SRC0000037427 Part 5 Cost Proposal.docxSRC0000037427 Part 5 Cost Proposal.docx
DOCX document 65 KB Posted
- Solicitation number
- SRC0000037427
- Issued by
- Ohio
About this file
This is a Cost Proposal Form for the State of Ohio Department of Administrative Services' Employee Population Health Management (PHM) Program (RFP #SRC0000037427). The project seeks to contract with one vendor to administer the PHM program for approximately 42,550 eligible state employees, surviving spouses of Ohio Police & Fire Death Benefit Fund recipients, and their dependents across approximately 1,540 work locations concentrated in Ohio. The scope includes Administrative Services Only (ASO) fees, lifestyle management coaching programs, biometric screening services, and optional value-added services. The contract encompasses general administration functions such as account administration, eligibility processing, banking, and standard reports; member services including a dedicated toll-free telephone line and online health risk assessments; and technology infrastructure including portal fees, mobile applications, and data feeds. The estimated employee population is 606,000 for PEPM (Per Employee Per Month) calculations, with additional usage metrics including 12,000 participants for lifestyle management coaching programs and 6,000 for tobacco cessation coaching annually.
The cost proposal establishes pricing structures across multiple service categories with specified units of measure and estimated usage quantities. One-time setup costs include implementation fees and Single Sign-On establishment through up to five different contractors. Recurring ASO fees are calculated on a PEPM basis at varying rates, while lifestyle management coaching is priced per participant administered per month (PPAPM). Biometric screening events are priced per participant at $18 per event, with physician form processing charged per form submitted. Optional services including customized portals, additional data feeds beyond five, enhanced reporting, and third-party offsite lab screenings are available at additional cost but excluded from the base cost evaluation. All costs must be quoted in U.S. Dollars, and the State will not reimburse any costs not identified in the proposal or cover travel-related expenses. Amendment 2 (Lot 1 Round 3) modified the unit of measure for onsite biometric screening events.
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Part 5 - Cost Proposal
This Cost Proposal Form, as fully negotiated and mutually agreed upon between the parties, is incorporated into this Contract by reference as if fully rewritten herein.
ONE-TIME SETUP COSTS
| ITEM |
| UNIT OF MEASURE (UOM) |
| ESTIMATED |
USAGE
COST PER UOM
| One Time Set-up fee (must include all fees to implement) |
| OCCURANCE |
| 1 |
| $ |
| Single Sign-On (through up to 5 different contractors) |
| OCCURANCE |
| 1 |
| $ |
ADMINISTRATIVE SERVICES ONLY (ASO) FEES
GENERAL FEES
| ITEM |
| UNIT OF MEASURE (UOM) |
| ESTIMATED |
ANNUAL
USAGE
COST PER UOM
General Administration (account administration, eligibility processing, banking, standard reports)
| Per Employee Per Month (PEPM) |
| 606,000 |
| $ |
| Outreach Coordinators |
| PEPM |
| 606,000 |
| $ |
| Dedicated Member Services Toll Free Telephone Line |
| PEPM |
| 606,000 |
| $ |
| Online Health Risk Assessment |
| PEPM |
| 606,000 |
| $ |
ADMINISTRATIVE SERVICES ONLY (ASO) FEES (Cont.)
| ITEM |
| UNIT OF MEASURE (UOM) |
| ESTIMATED |
USAGE
COST PER UOM
| Incentives Tracking |
| PEPM |
| 606,000 |
| $ |
| Incentive Administration |
| PEPM |
| 606,000 |
| $ |
| Portal Fees |
| PEPM |
| 606,000 |
| $ |
| Individual Based Challenges |
| PEPM |
| 606,000 |
| $ |
| Mobile Applications |
| PEPM |
| 606,000 |
| $ |
| Communications |
| Per Plan Year |
| 1 |
| $ |
| Data Feeds (through up to 5 different contractors) |
| PEPM |
| 606,000 |
| $ |
LIFESTYLE MANAGEMENT (LM) COACHING FEES
| ITEM |
| UNIT OF MEASURE (UOM) |
| ESTIMATED |
ANNUAL
USAGE
COST PER UOM
| Phone-Based Programs Lifestyle Management (LM) Coaching |
| Per Participant Administered Per Month (PPAPM) |
| 12,000 |
| $ |
| Medium to High-Risk LM Phone-Based Programs (disease management) |
| PPAPM |
| 12,000 |
| $ |
| LM Computerized Cognitive Behavioral Therapy (CCBT) App (One Year of Access) |
| One-time Annual Fee |
| 6,000 |
| $ |
| LM Tobacco Cessation Coaching Program (Not Including Nicotine Replacement Therapy) |
| PPAPM |
| 6,000 |
| $ |
BIOMETRICS FEES
| ITEM |
| UNIT OF MEASURE (UOM) |
| ESTIMATED |
ANNUAL
USAGE
COST PER UOM
| Onsite Biometric Screening Events |
| *Per Biometric Screening Event Participant |
| 18,000 |
| $ |
| Physician Form (when form is processed, not when form is requested) |
| Per Form |
| 6,000 |
| $ |
OTHER FEES
THE LINE ITEMS BELOW ARE OPTIONAL. THEY ARE NOT INCLUDED IN THE COST EVALUATION
| ITEM |
| UNIT OF MEASURE (UOM) |
| COST PER UOM |
| Out-of-Scope Reporting |
| Per Hour |
| $ |
| Customized Member Portal |
| One-time Annual Fee |
| $ |
| Customized Mobile Application |
| One-time Annual Fee |
| $ |
| Additional Data Feeds (over five) |
| Per Data Feed |
| $ |
| Additional Single-Sign-On (over five) |
| Per Single-Sign-On Established |
| $ |
| Display any prior authorizations submitted by Member for other Agency benefit TPAs and their status within the portal. |
| One-time Annual Fee |
| $ |
*Denotes change to unit of measure per, Lot 1 Round 3.
| High performing provider search tool (accounting for cost and quality) within the portal. |
| One-time Annual Fee |
| $ |
| Third-party Offsite Lab Biometric Screenings |
| Per Administered |
| $ |
Additional innovation or value-added services (add rows as needed)
Offeror best practices (add rows as needed)
Offeror additional LM programs (add rows as needed)
All costs must be in U.S. Dollars.
The State will not be responsible for any costs not identified.
There will be no additional reimbursement for travel or other related expenses.
State of Ohio Department of Administrative Services Employee Population Health Management Program – RFP #SRC0000037427
On behalf of the Department of Administrative Services
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