Comprehensive Care for Joint Replacement (CJR) Payment Reconciliation Task Order
Awarded Limited / Sole Source Justification Posted
- Solicitation number
- 261191
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Set-aside
- No set-aside
Opportunity facts
- Contract number
- 75FCMC19D0091-75FCMC22F0002 Federal contract award
- Awardee
- Mathematica Inc.
- NAICS code
- 541720 Research and Development in the Social Sciences and Humanities
- Place of performance
- Princeton, New Jersey, United States
- Points of contact
Notice details come from SAM.gov. Updated .
About this opportunity
The Centers for Medicare and Medicaid Services (CMS) issued a Justification for an Exception to Fair Opportunity on March 26, 2026, for a sole-source contract modification to the Research, Measurement, Assessment, Design and Analysis 2 (RMADA2) IDIQ contract (75FCMC19D0091/75FCMC22F0002) awarded to Mathematica, Inc. The modification adds a three-month option period from March 31, 2026, through June 30, 2026, valued at $156,693 on a cost-neutral basis, bringing the total contract value with all options to $9,100,206 under a Cost Plus Fixed Fee structure. The services involve operationalizing the Comprehensive Care for Joint Replacement (CJR) Payment Reconciliation model, including extracting Medicare claims data, calculating quality-adjusted target prices, determining reconciliation amounts, and delivering reconciliation reports to approximately 325 participating hospitals while providing monthly data feeds and technical assistance. CMS justified the sole-source award under FAR 16.507-6(b)(2), citing Mathematica's exclusive institutional knowledge, specialized expertise, proprietary methodologies developed over eight years of performance, and unique access to critical systems—factors that would create significant cost duplication, unacceptable delays, and operational risks if transitioning to a different contractor.
Notice text
Awarded contract 75FCMC19D0091 to unknown vendor for unknown amount on 2026-03-20.
Files
| File | Type | Posted |
|---|---|---|
| Justification for an Exception to Fair Opportunity_CRJ Model_redacted.pdf |
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