Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - February 9, 2016
February 9, 2016 - Regular Meeting
Agenda Item #12

Agreement 15-2982JE, Development of a Community Wide Health Care Plan for Uninsured and Underinsured Manatee County Residents


Contact and/or Presenter Information
Contact: Jacob Erickson, Contracts Negotiator - Financial Management Department, Purchasing Division, x3053

Presenter: Andy Guyre, Human Services Division Manager - Community Services Department, x3493

Action Requested
Authorization for the County Administrator or his designee to execute the Agreement for the Development of a Community Wide Health Care Plan for Uninsured and Underinsured Manatee County Residents with Health Management Associates, Inc. of Lansing, MI, in the not-to-exceed amount of $125,000.00.

Enabling/Regulating Authority
Manatee County Code of Laws

Background Discussion
The purpose of the Request for Proposal (RFP) was to obtain from qualified firms, their credentials, experience and qualifications for  work toward the development of a comprehensive health care program that is fiscally reasonable and responsible in order to serve  the uninsured and underinsured residents in Manatee County.  The primary goal of this engagement is to identify appropriate processes to support uninsured and underinsured health care.  Included in the scope of work are clearly defined steps for the development, implementation, and evaluation of an integrated and accountable community health care process focused on improving the health of Manatee County residents.

The RFP was advertised on the Manatee County website, Demandstar, and also provided to the Manatee County Chamber of Commerce for release to its members. Three (3) proposals were received and included:
  • Health Management Associates, Inc., Lansing, MI
  • Linda M Christmann MD MBA DBA LM Christmann Consulting, Bradenton, FL
  • PricewaterhouseCoopers / Health Council of West Central Florida, Inc., Tampa, FL

An Evaluation Committee was formed to review the proposals, resulting in a recommendation to the County Administrator. The Evaluation Committee was comprised of the following members:

  • Andy Guyre - Human Services Division Manager, Community Services Department
  • Kim Stroud - Health Benefits Manager, Human Resources Department
  • Dr. Jennifer Bencie MD MSA - Administrator, Florida Department of Health in Manatee County
  • Jacki Dezelski - Executive Vice President, Manatee Chamber of Commerce
  • Jacob Erickson - Contracts Negotiator, Financial Management Department (Chairperson)

After the initial evaluation committee meeting, the Evaulation Committee elected to invite two (2) proposers in to participate in an oral presentation. Subsequently,  the Evaluation Committee discussed the strengths of both proposers and the value that each offers to the project. The committee voted to recommend negotiations ensue with Health Management Associates, Inc., of Lansing, MI, to provide the services required identified in the RFP.

Health Management Associates, Inc., Lansing MI – Based in Lansing, MI, Health Management Associates, Inc. (HMA) is a consulting firm specializing in the fields of health system restructuring, health care program development, health economics and finance, program evaluation, and data analysis. Having completed similar projects in Portland, OR, Orange Beach, CA, and the Miami, FL area, HMA demonstrated extensive experience and a vast knowledge base with respect to the RFP’s scope of work. The Evaluation Committee also determined that HMA would be able to utilize these past experiences, coupled with their professional work force of over 150 health care specialized employees, to provide Manatee County with a comprehensive health care plan for uninsured and underinsured Manatee County residents.

PricewaterhouseCoopers / Health Council of West Central Florida, Tampa, FL –  PricewaterhouseCoopers / Health Council of West Central Florida formed a joint venture in response to the RFP. Utilizing Health Council of West Central Florida’s (HCWCF) knowledge base, PricewaterhouseCoopers (PwC) provided a sound understanding of the project. Their data analytics capabilities and systematic approach to obtaining and presenting this data was found to be impressive by the Evaluation Committee. After further deliberation, it was determined by the Evaluation Committee that PwC / HCWCF relied heavily on their data analytics capabilities and did not present the desired relevant experience in regard to the RFP’s scope of work. Though a reputable firm with a strong knowledge base, it was determined by the Evaluation Committee that PwC / HCWCF did not articulate applicable relevant experience necessary for the completion of this project.

In sum, the Evaluation Committee concluded that Health Management Associates, Inc., demonstrated a vast amount of experience through their seasoned and cohesive group of health care professionals with a history of providing successful consulting services to a variety of clients.

The Agreement will be managed by the Community Services Department.

County Attorney Review
Not Reviewed (No apparent legal issues)

Explanation of Other

Reviewing Attorney

Instructions to Board Records
Original to Board Records.

Copies of Agreement to:
Health Management Associates, Inc. - Jeffrey M. DeVries (jdevries@healthmanagement.com);
Andy Guyre (andy.guyre@mymanatee.org), Community Services Department; and
Jacob Erickson (jacob.erickson@mymanatee.org), Financial Management Department - Purchasing Division

Cost and Funds Source Account Number and Name
$125,000 / 0010015400-534000 - Other Contractual Services

Amount and Frequency of Recurring Costs

Attachment:  Agreement 15-2982JE.pdf
Attachment:  HealthcareConsultant.DeptMemo.pdf