Department of Labor awards $61.6M contract for OWCP workers' compensation medical bill processing to ACENTRA HEALTH LLC

Contract Overview

Contract Amount: $61,563,985 ($61.6M)

Contractor: Acentra Health LLC

Awarding Agency: Department of Labor

Start Date: 2016-05-18

End Date: 2025-06-30

Contract Duration: 3,330 days

Daily Burn Rate: $18.5K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 3

Pricing Type: FIRM FIXED PRICE

Sector: Other

Official Description: OWCP WORKERS' COMPENSATION MEDICAL BILL PROCESSING IGF::OT::IGF

Place of Performance

Location: WASHINGTON, DISTRICT OF COLUMBIA County, DISTRICT OF COLUMBIA, 20210

State: District of Columbia Government Spending

Plain-Language Summary

Department of Labor obligated $61.6 million to ACENTRA HEALTH LLC for work described as: OWCP WORKERS' COMPENSATION MEDICAL BILL PROCESSING IGF::OT::IGF Key points: 1. Contract awarded to ACENTRA HEALTH LLC for medical bill processing services. 2. The contract has a significant value of $61.6 million. 3. Services fall under 'All Other Insurance Related Activities'. 4. The contract duration extends to June 2025.

Value Assessment

Rating: fair

The contract's firm fixed price structure aims for cost control. Benchmarking against similar medical bill processing contracts is needed to fully assess value, as specific per-unit costs are not provided.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

The contract was awarded under full and open competition, suggesting a competitive bidding process. This method generally promotes price discovery and potentially better pricing for the government.

Taxpayer Impact: The firm fixed price contract aims to provide predictable costs for taxpayers over the contract's life.

Public Impact

Ensures timely processing of workers' compensation medical bills for injured federal employees. Supports the Department of Labor's mission in administering benefits. Impacts healthcare providers submitting bills for services rendered to federal workers.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

  • Lack of specific per-unit cost data for benchmarking.
  • Contract duration extends to mid-2025, requiring ongoing monitoring.

Positive Signals

  • Awarded under full and open competition.
  • Firm fixed price contract type.

Sector Analysis

This contract falls within the broader insurance and administrative services sector. Spending benchmarks for similar government contracts in medical bill processing would provide context for the $61.6 million award.

Small Business Impact

The data indicates this contract was not awarded to small businesses, as 'sb' is false. Further analysis would be needed to determine if small business participation was sought or achieved through subcontracting.

Oversight & Accountability

The contract is managed by the Office of the Assistant Secretary for Administration and Management within the Department of Labor. Oversight should focus on performance metrics and adherence to the firm fixed price.

Related Government Programs

  • All Other Insurance Related Activities
  • Department of Labor Contracting
  • Office of the Assistant Secretary for Administration and Management Programs

Risk Flags

  • Potential for cost overruns if not managed tightly.
  • Dependence on a single vendor for critical administrative function.
  • Lack of transparency on specific performance metrics.
  • No indication of small business participation.

Tags

all-other-insurance-related-activities, department-of-labor, dc, definitive-contract, 10m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Labor awarded $61.6 million to ACENTRA HEALTH LLC. OWCP WORKERS' COMPENSATION MEDICAL BILL PROCESSING IGF::OT::IGF

Who is the contractor on this award?

The obligated recipient is ACENTRA HEALTH LLC.

Which agency awarded this contract?

Awarding agency: Department of Labor (Office of the Assistant Secretary for Administration and Management).

What is the total obligated amount?

The obligated amount is $61.6 million.

What is the period of performance?

Start: 2016-05-18. End: 2025-06-30.

What is the average cost per medical bill processed under this contract compared to industry benchmarks?

Without specific per-unit cost data, it's challenging to provide an exact benchmark. However, the contract's firm fixed price structure suggests an expectation of cost efficiency. A detailed review of the contract's performance metrics and comparison with similar government or private sector contracts for medical bill processing would be necessary to establish a reliable per-unit cost benchmark and assess value.

What are the key performance indicators (KPIs) used to measure the effectiveness of ACENTRA HEALTH LLC's bill processing?

The contract details do not explicitly list the KPIs. However, typical KPIs for such services include processing turnaround time, accuracy rates, claim denial rates, and compliance with relevant regulations. The Department of Labor's Office of the Assistant Secretary for Administration and Management should be monitoring these metrics to ensure effective service delivery and contractor performance.

Are there any identified risks associated with the long-term duration of this contract and the potential for vendor lock-in?

The contract duration extends to June 2025, which is a moderate term. Risks of vendor lock-in are generally mitigated by the initial full and open competition. However, the Department should periodically reassess the market for bill processing services to ensure continued competition and value, especially as the contract nears its end.

Industry Classification

NAICS: Finance and InsuranceAgencies, Brokerages, and Other Insurance Related ActivitiesAll Other Insurance Related Activities

Product/Service Code: SUPPORT SVCS (PROF, ADMIN, MGMT)PROFESSIONAL SERVICES

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION

Solicitation Procedures: NEGOTIATED PROPOSAL/QUOTE

Solicitation ID: DOL141RP21903

Offers Received: 3

Pricing Type: FIRM FIXED PRICE (J)

Evaluated Preference: NONE

Contractor Details

Address: 2277 RESEARCH BLVD, ROCKVILLE, MD, 20850

Business Categories: Category Business, Corporate Entity Not Tax Exempt, Minority Owned Business, Not Designated a Small Business, Special Designations, Subchapter S Corporation, Indian (Subcontinent) American Owned Business, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $193,087,464

Exercised Options: $191,858,046

Current Obligation: $61,563,985

Actual Outlays: $126,942,269

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES

Cost or Pricing Data: NO

Timeline

Start Date: 2016-05-18

Current End Date: 2025-06-30

Potential End Date: 2025-06-30 00:00:00

Last Modified: 2026-02-23

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