DoD Obligates $84.7M for Pharmacy Benefit Management to Wisconsin Physicians Service Insurance Corp

Contract Overview

Contract Amount: $84,714,895 ($84.7M)

Contractor: Wisconsin Physicians Service Insurance Corp.

Awarding Agency: Department of Defense

Start Date: 2008-07-01

End Date: 2009-06-30

Contract Duration: 364 days

Daily Burn Rate: $232.7K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 2

Pricing Type: FIXED PRICE INCENTIVE

Sector: Healthcare

Official Description: OBLIGATE OPTION PERIOD 1 FUNDS FOR CLAIMS.

Place of Performance

Location: MONONA, DANE County, WISCONSIN, 53713

State: Wisconsin Government Spending

Plain-Language Summary

Department of Defense obligated $84.7 million to WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. for work described as: OBLIGATE OPTION PERIOD 1 FUNDS FOR CLAIMS. Key points: 1. The contract is for Pharmacy Benefit Management and Third Party Administration. 2. Wisconsin Physicians Service Insurance Corp. is the incumbent contractor. 3. The contract was awarded under full and open competition. 4. The contract value is $84.7 million for the option period.

Value Assessment

Rating: good

The fixed-price incentive contract structure aims to control costs by incentivizing the contractor to stay within target costs. The obligated amount of $84.7M for one year appears reasonable for pharmacy benefit management services.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

The contract was awarded through full and open competition, suggesting a competitive bidding process that should lead to fair pricing. The use of a delivery order under a larger contract indicates a structured procurement approach.

Taxpayer Impact: The competitive nature of the award suggests that taxpayer funds are being used efficiently for these essential healthcare services.

Public Impact

Ensures continued access to pharmacy benefits for eligible beneficiaries. Supports the operational efficiency of the Defense Health Agency. Maintains continuity of critical third-party administration services.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls within the Healthcare sector, specifically related to insurance and benefits administration. Spending benchmarks for PBM services can vary widely based on the covered population and scope of services.

Small Business Impact

No specific information is provided regarding small business participation in this contract. Further analysis would be needed to determine if small businesses were involved or had opportunities.

Oversight & Accountability

The contract is a delivery order under a larger contract, implying existing oversight mechanisms. The Defense Contract Audit Agency (DCAA) may be involved in auditing costs and performance.

Related Government Programs

Risk Flags

Tags

pharmacy-benefit-management-and-other-th, department-of-defense, wi, delivery-order, 10m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Defense awarded $84.7 million to WISCONSIN PHYSICIANS SERVICE INSURANCE CORP.. OBLIGATE OPTION PERIOD 1 FUNDS FOR CLAIMS.

Who is the contractor on this award?

The obligated recipient is WISCONSIN PHYSICIANS SERVICE INSURANCE CORP..

Which agency awarded this contract?

Awarding agency: Department of Defense (Defense Health Agency).

What is the total obligated amount?

The obligated amount is $84.7 million.

What is the period of performance?

Start: 2008-07-01. End: 2009-06-30.

What was the total contract value and duration for the base contract from which this delivery order was issued?

The provided data only details the option period obligation of $84.7M for a 364-day duration. Information on the base contract's total value and original duration is not available in this dataset. Understanding the full contract lifecycle is crucial for a comprehensive value assessment.

How does the per-unit cost of pharmacy benefit management services under this contract compare to industry benchmarks?

A direct per-unit cost benchmark is not available without specific service metrics (e.g., cost per prescription, per member per month). However, the fixed-price incentive structure suggests an effort to manage costs against targets. A detailed comparison would require access to specific performance data and industry PBM cost analyses.

What are the key performance indicators (KPIs) for this contract and how has the contractor performed against them?

The provided data does not include specific Key Performance Indicators (KPIs) for this contract. To assess effectiveness, one would need to review performance reports, quality assurance data, and beneficiary satisfaction surveys related to Wisconsin Physicians Service Insurance Corp.'s administration of pharmacy benefits.

Industry Classification

NAICS: Finance and InsuranceAgencies, Brokerages, and Other Insurance Related ActivitiesPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Product/Service Code: MEDICAL SERVICESOTHER MEDICAL SERVICES

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION

Solicitation Procedures: NEGOTIATED PROPOSAL/QUOTE

Offers Received: 2

Pricing Type: FIXED PRICE INCENTIVE (L)

Evaluated Preference: NONE

Contractor Details

Address: 1717 W BROADWAY, MADISON, WI, 53713

Business Categories: Category Business, Not Designated a Small Business

Financial Breakdown

Contract Ceiling: $84,842,510

Exercised Options: $84,842,510

Current Obligation: $84,714,895

Contract Characteristics

Commercial Item: COMMERCIAL ITEM PROCEDURES NOT USED

Cost or Pricing Data: NO

Parent Contract

Parent Award PIID: H9400207D0001

IDV Type: IDC

Timeline

Start Date: 2008-07-01

Current End Date: 2009-06-30

Potential End Date: 2014-12-31 00:00:00

Last Modified: 2018-10-17

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