NIH, DHHS, 6120 Executive Blvd., Rm. 803, Rockville, MD 20892

A -- ANALYSIS AND COMPARISON OF COSTS AND RESOURCES UTILIZATION FOR END OF LIFE CARE SOL 263-97-P(LK)-0028 DUE 060497 POC Mrs. Johnnie Rice, Contract Specialist (301)402-3086, Mrs. Ann Argaman, Contract Specialist (301)496-6254, Patrick Williams, Contracting Officer (301) 496-2501. The National Institutes of Health has a research and development project for research-oriented organizations with a background in end-of-life issues. Work to be performed will include detailed analyses/comparisons and reviews of end of life costs, including resources utilization data for Calendar Years 1994 and 1995 for individual patients with cancer (between the ages of 18-64 and 65 and older), in the last twelve (12) months of life, in both managed care health plans as well as fee for service health care plans from one geographic region of the United States. This data, will be provided by the Government within 30 days after contract award. The Government will provide the Medicare SEER related data after the Contractor working in conjunction with the Project Officer and HCFA has identified appropriate files for analysis. The identification will require the contractor to determine exactly what quantity, type and configuration is needed in order to perform the required analysis. The work to be performed will be done in three phases: Phase I-Separate analytical files containing costs and resources utilization from cancer patients in each of the indentifed health care plans shall be created. Additional data from the Medicare linked SEER data shall also be incorporated into these analytical files. These files for cost and resources utilization data from each health insurer and managed care plan shall then be merged. During this process, the contractor shall be required to compare files, fill in missing data, derive descriptive data on costs and resource utilization from each file (including averages), make descriptive comparisons of costs and resources utitlization among the health insurers and managed care plans. In Phase II, the contractor shall develop models (based on the results of Phase I) to predict cost and resource utilization of terminal patients in the various health care plans. These models shall include risk adjusted comparisons of cost and resources utilization among the health insurers and managed care plans. The variables to be addressed shall include but not be limited to: age, length of time with cancer and other relevant variables. In Phase III of the Project, the contractor shall be required to publish at least two articles/manuscripts detailing the results of the work (including tables and appropriate figures) in peer review publications. Additionally, the contractor will be required to make oral presentations at professional meetings as deemed necessary by the Government as well as make least one briefing for Clinical Center managment on the results of this contract. The period of contract performance shall be for thirty (30) months. Requests for copies of the solicitation should be forwared in writing only to Mrs. Johnnie Rice or Ann Argaman at the address noted above. No oral requests for the solicitation will be honored. (0139)

Loren Data Corp. http://www.ld.com (SYN# 0001 19970522\A-0001.SOL)