research paper online help
i need help with a title for my essay
college essay help in bay area
cv helpers
resume writers in birmingham al
letter of recommendation formatting service
buy king39s speech online
college paper writers
essays writing services
free college assignment help
essay on birth order
buy paper shredder sri lanka
dissertation buy
help me write a outline
buy rolling papers online us
best resume writers reviews
freelance writer pay
business plan writer raleigh nc
resume services las vegas
need help with outline
get someone to write your essay
examples of customer service resume titles
help writing a paper apa style
papers needed to buy a car
freedom writers movie essay paper
homework helpers english language and composition
where to buy an essay
woodlands junior school homework help india
essay topics civil services
mba essay help writing
freelance writer rates 2013
writing services online
custom research proposal review writing
lady of shalott essay help
help creating a condensation
buy college degree certificate
custom term paper writing
how to help your kids with homework
cv writing services napier
military conspectus writing service
annotated bibliography writing services
my custom van essay
quality custom essays
english literature essay writing services
case study pediatric bipolar disorder
us government recommendation letter writing service
free essay writing helper
how to write my personal statement
best abridgment writing services for educators
custom admission essay
customer service resume samples 2013
writing dissertation service
letter writing service uk
resume writer rates
cover letter customer service representative examples
best recommendation letter writing services nj
free online help with research paper
chegg homework help textbook solutions
best college essay service
purchase cheap essay
resume writers orange county
help making a outline
write my apa paper for me
buy eassy in the online
buy essays online townie
get paid to write short stories online
cover letter of customer service representative
executive digest writing service seattle
best essay writers of all time
help writing a paper for college
best medical school essay editing service
birth essay order
cover letter customer service administrator
resume writing services lansing mi
free online help with writing essays
essays on service
research paper writer net samples
resume writers minneapolis mn
writers for hire toronto
resume writing service virginia beach va
business school essay editing services
customer service essay questions
essay help for ged
personal statement writing services
buy essay writing service
homework help for parents and children
research paper title help
help writing abridgment
professional cv writers in hull
resume writing services hobart
essay buy online
how to write windows service in c vs2010
essay help compare and contrast
dissertation statistics help
personal statement customer service assistant
help business plan writing
professional resume writers rochester ny
where can you buy compendium paper
resume writing services victoria bc
resume writers northern nj
help with book reports
writing help for esl students
top 7 websites to help with homework
personal statement help art
research paper writer online
essay on community helpers for kids
buy essays online cheap uk
is homework harmful or helpful arguments
compendium help me
buy essay price
help in my math homework
cv writing centre co uk our services
federal resume writers reviews
resume writers chicago il
best brief writing services in india
help with spanish homework online free
formal letter writing service
resume writing services brooklyn ny
bobcat mp5 review article custom
cheap essay writing services
paper writing services in brooklyn
freelance dental writer
professional resume writing services in dallas tx
best resume writers in australia
professional cv writer ireland
help with finance homework for free
help writing my online dating profile
help writing a compendium
help make a digest
freelance grant writer contract
examples of resume objectives for customer service
a manual for writers of research papers theses and dissertations 7th edition download
essay writing service in london
dissertation writing editing help
personal statement service medical school
college essay proofreading service
nursing brief help
resume writing services for project managers
resume professional writers toronto
service recovery presentation powerpoint
write my essay promo code
cv writing services uk reviews
college preparatory mathematics homework help
executive conspectus writing services nyc
can i buy a college essay
critical thinking for helping professionals a skillsbased workbook
top abstract writing services 2013
homework help chat room free
buy an english essay
anxiety case disorder social study
precis help skills
resume professional writers perth
get paid to write essays for students
help with writing college application essay
spss coursework help
courseworks columbia help
best free essay writing service
gfk custom research north america chicago
professional cv writers north east
help writing cover letter
service learning project essays
case studies people narcissistic personality disorder
help writing resume profile
custom writing paper name
help me cheat on my math homework
cv help free
help building a cv
cheap professional resume writing services
case disorder multiple personality study
cv writing service peterborough
best synopsis writing services in atlanta ga
buying a dissertation forum
i need someone to write my paper
custom writings services
help writing a recommendation letter
professional resume writers houston
help with my homework 2
writing stuff down helps you remember
essay help in australia
job cv help
help paper to bed in formal cover
buy apa research papers
ghostwriter app problems
where can i buy conspectus paper
writing services agreement
essay uk writers
cheapest online essays
order of things in a lab report
resume services kent wa
veterans day essay help
custom paper tubes canada
personal service statement of claim
buy coursework uk
resume making services melbourne
advanced accounting homework help
how to put an annotated bibliography in alphabetical order
buy good essay
help me on my homework for free
professional resume writing services in virginia beach
customer service personal statement sample

TRICARE West Contract Finally Settled in UnitedHealth’s Favor

In 2009 the Department of Defense attempted to award new contracts to administer their primary healthcare program, TRICARE. These are regional contracts with the country divided up in groups of states as well as a contract to provide overseas services. The Western and Southern regions due to the density of military bases were the two largest and amount to several billion a year. As to be expected competition was fierce for these by different health insurance companies. It is just now, over three years later, that the government is finally resolving these contracts due to the amount of protests and reviews required.

The Western Region contract is worth about $21 billion over its predicted five year life. After a final round of awards and protests the Government Accountability Office (GAO) has upheld the award earlier this year to UnitedHealth (UNH). The GAO ruled in a protest by the incumbent, TriWest to the award in 2012.

TriWest has had the contract since 2003 and won the original re-compete in 2009. This decision was protested by UnitedHealth. In the last three years there have been new competitions, awards and protests. This final decision should stand and UnitedHealth will become the provider.

This is unfortunate for TriWest as their primary business is the TRICARE contract and the company may have to fold without it. There is a good chance that many of their employees could be absorbed by UnitedHealth as is often the case when a new company takes over an existing contract but that is not guaranteed.

The Defense Department faces growing pressure on their health spending which has increased dramatically over the last ten years due to the fighting in Iraq and Afghanistan. Not only has the size of the military grown with more dependents there are also more retirees and severely injured that require health care. TRICARE is the primary mechanism for this.

The Obama Administration has proposed raising the co-pays and annual payments that the military and retirees make but that was struck out of the 2013 defense budget by Congress loathe to pass those costs onto the military. Obama has threatened to veto the bill as it stands due to that provision but many times once the bill is complete it will be signed.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

TRICARE Disputes to Continue as TriWest to Protest UnitedHealth’s Win

Earlier this month the U.S. Department of Defense decided to award the TRICARE West management contract to UnitedHealth Group (UNH). This was the culmination of almost two years of effort to award this very large contract. Previous attempts to award the nearly $20 billion contract were protested by the loser as TriWest Health Alliance the incumbent and UnitedHealth attempted to win the contract.

TRICARE is the main medical insurance program for the U.S. military. It covers active duty members, their dependents, retirees and some Reservists and National Guard members. Under TRICARE personnel utilize civil providers as well as military medical facilities and the companies with the contracts manage the execution of their benefits. The U.S. is divided into regions and different contracts are awarded to various contractors to operate them. TriWest had been formed to do the West contract and has had it until the latest round of contracts in 2009.

Now only ten days after the announcement of the award to UnitedHealth after two rounds of protest TriWest is saying it will file a protest against this latest decision. In their press release the company states that this is due to concerns that the “contract is the result of a flawed and unfair process.” Specifically they believe that due to their lower price the contest should be re-evaluated.

The normal process for the protest is that it will be reviewed by the Service awarding, then may go to the Government Accountability Organization (GAO) and ultimately to the Federal Courts if a party is not satisfied. The result of the review could be denying the protest allowing UnitedHealth to keep the contract, a direction to redo the source selection, a new contest or in rare cases the award is overturned and given to the protester. Protests normally are allowed 100 days. During the protest the new contract cannot be executed so UnitedHealth’s effort will be placed on hold.

The contract is the majority of TriWest’s business. The near term health of the company requires them to keep it. They have little to lose by protesting this award.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

UnitedHealth Is Final Choice for Tricare West Contract

Almost two weeks ago it came out that the Department of Defense had made a final decision in to whom to award the TRICARE West management contract to. The rumors were that UnitedHealth (UNH) would be the winner and that was confirmed at the end of last week.

UnitedHealth won the over $20 billion, 5 year contract after a series of competitions, awards and protests that have taken almost three years to resolve. The losing company, TriWest Healthcare Alliance, had been formed to just manage the contract.

One of the issues facing TriWest was the fact that they had paid a fine of $10 million to the U.S. Government after a whistleblower lawsuit about pricing. How much this affected the source selection is of course impossible to know.

There are reports that UnitedHealth will most likely absorb some of the jobs that TriWest will lose to help it manage the contract.

TRICARE is the U.S. military’s primary medical provider. It is used to cover active duty members, their dependents, retirees and selected Reserve and National Guard personnel. In 2008-2009 new five year contracts to manage the different regions were awarded but several faced protests and took some years to work out.

Defense Department medical costs have increased greatly over the last ten years as the military has fought in Iraq and Afghanistan, grown in size and also gained more retirees. This has caused the TRICARE, Veterans and other health care programs to grow significantly. The recent Obama budget proposal hopes to begin reining in this cost growth by in some ways requiring members to pay more in co-pays and fees. Whether that is politically acceptable remains to be seen. Certainly TRICARE will be a big part of that budget discussion.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

Long Running Saga of TRICARE Management Contracts Coming to an End?

Updated – To make clear this was an Agency level protest and not a GAO one.

TRICARE is the primary medical insurance program for the United States’ military. It covers those personnel, their dependents and retirees along with selected Reservists and National Guardsmen. It functions like a HMO for its members. The Defense Department divides up the country into regions and awards large contracts to individual health insurers to manage these. In 2009 new contracts were awarded but three of them were protested by different losers. Since then the Department of Defense has been working through the protests and getting new contracts in place.

The contracts are awarded regionally to provide management of care and providers. The West contract was originally won by the incumbent, TriWest, but UnitedHealth Group (UNH) protested. The Department of Defense upheld the protest and the contract was put up for bid again. Again TriWest and UnitedHealth bid on the contract. Now it is expected that a decision on the winner will be made in the near future.

Of course with the history of these contracts there is no guarantee that the loser may protest this decision. With the Southern contract Humana (HUM) and UnitedHealth went trough several iterations as the awards and protests followed each other. The last decision was by a Federal court in October that sided with Humana. This contract was in protest and litigation for over two years.

If the government can make a decision with this contract that sticks it should close out this saga. TRICARE contracts are usually only for five years so the next round should be coming up in 2014-2015. Expect competition to be just as fierce with that round.

Military health care is in transition as the Department of Defense looks for ways to reduce costs. These have increased greatly over the last decade due to the commitments to Iraq and Afghanistan and the larger size of the military. There are also now much more retirees and veterans who need care. In the next budget there is a proposal to increase the co-pays and fees paid by members for their TRICARE. There will also be pressure to reduce payments to service providers.

Even so expect the large health insurance companies compete for these contracts just like the last round.

Share this:
Share this page via Email Share this page via Stumble Upon Share this page via Digg this Share this page via Facebook Share this page via Twitter

>