City of San Antonio Seeks Competitive TPA Proposals

san antonio texasThe City of San Antonio’s (“City”) Human Resources Department are soliciting for a firm with broad knowledge and experience as a third party administrator…………….

The City of San Antonio’s (“City”) Human Resources Department are soliciting for a firm with broad knowledge and experience as a third party administrator that offers sophisticated and innovative tools and resources for the administration of the City’s medical plans, pharmacy plan, FSA/HSA spending accounts, robust provider network for physicians and facilities within San Antonio and outside Texas, case management programs for high cost claimants and a disease management program that can be controlled by adherence, and proven options for reducing high costs associated with out-of-network services.

Date Issued: Wednesday, February 17, 2016

Due Date & Time: Wednesday, March 30, 2016, 11:00 a.m. Local Time Pre-Submittal Conference: City of San Antonio, Finance Department – Purchasing Division, 11th Floor Large Conference Room, 111 Soledad, San Antonio, Texas 78205 at 10:00 a.m., Central Time, on Thursday, February 25, 2016.

Staff Contact Person: Laura Sambrano, Procurement Specialist III, laura.sambrano@sanantonio.gov.

http://www.sanantonio.gov/RFPListings/.

Editor’s Note:

The RFP states the city requires a “robust” PPO network of providers. They have already failed before they begun..……………..They should be their own TPA, negotiate direct contracts with willing providers at fair and reasonable reimbursement levels (they are a 26,000 pound gorilla) and pay providers, who don’t want to play ball, the same reimbursement levels some of the BUCA’s currently pay to out-of-network providers, i.e, 105% of Medicare…..
Additional Reading:

San Antonio Facing $70 Million Cadillac Tax

Friday, January 9th, 2015

FANMAIL

From A TPA

This is a status quo type of group not looking to change up much.  This RFP is a loser out of the gate.  Laggards.

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