PAGE 13 LHD RFP Response C. Vendor Management 1.Outline your approach to negotiations and renewals with insurance carriers on your client’s behalf and provide a sample timeline of the process. 2. Provide a recent example of how your firm has assisted a client to effectively address the challenge of rising health care costs without drastically decreasing benefits to employees. This proven process as well as our market leverage gives our clients confidence knowing they’ve received the best possible pricing, terms, and conditions. Carrier negotiations are about controlling the narrative. We use your data to develop our own set of “facts” and our own “story.” Our data-driven approach is highly respected by carrier partners, as we bring well-constructed expectations to the table. Our process for (re)marketing includes: Developing a request for proposal that meets our client’s specific goals Development and distribution of formal Requests for Proposals (RFPs) Review and analysis of competitive bids Summarization of bidder responses Presentation of bidder responses to client Facilitation of finalist meeting(s) with bidders Negotiation of best and final offers Final placement of coverage/services and implementation support We have run PBM RFPs, implemented on-site / near-site clinics, negotiated direct contracts with providers, implemented captive solutions, and revisited plan designs and contribution strategies to name a few. But, I am most impressed by our recent experience with Dynamic Pricing. Dynamic pricing uses varied copays, based on provider value, to direct patients to the highest value care. As an example, see Surest. Surest is a UHC owned solution that has managed inflationary trend, while reducing our client’s plan cost by 14% and employee out of pocket costs by 40%.
Request For Proposal - February 2025 Page 12 Page 14