Research, Measurement, Assessment, Design, and Analysis 2 (RMADA 2)

The Centers for Medicare and Medicaid Services awarded the Research, Measurement, Assessment, Design, and Analysis 2 (RMADA 2) Master IDIQ on September 26, 2019 to provide analytic support and technical assistance for CMS models and demonstration programs, with ordering open through December 31, 2026. The vehicle is multiple-award with no set-aside, a shared ceiling of $294,117,647, and 15 distinct primes. The lifecycle record shows 2 months 13 hours of ordering authority remaining. The predecessor is Research Measurement Assessment Design and Analysis, awarded July 10, 2014; the source names no successor.

Ninety-seven task orders have been placed since August 3, 2020, most recently on September 29, 2026. Annual volume ran 14 orders in 2022, 12 in 2023, 21 in 2024, 8 in 2025, and 17 in 2026. Combined task-order dollars obligated total $1.39 billion, or 54% of the $2.58 billion combined potential value.

Awarded orders buy model implementation and monitoring, independent evaluations of CMMI models (including GUIDE, ACCESS, TEAM, IOTA, the Ambulatory Specialty Model, and the Cell and Gene Therapy Access Model), learning-system operation, Section 1115 demonstration support, and Medicaid financial oversight analysis. Most orders are cost-plus-fixed-fee, with some firm-fixed-price and time-and-materials orders.

Mathematica Inc. leads with 29 orders and $692.3 million in combined potential value, followed by The Lewin Group, Inc. (11 orders, $529.7 million), National Opinion Research Center (10 orders, $303.7 million), and Deloitte Consulting LLP (10 orders, $265.9 million). The five largest firms by order count cover 70% of task orders, and the remaining primes form a smaller tail. American Institutes For Research In The Behavioral Sciences ranks third by potential value at $193.3 million across 8 orders.

Department of Health and Human Services Centers for Medicare and Medicaid Services is the sole customer agency, placing 100% of orders.

Every order carries "No Set-Aside Used."

Notable task orders include Learning Collaboratives to Support the Development of High Performing State Health Coverage Programs ($105.6 million obligated against a $137.6 million ceiling, awarded December 13, 2022), Medicare Current Beneficiary Survey ($141.8 million obligated, awarded April 30, 2021), and Technical Assistance and Analytic Support for the Medicaid and CHIP Quality Measurement and Improvement Program ($48.0 million obligated, awarded August 17, 2023). Ceilings and obligations are task-order figures, not typical order values.

The Centers for Medicare and Medicaid Services (CMS) awarded Indefinite Delivery Indefinite Quantity (IDIQ) contracts to provide CMS with a wide range of analytic support and technical assistance activities that support models and demonstration programs created or derived under the auspices of the Patient Protection & Affordable Care Act (ACA), the Medicare Access and CHIP Reauthorization Act (MACRA), other non-ACA statutes, and future health reform legislation. The demands of new reforms created under ACA have redefined the way CMS approaches and conducts research activities, Model Testing, and demonstrations affecting Medicare, Medicaid, CHIP, and uninsured populations. The role of state and private sector payers is also being redefined, as many of the new models include multiple payers working in collaboration with CMS to reform the care delivery system. The RMADA 2 IDIQ contract provides CMS with a robust tool to meet these needs and opportunities. The Contractors will work with CMS on matters including but not limited to: Supporting all aspects of model design, implementation and operations (with the exception of information technology design, application and security); Conducting programmatic technical, and environmental analyses; Assisting with application development and review of model participants / applicants; Monitoring of model site's and participant's progress; Designing and carrying out surveys and other primary data collection activities; Obtaining and analyzing secondary data sources including data regarding Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) and data from private payer sources needed to support model design, operations and evaluations; Reporting on formative and summative analyses; Providing rapid cycle evaluation feedback to CMS and/or model participants; and Implementing learning systems to support accelerated learning and improvement and dissemination of promising practices; and creating summative reports of annual and final program findings.