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Rate Review and Payment Methodology Analysis

Active

Federal

Contract Overview

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

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The Department of Health and Human Services, through the Office of Acquisition and Grants Management, is seeking a subcontractor for the Rate Review and Payment Methodology Analysis project. The primary objective of this engagement is to perform both retrospective and prospective rate reviews for managed care organizations involved in Medicare-Medicaid financial alignment demonstrations. This process involves evaluating the adequacy and compliance of various payment methodologies to ensure they meet regulatory standards. The contract is categorized under NAICS code 541611 and is designated for performance in Annandale, Virginia. This initiative focuses on maintaining the financial integrity and operational efficiency of healthcare payment structures within the specified demonstration programs.

General Info

HHS seeks a subcontractor for Medicare-Medicaid rate review and payment methodology analysis.

Agency

Department Of Health And Human Services → Ofc Of Acquisition And Grants ManagementView Agency

NAICS

541611 - Administrative Management and General Management Consulting ServicesView NAICS

Place of Performance

Annandale, VA, 22003, USA

Set-Aside

NONE

Documents

This scope was carved out of GS00F090CA75FCMC26F0116.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Financial Alignment Actuarial and Rate Review Services

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Timeline

PostedAug 11

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Organization & Contact Information

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AgencyDepartment Of Health And Human Services → Ofc Of Acquisition And Grants Management

ContactsNo contacts available

OfficeN/A

Organization / Agency

Department Of Health And Human Services → Ofc Of Acquisition And Grants Management

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Office AddressN/A

ContactsNo contact information available

Full Description

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Conduct retrospective and prospective rate reviews for managed care organizations participating in Medicare-Medicaid financial alignment demonstrations, evaluating adequacy and compliance of payment methodologies.

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