The Green Mountain Care Board (GMCB) (the State) is soliciting competitive sealed, fixed price proposals (Proposals) for solutions to enhance the State’s current all-payer claims database, Vermont Health Care Uniform Reporting and Evaluation System (VHCURES). If you are interested in submitting a bid, see the links below:
PLEASE BE ADVISED THAT ALL NOTIFICATIONS, RELEASES AND AMENDMENTS WILL BE POSTED ON THE BGS website. THE STATE WILL MAKE NO ATTEMPT TO CONTACT VENDORS WITH UPDATED INFORMATION. IT WILL BE THE RESPONSIBILITY OF EACH VENDOR TO PERIODICALLY CHECK THIS SITE FOR THE LATEST DETAILS. If you should have any problems in downloading the documents, please contact Stephen.Fazekas@vermont.gov.
Cycle IV Public Use File Expert Determination
The Board solicited proposals from qualified vendors to evaluate, design, and develop a Vermont Healthcare Claims Uniform Reporting and Evaluation System (VHCURES) Public Use File, including conducting an “Expert Determination” to certify that the Public Use File complies with the security and privacy standards set forth in the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule.
GMCB Business Performance Management System
The Office of Purchasing & Contracting on behalf of the Green Mountain Care Board (the State) solicited competitive sealed, fixed price proposals (Proposals) for its Business Performance Management System to enhance GMCB’s budgeting, planning, performance management, and analytic reporting capabilities (the Work) from qualified offerors.
Health Resource Data Planning Technical Assistance
Through this Request for Proposal (RFP) the Green Mountain Care Board is seeking to establish service agreements with one or more companies to provide a data landscape study and make recommendations for approaches that will help Vermont policy makers assess current and future community and statewide needs and appropriate allocation of health care resources in the state. This is a short-term contract. The State anticipates the start date will be February 1, 2018.
Certificate of Need Analyst Services
Through this Request for Proposal (RFP) the Green Mountain Care Board (hereinafter the "State") is seeking to establish contracts with one or more companies that can provide analyst services regarding certificate of need submissions. Contracts arising from this RFP will be for a period of two years with an option to renew for up to two additional twelve-month periods. The State anticipates the start date will be February 1, 2018.
Statewide Analytics Vendor Related to the All-Payer Accountable Care Organization Model
The Office of Purchasing & Contracting on behalf of the State of Vermont Green Mountain Care Board (GMCB) solicited competitive sealed, fixed price proposals (Proposals) for its analytic services to support implementation of Vermont's All-Payer Accountable Care Organization (“ACO”) Model Agreement (“the Agreement”) with the Centers for Medicare and Medicaid Services (“CMS”). The Agreement and additional information about the All-Payer ACO Model Agreement can be found on the GMCB website: http://gmcboard.vermont.gov/payment-reform/APM.
- RFP document can be found here: http://www.bgs.state.vt.us/pca/bids/pdf/GMCB_APM_Analytics_RFP_17April2017_Final1.pdf
All-Payer ACO Model Agreement Technical Support
The Green Mountain Care Board (GMCB) solicited proposals from qualified vendors to provide support related to Vermont’s All-Payer ACO Model Agreement. The GMCB is seeking to align its new regulatory and oversight responsibilities, including implementation of the All-Payer ACO Model Agreement and ACO regulatory oversight. Primary staff support for the effort will come from the GMCB.
The GMCB sought bid proposals from qualified contractors to provide policy, actuarial, and implementation expertise for the new regulatory responsibilities gained in the APM and Act 113.
The Agreement and additional information about the All-Payer ACO Model Agreement can be found on the GMCB website: http://gmcboard.vermont.gov/payment-reform/APM.
Actuarial Services for Review of Major Medical Insurance, Accountable Care Organizations, and Hospital Budgets
Through this Request for Proposal (RFP) the Green Mountain Care Board (hereinafter the "State") is seeking to establish contracts with one or more companies that can provide actuarial review services. Contracts arising from this RFP will be for a period of one year with an option to renew for up to three additional twelve-month periods. The State anticipates the start date will be January 1, 2018.
Proposals were due by October 27, 2017 by 2:00PM.
Construction Audit Consulting Services for Certificate of Need Program
The Green Mountain Care Board (GMCB) solicited proposals from qualified vendors to provide construction audit consulting services of health care projects for the Certificate of Need (CON) program. The selected vendor will assist the GMCB with monitoring CON construction activity by reviewing contracts, identifying and quantifying non-compliant construction costs and excessive billing practices, monitoring change order compliance, evaluating the established project control environment including labor costs, tracking of payments to vendors and validation of purchase order amounts, and identifying compliance issues and opportunities for cost savings and/or recovery.
Vermont Health Care Innovation Project State-led Evaluation
The SIM Initiative is to test whether new payment and service delivery models will produce superior results when implemented in the context of a state-sponsored health care innovation plan. The Vermont Health Care Improvement Project (VHCIP) solicited proposals for a vendor who will assist in the evaluation by focusing on activities that facilitate continuous improvement and evaluation of Vermont-specific pilots and innovations. The evaluation has two primary goals: provide timely feedback to inform corrections in the implementation and operation of VHCIP sponsored-initiatives, and generate actionable recommendations to guide Vermont state-leadership’s decisions to scale-up and diffuse VHCIP-supported initiatives.
- Questions & Answers
- Revised RFP in pdf format (Please note only changes are to the dates of the RFP).
Simplified Bid: All Payer Model Agreement Technical Assistance
The Green Mountain Care Board (GMCB) solicited proposals from qualified vendors to assist with planning for and implementing the GMCB’s provider rate setting authority through an all-payer payment model. The qualified vendor will have experience setting provider rates in an all-payer model, including Medicaid, Medicare, and Commercial payers. In addition, the qualified vendor will have experience with Medicare waivers.
- Simplified Bid requirements in pdf format.
- Revised Simplified Bid requirements (with schedule changes)
- Questions & Answers
Evaluation of Models for Internet Consumer Health Care Cost and Quality Information
This RFP sought vendor who can assist the GMCB in preparing a report for legislative review that includes the assessment of multiple options for providing Vermont consumers of health care services with internet access to comparative health care cost and quality information.
- Answers to questions from Bidders Conference Call held on May 5, 2015.
- Answers to Written Questions (5/1/15)
- Updated RFP in pdf format (4/29/15)
- Complete RFP in pdf format
Simplified Bid for Financial Analyst Services
This Simplified Bid process solicited proposals for a vendor who can provide financial analyses of projects subject to the Certificate of Need review. All instructions and deadlines regarding this Simplified Bid are contained in Simplified Request for Proposals. You will also need to review the Scope of Work and the Schedule A: Summary of Costs.
Cycle II Rate Review Enhancement Grant Evaluation
This RFP solicited proposals for a vendor who can assist the GMCB in developing performance measures and benchmarks, as well as carry out and report on the evaluation process for the Cycle II Federal Rate Review Grant held by the GMCB. The vendor must have the ability to develop and perform the evaluation of these measurements. The evaluation must consider measures related to the consumer experience, transparency, and access to quality health insurance. The vendor must also be able to evaluate the effectiveness of the Health Care Advocate (HCA) in the rate review process. In addition to these quantitative measures, the Board expects the winning vendor analyze and provide qualitative measures in relation to the grant activities.
- Revised RFP dated 2/17/15
- Question and Answer dated March 4, 2015
- Complete RFP in pdf format
- Questions and Answers from the Bidders Conference
- Questions and Answers from the Bidders Conference held on March 11, 2015
Vermont Health Care Uniform Reporting and Evaluation System - VHCURES 3.0
This Request for Information (RFI) was issued for the State of Vermont, Green Mountain Care Board (State) to gather input and obtain information to use in possible Requests for Proposals (RFPs) to replace and enhance the Vermont Health Care Uniform Reporting and Evaluation System (VHCURES), Vermont’s All-Payer Claims Database (APCD). VHCURES data allows for population-based analyses of health care system performance. Through data use agreements, VHCURES data is utilized by state agencies, state contractors and academic researchers to support analysis of health care access, spending, utilization, and quality.
CLOSING DATE: The closing date for the receipt of RFI Responses was 2:00 PM September 27, 2017.
NOTE: Please disregard Section 7.2 - there is no Questionnaire attached to this RFI.
The following document is a compendium of additional information based on the questions received from the RFI.
We thank the responses that we received from many organizations. The following respondents submitted documents supporting our requests for information:
- FAIR Health
- Freedman Healthcare
- Lewin Group, Inc.
- Milliman Solutions, LLC
- Onpoint Health Data