f 2 Support Maryland Health Benefit Exchange to Implement the Affordable Care Act (ACA) DHMSO294031 Exchange IT Vendor Award Recommendation February 3, 2012 Executive Summary Background Signed into law by President Obama on March 23, 2010, the ACA requires States to begin operating a Health Insurance Exchange by January 1, 2014 or to allow the federal government to operate an Exchange on their behalf. In legislation adopted on April 12, 2011, the State of Maryland established its own Exchange. The Exchange will provide Maryland’s residents and small businesses with the opportunity to compare rates, benefits, and quality among insurance plans and enroll in products that best suit their needs. It also will be the entity that evaluates eligibility for Medicaid, advance premium tax credits and other programs designed to make coverage more affordable for all Marylanders. The purpose of this procurement is to obtain a vendor capable of designing, developing, and implementing a modern, consumer-friendly Maryland Health Insurance Exchange (HIX) eligibility and enrollment system to support the State of Maryland in implementing key elements of the ACA. The HIX will allow the Exchange to offer individuals and small businesses the opportunity to compare and enroll in health plans, as well as to evaluate eligibility for affordability programs. Ideal vendor solutions entail the use of COTS software and tools capable of meeting the scalability and flexibility the Exchange requires, in a more cost effective and configurable manner Major milestones have been successfully accomplished throughout this procurement effort. ‘The Exchange released the Request for Proposals (RFP) on October 21, 2011. The release was followed up by a pre-bid conference which was held on November 4, 2011. Responses from vendors were due back to the Exchange on December 19, 2011. The anticipated date for notice-to-proceed to be sent to the Page 1 of 7Support Maryland Health Benefit Exchange to Danes Implement the Affordable Care Act (ACA) DHMSO294031 Vendor select is February 22, 2012, These milestones have played a vital role in keeping the Exch on track with this procurement effort and will ensure the Exchange is positioned to meet the extremely aggressive Federal timeline for HIX certification by CMS on January 1, 2013 and operationally ready for use by citizens on January 1, 2014. Introduction Page 2 of 7Support Maryland Health Benefit Exchange to Implement the Affordable Care Act (ACA) DHMS0294031 Page 3 of 7Support Maryland Health Benefit Exchange to Implement the Affordable Care Act (ACA) DHMS0294031 Page 4 of 7Support Maryland Health Benefit Exchange to Implement the Affordable Care Act (ACA) DHMSO294031 ‘endor Technical Evaluation Summa: The following table displays the consolidated rating for each of the evaluated responses. Summaries of each vendor's overall technical proposal evaluation are provided immediately thereafter. Vendor ] Understanding of the | Quality of Staff/ Meeting System | | Problem | Experience __|__ Requirements | Infosys Poor Satisfactory Poor | CGI Very Good Very Good Very Good [_ Noridian Excellent I __Excelle — Good Dell | Satisfactory I Satisfactory | Good Page 5 of 7Support Maryland Health Benefit Exchange to Implement the Affordable Care Act (ACA) DHMSO294031 Evalu; The evaluation team reviewe provide a best and final offer across all major price categories. The results of the best and final tial price proposals for three of the vendors and requested that each submissions are provided in the table below. ‘Cost Component CGI Noridian Dell ae ee] az ae] = a ao] =z “TOTAL PRICE PROPOSED $70,216,400 $68,600,336 $65,198,842 Page 6 of 7I Support Maryland Health Benefit Exchange to Implement the Affordable Care Act (ACA) DHMSO294031 Page 7 of 7