Quality Innovation Network - Quality Improvement Organizations (QIN QIO)

The Centers for Medicare and Medicaid Services (CMS) awarded a Master IDIQ to procure healthcare quality improvement services from Quality Innovation Networks - Quality Improvement Organizations (QIN-QIOs, with ordering authority closed as of July 17, 2019. This vehicle, established on July 18, 2014, has completed its useful life; no new task orders may be placed, and all 139 task orders have been fully obligated against the $829 million combined potential value.

Activity peaked in the vehicle's first two years—53 orders in 2014 and 45 in 2015—then declined sharply to 13–14 orders annually through 2019 as CMS transitioned to successor vehicles. The most recent task orders, all issued in July 2019, represent a final tranche of state and regional QIO base-award orders and administrative transitions, with completion dates between July and October 2019.

Task orders span a broad portfolio of Medicare quality initiatives: immunization improvement, behavioral health interventions, Transforming Clinical Practice Initiative (TCPI) funding, special innovation projects (SIPs) addressing opioid safety and chronic kidney disease awareness, and American Indian/Alaska Native healthcare quality. Orders are structured as state-level task orders (Indiana, Louisiana, Minnesota, Michigan, Illinois, Connecticut, and others) and special initiative task orders. Pricing splits between firm-fixed-price and cost-plus-fixed-fee arrangements; durations typically span 3–5 years with extensions through mid-2019 or early 2020.

Competition concentrated among five primes holding roughly 56 percent of combined potential value: Health Services Advisory Group ($127.5 million across 12 orders), Comagine Health ($102.2 million across 18 orders), TMF Health Quality Institute ($87.4 million across 13 orders), Quality Insights ($76.1 million across 11 orders), and Qsource ($73 million across 11 orders). The remaining 8 primes, including Healthcentric Advisors, StratisHealth, Telligen, and Qualis Health, held the remaining 44 percent. All 139 orders carried no set-aside designation and funded exclusively through CMS, with 100 percent of potential value obligated by July 2019. Individual task-order ceilings ranged from roughly $350,000 to $18.2 million (American Indian/Alaska Native Healthcare Quality Initiative), with typical state-level orders in the $9–17 million range.

The Centers for Medicare and Medicaid Services (CMS) has awarded a Master IDIQ to procure expert healthcare quality improvement services from Quality Innovation Networks - Quality Improvement Organizations (QIN-QIOs) for purposes of improving care for Medicare beneficiaries in a manner that aligns with the work that CMS will be doing in its efforts towards achievement of the National Quality Strategy (NQS) and the CMS Quality Strategy along with the other strategies, goals, recommendations, and priorities.