Medicaid Population Data Review Solution

Background
This solicitation is issued by the State of Florida, Agency for Health Care Administration (AHCA), to procure a Medicaid Population Data Review Solution. The goal is to select a vendor that can utilize advanced analytics tools to aggregate and assess Medicaid population data, producing actionable insights through an interactive dashboard or similar solution. This initiative aims to guide future improvements and cost-effective strategies in Medicaid management.

Work Details
The selected vendor will be responsible for reviewing Medicaid population and enrollment data to identify opportunities for improving health care outcomes and reducing costs within the Statewide Medicaid Managed Care Program. Key areas of assessment include:

- Population health
- Medical/pharmacy expenses
- Network performance
- Non-clinical determinants
- Digital health programs
- Emerging risks
- Provider value
- Holistic benefit impacts

The vendor may utilize a secure cloud-based platform for data aggregation and advanced cohort analysis. The vendor must have experience in reviewing enrollee data and cannot be a managed care organization or contracted with one.

Period of Performance
The anticipated term of the resulting contract is from June 16, 2025, through June 15, 2026. The contract may be renewed for up to three additional years based on satisfactory performance evaluations and availability of funds.

Place of Performance
The services will be performed in Florida as specified by the Agency for Health Care Administration.

Bidder Requirements
Respondents must comply with specific requirements including submitting:

- Transmittal Letter (Exhibit A-2)
- Required Certifications and Statements (Exhibit A-3)
- Vendor Certification Form (PUR 7801)
- Submission Requirements and Evaluation Criteria (Exhibit A-4)
- Cost Proposal
- Summary of Respondent Commitments (Exhibit A-5)
- Certification of Drug-Free Workplace Program (Exhibit A-6)

Additionally, respondents must not have been placed on the convicted vendor list due to public entity crime.