HHS Awards $423M Medicare Contractor Contract to National Government Services for Jurisdiction K

Contract Overview

Contract Amount: $423,381,048 ($423.4M)

Contractor: National Government Services, Inc.

Awarding Agency: Department of Health and Human Services

Start Date: 2022-01-01

End Date: 2026-12-31

Contract Duration: 1,825 days

Daily Burn Rate: $232.0K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 2

Pricing Type: COST PLUS AWARD FEE

Sector: Healthcare

Official Description: PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK)

Place of Performance

Location: INDIANAPOLIS, MARION County, INDIANA, 46250

State: Indiana Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $423.4 million to NATIONAL GOVERNMENT SERVICES, INC. for work described as: PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK) Key points: 1. Contract value of $423.4M over 5 years. 2. Awarded via full and open competition. 3. Risk of service disruption if contractor underperforms. 4. Sector: Healthcare - Health Insurance Carriers.

Value Assessment

Rating: good

The contract type is Cost Plus Award Fee, which incentivizes performance. The total award value appears reasonable for a multi-year MAC contract covering a large jurisdiction.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

The contract was awarded through full and open competition, suggesting a robust price discovery process. This method typically leads to more competitive pricing.

Taxpayer Impact: Competitive bidding in this large contract is expected to yield efficient use of taxpayer funds for Medicare administration.

Public Impact

Ensures continued administration of Medicare benefits for beneficiaries in Jurisdiction K. Impacts healthcare providers through claims processing and payment. Supports the operational efficiency of the Medicare program.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

  • Potential for cost overruns with Cost Plus Award Fee structure.
  • Contractor performance risk impacting Medicare beneficiaries.
  • Dependency on a single contractor for critical services.

Positive Signals

  • Awarded through full and open competition.
  • Clear performance incentives via Award Fee structure.
  • Long-term contract provides stability for service delivery.

Sector Analysis

This contract falls within the Health and Medical Insurance Carriers sector, which is crucial for the functioning of the US healthcare system. Spending in this area is significant and directly tied to Medicare program operations.

Small Business Impact

The provided data does not indicate any specific set-asides for small businesses. Analysis of small business participation would require further review of subcontracting plans.

Oversight & Accountability

The Centers for Medicare and Medicaid Services (CMS) is responsible for oversight. Performance will be monitored through award fee criteria and contract management processes.

Related Government Programs

  • Direct Health and Medical Insurance Carriers
  • Department of Health and Human Services Contracting
  • Centers for Medicare and Medicaid Services Programs

Risk Flags

  • Potential for cost creep in CPAF contracts.
  • Contractor performance failure could disrupt Medicare services.
  • Lack of explicit small business participation goals.
  • High concentration of spending on a single contractor.

Tags

direct-health-and-medical-insurance-carr, department-of-health-and-human-services, in, definitive-contract, 100m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $423.4 million to NATIONAL GOVERNMENT SERVICES, INC.. PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION K (JK)

Who is the contractor on this award?

The obligated recipient is NATIONAL GOVERNMENT SERVICES, INC..

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 $423.4 million.

What is the period of performance?

Start: 2022-01-01. End: 2026-12-31.

What is the benchmark for administrative costs per Medicare beneficiary for this contract?

Benchmarking administrative costs per beneficiary requires detailed data on the number of beneficiaries within Jurisdiction K and historical cost data for similar MAC contracts. Without this specific data, a precise benchmark is difficult to establish. However, the total contract value of $423.4M over five years suggests an average annual cost of approximately $84.7M. Further analysis would compare this to the beneficiary count and industry standards.

What are the key performance indicators (KPIs) tied to the award fee structure?

The award fee structure is designed to incentivize high performance. Key performance indicators likely include metrics related to claims processing timeliness, accuracy rates, customer service satisfaction for beneficiaries and providers, and adherence to program integrity requirements. Specific KPIs would be detailed in the contract's performance work statement and award fee plan.

How does the Cost Plus Award Fee structure compare to other contract types for similar services in terms of cost control?

Cost Plus Award Fee (CPAF) contracts offer flexibility and incentivize performance but can be susceptible to cost overruns if not managed tightly. Compared to fixed-price contracts, CPAF provides less upfront cost certainty for the government. However, the award fee component aims to mitigate this by rewarding efficient performance, potentially leading to better overall value than a poorly managed fixed-price contract.

Industry Classification

NAICS: Finance and InsuranceInsurance CarriersDirect Health and Medical Insurance Carriers

Product/Service Code: SOCIAL SERVICESSOCIAL SERVICES

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION

Solicitation Procedures: NEGOTIATED PROPOSAL/QUOTE

Solicitation ID: 75FCMC21R0001

Offers Received: 2

Pricing Type: COST PLUS AWARD FEE (R)

Evaluated Preference: NONE

Contractor Details

Parent Company: Elevance Health, Inc.

Address: 8115 KNUE RD, INDIANAPOLIS, IN, 46250

Business Categories: Category Business, Corporate Entity Not Tax Exempt, Not Designated a Small Business, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $817,903,412

Exercised Options: $579,983,170

Current Obligation: $423,381,048

Actual Outlays: $358,847,110

Subaward Activity

Number of Subawards: 12

Total Subaward Amount: $34,875,390

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: YES

Timeline

Start Date: 2022-01-01

Current End Date: 2026-12-31

Potential End Date: 2028-12-31 00:00:00

Last Modified: 2026-03-31

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