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

B -- RE-ENGINEERING THE ADJUSTED COMMUNITY RATING PROPOSAL (ACRP) SYSTEM SOL HCFA-96-OMC/SWA DUE 030896 POC Ms. Sandy Ainsworth, Contract Specialist, (410) 786-5143. The Health Care Financing Administration (HCFA) is seeking to identify sources for re-engineering the Adjusted Community Rating Proposal (ACRP) system. The ACRP system is used as part of HCFA's Managed Care Organization (MCO) application and oversight procedures. Most of the information submitted by MCO's, as part of the ACRP process, is confidential and is used to ensure that premiums are priced accurately and beneficiaries are not overcharged. A re-engineered ACRP system will permit: electronic transmission of ACRP data and user friendly systems support; consideration of the changing financial environment that plans are experiencing and how these changes impact on development of commercial and Medicare premiums; a better focus on critical issues important to HCFA and Medicare beneficiaries (e.g., cost sharing); and integration of financial integrity findings into HCFA policies and oversight procedures. The re-engineered system will permit consistent and efficient completion of ACRP requirements leading to accurate calculations of beneficiary premiums, program savings and losses, accurate assessments of value for additional and supplemental services, flexible benefits, point-of-service, and other MCO offerings. The ACRP has been used since 1985, implemented as part of TEFRA requirements, to ensure beneficiary protection as the number of risk MCO's continue to grow. The contractor must have expertise or capacity to obtain expertise on: program and systems re-engineering; MCO financial strategies and planning; applicable statistical and actuarial techniques; systems design and development (EDI, PC-based databases, new technology); and project, focus group and workgroup management. The contractor will: (1) complete all work within 9 months of award; (2) provide a draft and final work plans; (3) in cooperation with HCFA, establish a volunteer workgroup and hold focus groups to advise on methodology and outcomes; (4) perform research on legislative, regulatory and other requirements, and obtain input from interested parties; (5) complete a report on recommended models (e.g., approaches, systems needs, time lines); (6) develop an approved system (e.g., draft instructions, system specifications); (7) test the approved system; and (8) assist in implementation of a new system (e.g., training). The contractor must be free of all appearances of or actual conflicts of interests. The contractor must not have any relationships or arrangements through its business operations or its employees that could be considered as possibly lessening the company's objectivity concerning any aspect of the re-engineering of the ACRP system (FAR 9.504). The contractor must provide information that demonstrates that it is free of any potential biases that might affect the results of the re-engineered ACRP System. Interested parties who believe they can meet these requirements should submit a written capability statement no later than March 8, 1996. This statement must be substantiated by complete and detailed technical literature and no longer than 30 pages (including attachments). Firms must specify a name and telephone number of a point of contact and indicate their size status under SIC Code 8742 which has an annual small business size standard not to exceed $5 million per FAR 19.102. This Sources Sought synopsis is for information purposes only, it does not constitute an RFP and is not to be construed as a commitment by the Government. The purpose is to identify potential responsible sources and status prior to possible solicitation. The information provided by respondents will be evaluated to identify capable potential sources for this effort. Respondents will be included on any mailing list for any RFP that may result from this Sources Sought. The Government does not intend to award a contract on the basis of this notice or otherwise pay for any information solicited. Those firms that are interested should submit appropriate documentation on their capability to HCFA, OAG, Attn: Sandy Ainsworth, C2-21-15, 7500 Security Blvd., Baltimore, Maryland, 21244. (0047)

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