CASE STUDIES
In the past 7 years PERFORMANCE has completed 26 Medicaid and State Children's Health Insurance Plan (SCHIP) proposals with 23 wins for an 88% win rate. As a result our clients added 388,480 new members and renewed business for 683,280 members. The following are some of the high-quality proposals that we have won.
Winning Proposals
- Indiana 2010
- Nebraska 2010
- California 2010
- California 2009
- New Hampshire 2009
- California 2008
- South Carolina 2008
- Virginia 2008
- California 2007
- Nevada 2006
- Ohio 2006
- Kansas 2006
- Indiana 2006
- California 2005
- Texas 2005
- California 2004
Proposal Success
In 2009 Indiana released an RFP to select managed care organizations to provide risk-based managed care services to Medicaid beneficiaries enrolled in the State of Indiana’s Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. A client engaged us to project manage and write the proposal response and production. We coordinated outside consultant writers and the client internal team to assist in the preparation of an award winning proposal.
In 2009 Nebraska released an RFP for the re-procurement of Medicaid managed care health plans. Our client prepared a proposal and scored as number four out of four bidders. A protest by one of the bidders caused the State to withdraw this offer and reissue a new RFP for the re-procurement of the Medicaid managed care health plans. The client engaged us to manage the entire proposal preparation, response and production of the proposal. In the scoring assessment of the proposal we prepared the client proposal was rated as number one. As a result, the client retained the contract.
Fresno, Kings and Madera County in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the contract for the commercial health plan was up for renewal in Fresno County and managed care was expanded in Kings and Madera County, the state released a Request for Proposal (RFP). We worked for a client to write, project manage, edit and produce an award winning proposal, in addition to teaming with two other consulting firms to coordinate their input to the proposal.
In 2009 Indiana released an RFP to select managed care organizations to provide risk-based managed care services to Medicaid beneficiaries enrolled in the State of Indiana’s Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. A client engaged us to project manage and write the proposal response and production. We coordinated outside consultant writers and the client internal team to assist in the preparation of an award winning proposal.
In 2009 Nebraska released an RFP for the re-procurement of Medicaid managed care health plans. Our client prepared a proposal and scored as number four out of four bidders. A protest by one of the bidders caused the State to withdraw this offer and reissue a new RFP for the re-procurement of the Medicaid managed care health plans. The client engaged us to manage the entire proposal preparation, response and production of the proposal. In the scoring assessment of the proposal we prepared the client proposal was rated as number one. As a result, the client retained the contract.
Fresno, Kings and Madera County in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the contract for the commercial health plan was up for renewal in Fresno County and managed care was expanded in Kings and Madera County, the state released a Request for Proposal (RFP). We worked for a client to write, project manage, edit and produce an award winning proposal, in addition to teaming with two other consulting firms to coordinate their input to the proposal.
Stanislaus County in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the contract for the Local Initiative Contract for Stanislaus County was up for renewal, the county released a Request for Proposal (RFP). We provided a winning proposal and were able help the client renew the Medi-Cal business.
In New Hampshire, the State Children's Health Insurance Plan (SCHIP) is known as the Healthy Kids Silver Program. When they released a Request for Proposal (RFP) for the statewide renewal of the contract, we prepared a winning proposal and the client was awarded the renewal of the business.
Tulare County in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the contract for the Local Initiative Contract for Tulare County was up for renewal, the county released a Request for Proposal (RFP). We provided a winning proposal and the client was able to renew the Medi-Cal business.
South Carolina was converting several counties to Medicaid Managed Care from Fee-For-Service. They decided to manage the process through a Request for Application (RFA). We developed a unique relationship with the local Blue Cross Health Plan to provide the physicians network. We worked with the local Blue Cross Plan to develop and prepare all the requested application materials. We succeeded in winning this new business for our client.
Virginia decided to convert their Acute and Long-Term Care program to Managed Care in the Tidewater area. They handled this conversion through a Request for Application (RFA). Our client was awarded as a winner through the application process and the State remarked that our application was the best they had ever seen.
In California, the Medicaid program is known as Medi-Cal. Some of the counties are known as Geographic Managed Care (GMC) counties. In these counties, the managed care health plans are selected through a Request for Application (RFA) process. When Sacramento County's GMC contract came up for renewal, California decided to add the new county of Placer to the contract. As a result of our winning application preparation, our client renewed the Sacramento County contract and added the new county of Placer to their business.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the Healthy Families (SCHIP) Program. As part of that program they provide grants to rural clinics through the Rural Health Development Program (RHDP). We worked with the clinics to prepare their grant proposals and ensure they were clear and winning entries. Since 1998, we have helped these clinics win more than $13 million in grants to help increase their hours, provide extended programs, and add needed personnel.
In Nevada, the State released a Request for Proposal (RFP) for Medicaid and State Children's Health Insurance Plan (SCHIP), known as Nevada Checkup, for managed care. The RFP covered Clark and Washoe counties, which included the Reno and Las Vegas areas, and there was a current incumbent plan covering the two counties. We were able help our client win in both counties as a result of our award-winning proposal.
When Ohio decided to convert the State's Covered Families and Children (CFC) (Medicaid & SCHIP) programs to managed care, they released a Request for Application (RFA). A separate application was required for each of the eight regions in the State. The competition was stiff but we were able to win contracts for four regions in the State for our client with our winning applications.
When Ohio decided to convert the State's Aged, Blind or Disabled (ABD) programs to managed care, they released a Request for Application (RFA). A separate application was required for each of the eight regions in the State. The competition included many bidders but we were able to win contracts for four regions in the State for our client with our winning applications.
The State of Kansas released a Request for Proposal (RFP) to procure two health plans for the State to cover their Kansas HealthWave (Medicaid) and SCHIP Managed Care programs. Our award-winning proposal was awarded a statewide contract for our client.
The State of Indiana decided to move from Fee-for-Service to Managed Care for their Hoosier Healthwise (Medicaid) and SCHIP programs. They released a Request for Proposal (RFP) to procure health plans. Our client was awarded a statewide contract as a result of our award-winning proposal.
The County Medical Services Program (CMSP) provides health coverage for low-income, indigent adults in thirty-four primarily rural California counties. As a result of our proposal in response to the Request for Proposal (RFP) that was released by the CMSP program, our client won this contract as the sole health plan.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the AIM Program for Pregnant Women. In response to their Request for Application (RFA), our client was re-awarded a statewide contract.
In California, the Medicaid program is known as Medi-Cal. Some of the counties are known as Geographic Managed Care (GMC) counties. In these counties the managed care health plans are selected through a Request for Application (RFA) process. When San Diego County's GMC contract came up for renewal, we responded to the RFA. As a result of our winning application preparation, our client renewed the San Diego County contract.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the Healthy Families (SCHIP) Program. As part of that program they provide grants to rural clinics through the Rural Health Development Program (RHDP). We worked with the clinics to prepare their grant proposals and ensure they were clear and winning entries. Since 1998, we have helped these clinics win more than $13 million in grants to help increase their hours, provide extended programs, and add needed personnel.
Texas released a Request for Proposal (RFP) to renew their Managed Care Program for their STAR (Medicaid) and CHIP (SCHIP) programs for several service areas in the State. Out client was awarded a contract for the Dallas Service Area, which is comprised of seven counties for our response to the Request for Proposal (RFP).
Texas wanted to expand managed care for their STAR+PLUS Acute and Long-Term Care programs. Our client was awarded a contract for the Harris Service Area and Harris Expansion Service Area as a result of our response to the Request for Proposal (RFP).
The Bay Area in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the commercial health plan contract was up for renewal, the State released a Request for Proposal (RFP). We provided a winning proposal and were able to help our client renew the Medi-Cal business in Alameda, Contra Costa, San Francisco and San Joaquin counties.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the Healthy Families (SCHIP) Program. Our client was awarded a statewide contract as a renewal of their business as a result of our response to the Request for Proposal (RFP).
Stanislaus County in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the contract for the Local Initiative Contract for Stanislaus County was up for renewal, the county released a Request for Proposal (RFP). We provided a winning proposal and were able help the client renew the Medi-Cal business.
In New Hampshire, the State Children's Health Insurance Plan (SCHIP) is known as the Healthy Kids Silver Program. When they released a Request for Proposal (RFP) for the statewide renewal of the contract, we prepared a winning proposal and the client was awarded the renewal of the business.
Tulare County in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the contract for the Local Initiative Contract for Tulare County was up for renewal, the county released a Request for Proposal (RFP). We provided a winning proposal and the client was able to renew the Medi-Cal business.
South Carolina was converting several counties to Medicaid Managed Care from Fee-For-Service. They decided to manage the process through a Request for Application (RFA). We developed a unique relationship with the local Blue Cross Health Plan to provide the physicians network. We worked with the local Blue Cross Plan to develop and prepare all the requested application materials. We succeeded in winning this new business for our client.
Virginia decided to convert their Acute and Long-Term Care program to Managed Care in the Tidewater area. They handled this conversion through a Request for Application (RFA). Our client was awarded as a winner through the application process and the State remarked that our application was the best they had ever seen.
In California, the Medicaid program is known as Medi-Cal. Some of the counties are known as Geographic Managed Care (GMC) counties. In these counties, the managed care health plans are selected through a Request for Application (RFA) process. When Sacramento County's GMC contract came up for renewal, California decided to add the new county of Placer to the contract. As a result of our winning application preparation, our client renewed the Sacramento County contract and added the new county of Placer to their business.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the Healthy Families (SCHIP) Program. As part of that program they provide grants to rural clinics through the Rural Health Development Program (RHDP). We worked with the clinics to prepare their grant proposals and ensure they were clear and winning entries. Since 1998, we have helped these clinics win more than $13 million in grants to help increase their hours, provide extended programs, and add needed personnel.
In Nevada, the State released a Request for Proposal (RFP) for Medicaid and State Children's Health Insurance Plan (SCHIP), known as Nevada Checkup, for managed care. The RFP covered Clark and Washoe counties, which included the Reno and Las Vegas areas, and there was a current incumbent plan covering the two counties. We were able help our client win in both counties as a result of our award-winning proposal.
When Ohio decided to convert the State's Covered Families and Children (CFC) (Medicaid & SCHIP) programs to managed care, they released a Request for Application (RFA). A separate application was required for each of the eight regions in the State. The competition was stiff but we were able to win contracts for four regions in the State for our client with our winning applications.
When Ohio decided to convert the State's Aged, Blind or Disabled (ABD) programs to managed care, they released a Request for Application (RFA). A separate application was required for each of the eight regions in the State. The competition included many bidders but we were able to win contracts for four regions in the State for our client with our winning applications.
The State of Kansas released a Request for Proposal (RFP) to procure two health plans for the State to cover their Kansas HealthWave (Medicaid) and SCHIP Managed Care programs. Our award-winning proposal was awarded a statewide contract for our client.
The State of Indiana decided to move from Fee-for-Service to Managed Care for their Hoosier Healthwise (Medicaid) and SCHIP programs. They released a Request for Proposal (RFP) to procure health plans. Our client was awarded a statewide contract as a result of our award-winning proposal.
The County Medical Services Program (CMSP) provides health coverage for low-income, indigent adults in thirty-four primarily rural California counties. As a result of our proposal in response to the Request for Proposal (RFP) that was released by the CMSP program, our client won this contract as the sole health plan.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the AIM Program for Pregnant Women. In response to their Request for Application (RFA), our client was re-awarded a statewide contract.
In California, the Medicaid program is known as Medi-Cal. Some of the counties are known as Geographic Managed Care (GMC) counties. In these counties the managed care health plans are selected through a Request for Application (RFA) process. When San Diego County's GMC contract came up for renewal, we responded to the RFA. As a result of our winning application preparation, our client renewed the San Diego County contract.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the Healthy Families (SCHIP) Program. As part of that program they provide grants to rural clinics through the Rural Health Development Program (RHDP). We worked with the clinics to prepare their grant proposals and ensure they were clear and winning entries. Since 1998, we have helped these clinics win more than $13 million in grants to help increase their hours, provide extended programs, and add needed personnel.
Texas released a Request for Proposal (RFP) to renew their Managed Care Program for their STAR (Medicaid) and CHIP (SCHIP) programs for several service areas in the State. Out client was awarded a contract for the Dallas Service Area, which is comprised of seven counties for our response to the Request for Proposal (RFP).
Texas wanted to expand managed care for their STAR+PLUS Acute and Long-Term Care programs. Our client was awarded a contract for the Harris Service Area and Harris Expansion Service Area as a result of our response to the Request for Proposal (RFP).
The Bay Area in California is a two-plan model for Medi-Cal (Medicaid) Managed Care. In this model, one plan is a commercial health plan and the other is a Local Initiative that is managed by the county government. When the commercial health plan contract was up for renewal, the State released a Request for Proposal (RFP). We provided a winning proposal and were able to help our client renew the Medi-Cal business in Alameda, Contra Costa, San Francisco and San Joaquin counties.
In California, the Managed Risk Medical Insurance Board (MRMIB) administers the Healthy Families (SCHIP) Program. Our client was awarded a statewide contract as a renewal of their business as a result of our response to the Request for Proposal (RFP).
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