This contract provides for services to assist the Deputy Assistant Secretary of Defense (Health Affairs), Defense Health Cost Assessment & Program Evaluation (DHCAPE)/Defense Health Agency, and DHA Regional Offices in the support of TRICARE and military health system (MHS) contracts. This includes (1) budgeting, pricing and financial analyst support; (2) policy support; (3) lifecycle contract management support activities; (4) contract cost adjustment; (5) reimbursement support; (6) cost certification; (7) information systems and data mining; and (8) educational support; associated with the financing and delivery of the MHS using TRICARE. Specifically, the PSAS contract includes:
• development and maintenance of corporate databases and data systems
• analysis of cost containment opportunities through various policy changes in benefit design, organization of service delivery, and provider reimbursement;
• actuarial modeling and projecting changes in health care utilization and cost under various policy and program scenarios;
• claims processing systems enhancements;
• analysis and evaluation of dental insurance programs funded by TRICARE; and
• technical analysis of health care financing and delivery requirements associated with the acquisition, implementation, operation and expansion of the TRICARE,
• evaluation of various programs/initiatives
• development of Independent Government Cost Estimates for RFPs and other programs, projects and initiatives
• Financial analysis and support for the DOD budget formulation
• Education/training for data quality and Working Information Systems to Determine Optimal Manage (WISDOM)
• Develop and maintain databases with cost projections for the Managed Care (contract T-3 and T-Nex)
See attached request for proposal for more information.
Alim Koroma, Phone 703-735-4927, Email [email protected]