{"text_format":"1","workbook":"xlsx","n_sheets":19,"sheets":["Directions","Ex.1 Medical ASO","Ex.2 Subrogation","Ex.2 Med ASO Other Public Part.","Ex.3 Health Man and Wellness","Ex.4 Additional Services","Ex. 4 TeleHealth","Ex. 6 Account Based Plans ","Ex.4 IPFacility","Ex.5 OPFacility ","Ex.6 Professional","Ex. 7 Direct Bill and COBRA","Ex.5 MedProvider (Location)","Ex.6  MedProv (Location) Pre 65","Ex.5 Repriced Claims","Ex.6 Self Reported Discounts","Ex. 5A Repriced Discounts","Ex.7 DiscountType","Ex.10 GEO Access"],"not_rendered":{"charts":0,"images":1,"macros":0,"external_links":7,"defined_names":327,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Directions","index":0,"n_rows":14,"n_cols":1,"rows_kept":14,"cut":false,"hidden":true,"merged":[[15,0,20,10]]}
[]
[]
["Administrative Services"]
["Medical Plan"]
["Exhibit Instructions to Vendors"]
[]
["When completing the exhibits in the Excel workbook, please follow the directions below:"]
[]
[]
["1.  Do not add or delete rows, columns or alter-pre-labeled text in the exhibits"]
["2.  Electronic copies of these exhibits must be returned in Excel.  Do not PDF the Excel Workbook.\n     The signed copies may be submitted as a separate PDF.\n     of your documents are required for the hardcopy binder only."]
[]
["3.  Do not extract individual worksheets (exhibits) and submit as separate Excel workbooks in the electronic copy."]
["1. Medical ASO Pricing:\nThe State requires offerors to submit pricing for a core set of ASO services. This will be included in Ex. 1 of this workbook separately for Active Employees, Pre 65 Retirees, and Post 65 Medicare Retirees. A list of the core services to be included are provided below."]

{"sheet":"Ex.1 Medical ASO","index":1,"n_rows":29,"n_cols":10,"rows_kept":29,"cut":false,"hidden":false,"merged":[[0,1,0,9],[1,1,1,9],[2,1,2,9],[29,1,34,9],[3,2,3,9],[8,4,9,4],[12,4,13,4],[7,1,7,9],[16,4,17,4],[6,0,6,9],[5,1,5,2],[5,7,5,9],[5,3,5,6],[4,0,4,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 1 - SELF-FUNDING MEDICAL FEE QUOTATION FORM"]
[null,"Summary Pricing Sheet"]
[]
["1. Medical ASO Core Services Pricing (Ex.1)\nThe State requires offerors to submit pricing for a core set of ASO services as a Per Employee Per Month (PEPM) and Per Retiree Per Month (PRPM). This will be included in Ex.1 of this workbook separately for Active Employees, Pre 65 Retirees, and Post 65 Medicare Retirees. A list of the core services to be included are provided below:"]
[null,"Active Employees:\nClaim Administration (including 15-mo runout administration)\n**System must be capable of processing new ICD-10s\nNetwork Access\nAdministration of the Current Plan designs and Recognized Charges\nVision Administration, Claims Processing and Network Access\nAudio Claims Administration and Network Access\nEAP Administration and Access\nEligibility Maintenance and Integration with State system\nClaims Appeal (Level 1 and Level 2)\nLocal Alaska Customer Service Representation\nInternal and External Coordination of Benefits\nDedicated Customer Service Team\nPrint and Mail ID Cards \nUtilization Reporting\n50 hours for custom reporting\nOnline Provider Directory\nAttendance at Quarterly Utilization Reporting and Strategy Meetings\nAttendance at Open Enrollment Meetings and Health Fairs\nMember Communications\nMember Welcome Mailer\nIntegration with State's PBM and other Vendors as needed\n24 hour nurse line\nMaternity Management\nUtilization and Case Management Programs",null,"Pre 65 Retirees:\nClaim Administration (including 15-mo runout administration)\n**System must be capable of processing new ICD-10s\nNetwork Access\nAdministration of the Current Plan designs and Recognized Charges\nVision Administration, Claims Processing and Network Access\nAudio Claims Administration and Network Access\nEligibility Maintenance and Integration with State system\nClaims Appeal (Level 1 and Level 2)\nLocal Alaska Customer Service Representation\nInternal and External Coordination of Benefits\nCoordination and Network Access to Medicare for Dependents that are Medicare Eligible\nDedicated Customer Service Team\nPrint and Mail Retiree ID Cards (Retiree to include Audio and Vision)\nUtilization Reporting\nOnline Provider Directory\nAttendance at Quarterly Utilization Reporting and Strategy Meetings\nAttendance at Open Enrollment Meetings and Health Fairs\nMember Communications\nMember Welcome Mailer\nIntegration with State's PBM and other Vendors as needed\n24 hour nurse line\nMaternity Management for High Risk Pregnancies\nUtilization and Case Management Programs",null,null,null,"Post 65 Retirees:\nClaim Administration (including 15-mo runout administration)\n**System must be capable of processing new ICD-10s\nAdministration of the Current Plan designs and Recognized Charges\nVision Administration, Claims Processing and Network Access\nAudio Claims Administration and Network Access\nEligibility Maintenance and Integration with State system\nClaims Appeal (Level 1 and Level 2)\nLocal Alaska Customer Service Representation\nInternal and External Coordination of Benefits\nCoordination and Network Access to care for Dependents that are not Medicare Eligible\nDedicated Customer Service Team\nPrint and Mail Retiree ID Cards (Retiree to include Audio and Vision)\nUtilization Reporting\nOnline Provider Directory\nAttendance at Quarterly Utilization Reporting and Strategy Meetings\nAttendance at Open Enrollment Meetings and Health Fairs\nMember Communications\nMember Welcome Mailer\nIntegration with State's PBM and other Vendors as needed\n24 hour nurse line\nUtilization and Case Management Programs"]
["Additionally, Offerors are to provide information on fees related to Subrogation services. Vendor have the option to provide how the State will be charged for services related to subrogation (per claim, percentage of savings, etc). Offerors should provide any detail of their pricing in the comments section of Ex.1"]
[]
[null,"ASO Fees (PEPM)   ACTIVE",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"A. Base Administration Fees (based on scope of work)",null,null,null,"Year 1","Year 2","Year 3","Year 4","Year 5"]
[null,"PEPM"]
[null," Total Base Administration Fees",null,null,"PEPM",{"$f":"F11*$C$25*12","v":0},{"$f":"G11*$C$25*12","v":0},0,0,0]
[null,"ASO Fees (PRPM)   PRE MEDICARE RETIREE",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"A. Base Administration Fees (based on scope of work)",null,null,null,"Year 1","Year 2","Year 3","Year 4","Year 5"]
[null,"PRPM"]
[null," Total Base Administration Fees",null,null,"PRPM",{"$f":"F15*$C$26*12","v":0},{"$f":"G15*$C$26*12","v":0},0,0,0]
[null,"ASO Fees (PRPM) MEDICARE  RETIREE",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"A. Base Administration Fees (based on scope of work)",null,null,null,"Year 1","Year 2","Year 3","Year 4","Year 5"]
[null,"PRPM"]
[null," Total Base Administration Fees",null,null,"PRPM",{"$f":"F19*$C$27*12","v":0},{"$f":"G19*$C$27*12","v":0},0,0,0]
[]
[null,"Subrogation",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"Subrogation"]
[]
[null,"# of Employees"]
[null,"# of Pre-Medicare Retirees"]
[null,"# of Medicare Retirees"]
[]
[null,"Comments"]

{"sheet":"Ex.2 Subrogation","index":2,"n_rows":18,"n_cols":10,"rows_kept":18,"cut":false,"hidden":true,"merged":[[10,1,10,9],[11,1,11,9],[12,1,12,9],[18,1,23,9],[0,1,0,9],[1,1,1,9],[2,1,2,9],[3,2,3,9],[8,1,8,9],[9,1,9,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 2 - SUBROGATION SERVICES"]
[null,"Summary Pricing Sheet"]
[null,"Vendor Name"]
[null,"Contact Name"]
[null,"Contact Phone Number"]
[null,"Authorized Signature"]
[]
[null,"**********PLEASE READ THE DIRECTIONS CAREFULLY BEFORE COMPLETING THE EXHIBIT**********"]
[null,"  1.  Please do not alter, add or delete rows unless specified.  Failure to complete the exhibit as requested may result in rejection of your offer."]
[null,"  2.  Please include ALL comments specific to your pricing on this exhibit in the Comment Box (below).  Add rows to the Comment Box as needed."]
[null,"  3.  Please do not refer responses to other parts of your proposal to clarify any of the services, pricing or comments included on this exhibit.  All of your comments to support your pricing should be on this exhibit."]
[null,"  4.  The State reserves the right to select this service as an option of the winning offeror.  "]
[null,"Service",null,null,"Fee\nBasis","2020-2021","2021-2022","2022-2023","2023-2024","2024-2025"]
[null,"Subrogation"]
[]
[]
[null,"Comments"]

{"sheet":"Ex.2 Med ASO Other Public Part.","index":3,"n_rows":22,"n_cols":10,"rows_kept":22,"cut":false,"hidden":false,"merged":[[22,1,27,9],[6,1,6,9],[7,4,8,4],[11,4,12,4],[0,1,0,9],[1,1,1,9],[2,1,2,9],[3,2,3,9],[15,4,16,4],[4,0,4,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 2 - SELF-FUNDING MEDICAL FEE QUOTATION FORM - OTHER PUBLIC SECTOR PARTICIPATION\n75,000 (+) Subscribers (Including Retirees)"]
[null,"Summary Pricing Sheet"]
[]
["2. Medical ASO Other Public Sector Participation (Ex.2)\nAs stated in the Section 3.01 of the RFP, the State seeks to allow other public sector entities to participate in the state’s contract terms, subject to mutually agreed upon requirements. Should additional public entities participate, the State expects to be advantaged by pricing that reflects increased economies of scale for the current service offering. Offerors are encouraged to provide improved pricing terms in Ex. 2 Med ASO Other Public Sector Participation when members of this group reach a combined 75,000 subscribers/retirees (including subscribers and retirees in the State’s plans)."]
[]
[]
[null,"ASO Fees (PEPM)   ACTIVE",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"A. Base Administration Fees (based on scope of work)",null,null,null,"Year 1","Year 2","Year 3","Year 4","Year 5"]
[null,"PEPM"]
[null," Total Base Administration Fees",null,null,"PEPM",{"$f":"F10","v":0},{"$f":"G10","v":0},{"$f":"H10","v":0},{"$f":"I10","v":0},{"$f":"J10","v":0}]
[null,"ASO Fees (PRPM)   PRE MEDICARE RETIREE",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"A. Base Administration Fees (based on scope of work)",null,null,null,"Year 1","Year 2","Year 3","Year 4","Year 5"]
[null,"PRPM"]
[null," Total Base Administration Fees",null,null,"PRPM",{"$f":"F14","v":0},{"$f":"G14","v":0},{"$f":"H14","v":0},{"$f":"I14","v":0},{"$f":"J14","v":0}]
[null,"ASO Fees (PRPM) MEDICARE  RETIREE",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"A. Base Administration Fees (based on scope of work)",null,null,null,"Year 1","Year 2","Year 3","Year 4","Year 5"]
[null,"PRPM"]
[null," Total Base Administration Fees",null,null,"PRPM",{"$f":"F18","v":0},{"$f":"G18","v":0},0,0,0]
[]
[]
[null,"Comments"]

{"sheet":"Ex.3 Health Man and Wellness","index":4,"n_rows":23,"n_cols":10,"rows_kept":23,"cut":false,"hidden":false,"merged":[[23,1,28,9],[0,1,0,9],[1,1,1,9],[2,1,2,9],[4,2,4,9],[3,0,3,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 3 - HEALTH MANAGEMENT AND WELLNESS"]
[null,"Summary Pricing Sheet"]
["3. Health Management and Wellness (Ex.3)\nOfferors are to provide any additional pricing considerations for the administration of the value-based plan initiatives. If the offeror does not require additional fees please place $0.00 in the appropriate field. Additionally, the Offeror is required to provide any additional pricing that would be associated with the programs such as Disease Management, LifeStyle Management, etc. These services are optional and not included in the scoring of the base administration fees."]
[]
[null,"Service",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"Personal Health Risk Assessment"]
[null,"Disease Management"]
[null,"LifeStyle Management"]
[null,"Telephonic Wellness Coaching"]
[null,"Onsiste Health Screenings <50 participants"]
[null,"Onsiste Health Screenings >50 participants"]
[null,"Biometric Screenings"]
[null,"At Home Screening Kits"]
[null,"Optional Programs"]
[null,"Optional Programs"]
[null,"Optional Programs"]
[null,"Optional Programs"]
[null,"Optional Programs"]
[]
[null,"# of Employees"]
[]
[null,"Comments"]

{"sheet":"Ex.4 Additional Services","index":5,"n_rows":22,"n_cols":10,"rows_kept":22,"cut":false,"hidden":false,"merged":[[0,1,0,9],[1,1,1,9],[2,1,2,9],[3,2,3,9],[22,1,27,9],[6,1,6,2],[8,1,8,2],[10,1,10,2],[16,1,16,2],[14,1,14,2],[4,0,4,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 4 - ADDITIONAL SERVICES PRICING DETAILS"]
[null,"Summary Pricing Sheet"]
[]
["4. Additional Services (Ex.4)\nThis section represents additional service offerings that the State has identified for consideration under this contract. The State is under no obligation to purchase these services. Included in the additional services are Data Warehousing, Account Based Plan administration, TeleHealth offering and COBRA/Retiree Direct Bill services. These services are optional and not included in the scoring of the base administration fees.\n"]
[]
[null,"DATA WAREHOUSING",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"TPA's Data Warehousing Solution"]
[null,"TELEHEALTH",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"TeleHealth"]
[null,"ACCOUNT BASED PLANS",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"Flexible Spending Account "]
[null,"Health Reimbursement Arrangement"]
[null,"Health Savings Account"]
[null,"DIRECT BILL",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"Retiree Direct Bill Services"]
[null,"COBRA",null,null,"Fee\nBasis",2020,2021,2022,2023,2024]
[null,"COBRA Administration "]
[]
[null,"# of Employees"]
[]
[null,"Comments"]

{"sheet":"Ex. 4 TeleHealth","index":6,"n_rows":20,"n_cols":10,"rows_kept":20,"cut":false,"hidden":true,"merged":[[10,1,10,9],[11,1,11,9],[12,1,12,9],[20,1,25,9],[0,1,0,9],[1,1,1,9],[2,1,2,9],[3,2,3,9],[8,1,8,9],[9,1,9,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 4 - TELEHEALTH SERVICES"]
[null,"Summary Pricing Sheet"]
[null,"Vendor Name"]
[null,"Contact Name"]
[null,"Contact Phone Number"]
[null,"Authorized Signature"]
[]
[null,"**********PLEASE READ THE DIRECTIONS CAREFULLY BEFORE COMPLETING THE EXHIBIT**********"]
[null,"  1.  Please do not alter, add or delete rows unless specified.  Failure to complete the exhibit as requested may result in rejection of your offer."]
[null,"  2.  Please include ALL comments specific to your pricing on this exhibit in the Comment Box (below).  Add rows to the Comment Box as needed."]
[null,"  3.  Please do not refer responses to other parts of your proposal to clarify any of the services, pricing or comments included on this exhibit.  All of your comments to support your pricing should be on this exhibit."]
[null,"  4.  The State reserves the right to select this service as an option of the winning offeror.  "]
[null,"Service",null,null,"Fee\nBasis","2020-2021","2021-2022","2022-2023","2023-2024","2024-2025"]
[null,"TeleHealth"]
[null,"Implementation Fee"]
[]
[null,"Assumed # of Employees"]
[]
[null,"Comments"]

{"sheet":"Ex. 6 Account Based Plans ","index":7,"n_rows":22,"n_cols":10,"rows_kept":22,"cut":false,"hidden":true,"merged":[[10,1,10,9],[11,1,11,9],[12,1,12,9],[17,1,17,2],[22,1,27,9],[16,1,16,2],[9,1,9,9],[0,1,0,9],[1,1,1,9],[2,1,2,9],[3,2,3,9],[8,1,8,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 6 - ACCOUNT BASED PLANS"]
[null,"Summary Pricing Sheet"]
[null,"Vendor Name"]
[null,"Contact Name"]
[null,"Contact Phone Number"]
[null,"Authorized Signature"]
[]
[null,"**********PLEASE READ THE DIRECTIONS CAREFULLY BEFORE COMPLETING THE EXHIBIT**********"]
[null,"  1.  Please do not alter, add or delete rows unless specified.  Failure to complete the exhibit as requested may result in rejection of your offer."]
[null,"  2.  Please include ALL comments specific to your pricing on this exhibit in the Comment Box (below).  Add rows to the Comment Box as needed."]
[null,"  3.  Please do not refer responses to other parts of your proposal to clarify any of the services, pricing or comments included on this exhibit.  All of your comments to support your pricing should be on this exhibit."]
[null,"  4.  The State reserves the right to select this service as an option of the winning offeror.  "]
[null,"Service",null,null,"Fee\nBasis","2020-2021","2021-2022","2022-2023","2023-2024","2024-2025"]
[null,"Flexible Spending Account (including dependent care)"]
[null,"Health Reimbursement Arrangement"]
[null,"Implementation Fees"]
[null,"Ongoing Annual Fees"]
[]
[null,"Assumed # of Employees"]
[]
[null,"Comments"]

{"sheet":"Ex.4 IPFacility","index":8,"n_rows":14,"n_cols":7,"rows_kept":14,"cut":false,"hidden":true,"merged":[[10,0,10,5],[7,0,8,6],[12,0,13,0],[12,3,13,3],[12,4,13,4],[12,5,13,5],[12,6,13,6],[1,0,1,6],[0,0,0,6],[3,1,3,6],[4,1,4,6],[5,1,5,6],[2,1,2,9]]}
["State of Alaska"]
["EXHIBIT 4 - INPATIENT DISRUPTION "]
[]
["Vendor Name "]
["Contact Name"]
["Contact Number"]
[]
["Shown below is a listing of providers utilized by plan participants during the 12-months ending June 30, 2018. For your proposed network, please complete the network indicator column.  Identify in-network non-contracted providers as non-participating."]
[]
[]
["Name of Network:"]
[null,null,null,null,null,null,"PPO"]
["Facility Name",null,null,"City","ST","Zip","In-Network Provider?"]
[null,"NPI","Billing Address","City","ST","Zip"]

{"sheet":"Ex.5 OPFacility ","index":9,"n_rows":14,"n_cols":7,"rows_kept":14,"cut":false,"hidden":true,"merged":[[12,6,13,6],[7,0,8,6],[10,0,10,5],[12,0,13,0],[12,3,13,3],[12,4,13,4],[12,5,13,5],[5,1,5,6],[3,1,3,6],[4,1,4,6],[0,0,0,6],[1,0,1,6],[2,1,2,8]]}
["State of Alaska"]
["EXHIBIT 5- OUTPATIENT DISRUPTION "]
[]
["Vendor Name "]
["Contact Name"]
["Contact Number"]
[]
["Shown below is a listing of providers utilized by plan participants during the 12-months ending June 30, 2018. For your proposed network, please complete the network indicator column.  Identify in-network non-contracted providers as non-participating."]
[]
[]
["Name of Network:"]
[null,null,null,null,null,null,"PPO"]
["Provider Name",null,null,"City","ST","Zip","In-Network Provider?"]
[null,"NPI","Billing Address","City","ST","Zip"]

{"sheet":"Ex.6 Professional","index":10,"n_rows":637,"n_cols":8,"rows_kept":637,"cut":false,"hidden":true,"merged":[[10,0,10,6],[7,0,8,7],[12,7,13,7],[12,0,13,0],[12,2,13,2],[12,3,13,3],[12,4,13,4],[12,5,13,5],[12,6,13,6],[3,2,3,7],[4,2,4,7],[5,2,5,7],[0,0,0,6],[1,0,1,6],[2,1,2,7]]}
["State of Alaska"]
["EXHIBIT 6- PROFESSIONAL (NON-FACILITY) DISRUPTION "]
[]
["Vendor Name "]
["Contact Name"]
["Contact Number"]
[]
["Shown below is a listing of providers utilized by plan participants during the 12-months ending June 30, 2017. For your proposed network, please complete the network indicator column. If proposing a narrow network or ACO alternative, please complete both columns. Identify in-network non-contracted providers as non-participating."]
[]
[]
["Name of Network:"]
[null,null,null,null,null,null,null,"PPO"]
["Provider First Name",null,"NPI","Billing Address","City","ST","Zip","In-Network Provider?"]
[null,"Provider Last Name/Office"]
[]
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[]
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[]
[]
[]
[]
[]
[]
["DOUGLAS"]
[]
["BRIAN F"]
["JOHN C"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["JOSEPH A"]
[]
[]
[]
["JOHN C"]
[]
[]
[]
["JOHN C"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["ROBERT C."]
[]
[]
[]
[]
["EDITH A"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["BARNET"]
[]
[]
["JEFFREY S"]
[]
[]
[]
[]
[]
[]
["PINAKIN G"]
[]
[]
["JOHN C"]
[]
[]
[]
["EVA M"]
[]
[]
[]
[]
["JOHN C"]
[]
[]
[]
[]
[]
["GAIL"]
[]
[]
["ALLAN T."]
[]
["KELLY"]
[]
[]
[]
[]
[]
[]
["M L"]
[]
["CATHY"]
[]
[]
[]
[]
["JOHN C"]
[]
[]
[]
[]
["DESIREE"]
["JOEL S"]
["SATINDER"]
[]
[]
[]
["JOHN C"]
[]
["GEORGE J"]
["JAMES E"]
["GARY L"]
[]
["EWA"]
[]
[]
[]
[]
[]
[]
[]
["JOHN C"]
["SCOTT M"]
[]
[]
[]
[]
[]
["JOHN C"]
[]
[]
[]
[]
["BARBARA ANN"]
[]
[]
[]
[]
[]
["JOHN C"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["DANIELLE"]
[]
[]
[]
[]
[]
[]
["KIMBERLY"]
["DESIREE"]
[]
["THOMAS"]
[]
[]
[]
["JEFFREY LEE"]
[]
[]
[]
["RALPH S"]
["GEORGE"]
[]
[]
[]
["ROBERT"]
["HEIDI H"]
[]
[]
[]
[]
[]
[]
["ROBERT A"]
["CORNELIA"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["TIFFANY"]
[]
["SIMONE"]
[]
[]
["ROSEMARIE B"]
[]
[]
[]
["DEVEN S"]
["TODD V"]
[]
[]
["FRANK"]
[]
["THOMAS C"]
[]
["DANICA"]
[]
[]
[]
[]
[]
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[]
["NATALIE"]
[]
[]
[]
[]
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["JOHN C"]
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[]
[]
[]
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[]
[]
[]
["RUPAT"]
[]
[]
["ASHWIN"]
[]
["ROBERT C"]
[]
["GEORGANN"]
[]
["ROBERT"]
[]
["SUZANNE"]
[]
[]
[]
[]
[]
[]
["CAROL"]
["SANDHYA S"]
[]
[]
["SHELLEY S"]
[]
["JOSEPH"]
[]
["RICHARD"]
[]
[]
[]
[]
[]
[]
[]
["DEBORAH L"]
[]
["JOHN C"]
[]
["G BURT"]
[]
[]
[]
[]
["VALERIE J"]
[]
[]
[]
[]
[]
[]
[]
["DIANA L"]
["J ROBERT"]
[]
["JOHN D"]
[]
["BONNIE"]
[]
["DOUGLAS G"]
["HOLLIS"]
[]
[]
[]
[]
[]
["BALWINDER"]
[]
[]
["SAMMY A"]
[]
[]
[]
[]
["DOUGLAS W"]
[]
[]
[]
["VALERIE J"]
[]
["ELVA M"]
[]
["MARIA M"]
[]
[]
[]
[]
[]
[]
["SEN T"]
[]
["TYLER"]
[]
["ALICIA"]
[]
[]
["MARSHALL"]
["JOHN V"]
[]
[]
["ELLEN G"]
["ROBERT L"]
[]
[]
[]
[]
[]
[]
[]
["SHAILAJA"]
["LAUREL A"]
[]
[]
[]
[]
[]
["J S"]
[]
["JOHN"]
[]
[]
[]
[]
[]
["ROBERT"]
[]
["PETER JEFFREY"]
[]
[]
["KIMBERLY D"]
[]
[]
[]
[]
[]
["JOHN C"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["VERNON T"]
[]
["DORA E"]
[]
["AURELIANO E"]
[]
["MICHAEL J"]
[]
["AGNIESZKA"]
["ROBERTO"]
[]
[]
[]
[]
[]
["SANDRA K"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["JACQUELINE M"]
[]
["HOWARD M"]
["WAYNE E"]
["TAMAR K"]
["JOHN C"]
[]
[]
[]
[]
[]
[]
[]
["AMANDA LAUREN"]
[]
[]
["BRIAN"]
[]
[]
[]
[]
[]
[]
[]
["LAURA K"]
[]
["STEPHANIE ANN"]
[]
["RENE M"]
[]
["DANIEL H"]
[]
["JOHN"]
["KENNETH"]
["KARA L"]
[]
[]
["ALVIN"]
[]
["KATHE L"]
["JOAN F"]
["NATALIE"]
["JOHN C"]
[]
["MICHAEL L"]
[]
[]
[]
[]
["PRADIP"]
[]
["SHANNON"]
[]
[]
["DR. RONALD"]
[]
[]
[]
[]
[]
[]
["JOHN M"]
["DAVID C"]
[]
[]
["ALEX"]
["JOHN C"]
[]
["RAUN"]
[]
[]
[]
[]
[]
["NANCY"]
[]
[]
["MARK A"]
["SHANE"]
[]
["BUD O"]
["PATRICIA R"]
[]
["JAVIER F"]
[]
[]
["DEBORAH"]
[]
["DEBORAH D"]
[]
[]
[]
[]
[]
[]
[]
[]
["BURT"]
[]
["MICHAEL J"]
[]
[]
[]
[]
[]
[]
[]
[]
["ROBERT"]
[]
["RACHEL"]
[]
[]
[]
[]
[]
["DENNIS"]
[]
[]
[]
[]
["ROSEMARY"]
[]
[]
["ALI A"]
[]
[]
[]
["MICHAEL J"]
[]
[]
[]
[]
[]
["EMERSON"]
[]
[]
[]
[]
["BARBARA P"]
["JILL"]
["MI L"]
["CHE S"]
[]
["RONALD"]
[]
[]
["TIMOTHY R"]
["DALE R"]
["GARY N"]
[]
["GRACE"]
[]
["JOHN M"]
["ANNE-MARIE"]
[]
[]
[]
[]
["BRIAN"]
[]
[]
[]
["DR PAUL"]
[]
["COURTNEY A"]
[]
["M ZUHDI"]
[]
["THOMAS P"]
["MANDEEP K"]
["MUHAMMAD"]
["ELLEN R"]

{"sheet":"Ex. 7 Direct Bill and COBRA","index":11,"n_rows":21,"n_cols":10,"rows_kept":21,"cut":false,"hidden":true,"merged":[[10,1,10,9],[11,1,11,9],[12,1,12,9],[21,1,26,9],[16,1,16,2],[17,1,17,2],[9,1,9,9],[0,1,0,9],[1,1,1,9],[2,1,2,9],[3,2,3,9],[8,1,8,9]]}
[null,"State of Alaska"]
[null,"EXHIBIT 7 - DIRECT BILL AND COBRA"]
[null,"Summary Pricing Sheet"]
[null,"Vendor Name"]
[null,"Contact Name"]
[null,"Contact Phone Number"]
[null,"Authorized Signature"]
[]
[null,"**********PLEASE READ THE DIRECTIONS CAREFULLY BEFORE COMPLETING THE EXHIBIT**********"]
[null,"  1.  Please do not alter, add or delete rows unless specified.  Failure to complete the exhibit as requested may result in rejection of your offer."]
[null,"  2.  Please include ALL comments specific to your pricing on this exhibit in the Comment Box (below).  Add rows to the Comment Box as needed."]
[null,"  3.  Please do not refer responses to other parts of your proposal to clarify any of the services, pricing or comments included on this exhibit.  All of your comments to support your pricing should be on this exhibit."]
[null,"  4.  The State reserves the right to select this service as an option of the winning offeror.  "]
[null,"Service",null,null,"Fee\nBasis","2020-2021","2021-2022","2022-2023","2023-2024","2024-2025"]
[null,"Retiree Direct Bill Services"]
[null,"COBRA Administration and Direct Bill Services"]
[null,"Implementation Fees"]
[null,"Ongoing Annual Fees"]
[]
[]
[null,"Comments"]

{"sheet":"Ex.5 MedProvider (Location)","index":12,"n_rows":58,"n_cols":8,"rows_kept":58,"cut":false,"hidden":true,"merged":[[46,0,48,0],[46,1,46,7],[47,1,47,2],[47,3,48,3],[47,4,48,4],[47,5,48,5],[47,6,48,6],[47,7,48,7],[22,7,23,7],[11,0,13,0],[11,1,11,7],[21,1,21,7],[22,1,22,2],[12,4,13,4],[12,1,12,2],[22,3,23,3],[34,0,34,7],[35,0,37,0],[35,1,35,7],[36,1,36,2],[36,3,37,3],[36,4,37,4],[36,5,37,5],[36,6,37,6],[36,7,37,7],[0,0,0,6],[2,1,2,7],[22,5,23,5],[12,5,13,5],[22,6,23,6],[12,3,13,3],[12,6,13,6],[22,4,23,4],[21,0,23,0],[1,0,1,7],[4,1,4,7],[5,1,5,7],[6,1,6,7],[7,1,7,7],[10,0,10,7],[12,7,13,7]]}
["State of Alaska"]
["EXHIBIT 5 - MED PROVIDER (Locations)"]
[]
[]
["Vendor Name "]
["Contact Name"]
["Contact Number"]
["Name of Network"]
[]
["Indicate the number of providers that are currently contracted as a “Network” provider with your organization in the locations indicated"]
["ACTIVES"]
[" 3-digit zip code","Based on Unique Tax ID Numbers"]
[null,"Primary Care Providers",null,"OB/GYN","Pediatrician","Specialty\nProviders","Free-Standing Hospitals","Urgent Care"]
[null,"M.D., D.O.","All Other"]
["Anchorage (995)"]
["Wasilla/Palmer (996)"]
["Fairbanks (997)"]
["Juneau (998)"]
["Ketchikan  (999)"]
["Total",{"$f":"SUM(B15:B19)","v":0},{"$f":"SUM(C15:C19)","v":0},{"$f":"SUM(D15:D19)","v":0},{"$f":"SUM(E15:E19)","v":0},{"$f":"SUM(F15:F19)","v":0},{"$f":"SUM(G15:G19)","v":0},{"$f":"SUM(H15:H19)","v":0}]
[]
[" 3-digit zip code","Based on Locations"]
[null,"Primary Care Providers",null,"OB/GYN","Pediatrician","Specialty\nProviders","Free-Standing Hospitals","Urgent Care"]
[null,"M.D., D.O.","All Other"]
["Anchorage (995)"]
["Wasilla/Palmer (996)"]
["Fairbanks (997)"]
["Juneau (998)"]
["Ketchikan  (999)"]
["Total",{"$f":"SUM(B25:B29)","v":0},{"$f":"SUM(C25:C29)","v":0},{"$f":"SUM(D25:D29)","v":0},{"$f":"SUM(E25:E29)","v":0},{"$f":"SUM(F25:F29)","v":0},{"$f":"SUM(G25:G29)","v":0},{"$f":"SUM(H25:H29)","v":0}]
[]
["Primary care is defined as general practice, family practice and internal medical physicians."]
[]
[]
["PRE-65 RETIREES"]
[" 3-digit zip code","Based on Unique Tax ID Numbers"]
[null,"Primary Care Providers",null,"OB/GYN","Pediatrician","Specialty\nProviders","Free-Standing Hospitals","Urgent Care"]
[null,"M.D., D.O.","All Other"]
["Anchorage (995)"]
["Wasilla/Palmer (996)"]
["Fairbanks (997)"]
["Juneau (998)"]
["Ketchikan  (999)"]
["Lower 48"]
["Total",{"$f":"SUM(B39:B44)","v":0},{"$f":"SUM(C39:C44)","v":0},0,0,0,0,0]
[]
[" 3-digit zip code","Based on Locations"]
[null,"Primary Care Providers",null,"OB/GYN","Pediatrician","Specialty\nProviders","Free-Standing Hospitals","Urgent Care"]
[null,"M.D., D.O.","All Other"]
["Anchorage (995)"]
["Wasilla/Palmer (996)"]
["Fairbanks (997)"]
["Juneau (998)"]
["Ketchikan  (999)"]
["Lower 48"]
["Total",{"$f":"SUM(B50:B55)","v":0},{"$f":"SUM(C50:C55)","v":0},{"$f":"SUM(D50:D55)","v":0},{"$f":"SUM(E50:E55)","v":0},{"$f":"SUM(F50:F55)","v":0},{"$f":"SUM(G50:G55)","v":0},{"$f":"SUM(H50:H55)","v":0}]
[]
["Primary care is defined as general practice, family practice and internal medical physicians."]

{"sheet":"Ex.6  MedProv (Location) Pre 65","index":13,"n_rows":29,"n_cols":8,"rows_kept":29,"cut":false,"hidden":true,"merged":[[6,1,6,7],[0,0,0,6],[1,0,1,7],[2,1,2,7],[4,1,4,7],[5,1,5,7],[7,1,7,7],[10,0,12,0],[10,1,10,7],[11,1,11,2],[11,3,12,3],[11,4,12,4],[11,5,12,5],[11,6,12,6],[11,7,12,7],[19,0,21,0],[19,1,19,7],[20,1,20,2],[20,3,21,3],[20,4,21,4],[20,5,21,5],[20,6,21,6],[20,7,21,7]]}
["State of Alaska"]
["EXHIBIT 6 - MED PROVIDER (Locations)"]
[]
[null,null,null,"PRE 65 RETIREES"]
["Vendor Name "]
["Contact Name"]
["Contact Number"]
["Name of Network"]
[]
["Indicate the number of providers that are currently contracted as a “Network” provider with your organization in the locations indicated"]
[" 3-digit zip code","Based on Unique Tax ID Numbers"]
[null,"Primary Care Providers",null,"OB/GYN","Pediatrician","Specialty\nProviders","Free-Standing Hospitals","Urgent Care"]
[null,"M.D., D.O.","All Other"]
["Anchorage (995)"]
["Wasilla/Palmer (996)"]
["Fairbanks (997)"]
["Juneau (998)"]
["Total",{"$f":"SUM(B14:B17)","v":0},0,0,0,0,0,0]
[]
[" 3-digit zip code","Based on Locations"]
[null,"Primary Care Providers",null,"OB/GYN","Pediatrician","Specialty\nProviders","Free-Standing Hospitals","Urgent Care"]
[null,"M.D., D.O.","All Other"]
["Anchorage (995)"]
["Wasilla/Palmer (996)"]
["Fairbanks (997)"]
["Juneau (998)"]
["Total",{"$f":"SUM(B23:B26)","v":0},0,0,0,0,0,0]
[]
["Primary care is defined as general practice, family practice and internal medical physicians."]

{"sheet":"Ex.5 Repriced Claims","index":14,"n_rows":65,"n_cols":8,"rows_kept":65,"cut":false,"hidden":false,"merged":[[41,2,41,7],[26,2,26,7],[42,2,42,7],[43,3,45,3],[43,4,45,4],[43,5,45,5],[43,6,45,6],[43,7,45,7],[28,7,30,7],[28,4,30,4],[28,3,30,3],[28,6,30,6],[28,5,30,5],[27,2,27,7],[34,7,36,7],[43,2,45,2],[0,1,0,7],[1,1,1,7],[6,2,6,5],[9,3,11,3],[8,2,8,6],[9,4,11,4],[9,2,11,2],[9,6,11,6],[5,0,5,9],[17,2,19,2],[17,3,19,3],[17,4,19,4],[17,6,19,6],[34,3,36,3],[34,4,36,4],[34,5,36,5],[34,6,36,6],[28,2,30,2],[34,2,36,2],[49,7,51,7],[49,2,51,2],[49,3,51,3],[49,4,51,4],[49,5,51,5],[49,6,51,6]]}
[null,"State of Alaska"]
[null,"EXHIBIT 5 - REPRICED CLAIMS"]
[]
[]
[]
["5. Repriced Claims (Ex.5)\nOfferors are to provide the totals from their repricing exercise. Claims are to be separated for in-network and out-of-network claims.  After submission of the Non-Disclosure Agreement for this RFP, Offerors will be provided with a file that contains 12 months of claims data. All Offerors will be required to complete a repricing exercise based on contracted discount in place as of October 1, 2018. Additionally, Offerors shall not include any assumptions regarding increases in billed charges. The completed claims repricing file must be submitted as part of the Offeror's response. The repricing file should also include explanation detailing the methodology and all adjustments included, and a reconciliation that ties your claims back to the total eligible charges provided. Include a full description of any capitated arrangements that will be utilized.\n\nPlease return the detailed claims file with the following additional fields appended to the original file:\n - Allowed charge\n - Discount\n - Scheduled payment amount (if applicable)\n - Indicator that claim is included in capitated payments/programs (if applicable)\n - Additional fees associated with network access or processing of that claim that is not included in the base administration fee  \n - Indicator that another reimbursement methodology is utilized - provide sufficient detail to evaluate (add fields as needed)\n - Network provider indicator\n\nThe State's consultant (Segal) will verify all information provided through an evaluation of the resubmitted claims file. Segal reserves the to reach out to each Offeror on an ambiguity present in the information provided in the resubmitted claims file. Offerors may be asked to clarify certain information, but will not be allowed to resubmit any additional exhibits or claim files after the RFPs response deadline.\n\nThe State seeks the most favorable discounts from providers in the proposed provider network.  It is also the desire of the State, that upon completion of each plan year, to have the selected network provide an analysis of actual discounted savings, which were realized over the course of the plan year, and use this analysis to compare the results to the expected discounts.  Offerors that put a portion of their administrative fees at risk will have those guarantees factored into the overall cost proposal evaluation accordingly."]
[]
[]
[null,null,"Vendor Repricing Summary"]
[null,null,"Active Employees","Eligible Amount1","Billed Amount2",null,"Re-Priced Amount4"]
[null,null,null,null,null,"Provider"]
[null,null,null,null,null,"Discount Amount3"]
[null,null,"In-Network Claims",null,0,0,0]
[null,null,"Out-of-Network Claims",null,0,0,0]
[null,null,"Total Claims",0,{"$f":"SUM(E14,E13)","v":0},{"$f":"SUM(F14,F13)","v":0},{"$f":"G13+G14","v":0}]
[null,null,"Total Number of Claim Lines5"]
[null,null,"Offeror Aggregate Discount",null,null,{"$f":"IFERROR(0,F15/E15)","v":0}]
[null,null,"Non-Medicare Retirees","Eligible Amount1","Billed Amount2",null,"Re-Priced Amount4"]
[null,null,null,null,null,"Provider"]
[null,null,null,null,null,"Discount Amount3"]
[null,null,"In-Network Claims",null,0,0,0]
[null,null,"Out-of-Network Claims",null,0,0,0]
[null,null,"Total Claims",0,{"$f":"SUM(E22,E21)","v":0},{"$f":"SUM(F22,F21)","v":0},{"$f":"G21+G22","v":0}]
[null,null,"Total Number of Claim Lines5"]
[null,null,"Offeror Aggregate Discount",null,null,{"$f":"IFERROR(0,F23/E23)","v":0}]
[]
[null,null,"Indicate the level of discounts that will be guaranteed from year to year over the contract term. For example, if inpatient facility discounts are 40% for contract year 1 and it is guarateed they will increase to 41% in contract year 2, enter \"40%\" in the cell in the inpatient facility row under the contract year 1 column and \"41%\" in contract year 2."]
[null,null,"Vendor Discount Guarantee"]
[null,null,"Active Employees",2020,2021,2022,2023,2024]
[]
[]
[null,null,"Inpatient Facility Discount Guarantee ",0,0,0,0,0]
[null,null,"Outpatient Facility Discount Guarantee",0,0,0,0,0]
[null,null,"Professional Service Discount Guarantee",0,0,0,0,0]
[null,null,"Non-Medicare Retirees",2020,2021,2022,2023,2024]
[]
[]
[null,null,"Inpatient Facility Discount Guarantee ",0,0,0,0,0]
[null,null,"Outpatient Facility Discount Guarantee",0,0,0,0,0]
[null,null,"Professional Service Discount Guarantee",0,0,0,0,0]
[]
[null,null,"Indicate the portion of Administrative fees (as a percentage) to be paid back to the State if the discount guarantees listed above are not achieved. The schedule can either be of a \"pass/fail\" nature or be a sliding scale, with higher penalties for greater deviations of actual discounts relative to guaranteed levels."]
[null,null,"Vendor Discount Guarantee Penalty Discription"]
[null,null,"Active Employees",2020,2021,2022,2023,2024]
[]
[]
[null,null,"Inpatient Facility Discount Guarantee "]
[null,null,"Outpatient Facility Discount Guarantee"]
[null,null,"Professional Service Discount Guarantee"]
[null,null,"Non-Medicare Retirees",2020,2021,2022,2023,2024]
[]
[]
[null,null,"Inpatient Facility Discount Guarantee "]
[null,null,"Outpatient Facility Discount Guarantee"]
[null,null,"Professional Service Discount Guarantee"]
[]
[null,null,"1Eligible Amount reflects the field eligible claims as shown on the Claims Re-pricing data file."]
[null,null,"2Billed amount is the bidders In-Network and Out-of-Network charges that are consider before applying contracted discounts."]
[null,null,"3Re-Priced Amount can include differences between Billed Amount Total and capitation rates for capitated services."]
[null,null,"For services that are capitated, include a detailed description of the capitated program(s), including covered services."]
[null,null,"Other differences, including charges/fee for network access, may be included in this field and should account for the "]
[null,null,"difference between the Billed and Allowed/Repriced totals, but WITHOUT adjustments for changes in utilization. "]
[null,null,"4Re-priced Amount reflects charges based on application of your current contracted discounts."]
[null,null,"5Total claim lines should reflect the total number of claim lines that were included in your re-pricing exercise, both In and Out-of-Network."]
[null,null,"Offerors are to provide reasoning for not including all claims lines in their submitted re-pricing."]

{"sheet":"Ex.6 Self Reported Discounts","index":15,"n_rows":39,"n_cols":7,"rows_kept":39,"cut":false,"hidden":false,"merged":[[36,1,36,6],[37,1,37,2],[23,1,23,6],[24,1,26,1],[24,2,26,2],[25,3,26,3],[25,4,26,4],[25,5,26,5],[25,6,26,6],[0,0,0,6],[2,1,2,7],[1,0,1,7],[11,6,12,6],[7,1,7,6],[6,0,6,7],[20,1,20,2],[9,1,9,6],[10,1,12,1],[10,2,12,2],[11,3,12,3],[11,4,12,4],[11,5,12,5],[19,1,19,6]]}
["State of Alaska"]
["EXHIBIT 6- SELF REPORTED MEDICAL DISCOUNTS"]
[]
[]
[]
[]
["6. Self-Reported Discounts (Ex.6)\nOfferors are asked to provide average discounts by service for the major Alaska boroughs and for the rest of the United States. Evaluators will use this information to asses the financial benefit of the of the offerors proposal."]
[]
[]
[null,"PPO Network - Active Employees"]
[null,"3-Digit Zip Code","Primary Location"]
[null,null,null,"Inpatient Hospital","Outpatient Hospital","Professional","Total Discount"]
[]
[null,"Anchorage (995)"]
[null,"Wasilla/Palmer (996)"]
[null,"Fairbanks (997)"]
[null,"Juneau (998)"]
[null,"Ketchikan  (999)"]
[null,"Lower 48"]
[]
[null,"BOB weights for categories A-C*",null,null,null,null,1]
[null,"*weights used for determining discounts for categories A-C (i.e. 40% IP, 30% OP, 30% Prof)"]
[]
[null,"PPO Network - Pre-Medicare Retirees"]
[null,"3-Digit Zip Code","Primary Location"]
[null,null,null,"Inpatient Hospital","Outpatient Hospital","Professional","Total Discount"]
[]
[null,"Anchorage (995)"]
[null,"Wasilla/Palmer (996)"]
[null,"Fairbanks (997)"]
[null,"Juneau (998)"]
[null,"Ketchikan  (999)"]
[null,"Washington State"]
[null,"Oregon State"]
[null,"California State"]
[null,"Remaining States"]
[]
[null,"BOB weights for categories A-C*",null,null,null,null,1]
[null,"*weights used for determining discounts for categories A-C (i.e. 40% IP, 30% OP, 30% Prof)"]

{"sheet":"Ex. 5A Repriced Discounts","index":16,"n_rows":12,"n_cols":24,"rows_kept":12,"cut":false,"hidden":true,"merged":[[2,2,2,7],[0,1,0,21],[1,1,1,21]]}
[null,"State of Alaska"]
[null,"EXHIBIT 5A- RE-PRICED MEDICAL CLAIMS"]
[]
[]
[]
[null,"Claim Line ID","Provider NPI","bill PRV Name","bill PRV Addr 1","bill PRV Addr 2","bill PRV City","bill PRV State","Provider Zip Code","UB92 Bill Type","Major Diagnostic Category","Line- Level Proc Code","Line Level Procedure Code Type","Procedure Code Modifiers","DRG","Type of Service","Place of Service","Plan Num","Mess Code","Service Units","Anesthesia Minutes","Net Submitted Expense","Allowed Amount","Network Indicator(In/Out)"]
["Field #",38,134,48,9,50,51,52,53,80,66,68,"163-168",144145,67,74,139,null,"-",81,82,84,92,57]
[]
[]
[]
[]
[null,"Cap claims are priced as such.  Explain in the directions.  "]

{"sheet":"Ex.7 DiscountType","index":17,"n_rows":66,"n_cols":3,"rows_kept":66,"cut":false,"hidden":false,"merged":[[72,0,72,1],[61,0,61,1],[62,0,62,1],[63,0,63,1],[66,0,71,2],[65,0,65,2],[4,4,6,4],[0,0,0,2],[1,0,1,2],[5,1,5,2],[2,1,2,7],[6,0,6,2]]}
["State of Alaska"]
["EXHIBIT 7 - FACILITY REIMBURSEMENT ARRANGEMENT"]
[]
[]
[]
[]
["7. Discount Type (Ex.7)\nOfferors are asked to provide information on the types of contracts they have with providers/facilities through Alaska. Additionally, any services that are not under traditional reimbursement arrangement (i.e.captiated mental health services) should be explained in the appropriate section and/or the comment area."]
[]
["3-digit Zip Code 995","Reimbursement Methodology","Comments"]
["Acute Inpatient Med/Surgery Hospital"]
["Hospital Based Surgery Center"]
["Free Standing"]
["Outpatient Hospital"]
["Hospital Emergency Room"]
["Skilled Nursing Facility"]
["Inpatient Rehabilitation"]
["Acute Inpatient Mental Health"]
[]
["3-digit Zip Code 996","Reimbursement Methodology","Comments"]
["Acute Inpatient Med/Surgery Hospital"]
["Hospital Based Surgery Center"]
["Free Standing"]
["Outpatient Hospital"]
["Hospital Emergency Room"]
["Skilled Nursing Facility"]
["Inpatient Rehabilitation"]
["Acute Inpatient Mental Health"]
[]
["3-digit Zip Code 997","Reimbursement Methodology","Comments"]
["Acute Inpatient Med/Surgery Hospital"]
["Hospital Based Surgery Center"]
["Free Standing"]
["Outpatient Hospital"]
["Hospital Emergency Room"]
["Skilled Nursing Facility"]
["Inpatient Rehabilitation"]
["Acute Inpatient Mental Health"]
[]
["3-digit Zip Code 998","Reimbursement Methodology","Comments"]
["Acute Inpatient Med/Surgery Hospital"]
["Hospital Based Surgery Center"]
["Free Standing"]
["Outpatient Hospital"]
["Hospital Emergency Room"]
["Skilled Nursing Facility"]
["Inpatient Rehabilitation"]
["Acute Inpatient Mental Health"]
[]
["3-digit Zip Code 999","Reimbursement Methodology","Comments"]
["Acute Inpatient Med/Surgery Hospital"]
["Hospital Based Surgery Center"]
["Free Standing"]
["Outpatient Hospital"]
["Hospital Emergency Room"]
["Skilled Nursing Facility"]
["Inpatient Rehabilitation"]
["Acute Inpatient Mental Health"]
[]
["Indicate below any services that are capitated and the name of the organization(s) whom the arrangement is with."]
["Indicate in the Comments section the proposed capitated charge and basis of fee (per member, per scriber, etc)"]
["Capitated Services",null,"Service Provider"]
[]
[]
[]
[]
["Comments"]

{"sheet":"Ex.10 GEO Access","index":18,"n_rows":30,"n_cols":3,"rows_kept":30,"cut":false,"hidden":true,"merged":[[0,0,0,2],[1,0,1,2],[2,1,2,7]]}
["State of Alaska"]
["EXHIBIT 7- GEO Access Analysis"]
[]
[]
[]
[]
[null,"Network Name"]
[null,"# of Employees"]
[null,"At Least 2 PCP's Within 10 Miles"]
[null,"At Least 2 Specialists Within 10 Miles"]
[null,"At least 1 Hospital Within 20 miles"]
[null,"GEO ACCESS - Locations Without Access"]
[null,"Locations Without Desired PCP Access (2 providers within 10 miles)"]
[null,"Anchorage","-"]
[null,"Juneau","-"]
[null,"Fairbanks","-"]
[null,"Lower 48"]
[null,"TOTAL",{"$f":"SUM(C14:C17)","v":0}]
[null,"Locations Without Desired Specialist Access (2 providers within 10 miles)"]
[null,"Anchorage","-"]
[null,"Juneau","-"]
[null,"Fairbanks","-"]
[null,"Lower 48","-"]
[null,"TOTAL",{"$f":"SUM(C20:C23)","v":0}]
[null,"Locations Without Desired Hospital Access (1 providers within 20 miles)"]
[null,"Anchorage","-"]
[null,"Juneau","-"]
[null,"Fairbanks","-"]
[null,"Lower 48","-"]
[null,"TOTAL",{"$f":"SUM(C26:C29)","v":0}]