
3 years to 4 yearsFALSE
4 years to 5 yearsFALSE
5 years and upFALSE

15 Please identify the detail at which your company has available, or has access to, health care benchmark data

Per capital health care costsFALSE
Per capital utilization dataFALSE
Data broken down under age 65FALSE
Data broken down age 65 and olderFALSE
Data broken down by genderFALSE
Data broken down by geographyFALSE
Data broken down by service type (e.g., office visits, radiology, pathology, cardiovascular services)FALSE
Identify primary source:FALSE
16Does your company's benchmark data include more than 30 million covered lives?
YesFALSE
NoFALSE
Other: (provide details)FALSE
17Does your company have the ability to provide actuarial-based services as a prime vendor?
YesFALSE
NoFALSE
18How many separate Actuarial Support Service efforts has your company supported in the past 3 years?
NoneFALSE
1FALSE
2FALSE
3FALSE
4FALSE
5FALSE
> 5FALSE
Coordination of survey data sources for comparative analysis
19If your company has experience coordinating data from disparate sources, how recent is that experience?
CurrentFALSE
In last yearFALSE
Two yearsFALSE
Three yearsFALSE
Four yearsFALSE
> Four yearsFALSE
Work with secure file transfer protocols (FTP)
20Does your company have capacity to ensure secure file transfers?
YesFALSE
NoFALSE
21Has your company provided customers with SAS datasets?
YesFALSE
NoFALSE
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 10FALSE
FSA-credentialed Actuaries -- 10 or fewerFALSE
ASA-credentialed Actuaries -- more than 10FALSE
ASA-credentialed Actuaries -- 10 or fewerFALSE
Actuarial Support StaffFALSE
SAS ProgrammersFALSE
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 staffFALSE
Data analysis in multiple environmentsFALSE
Database and web-based application developmentFALSE
Support actuarial consulting staffFALSE
Communication with customers for requirements developmentFALSE
Other, please specify:FALSE

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