SOURCES SOUGHT
R -- Early Retiree Reinsurance Program support
- Notice Date
- 4/14/2011
- Notice Type
- Sources Sought
- NAICS
- 541990
— All Other Professional, Scientific, and Technical Services
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- HHSM-500-2011-SSERRP
- Archive Date
- 4/30/2011
- Point of Contact
- Georgette - Vlangas, Phone: 410-786-8372, Desiree M. Wheeler, Phone: 410-786-2404
- E-Mail Address
-
gvlangas@cms.hhs.gov, desiree.wheeler@cms.hhs.gov
(gvlangas@cms.hhs.gov, desiree.wheeler@cms.hhs.gov)
- Small Business Set-Aside
- N/A
- Description
- This is a Sources Sought Notice. This is NOT a solicitation for proposals, proposal abstracts, or quotations. The purpose of this notice is to obtain information regarding: (1) the availability and capability of qualified small business sources (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); and (2) their size classification relative to the North American Industry Classification System (NAICS) code for the proposed acquisition. Your responses to the information requested will assist the Government in determining the appropriate acquisition method, including whether a set-aside is possible. An organization that is not considered a small business under the applicable NAICS code should not submit a response to this notice. CMS is looking for, but not limiting to, small businesses that are currently on a FWAC or GSA Schedule, have experience in the commercial health insurance industry and Medicare as well as knowledge of Federal Information Security Management Act (FISMA) requirements. BACKGROUND: The Early Retiree Reinsurance Program (ERRP) was established by section 1102 of the Patient Protection and Affordable Care Act enacted on March 23, 2010. Congress appropriated $5 billion for this temporary program and directed the Secretary of Health and Human Services (HHS) to set the program within 90 days of enactment. Accordingly, HHS published an Interim Final Rule to implement the ERRP on May 5 with an effective date of June 1, 2010, and the program began accepting applications on June 29, 2010. The ERRP is scheduled to end no later than January 1, 2014 and will serve as a bridge to the new health insurance marketplace to be established through State-based Health Insurance Exchanges in 2014. The ERRP was designed to provide financial assistance for health plan sponsors-including for-profit companies, schools and other education institutions, unions, State and local governments, religious organizations and other non-profits-to help early retirees and their families continue to have access to quality, affordable health coverage. People in the early retiree age group (i.e., ages 55 to 65) often face difficulties obtaining insurance in the individual market because of age or chronic conditions that make coverage unaffordable and inaccessible. The ERRP provides needed financial help to group health plans that provide health coverage to retirees and their families, who depend on the coverage for their health care needs. The ERRP reimburses participating plan sponsors for a portion of the costs of providing health coverage to early retirees and their spouses, surviving spouses, and dependents. PURPOSE AND OBJECTIVES: The purpose of this notice is to seek out small businesses interested in performing certain requirements that will support the Early Retiree Reinsurance Program (ERRP). ANTICIPATED REQUIREMENTS: • Data analysis, statistical analysis, data sampling, including health insurance claims data. • Perform detailed reviews of information related to sponsors of health insurance claims data, including reviews of plan sponsors': 1. Programs and policies designed to identify and reduce fraud, waste, and abuse on the part of the plan sponsor 2. Programs and policies designed to reduce the cost of chronic or high-cost conditions 3. Representatives about their plan 4. Notices to plan participants indicating participation in ERRP • Perform detailed audits of health insurance claims data, plan enrollment information, and price concessions data (e.g. rebates) submitted by plan sponsors for the purpose of receiving reimbursement for high dollar healthcare claims through the RRP. Audits may include travel to plan sponsor locations throughout the country. • Review and audit plan sponsors use of received ERRP reimbursements. • Answer questions and concerns from plan sponsors in response to ERRP payment adjustments indentified through audits and analysis of their claims, price concession, enrollment, program reimbursement and program fund usage. • Conduct quality assurance and continuous improvement processes. CAPABILITY STATEMENT: Capability statements must include the following information: • Business Information 1. Company Name 2. Company Address 3. DUNS Number 4. Does your organization have a government approved accounting system? If so, please identify the agency that approved the system or provide a copy of the approval letter. 5. Type of company as validated in the Central Contractor Registration (CCR) 6. Company Point of Contact - Name, Phone and Email addresses. 7. Listing of current clients/customers • Provide a brief description of company experience with any of the following: 1. The Patient Protection and Affordable Care Act 2. The Early Retiree Reinsurance Program 3. T he Pre-Existing Condition Insurance Plan (PCIP) Program 4. Employer based group health plans 5. Medicare Part A 6. Medicare Part B 7. Medicare Part C 8. Medicare Part D • Please include information regarding the company : 1. Staff expertise, including their availability, experience, and formal and other training; 2. Current in-house capability and capacity to perform the anticipated requirements; 3. Prior completed projects of similar nature to the anticipated requirements; 4. Corporate experience and management capability; 5. Examples of prior completed Government contracts, references, and other related Information; and 6. CMMI Certification Level (example: 1, 2, 3, etc.) CMS prefers Level Three or higher. INFORMATION SUBMISSION INSTRUCTIONS: Interested parties having the corporate capability and expertise necessary to perform the stated anticipated requirements outlined in this notice may submit capability statements via email to Georgette Vlangas (georgette.vlangas@cms.hhs.gov) and Desiree Wheeler (desiree.wheeler@cms.hhs.gov). Please email responses on or before 10:00 a.m. (Eastern Standard Time), April 29, 2011. Please limit responses to no more than 10 pages total. CMS software standard is MS Word, therefore, responses should be submitted in a Word or Word comparable document. Page size would be 8.5 by 11 inches. Proprietary Information and Disclaimers: All transmitted information marked proprietary shall be treated as such. Therefore, respondents should identify any proprietary information in its capabilities statement. Proprietary materials will neither be distributed, nor discussed, with any other organization or business. Further, the information submitted will remain confidential insofar as permitted by law, including the Freedom of Information and Privacy Acts. CMS reserves the right to utilize any non-proprietary technical information in the anticipated SOW or solicitation. THIS SOURCES SOUGHT NOTICE IS FOR 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 SHALL BE AWARDED FROM THIS NOTICE. NO REIMBURSEMENT WILL BE MADE FOR ANY COSTS ASSOCIATED WITH PROVIDING INFORMATION IN RESPONSE TO THIS NOTICE. CAPABILITY STATEMENTS WILL NOT BE RETURNED AND WILL NOT BE ACCEPTED AFTER THE DUE DATE. CONTACT INFORMATION: Georgette Vlangas, Contract Specialist (georgette.vlangas@cms.hhs.gov) 410-786-8372 Desiree Wheeler, Contracting Officer (desiree.wheeler@cms.hhs.gov) 410-786-2404
- Web Link
-
FBO.gov Permalink
(https://www.fbo.gov/spg/HHS/HCFA/AGG/HHSM-500-2011-SSERRP/listing.html)
- Place of Performance
- Address: Contractor address, United States
- Record
- SN02425161-W 20110416/110414234822-81ed07dddace83ef13038daeae0dd2dd (fbodaily.com)
- Source
-
FedBizOpps Link to This Notice
(may not be valid after Archive Date)
| FSG Index | This Issue's Index | Today's FBO Daily Index Page |