Hospital Rate Setting Services

The Wisconsin government authority is seeking a vendor to provide hospital rate setting services. The agency needs a partner to perform the annual calculation of inpatient rates using both fee-for-service hospital claims data and health maintenance organization encounter data. The selected vendor must receive, load, and analyze all data provided by the agency and hospitals in electronic formats using the secure shell file transfer protocol transmission mode prescribed by the agency. The scope of work requires the vendor to protect all data at rest, in transit, and in use. The agency requires the vendor to work collaboratively with a diverse group of stakeholders, including agency management, Medicaid fiscal agents, hospital fiscal-related staff, and other Medicaid vendors. Throughout each rate cycle, the vendor must participate in periodic meetings of state and hospital staff to discuss the parameters, priorities, methodology, and ongoing results of hospital rate development. Eligibility is restricted to onshore organizations based in the United States. The agency expects the performance of the work to occur offsite. The contract period will span two years, and the agency is looking for budget proposals within the submitted bids. Bidders must submit their responses digitally via email or online, though the source document does not specify the evaluation criteria or key submission dates.