February 18, 2014 Mr. William Watson 1401 Capitol
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February 18, 2014 Mr. William Watson 1401 Capitol Avenue Suite 300, Victory Building Little Rock, AR 72201 Subject: First Data’s proposal in response to the Arkansas Health Insurance Marketplace (AHIM), Professional Consulting Services RFP Dear Mr. Watson In response to the Request for Proposals referenced above, First Data Government Solutions, LP is enclosing our proposal for the Arkansas Health Insurance Marketplace Project. First Data is providing the required number of copies and CD's of its response. First Data Government Solutions, LP is a government-facing business component of First Data Corporation, a large Fortune 500 company that drives the business of private and public sector enterprises through our processing and consulting capabilities. First Data recognized the unique needs of government and developed resources to help government clients effectively perform their mission by providing a seamless approach to business, technology, and professional services. Not only are we industry leaders in project management, planning and quality assurance, we have diligently performed these services for many of the nation’s largest health and human services information technology projects. Since 2011, First Data has been advising Arkansas on options to implement a state exchange. We understand and share your vision for an Arkansas Health Insurance Marketplace. We look forward to continuing our relationship and helping AHIM drive to the finish line. First Data welcomes the opportunity to discuss our approach, answer any questions and negotiate any terms and conditions of the contract resulting from this RFP that may arise. Mr. David Sodergren will serve as the primary contact for this response. He can be reached at (518) 618-5830. Arkansas Health Insurance Marketplace (AHIM) Professional Consultant Services 1.0 Company Profile 1. Company Profile First Data Government Solutions, LP is wholly owned by First Data Corporation, a global payment processing leader, headquartered in Atlanta, Georgia. First Data Government Solutions, LP was formally established in 2004 by combining four companies - govONE Solutions, GovConnect, Frank Solutions, Inc. and Taxware. GovConnect was originally formed by the merging of Eligibility Management Systems (EMS), started in 1989, and International Public Access Technologies (IPAT), started in 1978. In 2007, First Data was acquired by Kohlberg Kravis Roberts & Co. (“KKR”). First Data Government Solutions, LP became a wholly owned subsidiary of First Data Corporation. As such, First Data has been performing strategic planning, procurement, Quality Assurance, and Independent Verification and Validation (IV&V) services for large government systems projects for more than 30 years. First Data Government Solutions, LP has the following major office locations: First Data Government Solutions, LP Office Locations Office Address Telephone Atlanta, GA 5565 Glenridge Connector NE, Ste. 1600 (404) 890-2285 Atlanta, GA 30342 Cincinnati, OH 11311 Cornell Park Drive, Suite 300 (513) 489-9599 Cincinnati, OH 45242 Omaha, NE 7305 Pacific St. (402) 222-5701 Omaha, NE 68114 Denver, CO 6200 S. Quebec Street (303) 967-6159 (Headquarters) Greenwood Village, CO 80111 Table 1.1 – First Data Government Solutions Office Locations The primary point of contact for this proposal is: David Sodergren Director, Government Accounts 5565 Glenridge Connector NE, Suite 1600 Atlanta, GA 30342 (518) 618-5830 [email protected]. Page 1 Arkansas Health Insurance Marketplace (AHIM) Professional Consultant Services 2. Qualifications 2. Qualifications First Data is excited to offer our consulting services and expertise with health insurance exchanges to assist the State of Arkansas in dissecting the decisions and actions on its Health Insurance Marketplace and to make recommendations for moving forward. First Data does not just have a theoretical understanding of the challenges facing Arkansas; we have a practical understanding of those challenges, rooted in existing relationship with the State as well as more than 30 years of experience helping other states plan and implement large, complex health and human services programs and systems. The Affordable Care Act (ACA) changed the landscape of the health and human services industry. There are new hills to climb to meet the seven standards and conditions; new valleys of despair; and new heights to achieve towards improving access to health care whether it is through insurance exchanges or enhanced Medicaid eligibility and claims processing systems. First Data has not been on the sidelines. We have been actively assisting our clients as they seek to understand and then successfully implement the provisions of ACA. These efforts initiated with the early Planning Grant efforts all the way through the implementation and current maintenance initiatives for the first year of Exchange operations. First Data has established a Center of Excellence to explore and educate ourselves and our clients on changes to cost allocation resulting from new ACA- related guidelines. In addition, our health care consulting team has been closely engaged with several states on the impact to eligibility and MMIS projects and has become not only a trusted advisor, but a reliable source to help navigate through the challenges of staying on time and within budget despite the unknowns associated with this sweeping legislation. Specifically in the past year we have performed the following consulting services on health insurance exchanges: State Exchanges California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) – RFP development, Evaluation Planning, Project Management Support and Oversight, APD Development and Maintenance, Technical Architecture Review and Business Analysis Testing. Colorado Health Benefit Exchange (COHBE) – Review of policies and procedures, Business Process Analysis, Monitor Project Work Plans, Requirements Analysis, Design Analysis, and Testing. Connecticut Health Insurance Exchange (HIX) – Independent verification and validation (IV&V) including monitoring testing activities and reviewing test results, quality assurance, project management, status meetings, and monthly executive briefings. Oregon Health Insurance Exchange (HIX) Assessment – Assessment of website planning and implementation through stakeholder interviews, review of vendor services, and review of project documentation and artifacts. Page 2 Arkansas Health Insurance Marketplace (AHIM) Professional Consultant Services 2. Qualifications Partnership Exchanges Arkansas Insurance Department Health Insurance Marketplace Partnership (AHIMP) – Governance Model Development, Marketplace Analysis, Financial Modeling, Project Management, Quality Assurance, Integration Planning, Business Model Planning, Outreach Planning, and Procurement Support. Subsequently, initial planning for migration from the Partnership Marketplace model to the State Marketplace model. Illinois Health Benefit Exchange (HIX) – In support of the State of Illinois’ Governor’s Office - Project Management, Design Management, and Quality Assurance. In each of these projects, First Data has worked closely with our state customers and CMS representatives to understand and implement the federal guidance and to help achieve a successful project. This experience has afforded our team significant insight into the IT challenges introduced by the Affordable Care Act, as well as familiarity with numerous Health Insurance Exchange solutions available in the marketplace today. As a result, we are able to provide our clients a comprehensive perspective on their projects and bring best practices and lessons learned from other states that can help them succeed. First Data has selectively chosen to partner with Seema Verma Consulting, Inc. (SVC) to supplement the First Data Team with additional Health Insurance Exchange experience. First Data has also previously partnered with SVC in other state health initiatives. With over 30 years of combined health care experience and knowledge of government health programs on the local, state and federal level, SVC offers its clients comprehensive policy research, analysis, and program development options. SVC has a range of clients, working directly with states such as Indiana, Nebraska, Iowa, Idaho, Maine, and South Carolina around topics including Medicaid strategy, Affordable Care Act (ACA) implementation, state Department of Insurance and Exchange issues. In addition, First Data is pleased to partner with Arkansas Foundation for Medical Care (AFMC) to provide specialized support for AHIM. In addition, we will leverage their extensive experience with many of the Exchange stakeholders and Arkansas consumers to develop strategies for the Marketplace. AFMC, which was incorporated in 1972, is a nonprofit educational organization dedicated to the clinical evaluation and improvement of health care in Arkansas and throughout the country. To complete our partnership, we have included Santa Barbara Actuaries Inc., (formerly Solucia Consulting). SB Actuaries was founded in 2012 by Ian Duncan. The firm’s principals have experience with pricing, reserving, rate filings, exchange design, and implementation and risk adjustment. Recent experience includes significant actuarial and analytical work in support of ACO and Bundled Payment initiatives for providers. Page 3 Arkansas Health Insurance Marketplace (AHIM) Professional Consultant Services 2. Qualifications Drawing on our collective experiences, the First Data Team is prepared