HHS Awards $597M Contract for Beneficiary Protection Case Review Services to Livanta LLC

Contract Overview

Contract Amount: $596,827,551 ($596.8M)

Contractor: Livanta LLC

Awarding Agency: Department of Health and Human Services

Start Date: 2019-05-01

End Date: 2029-04-30

Contract Duration: 3,652 days

Daily Burn Rate: $163.4K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 2

Pricing Type: COST PLUS FIXED FEE

Sector: Other

Official Description: BENEFICIARY PROTECTION: CASE REVIEW SERVICES

Place of Performance

Location: ANNAPOLIS JUNCTION, HOWARD County, MARYLAND, 20701

State: Maryland Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $596.8 million to LIVANTA LLC for work described as: BENEFICIARY PROTECTION: CASE REVIEW SERVICES Key points: 1. Contract value of $596.8M over 10 years indicates significant long-term investment. 2. Full and open competition suggests a competitive bidding process. 3. Risk of cost overruns exists with Cost Plus Fixed Fee (CPFF) pricing. 4. Services fall under 'Other Management Consulting Services', a broad category.

Value Assessment

Rating: fair

The Cost Plus Fixed Fee (CPFF) structure allows for potential cost overruns if not managed tightly. Benchmarking against similar large-scale consulting contracts is difficult without more specific service details.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

The contract was awarded under full and open competition, suggesting multiple bidders participated. This method generally promotes price discovery and competitive pricing.

Taxpayer Impact: Taxpayer funds are being utilized for essential beneficiary protection services, with competition aiming to ensure value for money.

Public Impact

Ensures protection for Medicare and Medicaid beneficiaries through case reviews. Supports the integrity and quality of healthcare services provided. Long-term contract duration provides stability for service delivery.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

  • CPFF pricing can lead to cost overruns.
  • Broad service category may obscure specific cost drivers.
  • Long contract duration increases exposure to changing needs.

Positive Signals

  • Full and open competition.
  • Significant investment in beneficiary protection.
  • Long-term stability for service provision.

Sector Analysis

This contract falls under management consulting services, crucial for government operations. Benchmarks for such large, long-term contracts are highly variable based on scope and complexity.

Small Business Impact

The data does not indicate whether small businesses were involved as subcontractors. The primary awardee is Livanta LLC.

Oversight & Accountability

The Centers for Medicare and Medicaid Services (CMS) is responsible for oversight. The contract's long duration necessitates robust monitoring to ensure performance and cost control.

Related Government Programs

  • Other Management Consulting Services
  • Department of Health and Human Services Contracting
  • Centers for Medicare and Medicaid Services Programs

Risk Flags

  • Potential for cost overruns due to CPFF.
  • Long contract duration increases risk of scope creep or obsolescence.
  • Broad service category lacks specific performance indicators in summary.
  • Dependence on a single contractor for critical beneficiary protection.

Tags

other-management-consulting-services, department-of-health-and-human-services, md, delivery-order, 100m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $596.8 million to LIVANTA LLC. BENEFICIARY PROTECTION: CASE REVIEW SERVICES

Who is the contractor on this award?

The obligated recipient is LIVANTA LLC.

Which agency awarded this contract?

Awarding agency: Department of Health and Human Services (Centers for Medicare and Medicaid Services).

What is the total obligated amount?

The obligated amount is $596.8 million.

What is the period of performance?

Start: 2019-05-01. End: 2029-04-30.

What specific metrics are used to evaluate the effectiveness of Livanta LLC's case review services in protecting beneficiaries?

Effectiveness is likely measured by metrics such as the number of beneficiary complaints resolved, the accuracy of case reviews, adherence to regulatory timelines, and the impact on reducing improper payments or identifying quality of care issues. CMS would establish specific performance standards and Key Performance Indicators (KPIs) within the contract.

How does the CPFF structure mitigate risks associated with potential cost overruns for this extensive 10-year contract?

While CPFF inherently carries cost overrun risk, mitigation strategies include stringent oversight, detailed cost reporting requirements, and clearly defined fixed-fee components. The government must actively monitor expenditures against the estimated cost and the fixed fee, potentially exercising options to re-evaluate pricing or scope if costs escalate unreasonably.

What is the anticipated impact of these case review services on the overall efficiency and cost-effectiveness of Medicare and Medicaid programs?

These services are expected to improve program efficiency by identifying and rectifying issues that lead to improper payments or substandard care, thereby reducing long-term costs. Effective case reviews can enhance program integrity, ensure compliance, and ultimately lead to better health outcomes for beneficiaries, justifying the investment.

Industry Classification

NAICS: Professional, Scientific, and Technical ServicesManagement, Scientific, and Technical Consulting ServicesOther Management Consulting Services

Product/Service Code: MEDICAL SERVICESDEPENDENT MEDICARE SERVICES

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION

Solicitation Procedures: SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY

Solicitation ID: 75FCMC18R0034

Offers Received: 2

Pricing Type: COST PLUS FIXED FEE (U)

Evaluated Preference: NONE

Contractor Details

Address: 10820 GUILFORD RD STE 202, ANNAPOLIS JUNCTION, MD, 20701

Business Categories: Category Business, Limited Liability Corporation, Not Designated a Small Business, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $596,827,551

Exercised Options: $596,827,551

Current Obligation: $596,827,551

Actual Outlays: $283,074,282

Subaward Activity

Number of Subawards: 445

Total Subaward Amount: $383,610,365

Contract Characteristics

Multi-Year Contract: Yes

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: NO

Parent Contract

Parent Award PIID: 75FCMC19D0070

IDV Type: IDC

Timeline

Start Date: 2019-05-01

Current End Date: 2029-04-30

Potential End Date: 2029-04-30 00:00:00

Last Modified: 2025-09-17

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