Network of Quality Improvement and Innovation Contractors (NQIIC)

The Centers for Medicare and Medicaid Services established this Master IDIQ on February 1, 2019, with a combined potential value of $25 billion and a shared ceiling of that amount, but ordering closed on January 30, 2024, making this vehicle no longer available for new task orders. The vehicle supported quality improvement initiatives across Medicare and Medicaid programs, including Quality Innovation Network–Quality Improvement Organizations (QIN-QIO), End Stage Renal Disease (ESRD) Network work, hospital-focused large-scale improvement initiatives, and clinician-focused technical assistance.

Sixty task orders were awarded under NQIIC between November 2019 and May 2026. Combined task-order potential value across all 60 awards reached $1.41 billion, with $1.37 billion obligated (97% of potential value). Task-order awards peaked in 2021 with 21 orders; ordering activity declined to two orders in 2023 before rising to six orders in 2026. Nearly all work was unrestricted (98% of orders); one task order carried a total small-business set-aside designation. All 60 orders funded CMS programs exclusively.

Five firms captured 62% of awarded task orders by count. Health Services Advisory Group held 12 orders worth $217.7 million combined potential value; Island Peer Review Organization held 10 orders worth $227.8 million; Quality Insights held 6 orders worth $60.3 million; Comagine Health held 5 orders worth $120.4 million; and Alliant Health Solutions held 4 orders worth $92.4 million. When ranked by combined potential value, Island Peer Review Organization, Health Services Advisory Group, TMF Health Quality Institute, Telligen, and Health Quality Innovators collectively held 63% of potential value across the vehicle. The remaining 11 awarded primes shared the remainder. Task-order durations typically spanned three to five years. Recent orders (May 2026) for ESRD Networks showed task-order ceilings in the $5 million to $8.2 million range; larger infrastructure and quality improvement orders in 2025 carried ceilings in the $30 million to $78 million range under cost-plus-fixed-fee pricing.

This IDIQ supports quality improvement efforts across settings and programs to maximum impact to healthcare and value to taxpayers, entitled the NQIIC. The IDIQ contract allows for the full spectrum of quality improvement work that is in operation under the current various networks. This work currently includes the QIN-QIO work, the ESRD Network work, the hospital focused large scale improvement work, clinician-focused technical assistance work, and other quality improvement work.