Inactive

The World Trade Center (WTC) Health Program intends to improve efficiency and control health care costs. Our purpose is to establish a comprehensive cost avoidance, coordination of benefit, and recove... The World Trade Center (WTC) Health Program intends to improve efficiency and control health care costs. Our purpose is to establish a comprehensive cost avoidance, coordination of benefit, and recovery program by implementing a comprehensive cost avoidance and recovery platform from pre- to post-payment processes. This requirement includes the deployment of a robust and near real-time primary insurance identification system and database, validation and facilitation of the Coordination of Benefit (COB), recovery of incorrectly or inappropriately paid claims from private insurance, participation in New York State (NYS) Workers’ Compensation Board (WCB)’s Health Insurance Matching Program (HIMP) to identify individuals who are eligible for WC benefits and to seek reimbursement from WC’s insurers, identification of deceased members, and providing performance metrics, quality assurance and payment integrity services. See Request for Proposal (RFP) and attachments. Amended February 17, 2020, to add attachments and amend RFP. For the SOO, Objective 5 is no longer optional.

Inactive

The Centers for Disease Control and Prevention (CDC) is seeking feedback on this draft solicitation from interested parties for the WTCHP Comprehensive Cost Avoidance, Coordination of Benefits, and Re... The Centers for Disease Control and Prevention (CDC) is seeking feedback on this draft solicitation from interested parties for the WTCHP Comprehensive Cost Avoidance, Coordination of Benefits, and Recovery Program. Please review the draft solicitation for additional information on the program, the purpose, and the requried services. This draft solicitation provides the industry community and other stakeholders an opportunity to provide feedback regarding the draft solicitation. Questions and proposed language changes may be submitted to the primary point of contact on the attachment named "Draft Solicitation Response Template." This draft solicitation is intended to be similar to the solicitation the government plans to release in January for these services. Responding to the draft solicitation is voluntary. Feedback to this draft solicitation must be submitted to ijt9@cdc.gov, using the provided response template, by 11:00AM EST on Friday, January 17, 2020. All input will be reviewed and considered by CDC; however, please understand that individual responses may not be provided during this phase. AMENDMENT TO POSTING January 9, 2020: Amended posting to add Attachments J.1 - J.4 to draft RFP.