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MB-3772 - USA (Minnesota) - Group Medical and Pharmacy Plan Administration and Stop Loss Insurance Services - Deadline February 13,2020

Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID: MB-3772

Government Authority located in Minnesota; USA based organization looking for expert vendor for group medical and pharmacy plan administration and stop loss insurance services.

[A] Budget: Looking for Proposal

[B] Scope of Service:

(1) Vendor needs to provide group medical and pharmacy plan administration and stop loss insurance services seeking proposals to provide third-party administration for its self-funded health insurance program including provision of a provider network,
- A health plan administrator offering bundled provider network, administrative services, stop-loss insurance, utilization management, disease management, wellness, PBM (pharmacy benefit management), and related services,
- Competitive and Affordable Overall Cost,
- Comprehensive, Broad Provider Network:
- Offer a broad network in terms of the number, breadth, quality and location of network providers in the northwest suburbs,
- Limit provider/patient relationship disruption that employees may experience in the event of a change in provider network,
- Provide access to providers outside the local geographic service area for retirees,
- Plan Options and Design:
- Match the existing plan designs and features,
- Match the current network structure,
- Propose an alternative tiered network structure,
- Provide employees with choice and flexibility,
- Plan Administration:
- Provide outstanding administrative services,
- Provide responsive account management,
- Provide a dedicated account manager,
- Ability to receive electronic enrollment file from external vendor each week,
- Quality:
- Offer employees meaningful and usable data and information regarding the quality, outcomes and cost of episodes of care,
- Encourage employees to utilize higher quality, more efficient providers,
- Health Improvement, Education and Wellness Programs:
- Partner to design and offer comprehensive programs,
- Explore innovative, positive incentives for participation in these programs,
- Disease and Other Care Management Programs:
- Offer assertive disease management and care management programs,
- Offer employees care support in the form of decision support tools and health care coaches or patient advocates.
(2) All the questions must be submitted no later than January 24, 2020.

[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 : Thursday, 13 February, 2020

Question Answer Deadline : Friday, 24 January, 2020

Category : Medical Billing and Coding

Country : USA

State : Minnesota

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