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Procuring a Health Care Consultant for the Group Insurance Commission

Active
BD-27-1049-GIC00-07GIC-131036State & Local

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

General Info

Agency

Massachusetts → GIC00 - Group Insurance CommissionView Agency

NAICS

541618 - Other Management Consulting ServicesView NAICS

Place of Performance

Boston, MA, 02108, USA

Set-Aside

NONE

Documents

(39)

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Commonwealth Terms and Conditions - Massachusetts State Contract

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Business Associate Agreement - Group Insurance Commission

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Massachusetts Substitute W-9 Form - Verification of Taxpayer Identification Number and Certification

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Contractor Authorized Signatory Listing Form

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GICPND2702 RFR Document

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Notice of Intent to Procure Health Care Consultant for GIC

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Authorization for Electronic Funds Payment Form

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Required State Forms Acknowledgement Form

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Massachusetts Standard Contract Form for Group Insurance Commission Healthcare Consulting

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GICPND2702 Cost Proposal for Healthcare and Actuarial Consultant

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Consultant Conflict of Interest Certification for RFR GICPND1805

DOCconflict-of-interest-form

AI Contract Breakdown

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Timeline

PhaseSolicitation
Posted

Solicitation

Response Deadline

Submission deadline

Response Deadline

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Organization & Contact Information

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AgencyMassachusetts → GIC00 - Group Insurance Commission
Contacts1 person available
OfficeBoston, MA, 02108, USA
Organization / Agency
Massachusetts → GIC00 - Group Insurance Commission
View Agency Profile
Office AddressBoston, MA, 02108, USA
Contacts
Cameron McBeanPurchaser

Full Description

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This Amendment contains the main RFR document, Cost Proposal, and supporting documents.

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Same NAICS industry code

More opportunities from Massachusetts → GIC00 - Group Insurance Commission

Same awarding agency

NAICS: 541618
SLED
Rate Development & Cost ModelingThe contract titled Rate Development & Cost Modeling requires the development of actuarial models and detailed cost projections to support health plan pricing and financial sustainability. The work involves analyzing extensive claims data to identify trends, assess risk exposure, and inform accurate rate setting for insurance carriers. The successful contractor will play a critical role in supporting rate negotiation processes by providing data-driven insights and forecasts that align with regulatory requirements and financial goals. This subcontract is focused on enabling informed decision-making within the Massachusetts Group Insurance Commission’s health plan framework. Performance of all tasks under this contract must be conducted in Boston, Massachusetts, with a compliance deadline of September 30, 2026, at 5:00 PM local time. The North American Industry Classification System code 541618 indicates the work falls under other management consulting services, specifically emphasizing statistical and actuarial consulting. The contract is not subject to a specific set-aside designation, and while no point of contact is listed, all submissions must adhere to the requirements outlined in the combinedbuys platform. The scope demands a high level of analytical precision, experience in health insurance cost modeling, and the ability to translate complex data into actionable financial recommendations for state-level health plan management.
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POSTED

about 2 months ago

DEADLINE

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NAICS: 541618
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Prescription Drug & Pharmacy Benefits StrategyThe contract titled Prescription Drug & Pharmacy Benefits Strategy solicits expertise to analyze pharmacy benefit structures, assess the performance of pharmacy benefit managers, and develop actionable cost-saving strategies focused on formulary optimization and specialty drug management. The work is intended to improve efficiency and reduce expenditures within the group insurance program managed by the Massachusetts Group Insurance Commission, with performance required in Boston, Massachusetts, under a subcontract arrangement. The solicitation is open for responses until September 30, 2026, and is classified under NAICS code 541618, indicating it involves management, scientific, and technical consulting services related to healthcare pharmacy operations. The scope requires a deep understanding of pharmacy benefit administration, including the evaluation of current formularies, utilization patterns, and specialty drug spending to identify redundancies, high-cost drivers, and opportunities for negotiation or alternative therapy adoption. The contractor must deliver data-driven recommendations that align with cost containment goals while maintaining quality of care, with an emphasis on measurable outcomes and sustainable savings. All deliverables must support the agency’s obligation to steward public healthcare funds effectively, and performance will likely be evaluated on the feasibility, impact, and implementation readiness of proposed strategies.
Other Management Consulting Services

POSTED

about 2 months ago

DEADLINE

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