University Of Central Arkansas Uark #RFP261111

University of Arkansas System medical plan administration, provider networks, and health-management services

The University of Arkansas System is seeking an administrator and service partners for its medical plan, covering approximately 22,208 eligible employees and pre-Medicare retirees. - Buyer: University of Arkansas System; Administrative Services and the University of Arkansas System Office. The Board of Trustees of the University of Arkansas is also identified in the solicitation. - Core request: Administration-services-only medical plan administration and provider networks. The University retains plan risk and seeks to preserve current coverage, integrate with Workday, and maintain UAMS as a Tier 1 provider. - Services: Eligibility, member support, ID cards, claims and appeals, provider networks, clinical management, compliance and reporting, stop-loss coordination, and account stewardship. The scope also includes UAMS coordination, transplant and Centers of Excellence networks, telemedicine, and tele-behavioral health. - Optional, separately priced services: Out-of-network claims repricing; a weight-loss program including a recognized CDC Diabetes Prevention Program; digital diabetes management; maternity and fertility support; digital mental-health and emotional-wellbeing support; and an online wellness program. Vendors may offer any or all optional services. Capitated pricing may also be considered for select conditions, such as Type 2 diabetes. - Named organizations and arrangements: Segal is managing the RFP; HealthNow is identified as the existing telehealth network; United Healthcare Insurance Company is identified in connection with the current stop-loss interface; and UAMS and SmartCare are referenced in the existing arrangements. No product OEMs or selected awardee are identified. - Scale and term: Approximately 22,208 eligible people; anticipated start in 2028, with a proposed three-year initial term and two one-year renewal options. Fees are to be guaranteed through plan year 2030, with optional pricing requested for the following two plan years.

Description

The University of Arkansas System requests proposals for medical plan third-party administration, provider network, and medical management services. Core services include eligibility maintenance, member services, claims administration, provider networks, care management, appeals, compliance documents, reporting, and account management. Proposals may also quote separately for optional carve-out services, including out-of-network claims repricing, weight-loss and diabetes programs, maternity and fertility benefits, mental healthcare, and online wellness. The University will retain risk, and proposals should be administration services only; proposals are due December 21, 2026.

View original listing