The Healthcare Evidence Initiative (HEI) 3.0 contract is a multi‑year, data‑analytics procurement awarded by Covered California to develop, implement, and operate a comprehensive health‑plan data aggregation and analytics platform. The contractor will collect enrollment, benefit‑design, pricing, utilization, cost, and health‑disparity data from Qualified Health Plans (QHPs) and their providers, transform and host the data, and deliver standardized risk‑adjusted analytics, episode‑of‑care models, and provider‑quality audits. The solution must meet stringent security, performance, and reporting requirements, include a detailed work plan and schedule, and support ongoing maintenance and operations for the contract term. Preference points are available for small‑business and DVBE participation, and a mandatory Generative AI risk assessment must be submitted. The contract is firm‑fixed‑price, capped at $28 M, with an initial five‑year term and two optional one‑year extensions.
• Data aggregation, transformation, and secure hosting for on‑ and off‑Exchange health‑plan data
• Core analytics including risk‑adjustment, disease‑severity, episode‑of‑care, and provider‑quality reporting
• Full project‑management lifecycle, work‑plan, training, and ongoing maintenance for a 5‑year (potentially 7‑year) period