Title
RFP No. 2024-046 - Annual Contract for High-Performance Network & Specialty Care Management Services.
(Authorize the City Manager to finalize and execute a contract with Employer Direct Health in an amount not to exceed $300,000.00. The term of the contract is for a one-year period, with four additional one-year renewal options. The City Manager is authorized to exercise the renewal options, subject to the annual appropriation of sufficient funds.)
Body
Name of Department
Human Resources
Project/Budgeted Amount
An amount not to exceed $300,000.00
Sum of Bid/Bid Amount
An amount not to exceed $300,000.00
Employer Direct Healthcare (EDH), through its SurgeryPlus program, guides members and their families to local, excellent care that creates a lower cost for both the City of Mesquite and the member. This approach provides better access, which drives industry-leading utilization and transforms the way employers provide and pay for their employees planned medical procedures. SurgeryPlus, pre-negotiates and bundles rates for thousands of non-emergent surgical procedures, which allows them significant savings for both employers and their employees. The City of Mesquite’s members will have access to full-service healthcare concierge services and Surgery Plus’ exclusive national network of 100% board certified and fellowship trained physicians across numerous specialties.
SurgeryPlus simplifies the surgical process from start to finish for members using our program - from helping schedule appointments to eliminating medical bills related to member’s care. SurgeryPlus’ credentialed surgeons undergo a rigorous evaluation process to ensure that the City’s members receive high quality care from specialists who excel in the area related to their needs. SurgeryPlus covers nearly all non-emergent procedures typically covered by the health plan.
Bid notices were broadcast through Periscope Holdings electronic bidding system, posted on the City’s website, and published in the Daily Commercial Record newspaper. A total of one bid was received. Staff reviewed their qualifications and recommends award to Employer Direct Health.
Financial Implications
The goal of this program is to find savings opportunities to implement cost savings in the way of reduced expenditures from the City’s health fund related to surgical costs.
Recommended/Desired Action
Staff recommends the City Manager be authorized to finalize and execute a contract with Employer Direct Health.
Attachment(s)
Scoring Matrix
Drafter
Nick Domovich
Head of Department
Libby Craven