Over the past few months, the OS AI team has received more than 100 inquiries from CMS-focused companies inquiring and researching potential RFQ/RFPs that stand to be competed at the Department of Health and Human Services Centers for Medicare & Medicaid Services in 2023.
Here we share more than 40 potential opportunities that are drawing the most interest and/or inquiries, as well as the CMS-focused consulting firms that are increasingly viewed as a top partner or competitor option (and/or potential employer). The list list includes several large opportunities, with contracts and tasks covering everything from IT Modernization, Measures Development, and Cloud Operations, to Data Analytics, Application Development and Program Integrity.
Note: Some of the requirements included here will be awarded in 2024, but the focus for this list is on those opportunities that are likely to be competed in the next calendar year.
Dance Lightly. Do know that some of these potential requirements will NOT end up being recompeted in 2023 for any number of reasons (e.g., contract consolidation, extension, cancellation, etc), but this list can serve as a great foundation as you build out your pipeline and start to have teaming discussions.
- $43M in CMS Risk Adjustment Data Validation (RADV) Support Opps
- $75M Payment Error Rate Measurement eligibility review contractor – 75FCMC19F0030
- $20M+ CMS Improper Payments Measurement Programs Support Opp
- $25M+ CMS Quality Measures Development and Quality Reporting Support Opp
- $20M+ Comparative billing reports / programs to evaluate payment patterns electronic contractor – 75FCMC18F0096
- CMS Data Collection, Management and Reporting System Support Opp – 75FCMC18F0070
- $60M CMS Technical Assistance and Analytic Support Opp
- $28M CMS Federal Meta-Analysis Support Opp
- Medicare Learning Network Product Development and Quality Assurance Program – 75FCMC19F0011
- CMS Website Development and Testing Support opportunity
- $50M+ CMS Health Plan Management System (HPMS) Support
- $40M CMS Lead Analytical Contractor (LAC) for Risk Adjustment Data Validation (RADV) Opportunity
- $25M+ Home Health and Hospice Quality Reporting Program Quality Measures and Assessment Instruments Support – 75FCMC19F0001
- $200+M Measures Management System (MMS) – 75FCMC18F0001
- $25M+ CMS Health Insurance Exchange and Financial Management Operational Analytics contract
- Blue Button 2.0 (BB2.0) – 75FCMC20F0001
- $40M+ Quality Measures Implementation and Reporting (QMIR) – 75FCMC20F0004
- $63M CMS Data Repository Cloud Environment Maintenance and Enhancement Services Opp
- $200M CMS End-User Centric IT Support (ECIS) contract
- $19M Quality Measures Management and Support for the Quality Payment Program (QMMS) – 75FCMC19F0019
Additions from initial push
- $25M+ EQRS Patient Registry module and the EQRS Portal Support – 75FCMC21F0001
- CACHE -Infrastructure as a Service (IaaS) – New
- Cloud Security Operations and Maintenance (Cloud SecOps) – 75FCMC20F0052
- $16M Medicare Authenticated Experience (MAX) – 75FCMC20F0042
- Monitoring And Evaluation of Medicare Part C and D Plan Sponsors’ Customer Service and Pharmacy Call Centers – 75FCMC18F0003
- $25M Medical Record Review Contractors (MRRC) – 75FCMC19C0015
- NCCI Medicare and Medicaid Program – 75FCMC19C0008
- $24M Medical Review Accuracy Contractor – 75FCMC18C0036
- $200M+ Centers for Medicare & Medicaid Services Eligibility Appeals Operations Support (EAOS) contract
- Eligibility Appeals Operations Support (EAOS) IT Contract
- 90M+ Multi Carrier System Support – 75FCMC18F0001
- ISPG Managed Social Engineering Program Support – New
- ESSG Operational Governance Support (OGS) – New
- $19M CMMI learning systems design, development, deployment and maintenance – 75FCMC18F0003
- $49M Medicare Payment System Modernization (MPSM) BPA
- $30M+ HHS CMS Risk Adjustment Data Validation (RADV) Support Opp
- $80M+ CMS Billing System Maintenance and Modernization Opp
- $25M+ CMS Web Experience and Content Management Services (WECMS)
- $196M CMS Innovation Development and Operation Services (IDOS) (now CTS) contract
- MA Network Adequacy Review – 75FCMC20F0069
Please note that the research requestors for these items received a Premium OS AI Opp Segment report including 1) known details about how/if/when/where these contracts will be competed; 2) a list of the top companies that are in position to win today (as well as those who have been making key investments and moves of late to position for a win); and 3) a detailed list of the top potential opportunity influencers any potential bidder will want to get to know.
Related Data
- CMS Opportunity Updates (ACME, NDW, Cloud Ops, ECIS, etc.); Zoom Bombers; Big Mustaches; and more…, November 3, 2022
- 3 New Joint Ventures to watch in FY2023, especially if you cover VA T4NG, IRS and/or CMS
- 20+ Federal CMS Focused Companies drawing a lot of attention this Summer, October 2022
- Org Chart – CMS Approved Leadership as of November 1, 2022
- FY2023 CMS Congressional Justification of Estimates for CMS
- New Small Business Alliances formed for some leading GovCon companies in FY 2022
- 30 HHS-Focused Woman-Owned Small Businesses making noise as we enter FY 2023
Looking for an 8(a), WOSB, HUBZone or SDVOSB to partner with at CMS? Click Here
You can filter the list by several key indicators, to include socio-economic status, NAICS, Contract vehicle, etc.
If you are a small business with capabilities and socio-economic status that might support this effort, comment below and we will add you to the list.
Firms drawing the most attention:
Included below is a list of the large and small companies we have noted as drawing the most views by Government and industry leaders on the OrangeSlices AI consultant directory over the past week and that bring direct past performance and/or related relationships in support of CMS.
- RELI Group
- Index Analytics**
- eSimplicity
- Deloitte
- A Square Group
- Nava **
- Sparksoft
- LMI
- AIR
- GDIT**
- Leidos
- Booz Allen Hamilton
- Ad Hoc
- HighPoint Digital
- Peraton
- LeCor Technology Services
- Fearless **
- Softrams
- Analytica
- Oddball
- Think Systems (Think)
- ICF / SemanticBits
- Coforma
- Signature Consulting Group
- SoftDev
- Livanta
- NewWave
- Corbalt
- KPMG
- ARDX**
- InnovTech
- CVP
- Agile Six **
- iTech AG**
- Explore Digits
- iAdeptive
** An Elev8 GovCon Honoree, noted for a corporate culture that demonstrates its own excellence, making the company a beacon for talent, for partners, and for clients.
We cannot and will not speculate here as to the reasons for the increased interest, but whether it is a company evaluating them as a potential partner; a federal acquisition leader doing their due diligence; or a consultant weighing their next job move, this group of companies has been receiving increased interest.
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