Health Plan Cost Comparison Study

The Defense Health Agency (DHA) has issued a Request for Information seeking contractors to conduct a Health Plan Cost Comparison Study for TRICARE Health Plan products. The procurement requires actuarial expertise and analytical services to develop a comprehensive rate study methodology comparing the Uniformed Services Family Health Plan (USFHP) with other TRICARE health plan products using standardized metrics. Key objectives include calculating total cost of care, creating defensible benchmarking approaches, implementing risk scoring and adjustments based on enrolled populations, and developing proxy estimated capitation rates. The contractor must provide data assessment, standardization of comparison groups, normalization of pricing, development of actuarial datasets, and presentation of findings while maintaining 98% data accuracy standards. Interested parties must submit responses by August 22, 2025 at 10:00 AM Eastern Time via email to Contracting Officer Jeanna Butler and Contract Specialist Theophilus Agyare.

This opportunity operates under NAICS code 541990 (All Other Professional, Scientific and Technical Services) with no set-aside designation currently specified, though the government may consider small business set-aside, full and open competition, or sole source contracting based on market research results. The contract is structured as a non-personal services agreement running from October 1, 2025 to September 30, 2026, with a base period and potential extension option. Work will be performed off-site or at Defense Health Headquarters in Falls Church, Virginia, with an estimated annual travel budget of $5,000. Key deliverables include data management, actuarial analysis, stakeholder engagement reports, and comprehensive documentation to support strategic financial management objectives and enable data-driven decisions for TRICARE product offerings. No incumbent contractors or specific award values are mentioned in the available documentation.