RFI - AT Augusta Military Medical Center Ambulatory Care Center (ATAMMC ACC)

THIS IS A REQUEST FOR INFORMATION (RFI) ONLY. 26 October 2023 UPDATE: Please see the updated Attachment 1 Document: "ATAMMC ACC RFI Feedback update 1 20231017 V2" *********************************************************************************************************************************************** UPDATED: RFI Feedback Submission Due Date: 1 November 2023, no later than 1500 pm (local San Antonio, TX time), Please see the updated Attachment 1 Document: "ATAMMC ACC RFI Feedback update 1 20231017" ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This RFI is issued solely for information and planning purposes. It does not constitute a Request for Proposal (RFP) or a promise to issue an RFP in the future. This request for information does not commit the Government to contract for any supply or service. Further, the DHA is not at this time seeking proposals and will not accept unsolicited proposals. Respondents are advised that the U.S. Government will not pay for any information or administrative costs incurred in response to this RFI; all costs associated with responding to this RFI will be solely at the interested party's expense. Not responding to this RFI does not preclude participation in any future RFP, if any is issued. It is the responsibility of the vendor who is interested in any potential future solicitation(s) to monitor all sites for additional information pertaining to this requirement. The Government reserves the right to use results of the communications with industry for any purpose consistent with, and not otherwise prohibited by FAR Part 10. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. After a review of the responses received, a pre-solicitation synopsis and solicitation may be published in Federal Business Opportunities. However, in no case shall responses to this notice be considered either a response to a solicitation or a submission of an unsolicited proposal, as defined by FAR 2.101. TITLE: AT Augusta Military Medical Center Ambulatory Care Center (ATAMMC ACC) INTRODUCTION: The Defense Health Agency (DHA) is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force and ready medical force to Combatant Commands in both peacetime and wartime. The DHA supports the delivery of integrated, affordable, and high quality health services to Military Health System (MHS) beneficiaries and is responsible for driving greater integration of clinical and business processes across the MHS. DESCRIPTION OF NEED: This requirement is for the continued provision of strategically located ACCs, delivering community-based health care services, on contractor provided and managed sites, for eligible military beneficiaries residing predominately in the southern (I-95) and western (I-66) corridors of the NCR meeting 30-min drive time for Primary Care eligible beneficiaries. There should be limited enrollment overlap with the Government footprint at ATAMMC and DiLorenzo Pentagon Health Clinic. Stand-alone buildings are preferred but not required. The Government is contemplating a Firm Fixed Price contract that includes performance incentives for a base plus four option years. INFORMATION SOUGHT BY THE DHA: The DHA ATAMMC seeks to continue Primary Care healthcare with a subset of specialty care with payment by fixed hourly rates for Specialty Care Services and utilizing the Special Clause - Contract PMPM Rates for all other services. Included in the PMPM rates are facility Administrative full-time equivalents, Primary Care, Urgent Care, Ancillary Services (Radiology, Pharmacy, and Laboratory), and Transition costs if necessary. The Government is seeking feedback on the following topics. Performance Work Statement. CLIN structure. Transition schedule and costs (including facility preparation costs), if applicable. The DHA intends to require offerors to propose transition schedules, to cap the transition phase at 180 days, and to reimburse transition costs under the PMPM CLIN once health care delivery under the contract begins. This means the contractor will be required to amortize its transition costs, if applicable. MRI requirement Incentivizing contractor to maintain full provider staffing to ensure timely beneficiary care and to prevent leakage of care to the TRICARE network. Other potential incentives for the Primary Care setting, including incentives relating to the delivery of Ancillary Services PMPM payment rates tied to beneficiary empanelment levels (see Special Clause) Any additional comments in regard to the RFI that may help clarify and develop this requirement. QUESTIONS TO INDUSTRY 1. Will a 6-month transition-in period be feasible, especially if payment will not be authorized until healthcare delivery services begin (post transition)? 2. Describe any incentive structures that could be used to support maintaining providing staffing levels. Would a stated minimum staffing complement (for primary care providers and/or specialty care providers) be appropriate for this requirement? Should the government allow offerors to propose a la carte staffing? 3. What other incentives could be effective in the Primary Care Healthcare setting? 4. Is it feasible to equip the ACC (at one site) with MRI equipment/capability and, if so, how would you propose providing this capability? 5. Does the proposed CLIN Structure provide clarity on requirements and payment, especially related to the transition costs and PMPM? 6. Will the proposed PMPM payment structure, with PMPM payment rates tied to beneficiary empanelment levels, effectively incentivize the contractor to maintain sufficient PCM staffing? Are there any shortcomings with this payment approach? Would you recommend using a different (other than 75%) PMPM payment rate in the case of the non-empaneled beneficiaries? INSTRUCTIONS FOR SUBMISSION OF RESPONSE: Comments, and answers to the Government's questions, shall be provided on the attached feedback form titled ATAMMC ACC RFI Feedback form. Interested participants are required to follow the instructions provided in Tab1 of the ATTAMMC ACC RFI Feedback form. All responses will be reviewed and assessed by DHA staff. Each of the responses will be maintained by the DHA as a source of market research information and published on an internal SharePoint site. Any response submitted for this RFI constitutes consent for that submission to be reviewed by military personnel, Government civilians, and associated support contractors. No information will be disclosed outside DHA. Submissions to this RFI are deemed to be DHA property which shall not be returned to sender. CONFIDENTIALITY: Do not include proprietary, classified, confidential, or sensitive information in your response. Industry responses will be shared with DHA staff for the purpose of market research. The Government reserves the right to use any non-proprietary technical information in any resultant solicitation(s) ATTACHMENTS: ATAMMC ACC RFI Feedback form ATAMMC ACC Proposed CLIN Structure ATAMMC_PWS ATAMMC ACC Exhibits B ATAMMC ACC Exhibits C ATAMMC ACC Exhibits D ATAMMC ACC Special Clause - Contract Per Member Per Month Rate