RFI Comment Matrix - Expanded CPD HT9402-24-RFI-0217.xlsx
XLSX spreadsheet 24 KB Posted
- Attached to
- Request for Information (RFI), Expanded Competitive Plans Demonstration (CPD) Program, HT9402-24-RFI-0217
- Solicitation number
- HT9402-24-RFI-0217
- Issued by
-
Defense Health Agency
About this file
This document is a Request for Information (RFI) from the Defense Health Agency (DHA) regarding the Expanded Competitive Plans Demonstration (CPD) program, Solicitation Number HT9402-24-RFI-0217. The RFI seeks information from Managed Care Entities (MCEs) on their ability to support a statewide or regional TRICARE beneficiary enrollment program, including administrative infrastructure, minimum enrollment requirements, regulatory compliance, and service delivery capabilities. The RFI also includes general questions for industry, such as the likelihood of participation if the contract is solicited as a commercial service contract. The RFI instructs respondents to submit their comments and questions using the provided Excel template by July 31, 2024. The expanded CPD program is expected to begin healthcare delivery in Calendar Year 2026, with additional markets transitioning in during Calendar Year 2027. The Government is interested in testing alternative payment and delivery models and understanding MCEs' willingness to take financial risk for the enrolled population.
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Instructions
| HT9402-XX-RFI-XXXX Instructions |
| All comments and questions shall be submitted in this Excel document template. |
All responses/questions shall be sent by email to marcus.r.webb.civ@health.mil Please ensure files are clearly labeled with your Organization's Name (for example: XYZ Company RFI-0133.xlsx)
Instructions for completing the Excel Worksheet:
The second tab are questions the Government has for Industry. Please include your general organizational information in the yellow highlighted area.
The third tab is to be used to submit questions to the Government directly related to the RFI content.
All responses are due not later than 12pm, MST Wednesday, July 31, 2024
RFI Questions for Industry
| Organization Name: | |||
| Question # | Request for Information Question | Industry Response | Supporting Information |
| Managed Care Entity (MCE) Information | |||
| 1 | Where are you currently operating as an MCE? Please list counties and states | ||
| 2 | What lines of business does your MCE offer (e.g., Medicaid, Medicare, Commercial, Exchange)? | ||
| 3 | Approximately, how many enrollees does your MCE currently serve? | ||
| Potential Competitive Plan Demonstration (CPD) Opportunity | |||
| If DHA were to offer a CPD that includes a statewide or regional (i.e., multistate) catchment area: | |||
| 1 | Does your MCE have the administrative infrastructure to support a statewide effort (e.g., data interoperability, DHA system requirements)? | ||
| 1.a | If yes, what strengths does your MCE have to support the effort? | ||
| 1.b | If no, what are the challenges your MCE would have? | ||
| If your MCE can support a statewide or regional effort: | |||
| 3 | What is the minimum number of enrollees that your MCE feels is needed to manage risk within a state or regional effort? | ||
| 4 | Does your MCE have any state or federal regulatory compliance concerns if DHA chooses a statewide or regional product? | ||
| 5 | What regions could your MCE support based on your current market share? Please list by counties, states, and or prime service areas (PSAs). | ||
| 6 | Which states or regions are most favorable and why? Please list by counties, states, and or prime service areas (PSAs). | ||
| 7 | Are there a particular states or regions your MCE would not recommend, why or why not? Please list by counties, states, and or prime service areas (PSAs). | ||
| 8 | What services, activities, or infrastructure can your MCE leverage to strengthen the care delivery system a state or region from the standpoint of care coordination, access, and capacity? | ||
| General Questions | |||
| 9 | If this project would be solicited as a Commercial Service contract rather than Non-Commercial; would this increase the likelihood of your firm's participation in the Expanded Competitive Programs Demonstration 2.0? Why or why not? | ||
| 10 | Do you have any of information or recommendations for the Defense Health Agency to remove barriers to your firm's participation in the Expanded Competitive Plans Demonstration? |
&"-,Bold"&14DHA T-5 Procurement
General Questions from Industry
| Organization Name: | |||
| # | Question | Government Response | Supporting Information |
&"-,Bold"&14DHA T-5 Procurement
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