PEBA RFP PEBA0462025 Evidence-Based Medicine Services
South Carolina Department of Health and Environmental ControlState · Columbia, SC- Due
- Dec 12, 2025
- Deadline passed
- Posted
- Nov 7, 2025
- Contract term
- 3 years
- Primary contact
- Georgia Gillens
- (803) 734-0010
The 30-second brief
PEBA is seeking proposals for Evidence-Based Medicine Services through claims data analysis. The services will be applied to the State Health Plan and MUSC Health Plan participants' medical and drug claims data to communicate specific and timely treatment improvement recommendations to healthcare providers. The goal is to improve quality of care, identify gaps and errors, and reduce aggregate costs. The contract term is initially three years with two one-year renewal options.
Evidence-based medicine services through claims data analysis, Including administration, Management, Equipment, Personnel, And services. Communication of treatment improvement recommendations to healthcare providers. Calculation of Guaranteed Return on Investment. Reporting of clinical and health outcomes. Adherence to performance measurements, Standards, And guarantees. Reimbursement of proposed dollar amount at risk annually for not meeting Guaranteed Return on Investment. Coordination with PEBA's Third Party Administrator and other vendors for claims data collection. Provision of an account manager. Screening of employees for exclusion from federal health care programs. Compliance with HIPAA and other security regulations.
Approach, Qualifications/Background/Experience, Guaranteed Return on Investment/Annual Amount at Risk, Business Proposal
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Summary
PEBA is seeking proposals for Evidence-Based Medicine Services through claims data analysis.
The services will be applied to the State Health Plan and MUSC Health Plan participants' medical and drug claims data to communicate specific and timely treatment improvement recommendations to healthcare providers. The goal is to improve quality of care, identify gaps and errors, and reduce aggregate costs. The contract term is initially three years with two one-year renewal options.
EVALUATION CRITERIA
4- Approach
- Qualifications/Background/Experience
- Guaranteed Return on Investment/Annual Amount at Risk
- Business Proposal
REQUIRED DELIVERABLES
6- Evidence-based medicine services through claims data analysis
- Including administration
- Management
- Equipment
- Personnel
- Services
Communication of treatment improvement recommendations to healthcare providers. Calculation of Guaranteed Return on Investment. Reporting of clinical and health outcomes. Adherence to performance measurements, Standards, And guarantees. Reimbursement of proposed dollar amount at risk annually for not meeting Guaranteed Return on Investment. Coordination with PEBA's Third Party Administrator and other vendors for claims data collection. Provision of an account manager. Screening of employees for exclusion from federal health care programs. Compliance with HIPAA and other security regulations.
REQUIRED ATTACHMENTS
15- Cover Page
- Executive Summary
- Table of Contents
- Offeror's Approach
- Qualifications/Background/Experience
- Guaranteed Return on Investment/Annual Amount at Risk
- Business Proposal
- Attachment 1 - Important Tax Notice – Nonresidents Only
- Attachment 2 - Offeror's Checklist
- Attachment 3 - Service Provider Security Assessment Questionnaire
- Attachment 4 - Minority Participation Form
- Attachment 5 - Business Associate Agreement
- Attachment 6 - Non-Disclosure Agreement
- Attachment 7 - Description of Current Case and Disease Management
- Attachment 8 – Claims Data Released After NDA
- Submit to
- S.C. Public Employee Benefit Authority, P.O. Box 11960, Columbia, SC 29211-1960 OR S.C. Public Employee Benefit Authority, 202 Arbor Lake Drive, Columbia, SC 29223
- Duration
- 60 months
- Scope location
- South Carolina
- Reported agency
- South Carolina Public Employee Benefit Authority
Questions about this RFP
How do I respond to this RFP from South Carolina Department of Health and Environmental Control?
Review the full solicitation document for submission requirements, evaluation criteria, and deadlines. The submission deadline is December 12, 2025. The solicitation specifies required deliverables that must be addressed in your response. Be sure to include all required attachments as outlined in the solicitation. Submissions should be delivered to: S.C. Public Employee Benefit Authority, P.O. Box 11960, Columbia, SC 29211-1960 OR S.C. Public Employee Benefit Authority, 202 Arbor Lake Drive, Columbia, SC 29223. For questions, contact Georgia Gillens.
Can small businesses or minority-owned firms bid on this RFP?
Most government agencies, including South Carolina Department of Health and Environmental Control in SC, encourage participation from small businesses, minority-owned, women-owned, and disadvantaged business enterprises (MBE/WBE/DBE). Check the full solicitation for any small business participation goals.
What happens after the RFP submission deadline?
After the deadline, the issuing agency reviews all submissions against the stated evaluation criteria. This typically includes a compliance check, technical evaluation, cost analysis, and may involve oral presentations with shortlisted vendors.
Can I ask questions about this solicitation before submitting?
Yes, most solicitations allow vendors to submit questions during a designated period. The primary contact is Georgia Gillens at (803) 734-0010. Questions and answers are typically shared with all prospective bidders.
What are the key deliverables?
The solicitation specifies the following deliverables: Evidence-based medicine services through claims data analysis, Including administration, Management, Equipment, Personnel, And services. Communication of treatment improvement recommendations to healthcare providers. Calculation of Guaranteed Return on Investment. Reporting of clinical and health ou. Proposals should clearly address how each deliverable will be met.
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What are the evaluation criteria for this solicitation?
This solicitation includes specific evaluation criteria that will be used to score proposals. The criteria include: "Approach, Qualifications/Background/Experience, Guaranteed Return on Investment/Annual Amount at Risk, Business Proposal" Vendors should carefully align their proposals with each criterion to maximize their score.
Where can I find more RFPs from South Carolina Department of Health and Environmental Control?
All active and historical solicitations from South Carolina Department of Health and Environmental Control are tracked and searchable. As a state agency, South Carolina Department of Health and Environmental Control regularly publishes solicitations. Visit the agency profile to see current open bids, past contracts, vendor relationships, and decision-maker contacts.
What is the contract term for this solicitation?
The anticipated contract term is 3 years. Contract terms may include renewal options.
What documents are required to bid on this RFP?
Requirements vary by solicitation, but common documents include a technical proposal, cost/price proposal, proof of insurance, relevant certifications, past performance references, and any forms specified in the solicitation. This solicitation specifically requires the following attachments: Cover Page, Executive Summary, Table of Contents, Offeror's Approach, Qualifications/Background/Experience, Guaranteed Return on Investment/Annual Amount at Risk, Business Proposal, Attachment 1 - Imp. Review the full document from South Carolina Department of Health and Environmental Control for the complete list.
What is the scope of this project?
This solicitation defines a specific project scope. The scope covers the following locations: South Carolina. Review the full solicitation for detailed scope requirements.