Vermont Health Care Uniform Reporting and Evaluation System (VHCURES) 3.0

Agency: State of Vermont
State: Vermont
Type of Government: State & Local
Caegory:
  • 84 - Clothing, Individual Equipment, and Insignia
Posted Date: Sep 7, 2018
Due Date: Oct 24, 2018
Bid Source: Please Login to View Page
Contact information: Please Login to View Page
Bid Documents: Please Login to View Page
Title Question Due Answers posted Due date No posting After
Vermont Health Care Uniform Reporting and Evaluation System (VHCURES) 3.0
Bidder Response Form
Attachment 1
09/26/2018 02:00PM 10/24/2018 02:00PM

Attachment Preview

Department of Buildings and General Services
Office of Purchasing & Contracting
109 State Street
[phone] 802-828-2211
Montpelier VT 05609-3001
[fax] 802-828-2222
http://bgs.vermont.gov/purchasing
Agency of Administration
SEALED BID
INFORMATION TECHNOLOGY REQUEST FOR PROPOSAL
FOR
Vermont Health Care Uniform Reporting and Evaluation System (VHCURES) 3.0
Expected RFP Schedule Summary:
ISSUE DATE
BIDDERS CONFERENCE
QUESTIONS DUE
RFP RESPONSES DUE BY
FINALIST DEMONSTRATIONS
SELECTION NOTIFICATION
INDEPENDENT REVIEW
PROJECT STARTS
September 07, 2018
October 03, 2018 10:00 AM (EST)
September 26, 2018 2:00 PM (EST)
October 24, 2018 2:00 PM (EST)
Week of December 03, 2018
December 14, 2018
December 10, 2018 (TBD)
March 18, 2019
PLEASE BE ADVISED THAT ALL NOTIFICATIONS, RELEASES, AND AMENDMENTS ASSOCIATED WITH THIS RFP WILL BE
POSTED AT:
http://www.bgs.state.vt.us/pca/bids/bids.php
THE STATE WILL MAKE NO ATTEMPT TO CONTACT INTERESTED PARTIES WITH UPDATED INFORMATION. IT IS THE
RESPONSIBILITY OF EACH BIDDER TO PERIODIALLY CHECK THE ABOVE WEBPAGE FOR ANY AND ALL NOTIFICATIONS,
RELEASES AND AMENDMENTS ASSOCIATED WITH THIS RFP.
PURCHASING AGENT:
TELEPHONE:
E-MAIL:
FAX:
Stephen Fazekas
(802) 828-2210
stephen.fazekas@vermont.gov
(802) 828-2222
Revised: March 29, 2018
Page 1
1 RFP OVERVIEW
1.1 Overview
The Office of Purchasing & Contracting on behalf of the Vermont 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), (the Work) from qualified
offerors. If a suitable offer is made in response to this Request for Proposal (RFP), the State may enter into a contract
(the Contract) to have the selected offer (the Contractor) perform all or part of the Work. This RFP provides details on
what is required to submit a Proposal in response to this RFP, how Proposals will be evaluated, and what will be required
of the Contractor in performing the Work.
This is a Request for Competitive Sealed Proposals (RFP) to select the vendor who can perform the Scope of Work
described in Section 2 of this RFP.
1.2 RFP Objective
The objective of this RFP is to purchase a solution to meet the business needs and requirements for an all-payer claims
database (APCD).
1.3 Department Background and Philosophy
The Green Mountain Care Board (GMCB) was created by the Vermont legislature in 2011 and is charged with reducing
the rate of health care cost growth in Vermont while ensuring that the State of Vermont maintains a high quality,
accessible health care system. Vermont law (18 V.S.A § 9410) requires that the State develop a unified healthcare
database to enable the GMCB to carry out their duties under this chapter, chapter 220 of this title, and Title 8 including:
(a)(1) The Board shall establish and maintain a unified health care database to enable the Commissioner and
the Board to carry out their duties under this chapter, chapter 220 of this title, and Title 8, including:
(A) determining the capacity and distribution of existing resources;
(B) identifying health care needs and informing health care policy;
(C) evaluating the effectiveness of intervention programs on improving patient outcomes;
(D) comparing costs between various treatment settings and approaches;
(E) providing information to consumers and purchasers of health care; and
(F) improving the quality and affordability of patient health care and health care coverage.
The GMCB relies upon its APCD to fulfill these obligations.
1.4 Current Business Environment
The State initially engaged its current vendor in 2009 to build the existing APCD, the Vermont Health Care Uniform
Reporting and Evaluation System (VHCURES). The existing solution includes multiple components to allow the vendor to
collect and aggregate data from payers, which is released in quarterly database extracts.
VHCURES includes eligibility and claims data for Vermont residents. The data are provided by commercial insurers,
Vermont Medicaid, and Medicare dating from calendar year 2007 to the present. The VHCURES database also includes a
substantial number of reference tables (e.g. procedural and diagnostic code sets, Vermont providers from the National
Plan and Provider Enumeration System).
Revised: March 29, 2018
Page 2
The frequency of data submission for commercial insurers varies depending on the number of Vermont lives they cover,
ranging from monthly (2,000 or more lives) to annually. Currently, there are approximately 70 commercial insurers
submitting data for comprehensive major medical plans, as well as Medicare Parts C and D. Vermont Medicaid submits
data monthly and Medicare data are integrated on a quarterly basis.
Database extracts are utilized by state agencies, state contractors and other approved users who are required to
execute data use agreements with the GMCB. VHCURES data supports analysis of health care access, spending,
utilization, public health, and quality. Approved users also contract with vendors to provide additional analytical
services.
2 SCOPE OF WORK
The State of Vermont is interested in obtaining bids to meet the following business need(s):
The State requires a solution to allow for the intake and processing of medical and pharmaceutical claims data with
associated eligibility records. The combined data must be available for analysis by approved users. At a high level the
solution must fulfill the following To Be Workflow:
A report sent back to the submitters showing data post hashing
A report summarizing what was submitted
DVHA
(MMIS)
Medicaid
Raw Data Submitted
Commercial
Awarded CDM
Vendor
Medicare
After the “run out”
period, there is the
extract request
sent.
CMS review period
of the request
takes place
(approx. few
weeks)
CMS sends email
to their vendor for
the request
Email is sent to
Data Requester
(GMCB)saying
that it is approved
Encrypted hard
copy file is sent to
the vendor
Identifier
Assignment takes
place
Data extract
delivered to GMCB
Data shows
inaccuracies
GMCB
Reviews the
summary
report
The GMCB Staff
creates a public
access report of
the data
Extract Approved
Entities with active
DUAs receive
extract
The report is
uploaded on the
GMCB website
This scope of work includes procurement of the following:
A Technology Solution that addresses the business need(s);
A Comprehensive Data Management Plan to include a detailed review of techniques to address data quality
and assurance;
Professional Services for Project Management to manage the implementation of the technology solution;
Professional Services to Perform Technical Work in support of the implementation;
Professional Services for Maintenance and Support of the implemented technology.
Revised: March 29, 2018
Page 3
2.1 Business Outcomes
The State of Vermont seeks to achieve the following Business Value(s):
Customer Service Improvement
Risk Reduction
State and Federal Compliance
User Friendly for Data Submitters and State/Public Users
2.2 Dependencies and Constraints
The solution must be successfully functioning in production by November 1, 2019.
2.3 Functional and Non-Functional Requirements
The State’s Functional and Non-Functional Requirements are provided in the attached ATTACHMENT E.
The Non-Functional Requirements include requirements for the following:
Data Center
Hosting and General Security Services
Security General
Data Compliance: Solutions must adhere to all applicable State and Federal standards, policies, and laws. The
Bidder Response Form includes a table of data types and for each, the applicable State and Federal standards,
policies, and laws. The checked boxes in the table are applicable to this procurement.
3 BID PREPARATION
3.1 Single Point of Contact
All communications concerning this RFP are to be addressed in writing to the State Contact listed on the front page of
this RFP. Actual or attempted contact with any other individual from the State concerning this RFP is strictly prohibited
and may result in disqualification.
3.2 Bidders’ Conference
A non-mandatory bidders’ conference will be held at 144 State Street, Montpelier, VT 05609-3001 at the date and time
indicated on the front page of this RFP.
Vendors can join via web conference with the following information:
Skype Meeting: https://meet.lync.com/vermontgov-vermont/sarah.lindberg/YTRHTHRK
Audio only: +1 (802) 552-8456,,1514082#
3.3 Question and Answer Period
Any vendor requiring clarification of any section of this RFP or wishing to comment or take exception to any
requirement(s) of the RFP must submit specific questions in writing no later than the deadline for questions indicated on
the first page of this RFP. Questions may be emailed to the State Contact. Any comments, questions, or exceptions not
raised in writing on or before the last day of the question period are waived. At the close of the question period a copy
of all questions or comments and the State's responses will be posted on the State’s web site at
http://www.bgs.state.vt.us/pca/bids/bids.php. Every effort will be made to post this information as soon as possible
after the question period ends, contingent on the number and complexity of the questions.
Revised: March 29, 2018
Page 4
3.4 Required Content and Format for Bid Submission
Proposals submitted for this RFP should include the following and nothing additional:
Required number of copies
A Cover Letter
If applicable, a redacted copy of the response for portions that are considered proprietary and confidential.
Certificate of Compliance (Reference Exhibit A)
Bidder Response Form and Attachments (Reference Exhibit C)
3.4.1
Number of Copies.
Submit an unbound original (clearly marked as such) and three (3) paper copies and one digitally
searchable PDF file containing all components of the bid. See section 4.5 for instructions regarding
electronic submission of bids.
3.4.2
The Cover Letter
Provide an introduction to your company and proposal via the cover letter. All bids submitted to the State
are considered public records. Please note in your cover letter if any information in your proposal is
considered proprietary and confidential.
a. Confidentiality. To the extent your bid contains information you consider to be proprietary and
confidential, you must comply with the following requirements concerning the contents of your cover
letter and the submission of a redacted copy of your bid (or affected portions thereof).
b. The successful response will become part of the contract file and will become a matter of public
record, as will all other responses received. If the response includes material that is considered by the
bidder to be proprietary and confidential under the State’s Public Records Act, 1 V.S.A. § 315 et seq.,
the bidder shall submit a cover letter that clearly identifies each page or section of the response that it
believes is proprietary and confidential. The bidder shall also provide in its cover letter a written
explanation for each marked page or section explaining why such material should be considered
exempt from public disclosure in the event of a public records request, pursuant to 1 V.S.A. § 317(c),
including the prospective harm to the competitive position of the bidder if the identified material
were to be released. Additionally, the bidder must include a redacted copy of its response for portions
that it considers proprietary and confidential. Redactions must be limited so that the reviewer may
understand the nature of the information being withheld. It is typically inappropriate to redact entire
pages, or to redact the titles/captions of tables and figures. Under no circumstances can the entire
response be marked confidential, and the State reserves the right to disqualify responses so marked.
3.4.3 Certificate of Compliance (Exhibit A)
This form must be completed and submitted as part of the response for the proposal to be considered
valid.
3.4.4
State of Vermont Bidder Response Form (Exhibit C)
This form must be completed and submitted as part of the response for the proposal to be considered
valid. The State of Vermont Bidder Response Form provides a standard format and content for vendor
proposals. The Bidder Response Form includes questions and requests for information on the following:
Your Vendor Profile, which includes three (3) references;
The Proposed Solution;
The ability of your Proposed Solution to meet the State’s Functional and Non-Functional
Requirements, which are listed within the Bidder Response Form;
Your Implementation and Project Management approach and deliverables;
The Technical Services and deliverables included in your proposal;
Your Maintenance and Support services and service levels;
Revised: March 29, 2018
Page 5

Sign-up for a Free Trial, Government Bid Alerts

With Free Trial, you can:

You will have a full access to bids, website, and receive daily bid report via email and web.

Try One Week FREE Now