CONTRACTPENDING

Consociate Health proposes TPA services for health plan

Farmington R-VII School District logoFarmington R-VII School District
Disclosed value
Claims Administration: $28.00 PEPM; Network Solutions: $6.00 PEPM (Premier), $8.00 PEPM (Standard), 30% of savings (Wrap); Medical Management: $2.40 PEPM + $147.00/hour; Wellbeing Program: $7.38 PEPM; Biometric Screening: $43.00/participant; A1C Testing: $12.00/participant; Teladoc: $1.83 PEPM; Comply: $1.25 PEPM; Optional Dental: $2.25 PEPM; Vision: $1.75 PEPM; FSA: $3.50 PPPM; HSA: $3.00 PPPM; HRA: $3.00 PPPM; Health 180 Captive Manager: $5.00 PEPM; Subrogation (PHIA): 25% of recovery; Dialysis Management (Zelis): 20% of savings; Data iSight OON Repricing (MultiPlan/PHCS): 30% of savings; Fraud, Waste & Abuse Audit (TC3): 30% of savings; Sentinel Air Evacuation: $750.00 per case; New ID cards: $2.00/set
From proposal
Document date
Mar 26, 2024

The 30-second brief

What it covers

Consociate Health is proposed to administer Farmington R-7 School District’s health plan starting July 1, 2024, with comprehensive third party administrative services priced on a per-employee-per-month and per-participant basis. The services include claims processing, network solutions, medical management, wellbeing programs, telemedicine, compliance support, and optional dental, vision, FSA, HSA, and HRA administration.

Who holds it

Consociate Health holds this professional services contract with Farmington R-VII School District. Its other public contracts on record include work for Madison County and Housing Authority of the county of Shelby, IL..

What happens next

Term as filed: Effective July 1, 2024 (ongoing administrative services; term length not specified).

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Contract details

Contract type
Professional Services
Amount
Claims Administration: $28.00 PEPM; Network Solutions: $6.00 PEPM (Premier), $8.00 PEPM (Standard), 30% of savings (Wrap); Medical Management: $2.40 PEPM + $147.00/hour; Wellbeing Program: $7.38 PEPM; Biometric Screening: $43.00/participant; A1C Testing: $12.00/participant; Teladoc: $1.83 PEPM; Comply: $1.25 PEPM; Optional Dental: $2.25 PEPM; Vision: $1.75 PEPM; FSA: $3.50 PPPM; HSA: $3.00 PPPM; HRA: $3.00 PPPM; Health 180 Captive Manager: $5.00 PEPM; Subrogation (PHIA): 25% of recovery; Dialysis Management (Zelis): 20% of savings; Data iSight OON Repricing (MultiPlan/PHCS): 30% of savings; Fraud, Waste & Abuse Audit (TC3): 30% of savings; Sentinel Air Evacuation: $750.00 per case; New ID cards: $2.00/set
Document date
March 26, 2024
Term
Effective July 1, 2024 (ongoing administrative services; term length not specified)
Source document
farmington-r-vii-school-district-proposal-2024-03-26_4fc.pdf (Proposal)

Consociate Health's other public contracts

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Questions about this contract

Who was awarded the professional services contract by Farmington R-VII School District?

Consociate Health was awarded this professional services contract by Farmington R-VII School District, as recorded on March 26, 2024. The contract value is Claims Administration: $28.00 PEPM; Network Solutions: $6.00 PEPM (Premier), $8.00 PEPM (Standard), 30% of savings (Wrap); Medical Management: $2.40 PEPM + $147.00/hour; Wellbeing Program: $7.38 PEPM; Biometric Screening: $43.00/participant; A1C Testing: $12.00/participant; Teladoc: $1.83 PEPM; Comply: $1.25 PEPM; Optional Dental: $2.25 PEPM; Vision: $1.75 PEPM; FSA: $3.50 PPPM; HSA: $3.00 PPPM; HRA: $3.00 PPPM; Health 180 Captive Manager: $5.00 PEPM; Subrogation (PHIA): 25% of recovery; Dialysis Management (Zelis): 20% of savings; Data iSight OON Repricing (MultiPlan/PHCS): 30% of savings; Fraud, Waste & Abuse Audit (TC3): 30% of savings; Sentinel Air Evacuation: $750.00 per case; New ID cards: $2.00/set.

How much is the Consociate Health contract with Farmington R-VII School District worth?

The Consociate Health contract with Farmington R-VII School District is valued at Claims Administration: $28.00 PEPM; Network Solutions: $6.00 PEPM (Premier), $8.00 PEPM (Standard), 30% of savings (Wrap); Medical Management: $2.40 PEPM + $147.00/hour; Wellbeing Program: $7.38 PEPM; Biometric Screening: $43.00/participant; A1C Testing: $12.00/participant; Teladoc: $1.83 PEPM; Comply: $1.25 PEPM; Optional Dental: $2.25 PEPM; Vision: $1.75 PEPM; FSA: $3.50 PPPM; HSA: $3.00 PPPM; HRA: $3.00 PPPM; Health 180 Captive Manager: $5.00 PEPM; Subrogation (PHIA): 25% of recovery; Dialysis Management (Zelis): 20% of savings; Data iSight OON Repricing (MultiPlan/PHCS): 30% of savings; Fraud, Waste & Abuse Audit (TC3): 30% of savings; Sentinel Air Evacuation: $750.00 per case; New ID cards: $2.00/set, covering professional services work.

What type of contract is this?

This is a Professional Services contract, documented as a proposal record.

Where was this contract approved?

This contract appears in farmington-r-vii-school-district-proposal-2024-03-26_4fc.pdf (Proposal), dated March 26, 2024 from Farmington R-VII School District. Civic IQ extracts contract records directly from agency meeting documents and solicitations.

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What other contracts does Consociate Health hold?

Consociate Health may hold additional government contracts. View their full contract history, the agencies they serve, and total tracked spend on their Civic IQ vendor profile.

What is Farmington R-VII School District currently buying?

Explore Farmington R-VII School District's vendors, signed contracts, and active RFPs on their Civic IQ agency profile.

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