| Q: |
1. Who is the current vendor providing the healthcare services to the city?
2. Do you have an agent/ broker?
3. Kindly provide the current utilization data of the clinic to provide the city with an effective staffing model.
Posted by:
Preethy Warrier
3/13/2026 1:17:51 PM EST
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A:
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1. The current vendor is PremiseHealth.
2. The agent/broker Yes, our current agent of record is Brown and Brown.
3. The utilization data for Fiscal Year 2025 has been added to the solicitation as Exhibit D- Clinic Metrics.
Posted by:
Ashley Presley 3/16/2026 1:34:16 PM
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| Q: |
1. How many biometrics are performed in the health center?
2. Does the City wish to retain the current staff? If so, are there non-competes?
3. What is the current engagement rate?
4. Why is the City going out to RFP?
5. What are the Top 5 most common claims?
6. What are the current pain points with the existing health center vendor?
7. What is the current budget for this health center?
8. Are there any additional services you are not offering that you would like to add in the future?
9. Do employees have access to the current vendors shared-sites?
10. Does the City have a preference for an MD led model? Would consider an NP led model?
Posted by:
Naomi Peeples
3/18/2026 3:43:28 PM EST
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A:
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The responses are listed below:
1. FY 24 HRA Count 886
2. Yes, we are open to retaining current staff. Clinic staff are directly employed with PremiseHealth. All inquiries regarding noncompete clauses would have to be directed to PremiseHealth.
3. Net Promoter Score 96 Jan 26. FY 24 1,243 unique members with 71.7 percent being employees.
4. The current contract is expiring. The RFP is being completed to ensure our members are receiving high quality care at a cost-effective price point.
5. By service type it would be primary care, biometric screening, nutrition services, wellness coaching, and radiology services. By clinical diagnoses it would be Hyperlipidemia, Obesity, Diabetes, Low Vitamin D, and Vitamin Deficiency.
6. The current pain points would include staff turnover, immediate access to reporting and analytics, and cost transparency.
7. For FY 26, the current annual budget is $2,271,022.
8. Additional services that might be looked at are behavioral health and musculoskeletal services.
9. Not at this time.
10. We have a preference for a MD led model and would not consider a NP led model at this time.
Posted by:
Ashley Presley 3/19/2026 1:15:26 PM
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| Q: |
1. Why is the City going out to RFP for the onsite health and wellness center services?
2. If a new vendor is awarded, can the current staff be retained (i.e., are there non-competes)?
3. Is the City able to provide utilization data for the last two years of the center?
o Visit types – i.e., primary care, occupational, urgent
o Top ten diagnoses
o Top ten prescriptions
o Occupational health visit data
4. We noticed the hours of operation can be flexible. Our goal is to provide hours for the City that work best for them and to drive as much utilization and engagement as possible. That being said, is there an ideal schedule that the City would like to see implemented?
o Can you also share the current schedule of the colleagues onsite?
5. What are some of the biggest areas of operation that the City would like to see addressed?
6. Are mental health services desired by the City? How are occupational health mental health needs being managed currently?
7. Does the City have a desire to add Physical Therapy services to the scope of work?
o Is there utilization data that the City can provide regarding physical therapy for both work related injuries and personal health rehab?
8. Will the City please share more information regarding the X-ray machine that is onsite?
o Is the X-ray equipment digital?
o Will this equipment remain at the onsite clinic?
o Will the awarded vendor need to take on the calibration and maintenance of the X-ray machine?
o Can you provide the maker and model of the x-ray equipment?
o In the staffing model, we do not see an X-ray tech on staff. Is anyone cross trained or onsite who can utilize the equipment currently?
9. Is the City interested in ultrasound services specific to firefighter examinations?
10. Does the City conduct event-based services such as biometric screening events or flu vaccination events?
11. Chest X-Ray:
o Is the standard 2-view chest X-ray required for both Police and Fire personnel?
o Should the X-ray be completed for pre-placement only, with subsequent imaging at the clinician’s discretion, or is there a different protocol currently in place?
12. Cardio Stress Test:
o Do they have the necessary equipment onsite to perform the Cardio Stress Test? If not, how is this requirement currently being fulfilled?
o Are the stress test results being overread by a cardiologist?
13. Drug & Alcohol Testing:
o Are they participating in the Florida Drug-Free Workplace (DFWP) program?
o Do they currently use an on-site UDS machine, work with a drug and alcohol TPA, or rely on the incumbent provider’s laboratory partnership?
o For non-DOT employees, do they require oral-fluid testing, rapid testing, or lab-based testing?
o What panel count is required for the non-DOT urine drug screen (UDS)?
o For alcohol testing, can they confirm whether they require breath testing, blood testing or both?
Posted by:
Kate Tanis
3/20/2026 10:56:34 AM EST
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A:
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1. The response for why the RFP is going out Please see the response above #4 reference why the City is going out to RFP.
2. The response regarding if the current staff could be retained is located above question #2.
3. Exhibit D- Clinic Metrics shows the metrics in detail from the previous FY25 from October 2024-September 2025. Unfortunately, we do not have the metrics in detail for FY24.
4. The current schedule for the colleagues on site is in the RFP on page 7 Section 2.1 (b).
5. the biggest areas of operation that the City would like to see addressed? Please see response above #6. Question: What are the current pain points with the existing health center vendor?
6. Mental health services and occupational health mental health needs being managed currently response is located in Exhibit A Section K.1. Occupational Health needs are being met by the EAP and by the TPA for Worker’s Comp.
7. The desires for adding Physical Therapy services to the scope of work response is located in Exhibit A Section K.2. and Exhibit E- Occupational Physical Therapy Services was recently added to the solicitation.
8. The X-ray equipment onsite is digital, will remain onsite at the clinic, and the awarded vendor will need to take on the calibration and maintenance of the X-ray machine. The maker and model of the x-ray equipment is Quantum Medical Quest HF Series with Heustis Medical 150mc Collimator and Toshiba Rotanode Tube. The is being operated by a MA with a LMR certification.
9. Ultrasound services specific to firefighter examinations is not a current practice but can be discussed further.
10. The City does conduct event-based services such as biometric screening events or flu vaccination events.
11. The standard 2-view chest X-ray is required for both Police and Fire personnel.
12. The City has the necessary equipment onsite to perform the Cardio Stress Test and the stress test results are being overread by a cardiologist.
13. The City participates in the Florida Drug-Free Workplace (DFWP) program. The City relies on an incumbent provider’s laboratory partnership for Rapid dipstick drug tests and laboratory partnership. For non-DOT employees, the City requires rapid testing. The 10 (ten) panel is required for the non-DOT urine drug screen (UDS). For alcohol testing, the City confirms required breath testing.
Posted by:
Ashley Presley 3/25/2026 3:25:44 PM
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| Q: |
1. Could the City provide the number of Full Time Equivalents for each position/role within the current staffing model? (example .8 Physician, 1.5 Nurse Practitioner, etc.)
2. Which staff member is performing the x-rays in the health center?
3. Could the City confirm if cardiac stress tests are currently performed onsite, and if so, what equipment and protocols are in place?
4. Is the current vendor doing any revenue cycle management services? If so, please describe.
5. Clarify ownership for equipment/furnishings, supplies - FF&E List of equipment, supplies, furnishings, medications, vaccines, artwork, etc.?
6. Could we get brand/model of key equipment to ensure we are able to assume or will need to plan for procuring our standard?
7. Is there a plan/budget to refresh/update the space?
Posted by:
Naomi Peeples
3/23/2026 3:47:12 PM EST
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A:
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The responses are listed below: 1. The FY26 Staffing Model of Full Time Equivalents for each position/role within the current is as follows: 3.20 Physician Assistant, .50 Physician, 1 Health Center Manager RN, 5 Medical Assistants/Care Technicians, 1 License Practical Nurse.
2. The staff member performing the x-rays in the health center is the Medical Assistant with a Limited Licensed Radiologic Technologist (LMRT) Certification.
3. Cardiac stress tests are currently performed onsite with the Q stress System. Protocols currently in place are the current vendor's proprietary information.
4. The revenue cycle management services the current vendor does are the claims that are currently archived. The Current vendor provides Account management, including consultative services, coding support and audits, and ongoing support services.
5. Ownership for the equipment/furnishings, supplies- FF&E List of equipment, supplies, furnishings, medications, vaccines, artwork, etc. are City-Owned.
6. The brand/model of key equipment are as follows:
• Centrifuge- supplied by lab vendor
• Treadmill Stress test- Q Stress System
• Hearing Booth- Eckel AB 2000M
• Xray Machine-Quantum Medical Quest HF Series with Heustis Medical 150mc Collimator and Toshiba Rotanode Tube
• EKG- Welch Allyn CP 150
• Spirometry - McKesson Easy One Air
7. There are no plans/budgets to refresh/update the space due to fairly recent expansion.
Posted by:
Ashley Presley 3/25/2026 2:42:04 PM
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| Q: |
1. In your occupational volumes provided, you note Job’s Function Testing. Could you please expand upon what type of job function testing this is?
2. Can you confirm who your benefits consultant is and their level of involvement regarding your health center RFP?
3. Could you provide the last two annual health center reports you have received and the associated costs? If possible, can you provide reports, for your health center, detailing appointment by hour, by day, by clinician and by type? Please provide health center reports including labs and medications if available.
4. What important characteristics should we consider in developing a solution for your organization?
5. What is the desired re-opening date of your center after transition?
6. Who are your current vendors and plan designs. Can you provide a vendor landscape or a new hire benefits kit?
Please confirm the following staff listed in the RFP is full time 40 hours a week or if not, what are the hours for current staff : 1 physician, 4 Physician Assistants, 1 Registered Nurse health center manager, 5 Certified Medical Assistants, and 1 Licensed Practical Nurse.
7.Current hours your health center operates are showing in the RFP as: Monday – Thursday 7:00 a.m. – 5:30 p.m, Friday 8:00 a.m. – 5:00 p.m and Saturday – Sunday Closed. Please confirm if these are the hours you wish to operate going forward or what change you would like to make. Does the center remain open these entire hours or do they close for any breaks?
8. Can you provide a timeline for decision-making or next steps in the process after the RFP is submitted?
9. What are the top 3 reasons City of Ocala wants to transition the onsite center(s)?
10. What are the areas of your current model of care that you wish to improve? Maintain?
11. Please confirm City of Ocala owns all medical equipment, general furnishings, medical and business office supplies. Can you provide a general inventory list on owned equipment?
12. What date does the contract with your current vendor expire?
13. Would you like to receive ROI analysis with this RFP submission? (This is contingent on receiving claims, plan design(s) and census 7-10 days prior to RFP due date)
14. Could you please provide 12 – 36 months of medical and pharmaceutical paid claims data. Include any high-cost claimant adjustments. For the same time period, please provide medical plan subscribers & membership by month.
15. Could you please provide a deidentified census file with demographic information— full home address (at a minimum at least zip codes) for your entire employee population and spouses/dependents that are on the health plan. If possible, please also include ages and gender.
16. Do you charge a copay for any use of your health center? If so, please describe
17. Can you provide a year-end health plan report showing utilization and unit cost performance.
18. Do you currently have a Wellness program in place? If so, is it provided by your health center vendor? Please provide the details of your current wellness program and desired goals.
19. What healthcare services listed below are currently provided or desired with your onsite health center? (if currently provided please offer current volumes):
- Mass Biometric Screenings
- Flu Shots
- Health Risk Assessment Surveys
- Health Coaching Programs
- Disease management programs
20. For occupational health services please indicate if you are currently providing, or would want to add, the below services (please indicate the volumes if already providing):
- Pre-employment physicals
- urine drug screens
- breath alcohol testing
- DOT physicals
- Public safety physicals (police, fire, etc.)
- OSHA hearing surveillance program
- Hearing exams - whisper or booth testing
- Haz Mat or HAZWOPER Physicals
- Respirator Medical Clearance
- Respirator Mask Fit Test
- Travel Physicals (including vaccinations)
- Work Related Injury / Illness initial treatment
- Work Related Injury/Illness follow up treatment
- Worker's compensation case management
- Other OSHA Surveillance Programs
- Fitness for Duty Evaluations
- Return to Work Examinations for non-work conditions
- Occupation Health Case Management
Posted by:
Mario Muscar
3/25/2026 9:45:19 AM EST
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A:
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1. Job function testing refers to a physical capability evaluation tied to the essential functions of a job description. This includes reviewing job description and physical demands to determine the ability of a member to safely perform essential duties.
2. Brown and Brown. They are supporting the RFP process in an advisory capacity assisting with data analysis and benchmarking. They are not decision makers.
3. Yes. Historical reports and cost data can be made available to shortlisted vendors under NDA.
4.Vendors should prioritize the following:
-Measurable cost reduction to the self-funded health plan
-Strong occupational health capabilities (public safety focus)
-Data transparency and actionable reporting
-Staffing stability and communication
-Member access and engagement (same-day care, minimal wait times)
-Be a key stakeholder in our wellness and population health strategies
5. The anticipated contract start and operational transition date is October 1st, 2026.
6. Please review added Exhibit F- Benefits Booklet.
7. The hours listed in the RFP are our current operational hours. The holiday schedule is also listed. The clinic current closes from 12pm to 1pm for lunch. The City is open to alternative schedules proposed by vendors, subject to approval.
8. Please refer to Section 2.5 Projected RFP Timeline.
9. Please see the response above #4 reference why the City is going out to RFP.
10. Improve:
• Reporting transparency and data access
• communication and operational responsiveness
Maintain:
• Current no cost access model for members
• Strong primary care foundation
• Integration with wellness initiatives
11. Yes. Please refer to question 6 Could we get brand/model of key equipment to ensure we are able to assume or will need to plan for procuring our standard?
12. The current contract will expire October 1st, 2026.
13. Yes, the City is open to an ROI analysis. Data may be provided to shortlisted vendors under appropriate confidentiality protections.
14. Will be provided to shortlisted vendors under NDA.
15. A deidentified census can be provided to shortlisted vendors under NDA.
16. No. The City currently provides no-cost access to services delivered through the onsite clinic.
17. A year-end health plan report can be provided to shortlisted vendors under confidentiality.
18. Yes. The main program consists of the annual Health Risk Assessments in which participating members receive a discount on health premiums upon completion of the labs and follow visit with the healthcare provider. Members can also access virtual wellness coaching appointments via our current vendor as another wellness tool. The City of Ocala also has an employee led Wellness Committee in which the vendor would be a key stakeholder for assisting in planning future initiatives.
19. The currently provided or desired healthcare services provided are Mass Biometric Screenings, Flu shots, Health Risk Assessment Surveys, Health Coaching Programs, and Disease management programs.
20. Occupational health services we're currently providing or would like to add to the services are - Pre-employment physicals
- urine drug screens
- breath alcohol testing
- DOT physicals
- Public safety physicals (police, fire, etc.)
- OSHA hearing surveillance program
- Hearing exams - whisper or booth testing
- Haz Mat or HAZWOPER Physicals
- Respirator Medical Clearance
- Respirator Mask Fit Test
- Travel Physicals (including vaccinations)
- Work Related Injury / Illness initial treatment
- Work Related Injury/Illness follow up treatment
- Worker's compensation case management
- Other OSHA Surveillance Programs
- Fitness for Duty Evaluations
- Return to Work Examinations for non-work conditions
- Occupation Health Case Management
Posted by:
Ashley Presley 4/1/2026 8:42:04 AM
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| Q: |
The RFP calls out a preference for fixed fees around staffing and management fee and also includes a section on pass-through costs like supplies, Labs, and provider dispensing. Is the City’s preference Fixed Staffing and Management Fee and pass through supplies, labs, and provider dispensing?
Posted by:
Spencer Bloxham
3/31/2026 1:42:31 PM EST
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A:
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The City prefers to have a fixed fee billing structure. However, alternative pricing models are also welcomed.
Posted by:
Ashley Presley 4/2/2026 3:00:19 PM
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Can you provide a breakdown of clinic utilization by visit type (primary care vs occupational vs wellness/HRA)?
Posted by:
Mike Tauber
4/13/2026 4:29:56 PM EST
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A:
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Please refer to Exhibit D listing clinic metrics.
Posted by:
Ashley Presley 4/14/2026 1:23:40 PM
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| Q: |
Questions:
1. What percentage of eligible employees selected the clinic as their primary care provider?
2. What is the average number of visits per employee per year, excluding occupational health visits?
3. Can you provide employee distribution by department and primary work location?
4. What percentage of employees are field-based or not located near the clinic?
5. Have you evaluated barriers to access related to clinic location or hours?
Posted by:
Mike Tauber
4/13/2026 4:32:10 PM EST
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A:
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1. The percentage of eligible employees who selected the clinic as their primary care provider for Fiscal Year 2024/2025 was 54.10 percent.
2. The average number of visits per employee per year, excluding occupational health visits for Fiscal Year 2024/2025 was 5.4.
3. Please refer to Exhibit G, the historical report for Fiscal Year 2024/2025 which includes active and inactive employees.
4. The percentage of employees that are field-based or not located near the clinic is all employees operate within the city limit. The clinic is located at the complex, which houses a large number of the field workers. The departments located outside of the complex can physically access the clinic location within a short 12–30-minute commute based on work location. Telehealth can also be utilized at the discretion of the provider to increase accessibility.
5. We have evaluated barriers to access related to clinic locations or hours.
Posted by:
Ashley Presley 4/14/2026 4:53:30 PM
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| Q: |
Posted by:
Ashley Presley
4/14/2026 4:58:29 PM EST
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Comment:
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Exhibit G- City of Ocala department historical count has been uploaded to the Solicitation.
Posted by:
Ashley Presley 4/14/2026 4:58:29 PM
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| Q: |
Will the scope of Physical Therapy be limited to employees, or will they be treating all eligible members (employees, spouses, and dependents)?
Posted by:
Spencer Bloxham
3/31/2026 1:42:47 PM EST
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A:
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The scope of Physical Therapy would be open to all eligible members to include employees, retirees, and dependents.
Posted by:
Ashley Presley 4/2/2026 3:01:48 PM
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| Q: |
Posted by:
Ashley Presley
4/1/2026 8:53:19 AM EST
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Comment:
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Exhibit F- FY 26 Benefits Booklet has been uploaded to the Solicitation.
Posted by:
Ashley Presley 4/1/2026 8:53:19 AM
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| Q: |
Posted by:
Ashley Presley
4/2/2026 3:10:49 PM EST
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Comment:
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Updated response for question, 2. On question 4 in Exhibit A – can you outline the scope of the ask? Is this for all clients, geographically specific clients etc.? (4) Provide the following workforce metrics for the past three (3) years: (a) Total number of clinical, administrative and support staff employed (b) Average tenure for each category (c) Annual turnover rates and length of vacancy by position
Answer: Preferably, geographically related clients. If this is not possible, an all-clients figure would be acceptable.
Posted by:
Ashley Presley 4/2/2026 3:10:49 PM
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| Q: |
1. Please provide a detailed list of the 15,130 laboratory tests referenced.
2. Please provide a detailed list of the 15,487 diagnoses referenced.
3. What is the definition of diagnosis in the clinic services count?
4. Can you please provide a current census with the number of employees and dependents?
5. Does the City of Ocala own the current equipment and supplies?
6. Do you currently offer virtual care services? If so, please provide details regarding utilization and engagement levels.
Posted by:
Ainsley Boggs
4/13/2026 8:28:04 AM EST
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A:
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1. FY 24 15,130 labs. Top 10 labs were HRA, TSH Thyroid, CBC, Vitamin D, A1C, Vitamin B12, HIV 1/2AG and ABS, Hepatis C Antibody, Hepatis B Surface Antibody, and PSA.
2. FY 24 15,489 diagnoses. Top 10 FY 24 diagnoses Hyperlipidemia, Obesity, Diabetes, Low Vitamin D serum, vitamin deficiency, hypertension, GERD, Anxiety, and Chronic pain of both shoulders.
3. Clinical diagnoses made by healthcare provider.
4. Data may be provided to shortlisted vendors under appropriate confidentiality protections.
5. • Centrifuge- supplied by lab vendor
• Treadmill Stress test- Q Stress System
• Hearing Booth- Eckel AB 2000M
• Xray Machine-Quantum Medical Quest HF Series with Heustis Medical 150mc Collimator and Toshiba Rotanode Tube
• EKG- Welch Allyn CP 150
• Spirometry - McKesson Easy One Air
6. We offer telehealth (telephone and video) as a modality type. For primary care in FY 25, 51.2 percent was in person, 48.5 percent was telephonic, and .3 percent video. A centralized virtual team would be currently considered an add on cost.
Posted by:
Ashley Presley 4/13/2026 3:15:56 PM
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| Q: |
Posted by:
Ashley Presley
4/13/2026 3:21:10 PM EST
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Comment:
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From 2VP of Strategic Partnerships WeCare tlc
1. Is this RFP part of a routine market evaluation, or are there specific goals or improvements the City is seeking beyond the current clinic model?
2. What are the City’s top priorities or desired outcomes for the clinic over the next 12–24 months?
3. What challenges or gaps has the City experienced with the current clinic model or vendor?
4. Are there specific occupational health priorities or department-specific needs (Police, Fire, Public Works, etc.)?
5. What reporting, performance metrics, and outcomes does the City expect from the selected vendor?
Posted by:
Ashley Presley 4/13/2026 3:21:10 PM
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| Q: |
1. Is the total health plan spend available for the last two years (med and pharmacy claims, med and rx admin costs as well as stop loss and other fees)?
2. Is the budgeted amount for the health plan spend available for this year?
3. When the RFP mentions “Clear Emergency Room Protocols” on Page 12, can you clarify? Does this mean when to use the ER versus the clinic? Follow up after the ER?
Posted by:
Sean Carroll
4/13/2026 3:58:23 PM EST
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A:
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1. The historical reports and cost data can be made available to short lister vendors under NDA.
2. The budgeted amount for the health plan data can be available to short listed vendors under NDA.
3. Clear Emergency Room protocols denote the following: educating members when to use ER versus onsite clinic services and having a procedure in place for a scenario when a member is seen onsite and medical staff feels the matter needs to be escalated to the ER. This could result from a Primary Care or Occupational Visit. Dependent on the situation, members often request staff to evaluate them post ER visit, so the PCP can help them navigate care going forward.
Posted by:
Ashley Presley 4/14/2026 11:12:20 AM
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| Q: |
Posted by:
Ashley Presley
3/24/2026 1:08:15 PM EST
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Comment:
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A Revised RFP and Exhibit D- Clinic Metrics has been uploaded to the Solicitation.
Posted by:
Ashley Presley 3/24/2026 1:08:15 PM
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| Q: |
Does the City have a pricing template they would like filled out, or do you prefer a PDF of our pricing?
Posted by:
Spencer Bloxham
3/31/2026 1:41:03 PM EST
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A:
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No, the City does not have a pricing template. As stated on Page 17, Secion 4.3 (e) the proposer must submit a breakdown of their fees and cost constructure.
Posted by:
Shay Roberts 4/1/2026 11:55:39 AM
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| Q: |
On question 4 in Exhibit A – can you outline the scope of the ask? Is this for all clients, geographically specific clients etc.? (4) Provide the following workforce metrics for the past three (3) years: (a) Total number of clinical, administrative and support staff employed (b) Average tenure for each category (c) Annual turnover rates and length of vacancy by position
Posted by:
Spencer Bloxham
3/31/2026 1:41:43 PM EST
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A:
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The proposer must provide data for a current health clinic that they manage.
Posted by:
Shay Roberts 4/2/2026 8:38:16 AM
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