Since the beginning of 2023, the OS AI team has received multiple inquiries from forward-looking Centers for Medicare & Medicaid Services (CMS) focused companies inquiring and researching potential RFQ/RFPs that stand to be competed during fiscal year 2024. Included here we share several dozen of the potential recompete opportunities that are drawing the most interest and/or inquiries across CMS, as well as some of the consulting firms that are being increasingly viewed as a top partner or competitor option (and/or potential employer).
Included below is a list which includes more than a billion dollars in contracts and IDIQ/BPAs covering everything from Program Integrity, Data Analytics and Data Sharing to Quality Measures and Reporting, Financial Systems Support and IT Systems Modernization and Digital Transformation.
OS AI Note – Dance Lightly. Do know that some of these potential requirements will NOT end up being recompeted for any number of reasons (e.g., contract consolidation, extension, cancellation, etc). And many of these early FY 2024 requirements are already in process. Regardless, this list can serve as a foundation as you build out your pipeline and start to have teaming discussions.
The expiring contracts and tasks we have received the most inquiries and interest about include:
- $20M Integrated Financial Analysis Contract (IFAC) – 75FCMC21F0083
- $19M CMS Quality Measures Management and Support for the Quality Payment Program (QMMS) – 75FCMC19F0019
- $40M+ CMS National Administrative Support (NAS) – 75FCMC19F0087
- $20M+ CMS Medicare Data Sharing Program – 75FCMC19F0062
- Fresh Squeezed Daily: $40M CMS Lead Analytical Contractor (LAC) for Risk Adjustment Data Validation (RADV) Opportunity
- $40M CMS CDN product support and management services – 75FCMC20F0040
- $20M CMS CCIIO Enrollment Assistance Program (EAP) – 75FCMC22F0081
- $90M+ CMS Information Security Support Services (ISPSS) – 75FCMC21F0082
- $29M CMS Home Health and Hospice Quality Reporting Program Quality Measures and Assessment Instruments Program Oversight Support – 75FCMC19F0001
- $20M CMS Program Support for Implementation and Development of the Physician Compare Website – 75FCMC19F0002
- $30M+ CMS Long-Term Care Hospital (LTCH), Inpatient Rehabilitation Facility (IRF) Quality Measure & Assessment Instrument Development and Maintenance and Quality Reporting Program (QRP) Support – 75FCMC19F0003
- $20M+ CMS Physician Cost Measure and Patient Relationship Codes (PCMP) – 75FCMC19F0004
- $35M+ CMS Practice Improvement and Measures Management Support – PIMMS – 75FCMC19F0088
- $24M CMS Impact Assessment of CMS Quality and Efficiency Measures – 75FCMC19F0001
- $16M CMS Inpatient Value, Incentives, and Quality Reporting Outreach and Education Support – 75FCMC19F0002
- $16M CMS Patient Safety Measure Development and Maintenance – 75FCMC19F0001
- $30M+ CMS Electronic Clinical Quality Measures (eCQM) Development and Maintenance for Eligible Clinicians – 75FCMC19F0004
- $25M+ CMS Division of Value, Incentives, and Quality Reporting (DVIQR) Program Support (DPS) – 75FCMC19F0005
- $15M CMS Value Incentives and Quality Reporting Appeals Support – 75FCMC19F0001
- $70M+ CMS Outcome Efficiency Measures for Hospital and Eligible Clinicians Development, Reevaluation and Implementation – 75FCMC19F0001
- $26M CMS Outpatient Outcome/Efficiency Measures Development, Reevaluation, and Implementation – 75FCMC19F0002
- $100M+ CMS Medicare Open Enrollment Public Education and Outreach – 75FCMC21F0001
- $20M+ CMS Medicare Prevention Awareness Education and Outreach Campaign – 75FCMC21F0001
- CMS Medicare Claims Processing and Payment Pricing and Coding Product Development – 75FCMC21F0001
- $9M CMS EADG Legacy Systems IT Modernization Planning & Implementation – 75FCMC20F0002
- CMS Medicare Payment System Modernization Integration Services (MIS) – 75FCMC21F0001
- $50M+ CMS Procurement Spend Optimization – 75FCMC20F0003
- $50M+ CMS Medicare Shared Savings Program Operational Support – 75FCMC19F0073
- $40M CMS Medicare Advantage Organizations Submitted Plan Benefit Packages Review and Analysis – 75FCMC19F0013
- Pushed to the Right: $50M+ CMS Marketplace Plan Management Group (MPMG) Support Opp – 75FCMC22F0010
- $25M CMS No Surprises Act Provider Enforcement and Transparency – 75FCMC21F0100
- $29M CMS Oversight of State Performance – Federal and State Survey/Certification and Technical Assistance to State Agencies – 75FCMC19F0074
- $500M+ CMS HIGLAS Hosting, Operations, & Maintenance (HOM) – HHSM500201700004G
- $100M+ CMS Payment Error Rate Measurement (PERM) Eligibility Review Contractor – 75FCMC19F0030
- $50M+ CMS Program Integrity Modeling and Analytic Support Contract – 75FCMC19F0112
- $300M+ CMS Benefits Coordination & Recovery Center (BCRC) – 75FCMC19F0044
- $54M+ CMS Program Integrity Modeling and Analytic Support Contract – 75FCMC19F0113
- $24M CMS Medicaid and Marketplace Program Advancement Contract (MPAC) – 75FCMC19F0105
- $40M+ CMS Recovery Auditor Contractor Data Warehouse (RACDW) – 75FCMC19F0097
- $25M+ CMS Reducing Health Disparities through Quality Improvement – 75FCMC19F0079
- $20M+ CMS CPI Medicare Part C RADV support – 75FCMC19F0092
*Update added
- $45M+ CMS Customer Support Front End System (CSFES) – 75FCMC19F0096
- CMS Innovation Payment Contractor (IPC) – 75FCMC21F0102
- $20M+ CMS Marketplace Learning Management System (MLMS) Support – 75FCMC19F0085
- $80M CMS Accountable Care Organization – Operational System (ACO-OS) and User Interface (UI) – 75FCMC19F0068
- $90M+ CMS Website Development Support 2.0 (WDS 2.0) – 75FCMC20F0009
- $400M+ CMS Cloud Products & Tools (CPT) – 75FCMC20F0080
- $250M+ CMS Large Scale Data Repository (LSDR) Operations & Maintenance – HHSM500T0002
- $900M+ CMS Infrastructure Hosting and Centralized Connectivity Services (IHCCS) – HHSM500T0003
- $175M+ CMS VDC Infrastructure Enterprise Services (VIES) – HHSM500T0002
- $50M+ CMS Medicaid 1115 Demonstration Support Contract – 75FCMC19F0008
- $40M CMS Drug Data Processing System (DDPS) & Payment Reconciliation System (PRS) – 75FCMC19F0001
- $15M+ CMS Blue Button 2.0 (BB2.0) – 75FCMC20F0001
- $17M CMS Scoring and Feedback Team Enhancements Support – 75FCMC21F0001
- $50M Quality Measures Implementation and Reporting (QMIR) – 75FCMC20F0004
- $28M ESRD Patient Registry module and EQRS Portal Support – 75FCMC21F0001
- $150M+ QPP CI&S Support – 75FCMC19F0002
- $19M Bonnie and Measure Authoring Tool (MAT) – 75FCMC19F0003
- $60M+ CMS Healthcare Fraud Prevention and Partnership(HPFF)Trusted Third Party (TTP) – 75FCMC19F0001
- Fresh Squeezed Daily: $63M CMS Data Repository Cloud Environment Maintenance and Enhancement Services Opp – 75FCMC19F0001
- Fresh Squeezed Daily: $80M+ CMS Billing System Maintenance and Modernization Opp – 75FCMC19F0001
- $17M CMS Fee for Service Data Collection System – 75FCMC19F0001
- $10M CMS Enterprise Cybersecurity Program Support Logical Follow-on – 75FCMC23F0001
- $20M+ CMS Health Care Quality Analytics and Reporting (HCQAR) – 75FCMC19F0001
- $80M CMS Unified Case Management (UCM) – 75FCMC19F0002
- CMS Medicaid Data Collection Tool (MDCT) – 75FCMC23C0016
- $44M CMS Enterprise Architecture Support Services – 75FCMC19F0001
- Fresh Squeezed Daily: $20M+ CMS FFM Marketplace Notice Production Services RFP – 75FCMC19F0001
- $32M CMS HCQIS Enterprise Integrated Supplemental Testing (HEIST) – 75FCMC19F0004
- Fresh Squeezed Daily: $43M in CMS Risk Adjustment Data Validation (RADV) Support Opps
- $60M+ CMS Medicare Shared Savings Program Support – 75FCMC19C0032
- $10M+ CMS Post-Acute Care (PAC) Quality Reporting Programs (QRP) data analytic and technical support – 75FCMC19C0039
Related Data:
- Partners targeting these three dozen CMS focused Small Businesses in the 2nd half of FY 2023
- Pushed to the Right: $50M+ CMS Marketplace Plan Management Group (MPMG) Support Opp
- FY 2024 – Centers for Medicare & Medicaid Services Justification of Estimates
- CMS Opportunity Forecast – Updated 05/01/2023
- Fresh Squeezed Daily: HHS CMS HIPAA Eligibility Transaction System (HETS) Independent Tester Contractor (HITC) opp
- Two New SDVOSB and Two WOSB GovCon IT Companies Ripe and Ready to Roll in 2023 across HHS/CMS, DHS, USDA, DOD and FBI
- CMS and NIH Upcoming RFP Updates – Data Modernization, SBS TA Support, Eligibility Appeals, and a Multiple Award LEAD BPA
- Fresh Squeezed Daily: $50M+ CMS Marketplace Plan Management Group (MPMG) Support Opp
- New Woman CEO changes perception of this CMS focused IT and Analytics solutions provider
- CMS HH Updates – ACME BPA Challenges; WOSB Set-aside on the way; and CMS seeks new blood to drive Cybersecurity integration
- Former CMS IT and business leaders drawing interest from small and mid-tier consulting firms
- Fed Health Small Business Partners set sights on recently acquired CMS and HHS IT Digital Modernization specialist
- Emerging 8(a), SDVO & WOSB IT Modernization and Cybersec SMEs top list of SB Alliances formed amongst CMS/HHS, USDA, DOD, DOJ and DHS players
- Fresh Squeezed Daily: $35M+ CMS CMCS Medicaid Drug Program (MDP) 2.0 System Support
- Small Business sets sights on upcoming $50M CMS CCIIO Marketplace Assister Technical Support RFP
- GovCon Growth Solutions’ JR Glass shares advice for those Working With and Looking to Break Into CMS
- CMS Opportunity Updates, and a GSA AI Leader pops in to discuss the Applied Healthcare AI challenge
- CMS and NIH RFP updates to kick off your Valentine’s Day week – 02/13/23
- 40+ of the top RFP/RFQ Targets for the Centers for Medicare & Medicaid Services in 2023
- 30 Centers for Medicare and Medicaid Services focused 8(a) Small Businesses drawing attention early in 2023
- 3 New Joint Ventures to watch in FY2023, especially if you cover VA T4NG, IRS and/or CMS
- CMS Org Chart. Updated May 1, 2023
- Two Dozen CMS focused Women-owned Small Businesses drawing attention
- ** New in 2023** OS AI GovCon Segment Page: Federal Civilian Health IT and Consulting
Need a Partner? CMS Focused Consulting Firms drawing the most attention:
Included below is a list of more than three dozen 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 eight weeks and that bring direct past performance and/or related relationships in support of CMS.
- Softrams **
- Dynanet
- Leidos
- Nava **
- Oddball
- Index Analytics **
- HumanIT Solutions
- International Consulting Associates (ICA)
- Cloud Harbor Economics
- Sparksoft **
- Next Phase
- ICF / Semantic Bits **
- Skyward IT Solutions
- eSimplicity **
- SoftDev
- RELI Group **
- C-HIT
- Coforma **
- Ventera
- Metric5 / Octo Metric JV
- Ventech Solutions
- Agile Six **
- Bellese Technologies
- Flexion
- Edwards Performance Solutions
- INADEV **
- Nimbus Consulting
- Explore Digits
- VITG
- Global Alliant **
- Ad Hoc **
- HighPoint Digital
- CVP
- Unissant **
- Navitas
- Premier Enterprise Solutions
- IT Concepts **
- Radiant Infotech
- Mathematica
- TISTA
- ARDX **
- AIR
- DAS Federal **
- iTech AG **
- GDIT **
- iAdeptive
- Aquia **
- J29 **
- Snowbird Agility
- Guidehouse
- Sprezzatura **
** An Elev8 GovCon Honoree, noted for a corporate culture that demonstrates 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.
Looking to identify some of the top small and large partners supporting CMS? Click Here You can filter the list by several key indicators, to include socio-economic status, NAICS, Contract vehicle, etc.
If your company has capabilities that might support these efforts, comment below to make sure others know
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