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TRANSCRIPT
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TABLE OF C
1 INTROD
1.1 PURP1.2 BACK1.3 STAT1.4 MINIM1.5 TERM1.6 FUND1.7 CONT1.8 ACQU1.9 SOLIC
2 GENER
2.1 ANTI2.2 QUES2.3 AUTH2.4 CONT2.5 CONT2.6 INCO2.7 INSUR
3 PROPO
3.1 SUBM3.2 PREP3.3 BIDDE
4 EVALU
4.1 OVER4.2 ALLO4.3 EVAL4.4 SELE4.5 NOTI4.6 DEBR4.7 PROT4.8 POST
5 DEFINI
EXHIBIT 1 ..EXHIBIT 2 ..
APPENDIX AAPPENDIX BAPPENDIX C
nt Replacement
CONTENTS
DUCTION .
POSE ............KGROUND .TEMENT OFMUM QUAL
M ..................DING ............TRACTING UISITION ACITATION
RAL INFORM
CIPATED PSTION AND HORIZED CTRACT FORTRACT REQ
ORPORATIORANCE.......
OSAL SUBM
MITTAL INSPARATION O
ER RESPON
UATION AND
RVIEW ........OCATION OLUATION PRCTION OF AFICATION
RIEFING OFTEST PROCT AWARD C
ITIONS .......
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A .................B ..................C .................
t Bundled Epis
S
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.....................F WORK ......LIFICATION..........................................WITH CUR
AUTHORITYSTANDARD
MATION ....
PROCUREMANSWER POMMUNIC
RMATION ..QUIREMENON OF DOCU.....................
MITTALS .....
STRUCTIONOF PROPOSNSIVENESS
D AWARD .
.....................OF POINTS ..
ROCESS .....APPARENTOF APPARE
F UNSUCCEEDURES ....ONFERENC
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ode of Care
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RRENT OR FY ...................DS .................
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MENT SCHEPERIOD .......
CATION ............................TS ................UMENTS IN.....................
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Request
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CA RFP No. 15
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1 INT
1.1 PU
The Waand/or nTotal JoPlan (UCollabooffered Awarde
a.
b
Section Capitali In this Rreferenc
1.2 BA
“Payingalso knobold couState. Thpassage quality chealth imeffort wyear 201
As the lahealth caaccountaFee-Forvalue, quhealth caextends benefits Medicar
Currentlplan.
nt Replacement
TRODUCT
URPOSE
ashington Statnetwork of proint (Knees an
UMP) Classic orative (Bree Cto Members w
ed Contractor(
. Deliver higbased on Breporting h
. Be financiCare to inc
5, “DEFINITized terms app
Request for Pces to the plur
ACKGROUN
g for Value” isown as the Heurse for transfhe Innovationof E2SHB 25
contracting, amprovement, ill “reduce ex17 to generate
argest purchaare to focus oable-care and-Service (FFSuality, effectiare and 50 pethrough to thto over 350,0
re retirees, an
ly, over 240,0
t Bundled Epis
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te Health Carrovider(s) to bnd Hips) Repand ConsumeCollaborativewho receive c
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gh-quality, evBree Collaborhealth outcomally and cliniclude physicia
TIONS” can bpearing in thi
roposal, wherral shall inclu
ND
s a core strateealthier Washformative chan Plan was em572, requiringand other paymfor Medicaid
xtraneous mede budget savin
aser of health on value, not vd value-based S) payment miveness and efercent of the che PEBB Prog000 membersd dependents
000 of the 350
ode of Care
re Authority (become contralacement (TKer-Directed He) recommendcare in Washi
e the followin
vidence basedrative recommmes; and
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d and public edical costs, acngs identified
care services volume. Thropurchasing st
models; align pfficiency. Wcommercial mgram, adminis including sta
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3 of 22
HCA) is solicacted PEBB C
KR/THR) BunHealth Plan (Cdations. The Tington State s
ng capabilities
d TKR/THR Bmendations, in
table for the ctal care.
he end of thisave the same
, references tolar.
s State Healthtive. The Heaay health care
he Washingtonto increase th
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in Washingtoough a multi-ytrategies stateprovider, payashington Sta
market to valustered by the ate and other p
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citing one or Centers of Exndled Episode
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h Care Innovaalthier Washine is delivered n State Legisl
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more health cxcellence (COe of Care for bers, based onundled Episodnuary 1, 2017
ode of Care anot limited to
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r shall include
ation Plan (Innngton Initiativand paid for
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A is changingpproach, HCAffort to phasemer incentiverive 80 percenment by 2019EBB Programoyees, pre-Me
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CA RFP No. 15
care provider(OE) to provide
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RFP) docume
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novation Planve seeks to chin Washingto
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To accoalternatiWashing(ESHB work tog
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ancial accountations.
ee Collaborati
tage 1: Disabrior to surgerisability and eighly disablinf conservative
tage 2: Fitnesrior to surgernsure their sahooses to pronformed cons
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tage 4: Post-OA standard proomplications,nnecessary re
member demoed in developi
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re one of the mill be requiredembers want tHR services oud.
rchasing goalmodels develoe Bree Collabprovide a mecrove quality,
llaborative adTHR Bundledor successful anty defines ce attributed to tability for the
ive has define
bility due to Oy, candidatesevidence of ong osteoarthrie therapy is a
ss for Surgeryy, candidatesfety and comceed with TKent, patient en
ery and Repaid surgical teaardware; preveffects; and m
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ographic data ing their prop
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ode of Care
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Osteoarthritis for joint repl
osteoarthritis atis is evident
appropriate.
y for joint replmitment to pa
KR/THR surgengagement, in
ir of Osteoartam should usevent infection
manage pre-ex
are and Returnbe in place to pid return to fu(Please see Ex
can be foundposals.
pected to woring provider ee concierge to
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n surgical proTKR/THR serv
in-network bk, but will hav
mplement eviBree Collaborestablished inugh which pumes, and cost
dence-based TCare definesurgery and incs and time-frasurgery. The pneeded to diag
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despite Conslacement theraccording to sat the time th
lacement therarticipate actiery on a patiendividual revi
thritic Joint e evidence-ban, venous throxisting medica
n to Functionsupport the g
function, optimxhibit 1 for ad
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rk with HCA’evaluation andols, and perfo
ocedures in thrvices throughbenefit for thove significant
idence-based rative. A multn 2011 by the ublic and privat effectiveness
TKR/THR Buexpected comcluded both c
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servative Therrapy should hstandardized rhe patient first
rapy should mively in returnent who does iew, and prea
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undled Episomponents of pclinical comporgery during whe Warranty isge and resolve
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roposers with
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orting. HCA in
quest for Prop
CA RFP No. 15
ulation. BeginnB’s Centers oMembers ma
o use the Cent
trategies inclur group in State Legislatre stakeholder
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de of Care anpre-operative onents and quwhich those s to track cline those
ode of Care. T
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nt Replacement
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ode of Care
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ents: ntation of disantation of fitnf the osteoarthrative care ans: iateness; turn to functioare experiencafety.
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of the Contrac
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om this TKR/
o meet the opeode of Care,
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s despite cons
ommendationle for complicollaborative We complicatiotability for exranty2 does no
nt collaborativevidence-bas
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onvenient acc
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quest for Prop
CA RFP No. 15
R/THR Bundle
erational and including but
and Warrantyluding produced componentotally knee anity standards
servative ther
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The HCProposeright to
nt Replacement
Awarded CTKR/THRupon timel
Awarded Cto demonsstandards h
Awarded Crecommenappropriat
onsibilities of
HCA will HCA will contractedHCA will the ContraHCA will are met, thHCA will HCA will
A reserves the ment the TKR/
INIMUM QU
rs responding
Must be licenlicensed, Procalendar day
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Must performContract in th
Must be ablereplacement.
Must have thprocedures o
Orthopedic sperform a mi
A intends to ar(s) with the haward up to f
t Bundled Epis
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the HCA inc
make paymenprovide finan
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he contract wirequire its TPupdate any P
right to add o/THR Bundle
UALIFICAT
g to this RFP
nsed to conduposer must prs of being sel
ashington In-
m all total knehe state of W
e to offer a TK
he capacity to f the Member
urgeons, whoinimum of fif
award the Cohighest total sfive (5) Contr
ode of Care
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lude, but are
nts to the Awncial incentiveExcellence fo
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bills to the HCe, which will b
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not limited to
warded Contraes to the definor total knee antives to the A
mance measurd for another se and educatped materials,
quirements to f Care.
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n the state of mitment that Apparent Suc
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volume of totand
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meet its oper
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tal knee and/ o
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is solicitationeview of the bFP.
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arty administrdischarge wit
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n to the responbids. The HC
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ator for each thin an agreed
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ty does not ree the WashingCA reserves trmine in its s
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hat results froevel of availaRFP is contin
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quest for Prop
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ny minimum Authority to is procureme
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Changesprocurem
HCA res
Date Novem
Novem18, 20NovemDecemDecemJanuarJanuar
Januar2016 Januar2016 Februa2016 June 1
2.2 QU
Proposedates spsubmitteresponse
The Probe consiofficial a
2.3 AU
Upon rethe Proc
Unauthemploye
All oral rely only
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s to the Procument schedule
serves the rig
mber 9, 2015
mber 9 – Nove15
mber 24, 2015mber 3, 2015 mber 4, 2015 –ry 15, 2016 ry 18, 2016
ry 20 - Januar
ry 25 – Januar
ary 1 – May 3
, 2016
UESTION AN
r questions anecified in theed in writing tes will be pro
poser(s) that idered unofficand binding.
UTHORIZED
elease of this Rcurement Coo
orized contaees, involved
communicatiy on written s
Procuremen
Alternate Co
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12 of 22
contract resultds or services rmance delive
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scored) Site Evaluatio) scoring Propditional points added to the
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OPOSERS
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PENDIX AAL SUBMITT
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PPENDIX B
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PPENDIX C
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