Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Exhibit 2 - Pricing Evaluation
Exhibit 2 RFP 8577 ‐ Pricing Evaluation for Medical Network, Claims Administrative Services and Pharmacy Benefit ManagersAdmin. Rate $36.11 $39.75 $26.50 $32.46 $44.57Monthly Rate $60,809.24 $66,939.00 $77,959.00 $54,662.64 $75,055.88Yearly Rate $729,710.90 $803,268.00 $535,512.00 $665,951.70 $900,670.60Medical Total $729,708.00 $803,268.00 $535,512.00 $655,952.00 $900,671.00EvaluationDelivery/Project Schedule‐5%4.50 3.00 2.83 3.67 2.83Compliance with Specifications‐15%12.50 9.00 7.50 8.50 8.00Probable Performance‐60%48.00 34.00 26.00 26.00 30.00Price and total Discount‐20%14.68 13.33 20.00 16.33 11.89Total79.6859.33 56.33 54.50 52.72Pricing Proposal Type Traditional Traditional Traditional Traditional Traditional Traditional Pass ThroughIngrediient Cost $21,550.07 $21,230,464.00 $20,122,443.00 $21,067.47 $21,005,472.00 $20,641,962.00 $21,785,005.00Dispensing Fees $37,672.00 $34,661.00 $89,874.00 $45,866.00 $56,448.00 $47,045.00 $0.00Total Prescription Cost $21,587,739.00 $21,264,125.00 $20,212,317.00 $21,113,050.00 $21,061,920.00 $20,689,006.00 $21,785,005.00Coalition Fee $0.00 $0.00 $0.00 $0.00 $209,100.00 $0.00Consulting Fee Included $115,776.00 Included $115,776.00 $15,776.00 IncludedAdmin Fees $0.00 $0.00 $0.00 $0.00 $0.00 $418,003.00 $984,096.00Rebate Credit $7,646,516.00 $10,727,194.00 $5,928,523.00 $7,739,569.00 $7,371,247.00 $5,936,030.00 $4,747,374.003‐Year Gross Cost After Rebate$13,941,223.00 $10,537,931.00 $14,399,570.00 $13,373,481.00 $13,806,449.00 $15,495,856.00 $18,021,727.00Projected Savings $3,403.29 ‐$458,347.00 $567,742.00 $134,774.00 ‐$1,554,632.00 ‐$4,080,504.00Projected Savings % 24.40% ‐3.30% 4.10% 1.00% ‐11.20% ‐29.30%(Contract Baseline)Estimated Member Share $1,832,799.00 $1,805,409.00 $1,715,026.00 $1,792,498.00 $1,788,157.00 $1,756,497.00 $1,849,547.003‐Year Net Cost $12,108,424.00 $8,732,522.00 $12,683,544.00 $11,580,983.00 $12,018,292.00 $13,739,359.00 $16,172,180.00EvaluationUnited Healthcare Aetna Blue Cross Blue Shield Cigna SlateRX MarpalHealth4.50 3.00 2.83 3.67 2.00 2.8312.50 9.00 8.00 8.50 9.00 7.5048.00 34.00 30.00 26.00 28.00 26.0020.00 13.77 15.08 14.53 12.71 10.8085.00 59.77 55.91 52.70 51.71 47.13Total Score:Delivery/Project Schedule‐5%Compliance with Specifications‐15%Probable Performance‐60%Price and total Discount‐20%Scoring CriteriaPharmacy (3‐Year Totals)Incumbent Contract United Healthcare Aetna Blue Cross Blue Shield Cigna SlateRX MarpaiHealthUnited Healthcare Aetna, Inc. Maripai HealthUnited Healthcare Aetna, Inc. Maripai Health CignaMedicalBlue Cross Blue ShieldCigna Blue Cross Blue Shield