Health Care Financing Administration 7500 Security Blvd., Baltimore, MD 21244-1850

R -- MARKET SURVEY -- MANAGED CARE ORGANIZATION ASSESSMENTS POC Mr. Lee J. Spicher, Contract Specialist, (410) 786-8919. The Health Care Financing Administration (HCFA) is conducting a Market Survey to identify potential sources to perform comprehensive on-site assessments of the adequacy of the quality assurance program of a managed care organization (MCO). The contractor will be responsible for conducting a comprehensive assessment of the MCO's quality assurance program to include: Assessing the MCO's utilization management, management information systems, health service administration, health care delivery and governing board organization and function. Other areas for review may include: Assessment of the MCO's legal structure, function, finance, marketing facilities, and equipment and other speciality areas as determined by the Health Care Financing Administration. HCFA estimates that there will be approximately 18 comprehensive reviews each year. An assessment will require a minimum of four reviewers, one to review quality assurance process, one to review data collection and utilization management, and twoto jointly review availability, accessibilty and continuity of care. Reviewers will consist of Medical Doctors (MDs), Registered Nurses (RNs) and Subject Matter Experts (SMEs). Depending on the size of the plan and the complexity of HCFA's reasons for determining that a comprehensive review is necessary, additional reviewers may be necessary. As much as 12 weeks or as little as five days notice may be given to the contractor to begin the review. The contractor is prohibited from performing technical assessments if contractor staff or consultants have been associated with the respective Health Maintenance Organization(HMO) or Competitive Medical Plan (CMP) within the past eighteen months in a remunerative capacity. Interested parties shall submit a capability statement to the attention of Mr. Lee J. Spicher at the above address within 15 calendar days from the published date of this notice. Capability statements must include: information which demonstrates the contractor's ability to accomplish the work described above, resumes of contractor staff including any consultants, and business size in accordance with the following Standard Industrial Code (SIC): 8742 with a size standard of $5.0m average annual sales over the past 3 years. A RFP package is not available. (0354)

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