DHA RFP: TRICARE Managed Care Support

Notice ID: HT9402-20-R-0005

This announcement is the Third Draft Request for Proposals (RFP) for the fifth-generation TRICARE Managed Care Support Contracts (T-5).  The RFP contains updates to several areas of the contract and TRICARE Manuals.  DHA has completed all Industry Day questions and responses from Draft RFP 2 and Draft RFP 2.1.

The third draft RFP contains:

Updated clinical quality and draft award fee criteria.  DHA carefully aligned private sector care and direct care metrics, set targets for quality, required monitoring of safety and replaced the quality incentive (formally around Alternate Payment Models) with achievement of quality outcomes.  DHA seeks comment on the metrics and whether choosing quality outcomes will aid industry in development of APMs.

A new Transition-Out award fee along with a phased in approach to referral management to ensure Transition-In success.

Updated requirements for handling of Controlled Unclassified Information as a result of upcoming changes to DoD policy.

Changes to evaluation criteria as a result of industry feedback.  A table of T-5 relevant comparisons was added to aid industry in selecting its most relevant past performance references.

Prioritized innovations to start with T-5:  Virtual Value Networks, Advanced Primary Care and Care Collaboration Tools for their impact to readiness, cost, and quality.  Other innovations, including the competitive demonstrations, will be phased in during T-5 performance.

Updated requirements for return of clinical information and integration with data systems.  Linked requirements to the Award Fee to improve readiness of the force.  DHA seeks input from industry on all Award Fee targets.

Read more here.



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