Modernizing Medicaid: Quality Measurement Analysis

ALL VENDORS THAT RESPONDED TO THE PREVIOUS SOURCES SOUGHT, APP80955, NEED NOT RE-SUBMIT CAPABILITY STATEMENTS. This is a Sources Sought Notice to determine the availability of potential small business (e.g., 8(a), service-disabled veteran owned small business, HUBZone small business, small disadvantaged business, veteran-owned small business, and women-owned small business) to provide information for conducting a comprehensive evaluation of health plan performance. This requirement will provide CMS with audited Medicaid Healthcare Effectiveness Data and Information Set (HEDIS) health plan data and support Medicaid stakeholders in their efforts to establish quality improvement goals through the use of standardized, audited and comparable performance information. The primary data source for this analysis will be HEDIS results already in National Committee for Quality Assurance's (NCQA) HEDIS database that have undergone a HEDIS Compliance Audit. Additionally, the contractor will reach out to those health plans that do not currently report to the HEDIS database. HEDIS is a standardized measurement system that specifies how health plans collect, audit and report data on their performance in care and service areas ranging from child and adolescent immunization status, to helping patients control their cholesterol and enrollee satisfaction. In 1993, NCQA released HEDIS 2.0 that quickly became the - industry standard performance measurement set. NCQA maintains and evolves HEDIS specifications and data collection protocols. Since 1997, Medicare, Medicaid and commercial HEDIS results from health plans have been collected on a nationwide basis by NCQA. Since its inception, NCQA has been a leader in health care quality assessment. NCQA operates as an independent, not-for-profit organization and does not represent the exclusive interests of any single constituency. CMS is looking for, but not limiting to, small businesses that are currently on a GWAC or GSA schedule. In order to respond to this notice, contractors must be able to perform (experience and or ability to provide) all of the following: 1 The contractor must be a leader in health care quality measure development and quality assessment through the usage of HEDIS standardized tools. 2 The contractor must have access to the full range of submitted HEDIS data including those that publicly release data and those that do not. 3 Experience working with Medicaid constituency including State Medicaid programs, Medicaid health plans and External Quality Review Organizations (EQROs). Please include the following in your response: Business Information -- a. DUNS: b. Company Name c. Company Address d. Current GSA Schedules appropriate to this Sources Sought e. Do you have a Government approved accounting system? If so, please identify the agency that approved the system. f. Type of Company (i.e., small business, 8(a), woman owned, veteran owned, etc.) as validated via the Central Contractor Registration (CCR). All offerors must register on the CCR located at http://www.ccr.gov/index.asp . g. Company Point of Contact, Phone and Email address Teaming Arrangements: All teaming arrangements shall also include the above-cited information and certifications for each entity on the proposed team. Teaming arrangements are encouraged. Responses must be submitted not later than July 18, 2008. Capability statements will not be returned and will not be accepted after the due date. The maximum number of pages for submission is 10 pages. This Sources Sought Notice is information and planning purposes only and is not to be construed as a commitment by the Government. This is not a solicitation announcement for proposals and no contract will be awarded from this Notice. No reimbursement will be made for any costs associated with providing information in response to this Notice. Respondents will not be notified of the results of this evaluation. Capability statements will not be returned and will not be accepted after the due date.