Posted Date : June 29,2020
Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : QUALITY-0104
Government Authority located in Lincoln, Nebraska; USA based organization looking for expert vendor for external quality reviews of contracted managed care organizations and a dental benefits manager.
[A] Budget: Looking For Proposal
[B] Scope of Service:
(1) Vendor needs to provide external quality reviews of contracted managed care organizations and a dental benefits manager providing health care to consumers enrolled in managed care at a competitive and reasonable cost to the government authority located in Hopewell Lincoln, NE.
- Conduct an annual external quality review of the Managed Care Organizations (MCO) and the Dental Benefits Mangers (DBM) and produce the required report,
- The Contractor will, at the State’s direction, provide technical guidance to groups of MCOs or the DBM to assist them in conducting activities related to the mandatory and additional activities that provide information for the EQR,
- The Contractor will report in writing any problems with the administration of the MCO or the DBM Contracts and will propose a corrective action plan for any problems directly related to the performance of this Contract,
- The Contractor will provide technical guidance in the development of performance improvement projects,
- Mandatory EQR-related activities:
- Review, within the previous three-year period, to determine MCO/DBM compliance with State standards for access to care, structure and operations, and quality measurement and improvement. - Validation of performance measures,
- Validation of performance improvement projects (PIPs),
- Other EQR-related activities:
- Validation of encounter data reported by an MCO or DBM,
- Administration or validation of consumer or provider surveys of quality of care,
- Calculation of performance measures in addition to those reported by an MCO or DBM and validated by an EQRO,
- Conduct PIPs in addition to those conducted by an MCO or DBM and validated by an EQRO,
- Conduct studies on quality that focus on an aspect of clinical or nonclinical services as a point in time.
(2) All questions had been submitted on June 15, 2020.
(3) Notification of intent must be submitted no later than July 15, 2020.
[C] Eligibility:
Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: July 31,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$
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Product (RFP/RFQ/RFI/Solicitation/Tender/Bid Etc.) ID : QUALITY-0104
Government Authority located in Lincoln, Nebraska; USA based organization looking for expert vendor for external quality reviews of contracted managed care organizations and a dental benefits manager.
[A] Budget: Looking For Proposal
[B] Scope of Service:
(1) Vendor needs to provide external quality reviews of contracted managed care organizations and a dental benefits manager providing health care to consumers enrolled in managed care at a competitive and reasonable cost to the government authority located in Hopewell Lincoln, NE.
- Conduct an annual external quality review of the Managed Care Organizations (MCO) and the Dental Benefits Mangers (DBM) and produce the required report,
- The Contractor will, at the State’s direction, provide technical guidance to groups of MCOs or the DBM to assist them in conducting activities related to the mandatory and additional activities that provide information for the EQR,
- The Contractor will report in writing any problems with the administration of the MCO or the DBM Contracts and will propose a corrective action plan for any problems directly related to the performance of this Contract,
- The Contractor will provide technical guidance in the development of performance improvement projects,
- Mandatory EQR-related activities:
- Review, within the previous three-year period, to determine MCO/DBM compliance with State standards for access to care, structure and operations, and quality measurement and improvement. - Validation of performance measures,
- Validation of performance improvement projects (PIPs),
- Other EQR-related activities:
- Validation of encounter data reported by an MCO or DBM,
- Administration or validation of consumer or provider surveys of quality of care,
- Calculation of performance measures in addition to those reported by an MCO or DBM and validated by an EQRO,
- Conduct PIPs in addition to those conducted by an MCO or DBM and validated by an EQRO,
- Conduct studies on quality that focus on an aspect of clinical or nonclinical services as a point in time.
(2) All questions had been submitted on June 15, 2020.
(3) Notification of intent must be submitted no later than July 15, 2020.
[C] Eligibility:
Onshore (USA Organization Only);
[D] Work Performance:
Performance of the work will be Offsite. Vendor needs to carry work in their office location.
Budget :
Deadline to Submit Proposals: July 31,2020
Cost to Download This RFP/RFQ/RFI/Solicitation/Tender/Bid Document : 5 US$