Medicare Advantage Plan (MAPD) Administration

The contract involves the full administration of a Medicare Advantage Prescription Drug (MAPD) plan for approximately 4,078 retirees, encompassing end-to-end operational responsibilities including claims processing, provider network management, member services, and strict adherence to federal regulatory requirements. The scope requires comprehensive oversight to ensure seamless delivery of healthcare benefits, accurate and timely claims payment, and ongoing compliance with CMS guidelines, all while maintaining high standards of member experience and provider coordination. This subcontract is solicited by Louisiana State University – Baton Rouge under the NAICS code 621420, with a response deadline of August 18, 2026. The plan is specifically designed to serve retired employees, necessitating tailored support systems and administrative processes that align with the unique healthcare needs of this population. All activities must be conducted in accordance with applicable Medicare regulations and under the oversight of the Louisiana agency, with performance expected to meet rigorous quality and compliance benchmarks.