Risk Adjustment Data Validation (RADV) Lead Analytics Contract
Forecast Recompete Updated
- Agency
-
Centers for Medicare and Medicaid Services
Department of Health and Human Services
- Solicitation expected
- Estimated value
- $20,000,000 to $50,000,000
- Set-aside
- No set-aside
Forecast facts
- Incumbent contract
-
- 47QRAA18D001P Federal IDV award held by Deloitte Consulting LLP Ordering ends Nov 20, 2027 · Ceiling $3,842,652,819
- Anticipated award
- Through
- Acquisition strategy
- Follow-on to Existing Contract
- NAICS code
- 541611 Administrative Management and General Management Consulting Services
- Forecast number
- 270587
- Points of contact
-
- David Hochendoner david.hochendoner@cms.hhs.gov (410) 786-6648
- Naomi Bryant naomi.bryant@cms.hhs.gov
Forecast details come from CMS's procurement forecast. Agencies' dates and values are estimates.
About this forecast
The Centers for Medicare and Medicaid Services (CMS) forecasts a competitive GSA Multiple Award Schedule order for a Risk Adjustment Data Validation (RADV) Lead Analytics Contract, with estimated solicitation release on March 31, 2027 and estimated award on August 28, 2027. The Lead Analytic Contractor supports the Support Center for Program Integrity's Medicare Advantage contract-level RADV audits by managing and analyzing large healthcare datasets, supporting payment error prediction models, calculating payment discrepancies, generating audit reports, and maintaining secure data systems. CMS expects the audit scope to expand from 60 contracts to approximately 590 per payment year, and the requirement carries NAICS 541611, PSC R799, and no set-aside.
The estimated award value range is $20 million to $50 million, and the current fiscal year value range is at least $5 million and less than $10 million. The order is priced on a time-and-materials basis for a five-year period of performance beginning August 29, 2027. The source does not identify a place of performance for this order. Contracting Officer David Hochendoner (david.hochendoner@cms.hhs.gov, +14107866648) and point of contact Naomi Bryant (naomi.bryant@cms.hhs.gov, +16674140453, HHS.gov) are the listed contacts.
This forecast recompetes task order 75FCMC19F0005 under GSA Federal Supply Schedule contract 47QRAA18D001P, a multiple award schedule issued by GSA Federal Acquisition Service on November 21, 2017, with a $3.84 billion ceiling value that runs through November 20, 2027. The forecast names Deloitte Consulting Group LLP as incumbent contractor. The schedule covers professional services, including business administration, financial services, IT services and solutions, and scientific management, and the incumbent offers those services worldwide from multiple locations with administrative oversight at Arlington, Virginia.
Forecast text
Support Center for Program Integrity's Medicare Advantage contract-level Risk Adjustment Data Validation audits. The Lead Analytic Contractor manages and analyzes large healthcare datasets, supports payment error prediction models, calculates payment discrepancies, generates audit reports, and maintains secure data systems. Contract supports CMS's expansion from auditing 60 contracts to approximately 590 per payment year, protecting Medicare Part C payment integrity and taxpayer dollars through advanced data analytics and risk adjustment validation methodologies.
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