REQUEST FOR PROPOSALS #2025-06 ESRD Population Risk-Based Management

Closed State & local contract opportunity Posted

Solicitation number
S-X26083-00015506
State
Oregon
Responses due

Opportunity facts

Jurisdiction
UNSPSC codes
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Point of contact

Opportunity details come from oregonbuys.gov. Updated .

About this opportunity

Written by GovTribe AI ·

CareOregon, a 501(c)(3) nonprofit health plan in Oregon, is seeking a risk-bearing entity to provide comprehensive End Stage Renal Disease (ESRD) Population Risk-Based Management services through a Request for Proposals (RFP) #2025-06. The procurement targets a contractor to design and deliver proactive population health management for approximately 200-250 ESRD members enrolled in CareOregon Advantage, a Dual Eligible Special Needs Plan (D-SNP) Medicare Advantage plan. Key deliverables include developing kidney care programming, ensuring members receive all entitled benefits, and implementing population health management for early-stage chronic kidney disease through ESRD. The RFP evaluation will assess proposals across four core areas: General Background and Qualifications (0-30 points), Scope of Work (0-35 points), Equity, Diversity, and Inclusion Efforts (0-10 points), and Fees (0-25 points), totaling 100 possible points. Critical proposal submission details include a maximum 15-page response, email submission to vendorservices@careoregon.org by January 6, 2026, at 2:00 PM Pacific Time, with clarifying questions due by December 22, 2025. The contract is set to commence in February 2026 for an initial three-year period through December 31, 2028, with options for two additional one-year renewals.

Proposers must be risk-bearing entities capable of assuming medical expenses and demonstrating substantial experience with Medicaid, Medicare Advantage, CKD, and ESRD populations. While no specific set-aside designations are mentioned, the RFP emphasizes robust qualifications, including expertise in CMS Kidney Care Choices Models, HEDIS data utilization, and ability to implement programs within six months. The fee structure is flexible, accommodating risk-sharing arrangements ranging from full capitation to fixed fees, time and materials pricing, or contingency fees based on savings. CareOregon requires the selected contractor to execute a contract and provide comprehensive insurance coverage, including Commercial General Liability ($1,000,000 per occurrence/$2,000,000 aggregate), Professional Liability ($1,000,000 per occurrence/$2,000,000 aggregate), and Cyber Liability ($1,000,000 per occurrence). Although specific budget ranges are not explicitly stated, the RFP indicates a preference for risk-sharing arrangements and emphasizes the proposer's responsibility for administrative fees. The contract will require strict compliance with HIPAA regulations and CareOregon's Data Security Requirements.

Opportunity text

CareOregon is seeking a risk bearing entity to design and provide proactive population health management for members with early-stage kidney disease through End Stage Renal Disease (ESRD), provide a kidney care program, and ensure members are receiving all benefits they are entitled to. Work is to begin in February, 2026, continuing for a three-year period with the option of two (2) one (1) year renewals thereafter.

Files

File Type Posted
RFP 2025-06 ESRD Management Clarifying Questions 1.pdf PDF
RFP 2025-06 ESRD Management Clarifying Questions 3.pdf PDF
RFP 2025-06 ESRD Population Risk-Based Management.pdf PDF
RFP 2025-06 ESRD Management Clarifying Questions 2.pdf PDF

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