- Country: USA
- Summary: Health Plan Management System (Hpms)-Website Maintenance and Enhancement Services
- UST Ref No: 82877531
- Deadline: 09 Jun 2023
- Financier: Self Financed
- Purchaser Ownership: Government
- Tender Value: Refer Document
- Notice Type: Tender
- Document Ref. No.: HHS-CMS-SBSS-2024-000001S-HPMS
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- Description:
- Description
The purpose of the work is to obtain system development and support services for the Agency-s Health Plan Management System (HPMS). HPMS is a full service website where health and drug plans, plan consultants, third party vendors, and pharmaceutical manufacturers can work with CMS to fulfill the plan enrollment and compliance requirements of the Medicare Advantage (MA) and Prescription Drug (Part D) programs.
HPMS manages the plan enrollment and compliance business processes for more than 800 private health and drug plans participating in the MA and Part D programs. In total, there are approximately 70 software modules, of varying sizes and complexity, which support MA and Part D functions, including, but not limited to: application submission, automated network adequacy review, formulary submission, bid and benefit package submissions, marketing material reviews, Part D drug pricing and pharmacy network submission, program audits and compliance oversight, performance monitoring, fraud, waste, and abuse tracking and reporting, improper payments, plan surveys, financial reporting, beneficiary complaint tracking, and data support for the Medicare & You handbook, Medicare Plan Finder, and Online Enrollment Center. HPMS also houses the Plan Management Dashboard, a visual platform that organizes HPMS data and presents key performance indicators for plan compliance, fiscal soundness, marketing, contract performance, enrollment operations, and account management.
As the system of record for contract and plan data, HPMS is responsible for the data that serves as the backbone for the MA and Part D programs. Downstream systems are dependent upon HPMS data to carry out mission critical agency operations such as beneficiary enrollment, plan payment, appeals processing, payment reconciliation, and premium withhold.
Because of its crosscutting nature, HPMS systems development requires interaction with numerous entities both inside and outside of CMS. I... - Documents:
SSN_HPMS-Website_Enhancement_5.12.23.docx
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CLICK HERE TO LOGINHealth Plan Management System (Hpms)-Website Maintenance and Enhancement Services - USA Tender
The HEALTH AND HUMAN SERVICES, DEPARTMENT OF, a Government sector organization in USA, has announced a new tender for Health Plan Management System (Hpms)-Website Maintenance and Enhancement Services. This tender is published on USARFP under UST Ref No: 82877531 and is categorized as a Tender. Interested and eligible suppliers are invited to participate by reviewing the tender documents and submitting their bids before the deadline on 2023-06-09.
The estimated tender value is Refer Document, and full details, including technical specifications and submission requirements, are provided in the official tender documents. Ensure all submissions meet the criteria outlined to be considered for evaluation.
