Opportunity Detail

Questions and Answers

Health and Wellness Program
Document #:  CSP902218


Question:   We submitted our proposal within the guidelines of the initial requirements and deadline. Do we need to re-submit if we have no changes to our proposal?

Answer:   No, you do not need to resubmit.

Date: 7/20/2017

Inquiry: 44695


Question:   If the primary vendor does not meet the mandatory requirements will their proposal be automatically disqualified?

Answer:   Yes, the Contractor must meet the Mandatory Requirements.

Date: 7/11/2017

Inquiry: 44653


Question:   Page 20 of RFP: Regarding the following statement from page 20, the State would need to provide the latest version of State of Ohio manuals standards specifications policies and procedures and associated addenda and amendments in order for us to confirm that we can conform. Unless otherwise approved by DAS, all work performed and materials used under this Contract shall conform to the latest version of all State of Ohio manuals standards specifications policies and procedures and associated addenda and amendments.

Answer:   Upon award, the State will provide any manuals related to the performance of this contract.

Date: 7/11/2017

Inquiry: 44593


Question:   Page 20 of RFP: With regard to the below paragraph on page 20 of the RFP, the supplier will make all attempts to the extent applicable to comply with the below language. If selected as the chosen vendor, we will work with the State to collaborate on the federal materials required to communicate with the program participants. Will the employers be responsible for communicating these federal guidelines to their employees? The Contractor shall comply with and, to the extent applicable, shall educate the employers of HWP participants as to the employers’ rights, responsibilities, and obligations under, all federal laws applicable to the HWP, including but not limited to the Americans with Disabilities Act (ADA), the Genetic Information Nondiscrimination Act (GINA), the Health Insurance Portability and Accountability Act of 1996 (HIPAA), and the Patient Protection and Affordable Care Act (Affordable Care Act), and all federal regulations implementing these federal laws applicable to the HWP, issued by the Equal Employment Opportunity Commission (including 29 CFR 1630.14), the Department of Health and Human Services (HHS), or other governmental entity.

Answer:   The quoted paragraph states “to the extent applicable.” It is understood that the HWP is designed to allow participants to sign up and utilize the program services without direct involvement from their employers. However, the supplier is expected to provide support and education to BWC in addressing any matters or issues related to the compliance of HWP with all applicable laws related to health and wellness programs.

Date: 6/30/2017

Inquiry: 44593


Question:   Would the State consider extending the deadline for proposal submission by at least one week?

Answer:   No.

Date: 6/30/2017

Inquiry: 44587


Question:   When can we expect responses to the questions we have already submitted?

Answer:   Responses have been posted.

Date: 6/30/2017

Inquiry: 44587


Question:   This inquiry is in reference to Page 72, Attachment Nine – Cost Summary Form: If required, are we able to add comments to this grid?

Answer:   Offerors shall propose fees for all standard programming. Comments should be made separately.

Date: 6/30/2017

Inquiry: 44587


Question:   This inquiry is in reference to Page 72, Attachment Nine – Cost Summary Form: Additionally if we want to offer an extra product are we able to add lines to the grid?

Answer:   The Contractor shall propose fees for all standard programming as well as additional programming fees that are available to the BWC at an additional cost. Programming at an additional cost must be listed separately. BWC will only evaluate the fees for the standard programming in the cost summary.

Date: 6/30/2017

Inquiry: 44587


Question:   This inquiry is in reference to Page 72, Attachment Nine – Cost Summary Form: Under Biometrics Screenings – are we able to enter pricing for a couple of options e.g. Patient Service Centre, Physician Form?

Answer:   The Contractor shall propose fees for all standard programming as well as additional programming fees that are available to the BWC at an additional cost. Programming at an additional cost must be listed separately. BWC will only evaluate the fees for the standard programming in the cost summary.

Date: 6/30/2017

Inquiry: 44587


Question:   Please confirm whether the State is requesting the chosen vendor to perform telephonic and email outreach to members in order to get them engaged and enrollment in the programs. During the Bidder’s Conference, it was conveyed that the programs would be Opt-in programs (rather than Opt-out) and therefore members would call in to the program only, rather than the chosen vendor performing any telephonic outreach. If there is to be no telephonic outreach, is the State requesting electronic outreach via member portal messaging and emails?

Answer:   BWC does not expect the selected supplier to make telephone calls to potential program participants to solicit enrollment in the HWP program. However, BWC expects the selected supplier to use the means necessary including phone calls, emails, and other means to reach out to participants in the program to ensure addressing their needs.

Date: 6/30/2017

Inquiry: 44587


Question:   This inquiry is in reference to Page 23, Paragraph 2: Can the State please clarify the following paragraph? Will the chosen vendor be performing identification and risk stratification of members as candidates for participation in the programs, or for any other purpose, based on the data you have listed in this paragraph. During the Bidder’s Conference, it was conveyed that the State would be determining the members who should participate in the programs and would be sending a list of such members to the chosen vendor. 2. Identification, Engagement, and Integration. In consultation with BWC, the Contractor shall develop and implement a model/s to identify and risk stratify participants in the HWP using a variety of means including, but not limited to, predictive modeling that encompasses data from biometric screenings, health risk assessments, disease/lifestyle management services and utilization, and other characteristics related to the participants, such as occupation, industry, employer size, co-morbid conditions, injury description, and ICD-10 codes, and time away from work, among others. The Contractor shall conduct the identification and risk stratification process no less than quarterly.

Answer:   The following answer does not constitute an affirmation of all the statements made in the question text relative the Pre-Proposal Conference. To clarify, during the “Pre-Proposal” Conference, BWC explained that BWC will identify the population of employers/businesses who meet the number of employees (50 or less employees) and industry sector conditions (i.e. manufacturing) and that employees who work for these businesses will be eligible to participate in the HWP, check pages 3 and 20-21 of the RFP. BWC will not send a list of individual members to the selected supplier. The quoted paragraph relates to data compilation and analysis related to the overall population and/or sub-populations of the HWP program participants based on their engagement, utilization, and health indicators/risks among other descriptor variables. Such data compilation and analyses is important for detecting and understanding health indicators/risks among specific sub-populations of workers, i.e. construction workers vs. manufacturing workers, workers living in urban vs. rural areas… etc. BWC expects the supplier to have the necessary expertise in data analytics and tools for analyzing the data of the HWP participants and to effectively use this data and the results in improving the program design/services and for future targeting for sub-populations of workers that can benefit the most from the program, to mention a few.

Date: 6/30/2017

Inquiry: 44587


Question:   This inquiry is in reference to Page 71, Attachment Eight – Offer Performance form: “The Offeror has been assessed any penalties in excess of sixty thousand dollars ($60,000), including liquidated damages, under any of its existing or past contracts with any organization (including any governmental entity). If so, the Offeror must provide complete details, including the name of the other organization, the reason for the penalty, and the penalty amount for each incident.” Please define “penalty” and “liquidated damages”? Is the State referring to a contract dispute OR any performance guarantee refunds? Is the State referring to a single penalty that has exceeded $60,000 or all penalties in aggregate under a contract exceed $60,000?

Answer:   Penalty - the sum of money to be paid if the contractor defaults on the terms of the contract. Liquidated damages - a specific sum stated in the contract to be paid by the party who is in default, or who breaches the contract, to the other party in settlement for damages. The State is referring to any penalties, not including performance guarantees in excess of sixty thousand dollars ( $60,000.00). The State is referring to all penalties in aggregate for a contract.

Date: 6/30/2017

Inquiry: 44587


Question:   Can rows be added within the tables for iterations or additions of the program areas?

Answer:   The Contractor shall propose fees for all standard programming as well as additional programming fees that is available to the BWC at an additional cost. Programming at an additional cost must be listed separately. BWC will only evaluate the fees for the standard programming in the cost summary.

Date: 6/28/2017

Inquiry: 44558


Question:   If annual fees are required can you please share annual participation expectations for: HRA, Screenings, LM Coaching, DM Coaching, NL and Incentive Management?

Answer:   BWC does not have a specific expectation. However, BWC expects offerors to draw on their experience in this area to provide estimates based on, but not limited to, expected program participation and utilization of program services.

Date: 6/28/2017

Inquiry: 44558


Question:   In the year one, two and three tables for program areas is it your expectation that vendors insert their preferred per participant fee and that the BWC will then calculate the total annual fees?

Answer:   No, offerors should complete the entire cost summary table based on their experience with population health management.

Date: 6/28/2017

Inquiry: 44558


Question:   Budget outlined of $5M - $6M is this an annual budget or the budget for 3 years?

Answer:   This is an annual budget by fiscal year.

Date: 6/28/2017

Inquiry: 44558


Question:   What will the contract effective date be?

Answer:   We anticipate the contract to commence in 30-45 days after the selection of a supplier with a target date for rolling out the program in December 2017 to January 1, 2018.

Date: 6/28/2017

Inquiry: 44558


Question:   If different iterations of services are required (e.g. tied to risk level etc.) you mention clearly documenting do you want vendors to list that separately or feel free to add rows / make modifications to the pricing tables in attachment nine?

Answer:   The Contractor shall propose fees for all standard programming as well as additional programming fees that is available to the BWC at an additional cost. Programming at an additional cost must be listed separately. BWC will only evaluate the fees for the standard programming in the cost summary.

Date: 6/28/2017

Inquiry: 44558


Question:   You state the total budget set aside will not exceed 20% of the total annual budget for the annual program year, do you envision this to be the rewards portion? And is this for debit cards, gift cards or merchandise?

Answer:   This is worker driven program not an employer driven program as such BWC will not offer premium differentials.

Date: 6/28/2017

Inquiry: 44558


Question:   Will BWC offer premium differentials for rewards?

Answer:   This is worker driven program not an employer driven program as such BWC will not offer premium differentials.

Date: 6/28/2017

Inquiry: 44558


Question:   For structure are there preferences for participatory, activity based, outcomes and companywide rewards.

Answer:   If this question is related to the “structure” of incentives, then DAS/BWC expect offerors to draw on their experience in this area to propose a design/structure of incentives that enhances the engagement of the program participants. Refer to page 29.

Date: 6/28/2017

Inquiry: 44558


Question:   Is it BWC’s intent to substantially change the design if so how?

Answer:   This is the first time this program is offered.

Date: 6/28/2017

Inquiry: 44558


Question:   Can you please share your current incentive/rewards design and structure?

Answer:   This is a new initiative for BWC. Therefore, we do not have an incentive/rewards design structure. Please refer to page 29.

Date: 6/28/2017

Inquiry: 44558


Question:   What is your expectation for utilization per each challenge?

Answer:   We do not have a specific expectation.

Date: 6/28/2017

Inquiry: 44558


Question:   Is there a history of challenges? Can you please share programs run within the last 2-3 years and the vendor?

Answer:   This program is being offered for the first time.

Date: 6/28/2017

Inquiry: 44558


Question:   How many challenges on an annualized basis will the BWC plan on running?

Answer:   BWC does not have a specific number. BWC expect offerors to propose a creative and cost effective plan/s for challenges to ensure high levels of engagement by program participants.

Date: 6/28/2017

Inquiry: 44558


Question:   What is BWC’s expectation for overall utilization?

Answer:   We do not have specific values for utilization. However, BWC expects offerors to draw on their expertise in this area to propose responses to this RFP that optimize utilization according to the scope of work and program objectives.

Date: 6/28/2017

Inquiry: 44558


Question:   Disease management - can you please share your expectation for the % of enrollment in each of the 5 disease identified?

Answer:   BWC does not have a specific expectation. However, BWC expects offerors to draw on their experience in this area to provide estimates based on their previous work in population health management.

Date: 6/28/2017

Inquiry: 44558


Question:   Disease management - can you please share your expectation for the % of overall enrollment in DM?

Answer:   BWC does not have a specific expectation. However, BWC expects offerors to draw on their experience in this area to provide estimates based on, but not limited to, expected program participation, completions of HRA’s, completions of biometric screenings, identified health risks, and engage participants that need DM accordingly.

Date: 6/28/2017

Inquiry: 44558


Question:   What is BWC’s expectation for overall utilization?

Answer:   We do not have specific values for utilization. However, BWC expects offerors to draw on their expertise in this area to propose responses to this RFP that optimize utilization according to the scope of work and program objectives.

Date: 6/28/2017

Inquiry: 44558


Question:   Does the BWC have a data source (claims feed) for opioid utilization listed?

Answer:   No, the vendor should work with the program participants in soliciting the appropriate information.

Date: 6/28/2017

Inquiry: 44558


Question:   Does the BWC have an established goal for % outreach and % enrollment into LM Coaching?

Answer:   BWC does not have a specific expectation. However, BWC expects offerors to draw on their experience in this area to provide estimates based on, but not limited to, expected program participation, completions of HRA’s, completions of biometric screenings, identified health risks, and propose threshold health risk values to target specific group of participants for LM Coaching.

Date: 6/28/2017

Inquiry: 44558


Question:   What is BWC’s expectation for screening utilization overall as an aggregate and on average at the group level?

Answer:   BWC does not have a specific expectation. However, BWC expects offerors to draw on their experience in this area to provide estimates based on, but not limited to, expected program participation, completions of HRA’s, identified health risks in the HRA’s, cost of the various program services, and the overall program budget.

Date: 6/28/2017

Inquiry: 44558


Question:   Can you share a participation estimate or expectation on an annualized basis?

Answer:   We do not have a participation estimate.

Date: 6/28/2017

Inquiry: 44558


Question:   Can you share a previous census of specific locations (zip codes) where events have occurred and the number of participants at each?

Answer:   This program is offered for the first time, as such there is no data available. Offerors are encouraged to provide creative and cost-effective solutions/plans that allow participants to complete biometric screenings and reporting of results through various means.

Date: 6/28/2017

Inquiry: 44558


Question:   You mention both options of finger stick and venipuncture, is it your expectation that the fee per participant be the same for both or can we add a row to the pricing schedule?

Answer:   The BWC preferred method is the finger stick; however, venipuncture should be available as an option as needed. BWC expects one fee. Offerors must not alter the Cost Summary Sheet to add or remove items.

Date: 6/28/2017

Inquiry: 44558


Question:   For h. for accessing all health related information (e.g. hotlinks) can you please estimate how many and/or list them?

Answer:   Everything should be easily accessible to participants. Hotlinks is an example.

Date: 6/28/2017

Inquiry: 44557


Question:   How many different iterations of the web portal for different groups does BWC anticipate – can you please list?

Answer:   Unless an offeror proposes and justifies a need for more than one web portal, BWC anticipates a single web portal to be used by program participants.

Date: 6/28/2017

Inquiry: 44557


Question:   What is the BWC expectation for HRA utilization?

Answer:   BWC expects utilization of HRA in conjunction with utilization of other program services and offerings.

Date: 6/28/2017

Inquiry: 44557


Question:   What is the BWC expectation for website registration/usage?

Answer:   BWC does not have estimates related to website registration/usage. It is our desire to have the supplier assist in obtaining the greatest amount of participation from the eligible population.

Date: 6/28/2017

Inquiry: 44557


Question:   The contractor shall develop a customized HWP public website – does this exist today? If so can you please send a link?

Answer:   No, this does not exist today. We envision this tool to be developed by the vendor in conjunction with BWC as described in the Data Exchange section and other related references in other sections of the RFP.

Date: 6/28/2017

Inquiry: 44557


Question:   For the tool to be developed for participants to check their eligibility does the State have anything developed already or will this be new? If it exists today who has built it and if possible can you send screen shots or demo access?

Answer:   This will be a new tool that we are expecting the supplier to develop in order for participants to check eligibility.

Date: 6/28/2017

Inquiry: 44557


Question:   In the Staffing Plan section, can you please share if there is a specific number of staff or budget allocated that would outline the State’s expectation?

Answer:   Offeror are expected to provide a staffing plan that ensures timely and accurate delivery of program requirements and quality services.

Date: 6/28/2017

Inquiry: 44557


Question:   Will a complete listing of all vendors that submit a response be posted publically? If not can you please share the number and names of all vendors that are planned to send in RFP responses?

Answer:   DAS publishes a list of all respondents for RFP's. We do not know the number of vendors planning to respond to the RFP.

Date: 6/28/2017

Inquiry: 44557


Question:   We do not see a specific questionnaire. Can you please describe how vendors are to outline how we will execute on the requirements and scope of work of the RFP?

Answer:   Offerors are expected to propose their approach for addressing and executing on the requirements and scope of work of the RFP.

Date: 6/28/2017

Inquiry: 44557


Question:   Can you explain what you mean from a services perspective when you say ‘1st come 1st serve basis until allocated funds for the first fiscal year are depleted?

Answer:   It means that participation in the program and utilization of the services offered through the program by participants are expected to continue through the fiscal year until the allocated funds for the fiscal year are utilized.

Date: 6/28/2017

Inquiry: 44557


Question:   Are the two main populations or websites needed for workers and injured workers? If there are other different configurations (or sites) needed beyond this can you please send us an estimate of how many in total there may be?

Answer:   It is expected that the populations will be using one website.

Date: 6/28/2017

Inquiry: 44557


Question:   Confirm that total eligible is 500,000 workers.

Answer:   The estimated population of workers/injured workers who meet the eligibility criteria for participation in the program is about 500,000.

Date: 6/28/2017

Inquiry: 44557


Question:   Is the BWC using a consulting firm to help with the RFP process? If yes can you identify the firm and specific consultants involved?

Answer:   BWC does not have a consulting firm assisting with the process for this RFP.

Date: 6/28/2017

Inquiry: 44557


Question:   Are there ‘lessons learned’ that you want to ensure are not repeated going forward?

Answer:   This is a new program being offered for the first time.

Date: 6/28/2017

Inquiry: 44557


Question:   Please describe what a successful program looks like over the next 3-years?

Answer:   A successful program should meet the objectives of the program outlined in the Background and Scope of Work sections of the RFP.

Date: 6/28/2017

Inquiry: 44557


Question:   Describe any issues you are trying to solve for with a new vendor.

Answer:   This is a new program offered by BWC to segments of Ohio’s workforce and injured workers. There is no existing vendor.

Date: 6/28/2017

Inquiry: 44557


Question:   Why is the State of Ohio going out to bid?

Answer:   The State of Ohio has issued this RFP on behalf of BWC to obtain a qualified supplier through the competitive bidding process.

Date: 6/28/2017

Inquiry: 44557


Question:   Pricing Section: What is the "participant count" you want used in order to calculate the "Total Annual Fees" for the PPPM/PPF?

Answer:   We do not have specific values for utilization. However, BWC expects offerors to draw on their expertise in this area to propose responses to this RFP that optimize utilization according to the scope of work and program objectives.

Date: 6/28/2017

Inquiry: 44563


Question:   Public Website: What content would you want included in the public website? Is this basically a landing page to invite workers to participate and share benefits of the program?

Answer:   All aspects of the program should be easily accessible to participants. It is up to the supplier to use creativity and experience to demonstrate that it can satisfy the requirements listed throughout the RFP.

Date: 6/28/2017

Inquiry: 44563


Question:   Incentive Payments: What amount per participant per year will you be paying? We need this amount to calculate into the Incentive Management portion of the RFP.

Answer:   DAS/BWC expect offerors to draw on their experience in this area to propose a design/structure of incentives that enhances the engagement of the program participants. Refer to page 29.

Date: 6/28/2017

Inquiry: 44563


Question:   This inquiry is in reference to Page 14, TABLE 1 - MANDATORY PROPOSAL REQUIREMENTS: Item 2 included in Table 1 indicates that the offeror must demonstrate it has NCQA “Lifestyle Management program accreditation”. We are not aware of any such accreditation and a review of the NCQA website does not describe any such accreditation. Further, we contacted NCQA via telephone and the NCQA representatives with whom we spoke confirmed that an NCQA “Lifestyle Management program accreditation” does not exist. Can you please elaborate on the details of this requirement?

Answer:   An addendum will be issued to clarify this question.

Date: 6/23/2017

Inquiry: 44517


Question:   This inquiry is in reference to Page 14, MANDATORY REQUIREMENTS: If a sub-contractor has both the NCQA Disease Management and Lifestyle Management program accreditations, while the Contractor has neither, does this fulfill the Mandatory Requirements?

Answer:   The prime Contractor must meet the Mandatory Requirements.

Date: 6/14/2017

Inquiry: 44384


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Inquiry period ended:  7/17/2017 8:00:00 AM