Healthcare Payor Group Consulting Services
ID: 18454 • State: Iowa
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Description
Background
The University of Iowa, located in Iowa City, Iowa, is a prominent public university recognized for its academic achievements and leadership in research. The university's health system, University of Iowa Health Care, provides comprehensive medical services and is committed to high-quality care. The university seeks proposals from qualified suppliers for Healthcare Payor Group Consulting Services to enhance its managed care and payor strategy.
Work Details
The selected consultant will provide strategic advisory services that include:
1. Managed Care Strategy and Contract Analysis - Expert consultation on managed care strategy, analyzing current contract terms and reimbursement rates.
2. Market Position and Trends Assessment - Review of market trends and competitive positioning compared to peer institutions.
3. Analytical Modeling Support - Enhance existing analytical models using historical data.
4. Benchmarking and Price Transparency Review - Comparative assessments of hospital rates across plans.
5. Contract Language Evaluation - Review payer contracts for optimization opportunities.
6. Market Review Summary - Actionable summary tailored to UI Health Care’s goals.
7. Payor Positioning Analysis - Evaluate key payors against national benchmarks.
8. Strategic Recommendations - Targeted recommendations for managed care engagement strategy based on analysis.
9. Contractual Opportunity Assessment - Review existing contracts for optimization opportunities in legal language and processes.
10. Value-Based Arrangement Evaluation - Assess participation in value-based payment models.
Period of Performance
The contract will have an initial duration of one year, with the possibility of extending for up to four additional one-year periods upon mutual agreement.
Place of Performance
The services will be performed at the University of Iowa locations in Iowa City, Iowa.
Bidder Requirements
Suppliers must demonstrate compliance with specific areas including experience with comparable institutions, provide audited financial statements from the last two years, and agree to the University's Business Associate Agreement if accessing patient information.
The University of Iowa, located in Iowa City, Iowa, is a prominent public university recognized for its academic achievements and leadership in research. The university's health system, University of Iowa Health Care, provides comprehensive medical services and is committed to high-quality care. The university seeks proposals from qualified suppliers for Healthcare Payor Group Consulting Services to enhance its managed care and payor strategy.
Work Details
The selected consultant will provide strategic advisory services that include:
1. Managed Care Strategy and Contract Analysis - Expert consultation on managed care strategy, analyzing current contract terms and reimbursement rates.
2. Market Position and Trends Assessment - Review of market trends and competitive positioning compared to peer institutions.
3. Analytical Modeling Support - Enhance existing analytical models using historical data.
4. Benchmarking and Price Transparency Review - Comparative assessments of hospital rates across plans.
5. Contract Language Evaluation - Review payer contracts for optimization opportunities.
6. Market Review Summary - Actionable summary tailored to UI Health Care’s goals.
7. Payor Positioning Analysis - Evaluate key payors against national benchmarks.
8. Strategic Recommendations - Targeted recommendations for managed care engagement strategy based on analysis.
9. Contractual Opportunity Assessment - Review existing contracts for optimization opportunities in legal language and processes.
10. Value-Based Arrangement Evaluation - Assess participation in value-based payment models.
Period of Performance
The contract will have an initial duration of one year, with the possibility of extending for up to four additional one-year periods upon mutual agreement.
Place of Performance
The services will be performed at the University of Iowa locations in Iowa City, Iowa.
Bidder Requirements
Suppliers must demonstrate compliance with specific areas including experience with comparable institutions, provide audited financial statements from the last two years, and agree to the University's Business Associate Agreement if accessing patient information.
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Overview
Agency
Opportunity Type
Request for Qualifications - Sealed
Opportunity ID
18454
Response Deadline
July 18, 2025
Past Due
Date Posted
June 30, 2025
Est. Value Range
Experimental
$500,000 - $2,000,000
(AI estimate)
Agency Distribution
Moderate
Source
On 6/30/25 The University of Iowa in Iowa issued Request for Qualifications - Sealed Healthcare Payor Group Consulting Services with ID 18454 due 7/18/25.
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