BILLING-0832 - USA (Denver, Colorado) - Primary Care Payment Reform Collaborative Service - Deadline August 27,2019

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: BILLING-0832

Government authority located in Denver, Colorado; USA based organization looking for expert vendor for primary care payment reform collaborative service.

[A] Budget: Looking for Proposals

[B] Scope of Service:

(1) Vendor needs to provide primary care payment reform collaborative service to the government authority located in Denver, CO.
- Data and Analysis Requirements:
a. Data from the Colorado All-Payer Claims Database on current primary care spend in Colorado, broken down into geographic regions and by market, including commercial insurers, Health First Colorado, and Children’s Health Plan Plus (CHP+)  
b. A summarized recommendation on the Division’s development of affordability standards.
c. A summarized recommendation of the Collaborative’s definition of primary care
d. Summary of current health insurer practices and methods of reimbursement that direct greater health care resources and investments toward health care innovation and care improvement in primary care
e. Barriers identified by the Collaborative to the adoption of alternative payment models by health insurers and providers and recommendations to address these barriers
f. Recommendations to increase the use of alternative payment models that are not fee-for-service in order to increase investment in advanced primary care delivered by practices that are Patient Cantered Medical Homes or practices that have demonstrated ability to provide high-quality primary care
g. Recommendations to align primary care reimbursement by all consumers
h. Recommendations on how to best direct investment toward higher-value primary care services with an aim at reducing health disparities
i. Recommendations on how to increase investment in advanced primary care without increasing costs to consumers or increasing the total cost of health care
- Reporting and Support Requirements:
1) Create a preliminary draft report of primary care Collaborative’s recommendations. Make drafts available to the Division for review no later than December 1st, 2019.
2) Finalize report content after receiving the Collaborative and Division’s feedback, no later than December 10th, 2019.  
3) Provide support after the Division submits required report, including responding to questions and requests for additional information from the General Assembly and/or the Collaborative members as necessary.
- Project Management Requirements:
1) Provide a project plan with timetable for completing all work on the project
2) Compile and maintain detailed records of time spent on various review activities
3) Prepare and deliver a monthly progress report to the Deputy Commissioner. This report shall include a summary of work completed during the period, work in progress to date, and a detailed record of hours expended during the period
(2) All question must be submitted no later than August 21, 2019.

[C] Eligibility:

Onshore (USA Only)

[D] Work Performance:

Performance of the work will be Offsite. Vendor needs to carry work in their office location.

Expiry Date : Tuesday, 27 August, 2019

Question Answer Deadline : Wednesday, 21 August, 2019

Category : Billing Services

Country : USA

State : Colorado

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