The Centers for Medicare and Medicaid Services (CMS) awarded a $216,225,278 cost-plus-fixed-fee delivery order contract to Qlarant Integrity Solutions LLC, a subsidiary of Qlarant Inc., to provide investigations and program integrity services under the Unified Program Integrity Contract (UPIC) vehicle. The contract, which runs through September 2028, tasks Qlarant with conducting proactive data analysis on Medicare Parts C and D to identify fraud, waste, and abuse. Qlarant is a non-profit...
The Centers for Medicare and Medicaid Services (CMS) awarded a $243,700,060.32 Unified Program Integrity Contract (UPIC) task order to Qlarant Integrity Solutions LLC, a subsidiary of Qlarant Inc., a non-profit organization. The UPIC Western Jurisdiction task order is a cost-plus-award-fee contract with a period of performance through December 31, 2027. The contract is part of the larger UPIC program, which is focused on conducting proactive data analysis to identify fraud, waste, and abuse...
The Centers for Medicare and Medicaid Services (CMS) awarded a Unified Program Integrity Contract (UPIC) South-Western Jurisdiction contract to Qlarant Integrity Solutions LLC, a subsidiary of Qlarant Inc. This cost-plus-award-fee contract, valued at $236,559,047.84, is for the delivery of services related to the UPIC program. The UPIC is a larger contract vehicle that provides program integrity services to CMS. Qlarant Integrity Solutions LLC is a non-profit organization that specializes in...
This federal contract award is for the Qualified Independent Contractor (QIC) DME Demonstration, which provides independent review services for Medicare appeals. The contract was awarded to C2C Innovative Solutions, Inc., a subsidiary of TMF Health Quality Institute, by the Centers for Medicare and Medicaid Services (CMS), a civilian agency within the Department of Health and Human Services (HHS). The contract has a ceiling value of $33,234,132.54 and was awarded as a Delivery Order under...
The U.S. Centers for Medicare and Medicaid Services (CMS) awarded a Firm Fixed Price contract to David-James LLC, a professional services firm specializing in auditing, examination, and oversight services for federal health agencies. The contract, worth up to $290,000.00, is for audit services related to CMS's Medicare Advantage and Medicare Part D programs, including conducting annual financial audits of Medicare Advantage organizations and Medicare Part D plans, performing examinations of...
This is a delivery order contract awarded by the Centers for Medicare & Medicaid Services (CMS) to International Business Machines Corporation (IBM) for $51,978,692.00. The contract is for the procurement of the first of two Program Integrity Modeling and Analytic Support Contracts, which are part of CMS's Major Program Code "PI MODELING & ANALYTICS (FORMERLY FRAUD SYSTEM ENHANCEMENTS)". The contract is a Cost Plus Fixed Fee contract type under the Chief Information Officer -...
This federal contract award is a delivery order under a larger Indefinite Delivery/Indefinite Quantity (IDIQ) contract with the Centers for Medicare and Medicaid Services (CMS), known as the CMS Alliance to Modernize Healthcare (CAMH) Federally Funded Research & Development Center (FFRDC) IDIQ. The prime contractor is The Mitre Corporation, a non-profit organization that operates FFRDCs and provides technical support to the U.S. government. The purpose of this $3,063,731.36...
This federal contract was awarded by the Centers for Medicare and Medicaid Services (CMS), a civilian agency under the Department of Health and Human Services, to C2C Innovative Solutions, Inc. (C2C), a subsidiary of TMF Health Quality Institute. The contract is for $158,224,966.41 to provide Qualified Independent Contractor (QIC) services for the Medicare program, including independent review of Medicare appeals. C2C has provided a range of services in support of CMS under this and other...
This delivery order, awarded under the Research Measurement Assessment Design and Analysis 2 (RMADA 2) indefinite delivery contract vehicle by the Centers for Medicare and Medicaid Services (CMS), is for $5.696 million to provide analytic and monitoring services supporting the Center for Medicare and Medicaid Innovation (CMMI). The services include identifying, developing, and implementing strategies to target suspicious billing behavior or non-compliance with policies for the Medicare...
This is a delivery order contract awarded by the Centers for Medicare and Medicaid Services (CMS), a civilian agency within the U.S. Department of Health and Human Services, to C2C Innovative Solutions, Inc. (C2C) for the PART D QIC RECONSIDERATION PROGRAM. C2C, a subsidiary of TMF Health Quality Institute, is a Qualified Independent Contractor (QIC) providing independent review services for Medicare appeals. The contract has a ceiling value of $47,752,710.60 and a period of performance...