Healthcare Grouper Software RFO

The Texas Health and Human Services Commission (HHSC), in partnership with the Department of State Health Services (DSHS), is seeking an integrated software solution for healthcare grouper functionality. The system must process inpatient and outpatient claims data to generate risk-adjusted groupings for claims adjudication, analytics, quality measurement, and support statewide value-based healthcare initiatives. Vendors must provide software and related services, including data quality assurance features.