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

R -- MANAGED HEALTH CARE DELIVERY SERVICE ANALYSIS POC Mr. Lee J. Spicher, Purchasing Agent, (410) 786-8919. The Health Care Financing Administration (HCFA) intends to award a SMALL PURCHASE ORDER (Less than 50K), on a sole source basis, with Innovative Health Management, to have seven reviewers, on August 4, 1996, participate in a site visit of Humana Group Health Plan, Inc. (HGHP) located in Washington, D.C. The seven reviewer will be made up of one Medical Doctor (MD) and one Register Nurse (RN) to evaluate HGHP's quality assurance process, one RN to assess utilization management, one Subject Matter Expert (SME) to assess incentive arrangements contained in HGHP's provider contractors, one SME to assess board oversight and the adequacy of health service delivery arrangements, two RNs to assess oversight of availability and accessibility of health care services at the offices of HGHP's providers. Prepare and submit a written report which documents the methodology and results of the contractors's analysis and renders an opinion as to whether the HGHP's oversight of its health care delivery meets the applicable requirements Title XIII of the Public Health Service Act. The period of performance is August 4, 1996 through August 30, 1996. Respondents must have a minimum of 2 years experience in performing Analysis of Managed Health Care Delivery services. Respondents must fully demonstrate its ability to accomplish this project within the period specified above. No formal Request for Quotation (RFQ) document is available. If no responses are received within 15 calendar days from the published date of this notice, HCFA will proceed with a awarding a purchase order to Innovative Health Management. (See Numbered Note 22) (0180)

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