Medical Administrative Services Organization (ASO), Third Party Administration (TPA) and Pharmacy Benefit Manager (PBM)

The City of Omaha is seeking a qualified vendor to provide Medical Administrative Services Organization (ASO), Third Party Administration (TPA), and Pharmacy Benefit Manager (PBM) services. The selected vendor will be responsible for providing administrative services, claims processing, and pharmacy benefit management. The contract will be for a term of three years, with the option to renew for an additional two years. The city is looking for a vendor that can provide a comprehensive and cost-effective solution for its medical and pharmacy benefits. Some of the key requirements include: • Providing medical claim repricing services • Managing provider disruption • Providing pharmacy benefit management services • Offering performance guarantees • Meeting monthly eligibility and reporting requirements • Providing customer service The evaluation criteria will include: • Administrative cost and services • Network access and discounts • Clinical and claims management solutions • Performance guarantees • Pharmacy benefit management rebates, guarantees, and contracts • Ability to meet monthly eligibility and reporting requirements • Customer service Some of the key features of the proposal include: • A detailed project work plan • Deliverables and due dates • A cost proposal that includes details on implementation fees, administrative service fees, and any additional costs • A description of the vendor's technical approach and understanding of the scope of the project • A summary of the vendor's corporate experience and proposed approach to the management of the project.