RFP 27-03 Clarification Addendum 4 FINAL.docx

This ADDENDUM 4 (this “Addendum”), dated August 26, 2026 is being issued to Respondents of the referenced RFP 27-03 Revenue Integrity, Managed Care Contract Performance & Patient Financial Platform (the “RFP”), and serves to modify or clarify, as applicable, the following information in the RFP.

It has come to Roswell Park's attention that additional information is necessary to ensure Respondents have sufficient information to prepare complete and responsive proposals. Accordingly, Roswell Park is providing the following clarifications for the benefit of all Respondents.

Additional Clarifications

1. Roswell Park's clinic locations are embedded within the hospital and are not freestanding physician practices.

2. Payer contracts are generally negotiated and managed centrally across Roswell Park. The exception is Roswell Park's Community Practices/Care Network, which may maintain separate payer arrangements and reimbursement terms.

3. Hospital/facility services and professional services are generally negotiated under the same payer agreement.

4. Roswell Park utilizes multiple reimbursement methodologies across its payer contracts. Roswell Park does not receive reimbursement based on Diagnosis Related Groups (DRGs). Depending on the payer and the specific services provided, reimbursement methodologies may include percent of charges, case rates, bundled payments, per diem arrangements, and fee schedules. In some instances, a single payer agreement may contain different reimbursement methodologies for different services.

5. For Medicare Advantage and commercial contracts that reference Medicare reimbursement, reimbursement methodologies vary by contract and service type. As noted above, Roswell Park utilizes a variety of reimbursement methodologies rather than a single standardized approach.

All other terms, conditions, and requirements of RFP 27-03 remain unchanged unless specifically modified by a subsequent addendum image1.jpeg