The Vendor is required to provide for its self-funded medical and prescription drug benefit plans.
- The plan is interested in providing a high-quality program to its members with continuity of service for all members.
- The plan has a strong relationship with its participants and wants to maintain this bond.
- Provide a plan of benefits that is identical to the current plan design.
- The plan is also interested in chronic disease management programs, telehealth solutions, initiatives around behavioral health, innovative approaches for engaging with their members, and your organization’s approach for alerting the plan to and managing large claims.
- In addition, the plan is open to learning of alternatives that your organization has implemented to help control spend and improve overall outcomes and quality of care.
- Provide alternatives that incorporate such strategies, including customized networks based on a quality/cost model, data mining and predictive modeling capabilities with effective disease management, wellness, and large case management initiatives.
- Contract Period/Term: 1 year