HomeMy WebLinkAboutR-98-0017J-98-27
1 /5/98
RESOLUTION NO. 9 8 - 17
A RESOLUTION ACCEPTING THE FINDINGS OF THE SELECTION
COMMITTEE PURSUANT TO THE REQUEST FOR PROPOSALS ("RFP")
AS TO THE MOST QUALIFIED FIRMS, IN RANK ORDER: 1) VINCAM
OHS, AND 2) CONCENTRA MANAGED CARE, INC. (FORMERLY
KNOWN AS CRA MANAGED CARE, INC.) TO PROVIDE A MANAGED
CARE PROGRAM FOR WORKERS' COMPENSATION FOR THE CITY OF
MIAMI FOR AN INITIAL TWO (2) YEAR PERIOD, WITH THE OPTION
TO EXTEND FOR THREE (3) ADDITIONAL ONE (1) YEAR PERIODS;
AUTHORIZING THE CITY MANAGER TO NEGOTIATE AN AGREEMENT
WITH SAID FIRM, IN A FORM ACCEPTABLE TO THE CITY ATTORNEY,
AND FURTHER DIRECTING THE CITY MANAGER TO PRESENT THE
NEGOTIATED AGREEMENT TO THE CITY COMMISSION FOR ITS
RATIFICATION AND APPROVAL.
WHEREAS, Requests for Proposals were mailed to 39 firms seeking a broad range of
responses from and to afford a competitive process for the provision of Managed Care Program for
Workers' Compensation on behalf of the City of Miami; and
WHEREAS, the Selection Committee evaluated the five (5) proposals received in response
to the City's Request for Proposals, and selected, in rank order, the two (2) firms of Vincam OHS
and Concentra Managed Care, Inc., as the most qualified to provide the required professional
services; and
WHEREAS, the City, as an employer, is required to furnish medical treatment solely
through managed care arrangements to its employees for compensable injuries covered under the
Florida Workers' Compensation Act; and
WHEREAS, it has been determined that the recommended firm can provide these required
services and at a projected overall costs savings to the City;
CITY comet of ff
NEL"Ma OF
JAN 13 1998
FAMOluma rra.
98- 17
NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI,
FLORIDA:
Section 1. The recitals and findings contained in the Preamble to this Resolution are hereby
adopted by reference thereto and incorporated herein as if fully set forth in this Section.
Section 2. The City Commission hereby accepts the findings of the Selection Committee as
to the most qualified firms, in rank order: 1) Vincam OHS, and 2) Concentra Managed Care, Inc.,
(formerly known as CRA Managed Care, Inc.) to provide a Managed Care Program for Workers'
Compensation on behalf of the City of Miami.
Section 3. The City Commission hereby authorizes' the City Manager, or his designee, to
negotiate a professional services agreement, on behalf of the City of Miami, in a form acceptable to
the City Attorney, with Vincam OHS for an initial period of two (2) year period, with the option to
extend for three (3) additional one (1) year periods, and to present the negotiated agreement to the
City Commission for its ratification and approval. In the event that the City Manager or his designee
cannot negotiate an agreement which, in his opinion, is fair, competitive and reasonable with the
firm ranked first, then he is hereby authorized to enter into negotiations with the second ranked
firm.
Section 4. This Resolution shall become effective immediately upon its adoption.
PASSED AND ADOPTED this 13 th day of January , 1998.
AVIER SUA EZ, MAYOR
I The herein authorization is further subject to compliance with all requirements that may be imposed by the
City Attorney, including but not limited to those prescribed by applicable City Charter and Code provisions.
2
98- 17
PREPARED AND APPROVED BY:
RAFAEL 0. DIAZ
DEPUTY CITY ATTORNEY
APPROVED AS TO FORM AND CORRECTNESS:
A QU JO III, CITY ATTORNEY
W2120:CS
98- 17
CITY OF MIAMI, FLORIDA CAm19
INTER -OFFICE MEMORANDUM
TO: Honorable Mayor and
Members of the City Commission
FROM:
Frank K. Rollason
Interim City Manager
RECOIMENDATION
B
DATE: AN - 5 FILE
SUBJECT: Workers' Compensation
Managed Care Program
RFP No. 96-97-017
REFERENCES:
ENCLOSURES:
It is respectfully recommended that the City Commission adopt the
attached Resolution approving the findings of the Selection
Committee as to the most qualified firms, in rank order, to
provide a Managed Care Program for Workers' Compensation on
behalf of the City of Miami; authorizing the City Manager to
negotiate an agreement with the most qualified firm, in rank
order; and further directing the City Manager to present the
negotiated agreement to the City Commission for its ratification
and approval.
BACKGROUND
As a result of recent amendments to the Florida Workers'
Compensation Act, effective January 1, 1997,the City of Miami, as
an employer, is required to furnish medical treatment solely
through managed care arrangements to its employees for
compensable injuries covered under this Act.
In response to this requirement, the City's Risk Management
Division prepared and requested for advertisement in December of
1996, Request for Proposals (RFP) No. 96-97-017, for the purpose
of seeking a qualified firm to provide a Managed Care Program for
Workers' Compensation on behalf of the City of Miami.
The proposals received pursuant to this RFP have been analyzed by
a Selection Committee. Five (5) responses were received with two
(2) firms, Vincam OHS and CRA Managed Care, Inc., ranked one and
two, respectively. CRA Managed Care is now known as Concentra Managed Care.
The Risk Management Division recommends that the City Commission
accept the findings of the Selection Committee and authorize the
City Manager to enter into negotiations with the most qualified
firm ranked first, Vincam OHS, and to present the negotiated
agreement to the City Commission for its ratification and
approval. In the event negotiations with Vincam OHS are not
successful, the City Manager would be authorized to enter into
negotiations with the next highest rated firm.
98- 17
1
CITY OF MIAMI, FLORIDA
INTER -OFFICE MEMORANDUM
To: Frank K. Rollason
Interim Cit Manager
j
,q1( �t -
FROM: Mario E. Soldevilla
Risk Management Administrator
Risk Management Division
Lam. 1 61997
DATE : December 15, 1997 FILE :
SUBJECT: Selection Committee
Recommendation
RFP No. 96-97-017
REFERENCES:
ENCLOSURES:
Attached please find for your re-,iiew the written report submitted
by Mr. Victor J. Monzon-Aguirre, Selection Committee Chairperson,
upon their evaluation of the proposals received in accordance to
RFP No. 96-97-017, for the purpose of seeking a qualified firm to
provide a Managed Care Program for Workers' Compensation on
behalf of the City of Miami.
Pursuant to Mr. Monzon-Aguirre's report, it is the committee's
findings that the following firms are to be ranked as follows:
1. Vincam OHS
2. CRA Managed Care, Inc. (now known as Concentra
Managed Care,•Inc.)
Per said report, it is the committee's recommendation that you
seek authority to negotiate with the top ranked firm, Vincam OHS.
Please advise if you approve or disapprove this recommendation
for forwarding to the City Commission for their consideration
accordingly.
APPROVE / DISAPPROVED
Frank K. Rollason
Interim City Manager
98- 17 3
LAIUO
CONSTRUCTION
1 CO., FLORIDA
December 12, 1997
Alberto Ruder
City Manager
The city of Miami
444 SW 2 Ave.
Miami, Fla. 33130
Dear Mr. Ruder:
4649 Ponce de Leon Boulevard,Suite 301
Coral Gables, Florida 33146
(305) 663-5559
Fax 663-9515
RE: RFP for Managed Care for Workers'
Compensation, RFP # 96-97-017
The Evaluation Committee for the reference RFP has concluded their review and evaluation, I as
Chairman by this letter am reporting the process and findings of the committee.
Firstly, the committee was made up of individuals from the community for their knowledge, and
background and appointed by the city commission. The committee members were Mr. Anthony Blaty,
Ms. Judith Cannon, Mrs. Annmarie LeMonine, and Mr. Juan Reyes. We meet several times over a period
of three months and reviewed five proposals. City of Miami staff was present at all meetings and
provided the committee with important information which assisted the committee in its evaluation.
As previously noted there were five proposals received by the city and presented to the committee for
review. They consisted of the following:
1. CRA Managed Care, Inc.
312 Union Wharf
Boston, Mass.
2. Humana Medical Plan, Inc.
3400 Lakeside Drive
Miramar, Fla.
3.International Rehabilitation Assoc. d/b/a Intracorp
1601 Chestnut Street
Philadelphia Pa.
4. Riscorp Managed Care Services
1390 Main Street
Sarasota, Fla.
5. Vincam OHS
2850 Douglas Road
Coral Gables, Fla.
The committee convened early in September of this year at which time prior to any review of the
proposals or the committee's knowledge of whom we had received proposals from, developed the
evaluation criteria to be used in the analysis of the proposals.
�R- 17 5
Alberto Ruder
RE: RFP for Managed Care for Workers' Compensation, RFP # 96-97-017
Page 2
December 12, 1997
All proposals were distributed to the committee and in October meet, at which time a short list of the
proposals was made based upon the scores of all members individual evaluations. The short-listed firms
consisted of; CRA Managed Care, Riscorp and Vincam OHS. It was agreed that letters would be sent to
the aforementioned, in which specific questions concerning each one the individual proposals would be
presented to clarify questions raised by committee members. It is important to note here that NO new
information was requested or subsequently received, and what was eventually received helped the
committee understand completely the particular question that had been raised.
As a result of the inquiries made, only two of the short-listed firms responded, Riscorp withdrew its
proposal from consideration. Therefore the committee was left with two proposals CRA Managed Care
and Vincam OHS for further evaluation.
After reviewing the responses received, the committee concluded that the remaining proposals meet the
specifications and can provide the City with a managed care program. After taking all elements of both
proposals into consideration it is the finding of the committee that the rankings of the firms are as
follows:
1. Vincam OHS
2. CRA Managed Care, Inc.
It is therefore recommended that you seek authority to negotiate with the top ranked firm. It must be
added that even though the RFP had a series of requirements and questions to be completed by all
proposers, the committee concluded that certain additional issues and questions should be included in
your negotiations. These items we believe will give the City the ability to assure itself that the program
can be more effective in attaining the benefits of a managed care program.
The issues and questions that should be part of your negotiation are:
1. Can the proposer's provider list be expanded or has it changed since the original submission?
2. Provide the percentage of staff to be assigned to this account that speak a language other than English,
to ensure that the proposer's staff can communicate effectively with the City's personnel. Can this be
corrected if the need arises?
3. Provide a listing of health care provider including their specialty and language, by zip code to compare
with accessibility by city employees to services rendered. Can deficience be changed?
4. Provide the process utilized for credentialing of all providers.
5. Provide the percentage of Board Certified Physicians.
6 98- 17
Alberto Ruder
RE: RFP for Managed Care for Workers' Compensation, RFP # 96-97-017
Page 3
December 12, 1997
6. At what point does the provider determine when the network of providers needs to be expanded to
accommodate the service demand / workload?
7. The city wants to have a satiation survey, does the proposer have one and if so please provide a copy.
Can the city in conjunction with the provider or other clients develop a different survey?
Needless to say their maybe additional points that can be included in your negotiations and we strongly
urge that input from Risk Management personnel be utilized to meet their concerns and issues.
On behalf of the committee I wish to extend our thanks to city staff members Pam Burns, Nancy
Fernandez, and Mario Solevilla for their cooperation.
Sincerely,
Cc: Mario Soldevilla
Pam Burns
7
17
RFP No. 96-97-017 TABULATION BY THE SELECTION COMMITTEE
MANAGED CARE PROGRAM FOR WOF :S COMPENSATION
CRA Managed Care Inc.
%yncam OHS
Riscorp Managed
y Care Services, Inc.
312 Union Wharf
2850 Douglas Road
y 1390 Main Street
Boston, Ma. 02109 Coral Gables, Fla.
Non-Local/Non-Minority Dade Co./Non-Minority
Sarasota, Fla. 34236
Non-Local/Non-Minority
Evaluation Criteria
s
Qualifications to Provide Managed Care, including
12
9
t
6
office locations (max. 15 points)
z
(Responsiveness to the Requirements of the RFP '',
(max. 15 points)
15
15
15
Ability to Provide Quality Managed Care Services 1
15
19
n 16
(max. 15 points)
ast Performance (max. 15 points)
15
8
7
Fee Proposal (max. 25 points)
12
25
12
M/WBE and Affirmative Action (max. 10 points)
5
7
0
Total Maximum Available Points = 100 points
74
83
56
RANKING OF FIRMS
# 2
# 1
N/A"
sfif' Note: Riscorp reported they no
longer would support its original
Proposal and could no longer be
_;
considered.
Jf
APPROVED B
Jhdy e
--
ief Procurement fficer
--
DATE:
,Approved by:
Director / Designee
Date:
I
The following 2 firms were eliminated from further
consideration when Proposers were shortlisted from
5 to 3 firms for further evaluation and recommendation for award.
International Rehabilitation i
Assocs. Inc dba Intracorp.
1601 Chestnut Street
Philadelphia, Pa. 19192
Non-Local/Non-Minority
I
Humana Medical Plan, Inc.
3400 Lakeside Drive
Miramar, Fla. 33027
Non-Local/Non Minority
:7^— 1 /
RFP NO.96-97-017
SELECTION COMMITTEE RATERS
FOR THE
MANAGED CARE PROGRAM
FOR WORKERS COMPENSATION
Mr. Anthony Blaty
Counselor at Law
Ms. Annamarie LeMoine
Attorney
BellSouth Telecommunications Inc.
Mr. Victor Monzon-Aguirre, Chair
Chief Operating Officer
Lanzo Construction Company
Mr. Juan Reyes, A.R.M.
Contracts Compliance Specialist
JMH Health Plan
Ms. Judith A. Cannon
Productivity Management
Cannon Stierheim
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