Saskatchewan Tenders #202627-C19003443

Out of Canada Medical Case Management and Cost Containment Services for Saskatchewan Ministry of Health

The Government of Saskatchewan, through eHealth Saskatchewan and the Ministry of Health, is seeking a supplier for Out of Canada Medical Case Management and Cost Containment Services. - Government Buyer: - Government of Saskatchewan, Ministry of Health, Medical Services Branch - Office: eHealth Saskatchewan - Scope of Services: - Out of Canada Medical Case Management Services - Includes access to global healthcare providers, patient information release compliance, coordination with Ministry consultants, and quality care interventions - Medical Cost Containment Services - Negotiation of claims, recommending cost-saving treatment models, reviewing service charges, and direct billing - Supplier Support Services - Dedicated account manager and support staff during business hours - Reporting Services - Monthly, quarterly, annual, and savings summary reports with detailed data - Web Portal and Secure FTP Services - Secure online portal for claims, records, provider search, and statistics - Secure file exchange meeting ISO27001:2022, TLS 1.1, and multi-factor authentication requirements - Notable Requirements: - Supplier must have global medical service capabilities - Compliance with Canadian data residency and privacy laws - Strong information security standards - Pricing is commission-based on savings achieved - Evaluation includes written submissions, presentations, and a Best and Final Offer phase - No specific OEMs, products, or part numbers are named; the focus is exclusively on service delivery

Description

This Request for Proposals (RFP) is issued by eHealth Saskatchewan on behalf of the Saskatchewan Ministry of Health to solicit submissions from prospective proponents for the provision of Out of Canada Medical Case Management and Cost Containment Services. The Ministry provides coverage to Saskatchewan residents for various medical, optometric, and dental services, including management of publicly insured medical services and prior approved out of Canada services. The contract term is three years with an option to extend up to seven additional years. The RFP process includes multiple evaluation stages, and the selected proponent will enter into a Master Services Agreement with the Ministry.

View original listing