WEBVTT 1 00:00:00.230 --> 00:00:02.350 My name is Chris Foca, I am the director 2 00:00:02.350 --> 00:00:04.000 of procurement and contract management 3 00:00:04.000 --> 00:00:06.270 for the Virginia Medicaid system. 4 00:00:06.270 --> 00:00:08.880 So, we procure services, 5 00:00:08.880 --> 00:00:13.880 line:15% mostly to run the program in terms of auditing services, 6 00:00:15.700 --> 00:00:18.680 line:15% accounting services, actuarial type of services, 7 00:00:18.680 --> 00:00:21.730 line:15% we also procure health systems, 8 00:00:21.730 --> 00:00:25.090 so we actually are right now in the midst of 9 00:00:25.090 --> 00:00:27.600 redesigning the Medicaid system and moving from 10 00:00:27.600 --> 00:00:29.720 line:15% fee for service to managed care, 11 00:00:29.720 --> 00:00:32.690 line:15% and so we are engaging in contracts 12 00:00:32.690 --> 00:00:35.300 line:15% with managed care organizations 13 00:00:35.300 --> 00:00:37.430 line:15% for the actual provision of services. 14 00:00:37.430 --> 00:00:41.770 line:15% We also are actually buying a managed Medicaid system, 15 00:00:41.770 --> 00:00:44.290 so we're buying a brand new IT system 16 00:00:44.290 --> 00:00:47.000 that will take all of the information that we get 17 00:00:47.000 --> 00:00:51.270 and be able to do some data analysis and work. 18 00:00:51.270 --> 00:00:53.740 So, obviously, there's an idea of what you need 19 00:00:53.740 --> 00:00:56.300 to buy something, and there's a lot of research 20 00:00:56.300 --> 00:01:00.840 line:15% that goes into what the design specifications would be, 21 00:01:00.840 --> 00:01:03.750 line:15% what the requirements of the system would be, 22 00:01:03.750 --> 00:01:08.140 line:15% and then you go and develop through lots of research, 23 00:01:08.140 --> 00:01:10.480 what's called a request for proposal, 24 00:01:10.480 --> 00:01:14.260 you write that over a series of months 25 00:01:14.260 --> 00:01:17.130 and have it reviewed by lots of different persons. 26 00:01:17.130 --> 00:01:20.050 Proposals are received, we do an evaluation 27 00:01:20.050 --> 00:01:22.690 of those proposals, and start then negotiating 28 00:01:22.690 --> 00:01:25.660 with the firms that we feel are best suited 29 00:01:25.660 --> 00:01:30.500 to provide the services, the IT system, something like that. 30 00:01:30.500 --> 00:01:32.950 Move forward a little bit and you're into kind of 31 00:01:32.950 --> 00:01:36.020 the contract award and actually execution. 32 00:01:36.020 --> 00:01:40.320 line:15% And so, the life cycle of an RFP or of a procurement 33 00:01:40.320 --> 00:01:43.640 line:15% is usually a couple of years from the moment 34 00:01:43.640 --> 00:01:45.550 line:15% you think, okay, I need to buy something 35 00:01:45.550 --> 00:01:48.430 line:15% or I need to procure a new software system, 36 00:01:48.430 --> 00:01:50.740 to the actual awarding of a contract 37 00:01:50.740 --> 00:01:52.890 and performance to begin. 38 00:01:52.890 --> 00:01:56.240 It's different than when I worked in a for profit business 39 00:01:56.240 --> 00:01:58.320 where Saturdays and Sundays were routine 40 00:01:58.320 --> 00:02:01.680 and phone calls at 11 o'clock on a Sunday 41 00:02:01.680 --> 00:02:03.360 became the norm. 42 00:02:03.360 --> 00:02:07.390 State government, it runs a little different. 43 00:02:07.390 --> 00:02:10.200 There's not the expectation that you'll do that 44 00:02:11.150 --> 00:02:15.410 line:15% and there's still the expectation 45 00:02:15.410 --> 00:02:16.590 line:15% that you will get the job done. 46 00:02:16.590 --> 00:02:19.920 line:15% So the great thing is I have a wonderful team 47 00:02:19.920 --> 00:02:23.220 line:15% that I work with, and so throughout 48 00:02:23.220 --> 00:02:26.533 and amongst the team we're able keep up with it.