Grant to a qualified New York business to conduct a comprehensive evaluation of State healthcare delivery in order to reduce avoidable hospital use by 25% over a five-year period. January 13 is the deadline to submit questions. Eligible applicants must have at least three year’s experience conducting large-scale, multi-year program evaluations and knowledge of New York health care and other qualifications in order to provide services as an independent evaluator.
Specifically, The Delivery System Reform Incentive Payment (DSRIP) Program is the main mechanism by which New York State (NYS) will implement the Medicaid Redesign Team (MRT) Waiver Amendment. DSRIP’s purpose is to fundamentally restructure the health care delivery system by reinvesting in the Medicaid program, with the primary goal of reducing avoidable hospital use by 25 percent over five years. Up to $6.42 billion is allocated to this program with payouts based upon achieving predefined results in system transformation, clinical management and population health.
DSRIP will provide incentives for Medicaid providers to create and sustain an integrated, high performing health care delivery system that can effectively and efficiently meet the needs of Medicaid beneficiaries and low income uninsured individuals in their local communities by achieving the MRT Triple Aim of improving care, improving health and reducing costs. Through DSRIP, the NYS Department of Health (Department) seeks to transform the health care safety net, reduce avoidable hospital use and make improvements in other health and public health measures at the system and state level, and ensure sustainability of delivery system transformation through leveraging managed care payment reform.
DSRIP provides incentive payments to reward safety net providers that undertake projects designed to transform systems of care supporting Medicaid beneficiaries and low income, uninsured persons by addressing three key elements: safety net system transformation; appropriate infrastructure; and assuming responsibility for a defined population. Safety net providers participating in DSRIP are referred to as Performing Provider Systems (PPS). The goal is to seek proposals from responsible and qualified contractors to conduct a multi-method, comprehensive, statewide independent evaluation in accordance with the DSRIP Special Terms and Conditions (STC).
The evaluation will employ quantitative and qualitative methods in order to achieve a robust evaluation of this demonstration program, and will achieve the following goals: 1) assess program effectiveness on a statewide level with respect to the MRT Triple Aim, 2) obtain information on the effectiveness of specific projects and strategies selected and the factors associated with program success, and 3) obtain feedback from stakeholders including Department staff, PPS administrators and providers, and Medicaid beneficiaries served under DSRIP regarding the planning and implementation of the DSRIP program, and on the health care service experience under DSRIP reforms. Evaluation results will be regularly reported to the Department, the PPSs and CMS.
The Independent Evaluator will design and implement a multi-method, robust statewide evaluation of the NYS DSRIP Program consistent with the specifications outlined in STC sections VIII.21 through VIII.33. An evaluation plan drafted by NYS is included as Attachment K to the RFP. This evaluation plan may be adopted in whole or in part, or replaced entirely with an original plan from the Bidder.
Proposals submitted in response to this solicitation must demonstrate the ability to fully document the impact of DSRIP on health care service delivery, health improvements and cost to the Medicaid program, as well as to determine program components that were particularly successful or posed significant challenges in terms of DSRIP implementation and outcomes.
For profit organizations other than small businesses
Others (see text field entitled "Additional Eligibility Criteria" for clarification)
Additional Eligibility Criteria
NYSDOH will accept proposals from organizations with all of the following types and levels of experience as a prime contractor:
- A minimum of three year’s experience conducting large-scale, multi-year program evaluations;
- A designated lead evaluator with at least masters level training in public health, statistics, social sciences or a related field;
- A minimum of three years of experience managing and analyzing data from large, complex data systems;
- A minimum of three years of experience developing qualitative instruments, and in collecting and analyzing qualitative data; and
- Ability for the prime contractor and any proposed subcontractors to act as an independent, unbiased third party in conducting the evaluation in that bidders must not have any business relationship with any of the PPSs or their participating providers.
Contractors for DSRIP support services and the Independent Assessor are not eligible to apply.
For the purposes of this RFP, a prime contractor is defined as one who has the contract with the owner of a project or job and has full responsibility for its completion. A prime contractor undertakes to perform a complete contract and may employ (and manage) one or more subcontractors to carry out specific parts of the contract. Failure to meet these Minimum Qualifications will result in a proposal being found non-responsive and eliminated from consideration.
It is preferred that bidders have:
- A designated lead evaluator with doctoral level training in public health, statistics, social sciences, or a related field;
- Demonstrated knowledge of the NYS healthcare landscape and DSRIP program;
- Demonstrated experience with large and complex data systems, which include Medicaid claims; and
- Demonstrated experience in reporting research and evaluation results in the context of their implications for health policy.
Scoring of technical proposals will take into account possession of these preferred qualifications.
Deadline for Submission of Written Questions: January 13, 2016 - 5:00 PM ET.
Responses to Written Questions Posted by DOH: On or About January 29, 2016.
Additional Funding Information
Estimated Total Program Funding:
Term of Contract
Anticipated Contract Start Date: October 1, 2016. This contract term is expected to be for a period of five years.