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Hayes/Symplr Knowledge Center Subscription

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2140774State & Local

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The New York State Department of Health Office of Health Insurance Programs is establishing a contract with Symplr Software LLC for research services spanning a two-year period from October 1, 2026, to September 30, 2028. This engagement provides access to the Hayes Knowledge Center, an online library of clinical evidence reviews focusing on new, emerging, or controversial medical technologies. The primary objective is to support Medicaid coverage policy development through U.S.-based clinical evidence reviews and payer-focused analysis, which includes horizon scanning to identify disruptive technologies and the assessment of clinical and fiscal impacts. This procurement is designated as a sole source or exempt from advertising because Symplr was identified as the only vendor capable of providing the specific proactive analysis needed for policy development prior to coverage adoption. While other clinical decision support tools focus on utilization management after services are already covered, the Hayes Knowledge Center uniquely supports the Department's need for evidence-based analysis to inform coverage decisions. The contract is administered by Harold Reynolds, Health Program Administrator, with performance centered in Albany, New York, and extending state-wide.

General Info

NY State DOH hires Symplr for clinical research to inform Medicaid coverage policies.

Documents

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Organization & Contact Information

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AgencyNew York → NYS Department of Health
Contacts1 person available
OfficeN/A

Full Description

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The Office of Health Insurance Programs (OHIP) is seeking a contract for research services provided by Symplr Software LLC (Symplr), for a 2-year period (10/1/2026 – 9/30/2028). The services under the proposed contract are accessed via Hayes Knowledge Center, an online library of clinical evidence reviews addressing medical technologies of any type that are new, emerging, or controversial. Symplr services are specifically aligned with the Department’s need for U.S.-based clinical evidence reviews and payer-focused analysis to support Medicaid coverage policy development. The Department evaluated other commonly used clinical decision support tools. These tools primarily support utilization management and clinical decision-making after services are already covered (e.g., level-of-care determinations and standardized clinical pathways). In contrast, Hayes Knowledge Center provides evidence-based analysis to support Medicaid coverage policy and evaluation of emerging technologies prior to adoption. This includes horizon scanning to identify new and disruptive technologies, assessment of clinical and fiscal impact, and research support to inform coverage decisions. Based on this comparison, Hayes uniquely supports policy development prior to coverage adoption and proactive decision-making. As such, Symplr was identified as the only current vendor capable of providing the services needed to support the Department’s evaluation of emerging medical technology and Medicaid coverage policy decisions.

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