2020-058 - Laserfiche WebLink

criteria) submits a competitive offer, proposal, bid, or other response to a solicitation for health care benefits, then OGB "shall include"that Louisiana HMO in its plan of benefits. Office of Group Benefits Procurement Process Pursuant to the powers above, OGB works with the Office of State Procurement to have a Request for Proposal issued calling for proposals with regard to benefit packages for employees of the State of Louisiana. The specifications are determined by OGB.A review team, consisting of employees from OGB, Office of Risk Management, Office of State Purchasing, and an actuarial/benefits consultant, then review the proposals to select the ones most beneficial to the employees. OGB then makes a recommendation to the Joint Legislative Committee on the Budget. That committee then either approves or disapproves of the recommendation based on its adoption into the state budget. Vantage Health Plan as a Health-Care Provider Vantage Health Plan has for years been offered a health plan option for state employees and retirees through OGB.Vantage Health Plan is currently one of four companies that offer health plan options through OGB. Vantage Health Plan is currently the only health provider that meets the criteria of La. R.S. 42:802.1.As a result, Vantage is required by statute to be approved as one of the health care provider options. In connection with the proposal, Vantage Health Plan, Inc. has entered into two contracts with OGB: (1) No. 2000367811: For the provision of a Health Maintenance Organization (HMO) Physician and Hospital Provider Network: This contract was signed on September 6,2018,by Tommy Teague, CEO for OGB and Dr.Patrick Jones, on behalf of Vantage Health Plan, Inc. The value of the contract is $140,500,000. This contract expressly provides that"prior approval by the Joint Legislative Committee on the Budget and/or other approval authorized by law shall be obtained" prior to the extension of the contract beyond the initial 36-month term. However,this contract was amended on November 1, 2019, but did not require approval by the Joint Legislative Committee on the Budget since it was under the $1 Million threshold. (2) No. 2000380092: For the provisions of one or more Medicare Advantage Plans for Medicare-eligible OGB retired participants. This contract was signed on October 29, 2018, by Tommy Teague, CEO for OGB and Dr. Patrick Jones, on behalf of Vantage Health Plan, Inc. The value of the contract is $12,000,000. This contract expressly provides that"prior approval by the Joint Legislative Committee on the Budget and/or other approval authorized by law shall be obtained" prior to the extension of the contract beyond the initial 36-month term. However, this contract was amended on October 17, 2019, but Page 2 of 5 (Docket No. 2020-058)