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Is an Invoice Plan applicable?
Applies to regular monthly payments over the contract period.
No
Please discuss with your FBP.
Once completed and returned by your FBP, attach this form to the Procurement Plan / Approval in Principle record
in SAP as evidence of FBP consultation and funds availability.
ACT 1982 BY
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Termination for
This clause of the Head Agreement has not been varied.
convenience costs in
relation to Fees for
Services calculated on
a milestone basis
Signed for and on behalf of
Commonwealth of Australia as
represented by the Department of Health
and Aged Care 83 605 426 759
Brian Kel eher
Signature of authorised officer
}
ACT 1982 BY
Assistant Secretary
Private Health Industry Branch
HEALTH AND AGED CARE
INFORMATION
Signed for and on behalf of Deloitte
Touche Tohmatsu,
FREEDOM OF
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THE DEPARTMENT OF
s47F
Partner
}
Signature of Service Provider’s authorised
representative
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Deloitte Touche Tohmatsu
ABN
74 490 121 060
Grosvenor Place
225 George Street
Sydney NSW 2000 Australia
PO Box N250
Sydney NSW 1220 Australia
Tel:
61 2 9322 7000
Fax:
61 2 9322 7001
www.deloitte.com.au
s22
DEPARTMENT OF HEALTH
GPO Box 9848
TAX INVOICE
Canberra ACT 2601
Invoice Number: 8003209970
Australia
Invoice Date: 9 January 2023
Payment Due by: 8 February 2023
Client Ref: PO: s47E(d)
IN ACCOUNT WITH DELOITTE TOUCHE TOHMATSU
Fees for professional services
Engagement Number: DOH00066-01
Total
Fees
s47(1)(b)
GST applicable
GST EXCLUSIVE AMOUNT
GST
ACT 1982 BY
GST Inclusive amount
AUD
HEALTH AND AGED CARE
INFORMATION
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Payment Instructions
To pay by EFT:
To pay by mail:
DFC 1 Pty Ltd
Accounts Receivable
s47G
Locked Bag 5119
Parramatta CBD BC
NSW 2124
Australia
Please include invoice copy with
Please include invoice number with EFT.
payment.
Warning: Be cautious of emails or requests asking you to change payee account details as it could be a scam. Initiate a call
to Deloitte on an existing trusted number to confirm these changes.
Submit remittance details by email to xxxxxxxxxxxxxxxxxx@xxxxxxxx.xxx.xx or by fax (02) 9255 8397.
Liability limited by a scheme approved under Professional Standards Legislation.
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9 September 2022
s47F
Deloitte Consulting
225 George Street
Sydney, NSW, 2000
s47 @deloitte.com.au
F
Dear s47F
,
Request for Quotation (Premium Round 2023) under Management Advisory Services Panel
(SON3751667)
Thank you for your submission to our RFQ for procurement of services to assist the
assessments of the upcoming private health insurance premium price
ACT 1982 BY change applications.
After careful evaluation, I am pleased to inform you that the submission submitted by your
organisation has been selected.
HEALTH AND AGED CARE
An electronic copy of the proposed Contract is enclosed. Please review the Contract and
INFORMATION
when satisfied it accurately reflects your submission, sign and return an electronic copy to
me. I will arrange for our delegate to countersign the Contract and return an electronic copy
to you for your records.
If you would like feedback on your response
FREEDOM OF
or have any queries or concerns relating to the
proposed Contract prior to signing, please contact s22
, Acting Assist
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
ant Director, on
02 6289 s22 or s22
@health.gov.au
THE DEPARTMENT OF
Details of the Contract will be posted on the AusTender website after signing by both
parties. Note that your organisation should not incur any expense before both parties have
signed the Contract.
Yours sincerely
Brian Kelleher
Private Health Industry Branch
9 September 2022
GPO Box 9848 Canberra ACT 2601 - ww
Page 21 of 163 w.health.gov.au
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s22
From:
s47F
@deloitte.com.au>
Sent:
Thursday, 25 August 2022 5:03 PM
To:
s22
Cc:
s47F
; KELLEHER, Brian
Subject:
RE:Important information regarding the RFQ - Premium Round 2023
[SEC=OFFICIAL]
REMINDER: Think before you click! This email originated from outside our organisation. Only click links or open attachments if
you recognise the sender and know the content is safe.
Hi s22
Thanks for checking.
I will have my laptop with me to ensure I can work with s47F
to get our response to you if it is next week. We
have most of the response written so I’m hoping it will be relatively straight forward to realign some of the detail
with the new RFQ.
I’m at Thredbo next week and back on deck late Thursday. I’m not sure what internet quality I will encounter there
but in case I need the extra day, could we make it due next Friday? Would that be possible? I am hoping we wont
need to rely on that.
ACT 1982 BY
Regards
s47F
HEALTH AND AGED CARE
Regards
INFORMATION
s47F
s47F
D: s47F
| M: s47F
s4 @deloitte.com.au | www.deloitte.com.au
7F
FREEDOM OF
Please consider the environment before printing.
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
From: s22
@health.gov.au>
Sent: Thursday, 25 August 2022 12:56 PM
To: s47F
@deloitte.com.au>
Cc: s47F
@deloitte.com.au>; KELLEHER, Brian <xxxxx.xxxxxxxx@xxxxxx.xxx.xx>
Subject: [EXT]RE: Important information regarding the RFQ - Premium Round 2023 [SEC=OFFICIAL]
Hi s47F
,
One more thing re the RFQ: would you be in a position to respond to the new RFQ when it’s sent out (aiming for
early next week at the latest) to respond within five days? I know you mentioned leave next week, so I just wanted
to run this past you.
Thanks for sending the article through. It’s difficult to know the full picture, i.e. could they be private patients with
out of pockets, or uninsured people who want to go private and pay full-fee? Like many things in the health space
once you start scratching the surface a whole new set of questions presents themselves.
Regards,
1
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s22
Acting Assistant Director | Private Health Policy and Financing | Private Health Industry Branch
Medical Benefits Division
Australian Government Department of Health and Aged Care
T: 02 6289 s22 | E: s22
@health.gov.au
Part-time hours - Mo, Tu, Th, Fr.
Explore medical specialists costs across Australia with the Medical Costs Finder
From: s47F
@deloitte.com.au>
Sent: Thursday, 25 August 2022 12:15 PM
To: s22
@health.gov.au>
Cc: s47F
@deloitte.com.au>; KELLEHER, Brian <xxxxx.xxxxxxxx@xxxxxx.xxx.xx>
Subject: RE:Important information regarding the RFQ - Premium Round 2023 [SEC=OFFICIAL]
REMINDER: Think before you click! This email originated from outside our organisation. Only click links or open attachments if
you recognise the sender and know the content is safe.
Hi s22
Thanks for confirming the panel.
We have mostly written our response so will just be a matter of referring back to the right panel when that comes
ACT 1982 BY
through, and adjusting any timelines we have mentioned.
By the way, have you seen this article today:
https://www.abc.net.au/news/2022-08-25/australians-using-super-retirement-savings-pay-health-costs/101368246
HEALTH AND AGED CARE
Do we know what treatments people are funding from Super (I’m gue
INFORMATION ssing the data is not linked or perhaps it gets
captured when the request comes through)? Should there be tougher rules for withdrawal – what is the overall long
term health system implication of allowing this? Just does not seem like a good outcome if we are asking people to
sacrifice their long term retirement savings (when their health costs will be highest) in order to pay for health costs
in their earlier age.
FREEDOM OF
We’ll keep an eye out for the new RFQ – thanks for letting us know.
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
Regards
s47F
s47F
D: s47F
| M: s47F
s4 @deloitte.com.au | www.deloitte.com.au
7F
Please consider the environment before printing.
From: s22
@health.gov.au>
Sent: Thursday, 25 August 2022 11:25 AM
To: s47F
@deloitte.com.au>
Cc: s47F
@deloitte.com.au>; KELLEHER, Brian <xxxxx.xxxxxxxx@xxxxxx.xxx.xx>
Subject: [EXT]Important information regarding the RFQ - Premium Round 2023 [SEC=OFFICIAL]
Hi s47F
,
Thank you for your call on Tuesday.
2
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The Procurement team have advised that I will need to reissue a new RQF, now that the Management Advisory
Services Panel (SON SON3751667) is mandatory for use across Government. I was not advised or aware of this Panel
until this week, and apologise for any inconvenience.
I will reissue a new RFQ as soon as possible. It will broadly be consistent with the original RFQ, but timelines may
need to be adjusted to allow you sufficient time to respond to the new RFQ.
Please call me if you have any questions.
Regards,
s22
Acting Assistant Director | Private Health Policy and Financing | Private Health Industry Branch
Medical Benefits Division
Australian Government Department of Health and Aged Care
T: 02 6289 s22 | E: s22
@health.gov.au
Part-time hours - Mo, Tu, Th, Fr.
Explore medical specialists costs across Australia with the Medical Costs Finder
"Important: This transmission is intended only for the use of the addressee and may contain confidential or legally
privileged information. If you are not the intended recipient, you are notified that any use or dissemination of this
communication is strictly prohibited. If you receive this transmission in error please notify the author immediately
and delete all copies of this transmission."
ACT 1982 BY
This e-mail and any attachments to it are confidential. You must not use, disclose or act on the e-mail
if you are not the intended recipient. If you have received this e-mail in error, please let us know by
contacting the sender and deleting the original e-mail. Liability limited by a scheme approved under
Professional Standards Legislation. Deloitte refers to a Deloitte member firm, one of its related entities,
HEALTH AND AGED CARE
or Deloitte Touche Tohmatsu Limited (“DTTL”). Each Deloitte
INFORMATION member firm is a separate legal entity
and a member of DTTL. DTTL does not provide services to clients. Please see www.deloitte.com/about
to learn more. Nothing in this e-mail, nor any related attachments or communications or services, have
any capacity to bind any other entity under the ‘Deloitte’ network of member firms (including those
operating in Australia).
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"Important: This transmission is intended only for the use of the addressee and may contain confidential or legally
THE DEPARTMENT OF
privileged information. If you are not the intended recipient, you are notified that any use or dissemination of this
communication is strictly prohibited. If you receive this transmission in error please notify the author
immediately and delete all copies of this transmission."
This e-mail and any attachments to it are confidential. You must not use, disclose or act on the e-mail if you are
not the intended recipient. If you have received this e-mail in error, please let us know by contacting the sender
and deleting the original e-mail. Liability limited by a scheme approved under Professional Standards Legislation.
Deloitte refers to a Deloitte member firm, one of its related entities, or Deloitte Touche Tohmatsu Limited
(“DTTL”). Each Deloitte member firm is a separate legal entity and a member of DTTL. DTTL does not
provide services to clients. Please see www.deloitte.com/about to learn more. Nothing in this e-mail, nor any
related attachments or communications or services, have any capacity to bind any other entity under the
‘Deloitte’ network of member firms (including those operating in Australia).
3
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Procurement Plan Agreement and Approval to Approach the Market
To: Brian Kelleher, Assistant Secretary, Private Health Industry Branch, Medical Benefits Division
Subject: Procurement of expert services for assessment of 2023 premium applications
RECOMMENDATIONS:
NOTE the Finance Business Partner advised that 2022-23 moderation bid process hasn’t
Noted /
been finalised, and the Medical Benefit Division's preliminary indicative allocation is less
Please Discuss
than expected staffing costs (Attachment A).
APPROVE that procurement will proceed prior to finalisation of the moderation bid
Approved /
process.
Please Discuss
NOTE the Indigenous Procurement Policy mandatory set-aside does not apply to this
Noted /
procurement. No providers were identified (Attachment B).
Please Discuss
NOTE the overall Risk Profile of this procurement is Low (Attachment C).
Noted /
ACT 1982 BY
Please Discuss
APPROVE the request document in accordance with the Procurement Plan (RFQ)
Approved /
(Attachment D).
Please Discuss
APPROVE the Value for Money assessment for this direct approach procurement
HEALTH AND AGED CARE Approved /
(Attachment E).
INFORMATION
Please Discuss
NOTE Procurement Advisory Services has reviewed and cleared that this procurement is
Noted /
able to proceed (Attachment F)
Please Discuss
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THE DEPARTMENT OF
.
Brian Kelleher
Assistant Secretary
Private Health Industry Branch
Ph: (02) 6289 s22
18 August 2022
Key Points:
i. This Procurement Plan demonstrates the proposed procurement’s alignment with the Commonwealth
Procurement Rules.
ii. This procurement will be conducted in accordance with the Department’s Procurement Process.
Ref ID: Health/22-23/s47E(d)
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The evaluation team notes that Deloitte’s responsiveness to
issues that arose during the 2022 premium round application
process was timely and to a high standard.
Deloitte (s47F
and s47F
) also completed a report for the
Department in June 2022 titled,
Private Health Insurance
Product Landscape Analyses. This involved detailed analysis of
all private health insurance products over a number of years.
The content of the report was well received by the Department.
Total costs to be incurred by the
s47E(d),
including GST.
Commonwealth.
s47G
Overall i.e. Value for Money
Good.
Additional Comments
In addition to above, the evaluation team notes that:
• Deloitte does not hold any appointed actuary roles with any private health insurer in Australia;
• Deloitte have record keeping requirements suitable for sensitive and confidential information;
• No other person at Deloitte will have access to the data from the premium round application process
except for the team members identified in the quotation; and
• Deloitte is certified to ISO/IEC 27001:2013 standard for their Information Security Management System.
ACT 1982 BY
Recommendation
The evaluation team unanimously recommends:
➢ the Department proceed to commitment approval and contract with Deloitte for a to
HEALTH AND AGED CARE tal value of s47E(d),
GST inclusive to provide expert services for assessment of 2023 p
INFORMATION
remium applications. This decision is
s47G
based on the evaluation assessment that the offer from Deloitte provides a value for money outcome.
Approval to proceed
The delegate must provide email approval of the recommendation to enter into contract negotiation /
FREEDOM OF
commitment approval and contract with Deloitte.
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
The contract
must not be signed until the delegate has appro
THE DEPARTMENT OF ved the commitment approval in SAP.
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V0.3 – April 2018
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Procurement Information for Delegates
Background
The Public Governance, Performance and Accountability Act 2013 (PGPA Act) is the cornerstone
legislation of the Commonwealth Resource Management Framework.
The Commonwealth Procurement Rules (CPR’s) are the keystone of the government’s policy
framework. The rules enable entities to design procurement processes that are robust and
transparent while permitting innovative solutions that reflect the scale, scope and risk of the
desired outcome.
Procurement encompasses the whole process of procuring goods and services. It begins when a
need has been identified and a decision has been made on the procurement requirement.
Achieving value for money is the core rule of the CPR’s. Officials responsible for procurement must
be satisfied, after reasonable enquires, that the procurement achieves a value for money outcome.
Of icials are required to undertake procurement and contracting activities in an efficient, effective,
economical and ethical manner that achieves value for money in a whole-of-process way.
Health’s Accountable Authority Instruction’s (AAI) and applicable Finance Business Rules (FBR’s)
must be followed in all instances of procurement within the Department.
ACT 1982 BY
Procurement Thresholds
The procurement thresholds (including GST) are:
• for non-corporate Commonwealth entities, other than for procurements
HEALTH AND AGED CARE of construction
services, the procurement threshold is $80,000;
INFORMATION
• for Prescribed Corporate Commonwealth Entities, other than for procurements of
construction services, the procurement threshold is $400,000; or
• for procurements of construction services by relevant entities, the procurement threshold
is $7.5 mil ion.
FREEDOM OF
Procurements valued over the thresholds must be conducted through either an:
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
• Open Tender;
THE DEPARTMENT OF
• Panel (either Whole of Government, Health or other agency); or
• Limited Tender (only when Division 2 and/or Appendix A of the CPR’s can be satisfied).
The Procurement Method Decision Tree wil help determine the appropriate method for your
procurement.
A procurement must not be divided into separate parts solely for the purpose of avoiding a relevant
procurement threshold. When the maximum value of a procurement over its entire duration cannot be
estimated, the procurement must be treated as being valued above the relevant procurement threshold.
Relevant Links and Contacts
PGPA Act | CPR’s | AAI’s | FBR’s | Procurement Intranet |
Procurement Advisory
Services (PAS) Section
Contact PAS via phone on 02 6289 s47E(d) or email s47E(d)
@health.gov.au
Department of Health - Delegates Checklist
V6.0 – December 2021
1
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Request for Quotation under the Deed of Standing Offer for Research, Evaluation and Data
(READ) Panel dated December 2016 (the Deed)
The Department seeks a quotation from Suppliers pursuant to clause 3.2 of the Deed.
The Department requires provision of the Services described below, within the timeframe and in
accordance with the specifications detailed below.
If the Supplier is able to provide the Services in accordance with the Department’s requirements, please
forward a quotation which details:
a. the Services the Supplier is able to provide;
b. the fees to provide the Services (which must be based on the fee schedule specified in Schedule 3
of the Deed, unless more favourable rates are proposed);
c. the names and roles of Personnel proposed to deliver the Services, including the part of the
Services each person will undertake;
d. any information the Supplier wishes to have designated as Additional Supplier Confidential
Information in any subsequent Official Order for the Services (should th
ACT 1982 BY e Supplier ’s quotation be
accepted). Such a request will be dealt with in accordance with the clauses of the Deed;
e. any Existing Material the Supplier would utilise if engaged to provide the Services; and
f. the name and contact details for the Supplier’s contact officer for the purposes of this quotation.
HEALTH AND AGED CARE
Services required by the Department
INFORMATION
The Department seeks quotations for the Services detailed at
Attachment A. The timeframe for the
provision of the Services is as follows:
• 2 September 2022 – 15 September 2022
o to assist with reviewing sector feedback from stakeholder consultations and designing a
FREEDOM OF
reporting template to analyse the data.
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• 15 November 2022 – 16 December 2022
THE DEPARTMENT OF
o to assist with assessing the 2023 premium applications and provide a report to the Department
based on the criteria set in the first period.
Address and timeframe for lodgement of quotations
Please forward a quotation to the address below:
s47 @health.gov.au
E(d)
Responses are to be received by close of business Monday, 29 August 2022.
Department Contact Officer
All queries in relation to this request for quotation should be directed to the following Department contact
officer:
Name:
s22
Telephone:
02 6289 s22
Email address:
s22
@health.gov.au
Page 38 of 163
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Attachment A
STATEMENT OF REQUIREMENT
A1
Background
Like the 2022 premium round, the 2023 premium round is expected to present significant complexities
mainly due to:
• The need to take into account allowances for COVID-19 impacts;
• Impacts of Government reforms including prostheses and changes to the age of dependants on a
family policy;
• Impacts of changes to APRA capital standards; and
• The range of approaches insurers will take in forecasting membership and benefits in the context of
significant COVID-19 related uncertainty.
Expert services will be required for two block periods in the 2022-23 Financial year.
A2
Contract Services/outcomes required
• The successful supplier will assist with preparing and assessing the 2023 premium application forms in
the context of the sensitivities stated above and any other unforeseen issues that are raised in the
premium application form responses, providing analysis as directed by the Department.
A3
Timeframe for completion of the Contract Services
Dates
Activity
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2 September 2022 to
Assist with reviewing sector feedback from stakeholder consultations and
15 September 2022
designing a reporting template to analyse the data.
15 November 2022 to
Assist with assessing the 2023 premium applications and provide a report
16 December 2022
to the Department based on the criteria set in the first period.
HEALTH AND AGED CARE
INFORMATION
A4
Special skills/knowledge needed
• Prior experience with premium round data and Government process related to premium round.
• Capability to provide confidentiality assurance, working with protected commercial in confidence level
data.
• Demonstrated ability to provide value adding analysis of private health insurance matters in the
FREEDOM OF
context of wider issues impacting the private health sector, now and into the future.
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A5
Applicable service levels and standards
THE DEPARTMENT OF
Not applicable.
A6
Resources/materials to be provided by the department
Personnel will be required to log into SecureDoc (APRA’s secure document exchange) to access the
premium round application forms.
A7
Reporting requirements
• Delivery of analysis as directed by the Department as per section A2.
• Any significant issues identified to be reported as necessary.
• Daily updates on any additional costs due to the engagement of Partner or Director resources. Health
must be informed in advance of any variation in cost.
A8
Evaluation Criteria
• Prior experience with premium round data and Government process related to premium round.
• Ability to begin work immediately at the commencement of the engagement with little to no
on-boarding time required.
- 2 –
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FOI 4806
• Respond to the Department’s direction under limited supervision.
• Capability to provide confidentiality assurance, working with protected commercial in confidence level
data.
• Demonstrated ability to provide value adding analysis of private health insurance matters in the
context of wider issues impacting the private health sector, now and into the future.
A9
Fees, expenses and costs
Fees to be based on time and materials.
Using the table below, please outline the cost per resource.
Role
Name
Daily Rate (GST inc)
Hourly Rate (GST inc)
% Time on
project
Partner or
equivalent
Director or
equivalent
Consultant or
equivalent
Senior Analyst or
ACT 1982 BY
equivalent
HEALTH AND AGED CARE
INFORMATION
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
- 3 –
Page 40 of 163
FOI 4806
Request for Quotation under the Deed of Standing Offer for Research, Evaluation and Data
(READ) Panel dated December 2016 (the Deed)
The Department seeks a quotation from Suppliers pursuant to clause 3.2 of the Deed.
The Department requires provision of the Services described below, within the timeframe and in
accordance with the specifications detailed below.
If the Supplier is able to provide the Services in accordance with the Department’s requirements, please
forward a quotation which details:
a. the Services the Supplier is able to provide;
b. the fees to provide the Services (which must be based on the fee schedule specified in Schedule 3
of the Deed, unless more favourable rates are proposed);
c. the names and roles of Personnel proposed to deliver the Services, including the part of the
Services each person will undertake;
d. any information the Supplier wishes to have designated as Additional Supplier Confidential
Information in any subsequent Official Order for the Services (should the
ACT 1982 BY Supplier ’s quotation be
accepted). Such a request will be dealt with in accordance with the clauses of the Deed;
e. any Existing Material the Supplier would utilise if engaged to provide the Services; and
f. the name and contact details for the Supplier’s contact officer for the purposes of this quotation.
HEALTH AND AGED CARE
Services required by the Department
INFORMATION
The Department seeks quotations for the Services detailed at
Attachment A. The timeframe for the
provision of the Services is as follows:
• 2 September 2022 – 15 September 2022
o to assist with reviewing sector feedback from stakeholder consultations and designing a
FREEDOM OF
reporting template to analyse the data.
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
• 15 November 2022 – 16 December 2022
THE DEPARTMENT OF
o to assist with assessing the 2023 premium applications and provide a report to the Department
based on the criteria set in the first period.
Address and timeframe for lodgement of quotations
Please forward a quotation to the address below:
s47 @health.gov.au
E(d)
Responses are to be received by close of business Monday, 29 August 2022.
Department Contact Officer
All queries in relation to this request for quotation should be directed to the following Department contact
officer:
Name:
s22
Telephone:
02 6289 s22
Email address:
s22
@health.gov.au
Page 41 of 163
FOI 4806
Attachment A
STATEMENT OF REQUIREMENT
A1
Background
Like the 2022 premium round, the 2023 premium round is expected to present significant complexities
mainly due to:
• The need to take into account allowances for COVID-19 impacts;
• Impacts of Government reforms including prostheses and changes to the age of dependants on a
family policy;
• Impacts of changes to APRA capital standards; and
• The range of approaches insurers will take in forecasting membership and benefits in the context of
significant COVID-19 related uncertainty.
Expert services will be required for two block periods in the 2022-23 Financial year.
A2
Contract Services/outcomes required
• The successful supplier will assist with preparing and assessing the 2023 premium application forms in
the context of the sensitivities stated above and any other unforeseen issues that are raised in the
premium application form responses, providing analysis as directed by the Department.
A3
Timeframe for completion of the Contract Services
Dates
Activity
ACT 1982 BY
2 September 2022 to
Assist with reviewing sector feedback from stakeholder consultations and
15 September 2022
designing a reporting template to analyse the data.
15 November 2022 to
Assist with assessing the 2023 premium applications and provide a report
16 December 2022
to the Department based on the criteria set in the first period.
HEALTH AND AGED CARE
INFORMATION
A4
Special skills/knowledge needed
• Prior experience with premium round data and Government process related to premium round.
• Capability to provide confidentiality assurance, working with protected commercial in confidence level
data.
• Demonstrated ability to provide value adding analysis of private health insurance matters in the
FREEDOM OF
context of wider issues impacting the private health sector, now and into the future.
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
A5
Applicable service levels and standards
THE DEPARTMENT OF
Not applicable.
A6
Resources/materials to be provided by the department
Personnel will be required to log into SecureDoc (APRA’s secure document exchange) to access the
premium round application forms.
A7
Reporting requirements
• Delivery of analysis as directed by the Department as per section A2.
• Any significant issues identified to be reported as necessary.
• Daily updates on any additional costs due to the engagement of Partner or Director resources. Health
must be informed in advance of any variation in cost.
A8
Evaluation Criteria
• Prior experience with premium round data and Government process related to premium round.
• Ability to begin work immediately at the commencement of the engagement with little to no
on-boarding time required.
- 2 –
Page 42 of 163
FOI 4806
• Respond to the Department’s direction under limited supervision.
• Capability to provide confidentiality assurance, working with protected commercial in confidence level
data.
• Demonstrated ability to provide value adding analysis of private health insurance matters in the
context of wider issues impacting the private health sector, now and into the future.
A9
Fees, expenses and costs
Fees to be based on time and materials.
Using the table below, please outline the cost per resource.
Role
Name
Daily Rate (Gst inc)
Hourly Rate (GST inc)
% Time on
project
Partner or
equivalent
Director or
equivalent
Consultant or
equivalent
Senior Analyst or
ACT 1982 BY
equivalent
HEALTH AND AGED CARE
INFORMATION
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
- 3 –
Page 43 of 163
FOI 4806
ACT 1982 BY
HEALTH AND AGED CARE
INFORMATION
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
Page 44 of 163
FOI 4806
s22
From:
s47E(d)
Sent:
Friday, 26 August 2022 12:25 PM
To:
s22
Subject:
RE: Seeking urgent review prior to seeking delegate endorsement: Management
Advisory Services Panel Request for Quote - 41.docx [SEC=OFFICIAL]
CCEMS:07360001531
Importance:
High
Hi s22
,
Draft RFQ is endorsed. Please ensure you seek approval for the changed procurement method/panel
approach documentation.
Kind regards,
s22
Snr Adviser
Procurement Advisory Services
Financial Management Division | Corporate Operations Group
Australian Government Department of Health and Aged Care ACT 1982 BY
T: 02 6289 s22
| E: s47E(d)
@health.gov.au
GPO Box 9848, Canberra ACT 2601, Australia
The Department of Health and Aged Care acknowledges First Nations peoples as the Traditional Owners
of Country throughout Australia, and their continuing connection to land, sea and c
HEALTH AND AGED CARE ommunity. We pay our
respects to them and their cultures, and to all Elders both past a
INFORMATION nd present.
To ensure prompt responses, please address any replies to this inbox and not to personal inboxes.
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
------------------- Original Message -------------------
From: s22
@health.gov.au>;
Received: Fri Aug 26 2022 11:27:17 GMT+1000 (Australian Eastern Standard Time)
To: s47E(d)
@health.gov.au>; s47E(d)
s47E(d)
@health.gov.au>;
Subject: Seeking urgent review prior to seeking delegate endorsement: Management Advisory
Services Panel Request for Quote - 41.docx [SEC=OFFICIAL]
Hi,
Further to my emails this week (see attached), I’ve prepared a new RFQ under the Management Advisory Services
Panel (SON3751667_ using the template on the Department of Finance website.
Note the Procurement Plan has already been approved, only the RFQ needs to be amended.
May I please seek PAS endorsement to continue.
1
Page 45 of 163
FOI 4806
Regards,
s22
Acting Assistant Director | Private Health Policy and Financing | Private Health Industry Branch
Medical Benefits Division
Australian Government Department of Health and Aged Care
T: 02 6289 s22 | E: s22
@health.gov.au
Part-time hours - Mo, Tu, Th, Fr.
Explore medical specialists costs across Australia with the Medical Costs Finder
ACT 1982 BY
HEALTH AND AGED CARE
INFORMATION
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
2
Page 46 of 163
FOI 4806
s22
From:
s47E(d)
Sent:
Tuesday, 2 August 2022 12:49 PM
To:
s22
Subject:
RE: FW: Procurement plan documents & RFQ CCEMS:07360001469 [SEC=OFFICIAL]
Attachments:
Premium Round 2023 - Procurement Plan - PAS02082022AR.docx
Categories:
Red Category
Hi s22
,
PAS has reviewed the procurement plan, please see minor suggested changes in the attached.
Does PAS endorsement require finance’s confirmation that funds are available? No, it is not dependent
upon confirmation however PAS check completeness of process, funding availability being one of the items
requiring confirmation prior to a market approach.
Once changes actioned, cleared to proceed.
Kind regards,
s22
Snr Adviser
ACT 1982 BY
Procurement Advisory Services
Financial Management Division | Corporate Operations Group
Australian Government Department of Health and Aged Care
T: 02 6289
HEALTH AND AGED CARE
s22
| E: s47E(d)
@health.gov.au
GPO Box 9848, Canberra ACT 2601, Australia INFORMATION
The Department of Health and Aged Care acknowledges First Nations peoples as the Traditional Owners
of Country throughout Australia, and their continuing connection to land, sea and community. We pay our
respects to them and their cultures, and to all Elders both past and present.
FREEDOM OF
To ensure prompt responses, please address any replies to this inbox and not to personal inboxes.
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
------------------- Original Message -------------------
From: s22
@health.gov.au>;
Received: Tue Aug 02 2022 10:56:21 GMT+1000 (Australian Eastern Standard Time)
To: s47E(d)
@health.gov.au>; s47E(d)
s47E(d)
@health.gov.au>; s47E(d)
s47E(d)
@health.gov.au>;
Subject: FW: Procurement plan documents & RFQ CCEMS:07360001469 [SEC=OFFICIAL]
Sorry,
One follow up question. Does PAS endorsement require finance’s confirmation that funds are available?
Thanks,
1
Page 47 of 163
FOI 4806
s22
Acting Assistant Director | Private Health Policy and Financing | Private Health Industry Branch
Medical Benefits Division
Australian Government Department of Health and Aged Care
T: 02 6289 s22 | E: s22
@health.gov.au
Part-time hours - Mo, Tu, Th, Fr.
Explore medical specialists costs across Australia with the Medical Costs Finder
From: s22
Sent: Tuesday, 2 August 2022 10:40 AM
To: s47E(d)
@health.gov.au>
Cc: s22
@Health.gov.au>
Subject: RE: Procurement plan documents & RFQ CCEMS:07360001469 [SEC=OFFICIAL]
Thank you.
My apologies the Procurement Plan dropped off the email! Please see attached.
I have also updated the RFQ based on your comments, and all templates updated for the new department logo
(templates consistent with those on the intranet).
Please let me know if you require anything further.
Note I am still awaiting on the final name of a person for the evalaution team.
ACT 1982 BY
Thanks,
s22
HEALTH AND AGED CARE
INFORMATION
Acting Assistant Director | Private Health Policy and Financing | Private Health Industry Branch
Medical Benefits Division
Australian Government Department of Health and Aged Care
T: 02 6289 s22 | E: s22
@health.gov.au
Part-time hours - Mo, Tu, Th, Fr.
FREEDOM OF
Explore medical specialists costs across Australia with the Medical Costs Fin
THIS DOCUMENT HAS BEEN RELEASED UNDER THE der
THE DEPARTMENT OF
From: s47E(d)
@health.gov.au>
Sent: Monday, 1 August 2022 5:02 PM
To:s22
@health.gov.au>
Cc: s22
@Health.gov.au>
Subject: RE: Procurement plan documents & RFQ [SEC=OFFICIAL] CCEMS:07360001469
Hi s22
,
PAS has reviewed the draft documents. One comment within the attached RFQ for your consideration and
action.
No Procurement plan was provided, please complete and forward to PAS for final review and
endorsement.
We suggest you ensure you use the most recent templates for your procurements - available within the
PAS Procurement Process.
Kind regards,
2
Page 48 of 163
FOI 4806
s22
Snr Adviser
Procurement Advisory Services
Financial Management Division | Corporate Operations Group
Australian Government Department of Health and Aged Care
T: 02 6289 s22
| E: s47E(d)
@health.gov.au
GPO Box 9848, Canberra ACT 2601, Australia
The Department of Health and Aged Care acknowledges First Nations peoples as the Traditional Owners
of Country throughout Australia, and their continuing connection to land, sea and community. We pay our
respects to them and their cultures, and to all Elders both past and present.
To ensure prompt responses, please address any replies to this inbox and not to personal inboxes.
------------------- Original Message -------------------
From: s22
@health.gov.au>;
Received: Mon Aug 01 2022 15:09:03 GMT+1000 (Australian Eastern Standard Time)
To: s47E(d)
@health.gov.au>; s47E(d)
ACT 1982 BY
s47E(d)
@health.gov.au>; s47E(d)
s47E(d)
@health.gov.au>;
Cc: s22
@health.gov.au>;
Subject: Procurement plan documents & RFQ [SEC=OFFICIAL]
HEALTH AND AGED CARE
Hi,
INFORMATION
We are preparing procurement documents to directly approach a consultant for their services. The budget is
s47E(d),
.
s47G
Attached is the draft procurement plan and associat
FREEDOM OF ed documents.
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
Just wondering if you are happy to look through and let me k
THE DEPARTMENT OF now if this is suitable, or if there is anything I am
missing?
Also, does PAS “endorse” procurement plans before progressing to the delegate?
Thanks,
s22
Acting Assistant Director | Private Health Policy and Financing | Private Health Industry Branch
Medical Benefits Division
Australian Government Department of Health and Aged Care
T: 02 6289 s22 | E: s22
@health.gov.au
Part-time hours - Mo, Tu, Th, Fr.
Explore medical specialists costs across Australia with the Medical Costs Finder
3
Page 49 of 163
FOI 4806
Commitment Approval Minute
Brian Kelleher,
Assistant Secretary, Private Health Industry Branch
Medical Benefits Division
COMMITMENT APPROVAL TO ENGAGE DELOITTE TOUCHE TOHMATSU (DELOITTE) FOR EXPERT
ACTUARIAL SERVICES FOR ASSESSMENT OF 2023 PREMIUM APPLICATIONS
This Minute recommends that you:
APPROVE the draft official order with Deloitte for the provision of the provision of expert services for
assessment of 2023 premium applications, using Management Advisory Services Panel, SON3751667
(Attachment A);
APPROVE expenditure for a total of up to s47E(d),
(GST Inclusive) under Section 23(3) of the Public
s47G
Governance, Performance and Accountability Act;
APPROVE the Letter of Offer to Deloitte (Attachment B)
APPROVE the Value for Money Assessment (Attachment C)
NOTE the Letter of Offer and the draft Official Order will be sent to Deloitte for signature upon your
approval of this minute.
ACT 1982 BY
CONFIRM the information provided in this commitment approval has fully addressed the Delegate’s
Checklist before exercising a delegation to approve the commitment of funds - PGPA Act Section 23
(3) - or enter into an arrangement - PGPA Act Section 23 (1). Delegates need to assure themselves
that the procurement is compliant and documented (Attachment D) and
HEALTH AND AGED CARE
INFORMATION
NOTE the commitment approval will work-flow to you via SAP ESS for online approval.
1.
BACKGROUND/CONTEXT
Like the 2022 premium round, the 2023 premium round is expected to present significant complexities
mainly due to:
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
The need to take into account allowances for COV
THE DEPARTMENT OF ID-19 impacts;
Impacts of Government reforms including prostheses and changes to the age of dependants on
a family policy;
Impacts of changes to APRA capital standards; and
The range of approaches insurers will take in forecasting membership and benefits in the
context of significant COVID-19 related uncertainty.
The Department expects to receive substantive information from private health insurers from the 2023
premium round applications. A review of this information will provide insights into the premiums
charged - and the changes in premiums sought - for private health insurance products.
VALUE FOR MONEY ASSESSMENT
Deloitte was approached directly to provide a quote.
Page 50 of 163
FOI 4806
From previous procurement processes (for private health insurance premium round services), Deloitte
was determined to be the only consultant that is:
o qualified to do the work (based on experience with recent premium round application work),
o does not have a conflict of interest (i.e. is not providing actuarial services to any of the health
insurers for premium round applications),
o has experience on health insurance product tiers (because this consulting firm helped to
develop the health insurance product tiers and also provided the Department with a report into
private health insurance products in early 2022).
Additionally, Deloitte has experience on three previous private health insurance premium round
submissions. Importantly, Deloitte does not hold any appointed actuary roles with any private health
insurer in Australia.
The quote received from Deloitte was evaluated in line with the evaluation process used to determine
value for money for procurements where one supplier has been approached for a quotation. Deloitte
was rated as Good to Very Good on all criteria (Attachment C), and the quote was within budget for the
review.
2.
TIMEFRAME
Services will be provided for a period from execution until 30 December 2022. There is an option to
extend the review for six months.
The departmental funding allocated to this review is available only for the current financial year and
cannot be rol ed-over.
ACT 1982 BY
3.
CONTRACTUAL ARRANGEMENT
The appropriate form of contract has been prepared (Attachment A) based on the standing offer official
order template.
This is a desktop-based review. No travel is required and any costs incurred for travel
HEALTH AND AGED CARE will not be
reimbursed. Meetings with the Department will be conducted vir
INFORMATION tually.
Contract Manager
The nominated Contract Manager for this arrangement will be the Acting Assistant Director of Private
Health Policy and Financing Section, Private Health Industry Branch.
FREEDOM OF
4.
COMPLIANCE WITH COMMONWEALTH PROCUREMENT RULES
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
This approach through an existing standing offer arrangement falls under Division 1, Section 9.12 and
THE DEPARTMENT OF
9.13 of the Commonwealth Procurement Rules (CPRs).
The estimated expected maximum value of the proposed procurement is above the relevant
procurement threshold (CPRs 9.7). The Services are procured through an existing panel arrangement
(CPRs 9.12-9.13) – Management Advisory Services Panel, SON3751667.
5.
INDIGENOUS PROCUREMENT POLICY - MANDATORY SET-ASIDE (MSA)
The IPP Mandatory Set-aside does not apply to this procurement (Attachment E).
6.
EXPENDITURE APPROVAL AND FUNDS AVAILABILITY
The anticipated cost to the Department for the services is s47E(d),
(GST incl)approval is sought for up
s47G
to s47E(d),
(GST incl) consistent with your initial approval for this approach to market, given the
s47G
potential for an extended assessment period and more detailed analysis being required to support the
Minister’s decision. This is within your delegation limit under the Accountable Authority Financial
Delegations Schedule 1, Table 1, Item 3 (Branch Head) to approve proposals to commit relevant money
up to s47E(d), s47G
.
Page 51 of 163
FOI 4806
ACT 1982 BY
HEALTH AND AGED CARE
INFORMATION
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
Page 52 of 163
FOI 4806
ACT 1982 BY
HEALTH AND AGED CARE
INFORMATION
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
THE DEPARTMENT OF
Page 53 of 163
FOI 4806
s22
From:
s47F
@deloitte.com.au>
Sent:
Thursday, 27 October 2022 12:46 PM
To:
s22
; s47F
Cc:
s22
Subject:
RE:2023 Premium Round - Confidentiality and conflict deed [SEC=OFFICIAL]
Attachments:
Confidentiality and conflict deed - Organisation agreement_s4 .pdf; Confidentiality
7F
Deed Poll s47F
27102022.pdf; Confidentiality and conflict deed - Organisation
agreement - s47F
.pdf; Confidentiality and conflict deed - Organisation
agreement - s47 signed 26.10.2022.pdf; Confidentiality and conflict deed -
F
Organisation agreement_s47 .pdf
F
Categories:
Red Category
REMINDER: Think before you click! This email originated from outside our organisation. Only click links or open attachments if
you recognise the sender and know the content is safe.
Hi s22
1. Attached, please find signed confidentiality deeds of those who will be supporting with the 2023 Premium
Round applications.
ACT 1982 BY
2. Could you also arrange our access to the secure sharepoint. Below are the email addresses of our staff.
s47F
@deloitte.com.au
s47F
@deloitte.com.au
HEALTH AND AGED CARE
s47F
@deloitte.com.au
INFORMATION
s47F
@deloitte.com.au
s47F
@deloitte.com.au
Do let me know if you need any other information. I will be away from tomorrow and return on Wednesday 2/11 so
s47F
would be best point of call in that time period.
FREEDOM OF
THIS DOCUMENT HAS BEEN RELEASED UNDER THE
s47F
THE DEPARTMENT OF
s47F
D: s47F
| M: s47F
I work part time and am unavailable on a Friday.
From: s22
@health.gov.au>
Sent: Monday, 24 October 2022 4:00 PM
To: s47F
@deloitte.com.au>; s47F
@deloitte.com.au>
Cc: s22
@Health.gov.au>; KELLEHER, Brian <xxxxx.xxxxxxxx@xxxxxx.xxx.xx>
Subject: [EXT]2023 Premium Round - Confidentiality and conflict deed [SEC=OFFICIAL]
Hi s47F
and s47F
,
In preparation for the analysis of 2023 premium round applications, I will require all team members who will have
access to the health insurer applications and who will be working on the project to sign and return the attached
Confidentiality and Conflict Deed.
1
Page 54 of 163