Market research activities are understood to be underway as the Centers for Medicare & Medicaid Services works to determine the optimal acquisition strategy to compete the next iteration of the contract to support this important and high-profile enterprise system and resource that helps identify, deter, and prevent fraud, waste, and abuse (FWA) activities across the agency.
One Program Integrity (One PI) was built to be a “one-stop shop” for fraud-fighting data analysts while providing access to current and historical Medicare and Medicaid data that is used to analyze the prevention of FWA. This includes information from the Integrated Data Repository (IDR). Some primary One PI system users include CMS employees and Program Integrity Contractors, such as Unified Program Integrity Contractors (UPICs), Medicare Drug Integrity Contractors (MEDICs), and law enforcement officials.
The latest word on the One PI contract competition and timeline is that the Center for Program Integrity (CPI) is in the process of conducting one-on-one meetings with vendors. The current expectation is that CMS will post this to GSA as full and open, unrestricted in September of 2023. Any firms that are interested in bidding (and who are qualified) as a Prime or strategic sub would be wise to ask for a one-on-one meeting soon. This item has not been posted to the CMS forecast yet.
Last awarded to Optum, part of the UnitedHealth Group family of businesses, in September of 2017 as a 5-year $69M task order on the CIO-SP3 GWAC, this contract was extended until March of 2024, with the total contract value ballooning to more than $160M. Contract Details and Spend to Date for contract ID HHSM500201700023U can be found here. There were 4 bidders in 2017 and CMS has only grown more competitive in the past few years, so expect the competition to be fierce.
Shared below are some key points of contact to know, related data and a list of some of the top contractors and partner options supporting CMS today.
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Related Data:
- Project Overview: CMS Center for Program Integrity (CPI) One PI – Source: Optum
- Take AIMM: CMS and NIH Upcoming RFP Updates – Artificial Intelligence Modeling, Program Integrity, Platform & Software Development
- An eye on FY 2024: Several dozen Centers for Medicare & Medicaid Services RFP/RFQs being targeted
- CMS Opportunity Forecast – Updated 05/01/2023
- Partners targeting these three dozen CMS focused Small Businesses in the 2nd half of FY 2023
- GovCon Growth Solutions’ JR Glass shares advice for those Working With and Looking to Break Into CMS
- CMS and NIH Upcoming RFP Updates from April 2023 – Data Modernization, SBS TA Support, Eligibility Appeals, and a Multiple Award LEAD BPA
- Pushed to the Right: $50M+ CMS Marketplace Plan Management Group (MPMG) Support Opp
- FY 2024 – Centers for Medicare & Medicaid Services Justification of Estimates
- HHS Employee Directory
- 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
- 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
Key Points of Contact (current or past) Sample
- Tonya Anderson, Contracting Officer, CMS
- Colin Hahn, Contracting Specialist, CMS
- Anita Allen, Small Business Specialist for CMS
- Raymond Wedgeworth, Director, CPI Data Analytics and Systems Group, CMS
- Kathy Wolf, Deputy Director, CPI Data Analytics and Systems Group, CMS
- Sherri McQueen, Director, CPI Fraud Investigations Group, CMS
- Peter Leonis, Deputy Director, CPI Fraud Investigations Group, CMS
- David Holmes, Former OptumServe One PI Program Director, now with Index Analytics
- Samantha Radtke, Product Manager with One PI, Optum
Pro Tip 1: When viewing relevant Federal staff on LinkedIn mutual connections you have can be an indicator of a potential partner or competitor.
Partnering
Looking for an IT and consulting firm to partner with at CMS? Click Here. You can filter the list by several key indicators, including socio-economic status, NAICS, Contract vehicle, etc.
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 six weeks and that bring direct past performance and/or related relationships in support of CMS.
- Softrams **
- Dynanet
- Coforma **
- Leidos
- Nava **
- Samtek
- Index Analytics **
- Ventera
- HumanIT Solutions
- Sparksoft **
- Next Phase
- ICF / Semantic Bits **
- Skyward IT Solutions
- eSimplicity **
- RELI Group **
- Oddball
- IT Data Solutions
- C-HIT
- SoftDev
- Cloud Harbor Economics
- Ventech Solutions
- Bellese Technologies
- Edwards Performance Solutions
- INADEV **
- Nimbus Consulting
- International Consulting Associates (ICA)
- Explore Digits
- Global Alliant **
- Ad Hoc **
- TISTA
- HighPoint Digital
- CVP
- Flexion
- Unissant **
- Agile Six **
- Metric5 / Octo Metric JV
- Navitas
- Premier Enterprise Solutions
- Sprezzatura **
- iAdeptive
- Mathematica
- ARDX **
- Maximus
- AIR
- DAS Federal **
- iTech AG **
- GDIT **
- Aquia **
- J29 **
- Guidehouse
- VITG
** 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.
Pro Tip 2 – If you are a small business with capabilities and socio-economic status that might support this or any related effort, comment below and let others know you are interested. Comments are some of the most viewed portions of any article.
About OrangeSlices AI
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