Subject: Fwd: Amtrak RFP
From: "DIW GROUP" <[email-masked]>
To: "Hunter" <[email-masked]>
Date: Sun, 9 Aug 2015 21:22:11 -0400

See below...just trying to get the status on Amtrak's timeframe. 

DIW GROUP, LLC 
David I. Walsh, II
Principal 
1815 N. Lincoln Street 
Wilmington, DE. 19806
[email-masked]
302-898-0758

Begin forwarded message:

> From: "Scott A. Ridge" <[email-masked]>
> Date: July 28, 2015 at 9:44:30 PM EDT
> To: "David Walsh, II" <[email-masked]>
> Subject: Re: New Castle County
> 
> We had the pleasure to meet with Amtrak on Feb 26, 2014. Meeting was booked with Barry Meinkovic, upon getting to meeting in Wash DC we met Barry who then walked us in for meeting with Robert Lynch and Dave Roberts.
> We  reviewed how we can do a claims review of their Rx and medical plans on a contingency basis.
> On average we find 3-5% on medical claims and 6-8% on Rx.
> In 2013 Amtrak’s Rx spend was $50 million and medical was $239 million so we’re taking big dollars and we usually do a two or three year look back on claims depending on contract language.
> We had a nice visit, rattled them a bit on over billing by their PBM. Also pointed out that it would be almost impossible to recover over billing if vendor is not active. Current Rx contact was at end of third year with two one year roll over options. I believe Amtrak rolled over the contract just to preserve claims review option.
> An RFQ was issued on Sept 5th 2014 with due date of Sept 26th that was then pushed back to Oct 10th 2014
> We completed our submission by final due date.
> No word has ever come out to us as a bidder on RFQ, we have no idea if we lost, who won or if anything was ever done.
> The problem in the claims review process is that the vendors (CVS and Aetna) tend to limit the look back period on a claims review.
> Every month that passes is more money that we can never recover.
> More shocking is that we are offering a service at no cost, if we fail to identify money after running the data then Amtrak owes us nothing and has peace of mind that all is well with plan.
> As an aside, a large state correction department that things were ok on their Rx costs.
> Three years later our auditor is still finding over billings. In that case we turned around claims data on over 50,000 inmates in just six weeks.
> No only can we deliver results, we can turn things around quickly.
> 
>=2