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The government authority in Baltimore, Maryland, seeks actuarial consulting services related to screening for perinatal behavioral health conditions. The selected vendor will assess insurance coverage and the potential effects of requiring carriers to provide coverage and reimbursement for these services.
The engagement will include a social evaluation addressing the extent to which insurance coverage is generally available, whether a lack of coverage creates unreasonable financial hardship, and the level of public demand for coverage. It will also include a medical evaluation examining recognition of the service within the medical community through a review of scientific and peer-reviewed literature.
The vendor must prepare a financial evaluation estimating both the marginal and full costs of the proposed coverage and reimbursement requirements. This evaluation must consider potential changes to carrier administrative expenses, as well as premium and administrative expenses for policyholders and contract holders.
Analysis generated by Settle AI from the source RFP.
Settle pieces together buyer signals, budgets, contract activity, and the sources your team already monitors. See why an opportunity fits and what to do before the RFP posts.