Cahaba Safeguard Administrators LLC

Cahaba Safeguard Administrators LLC, a subsidiary of Healthcare Business Solutions LLC headquartered in Hoover, Alabama, delivers Medicare and Medicaid cost report audits, benefit administration, and healthcare program integrity services to the Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention as a prime contractor on full-and-open competitive awards with no set-aside designations. The company is a for-profit limited liability company operating under NAICS 541611 (Administrative Management and General Management Consulting Services) and 611710 (Educational Support Services), competing predominantly on GSA Schedules and agency IDIQs rather than under any SBA set-aside category.

Customer concentration is acute and singular. CMS dominates Cahaba's footprint — 34 awards (92% of the recent award count) carry a combined potential value of $1.24 billion, spanning cost report audits for the Rural Community Hospital Demonstration, wage-index integrity work, and hospital reimbursement oversight. CDC Pittsburgh contributes one award valued at $100 million for World Trade Center Health Program Third Party Administrator services (contract management, claims processing, provider network management, and member services). The Defense Health Agency and GSA Federal Acquisition Service account for the remaining two percent of award count and potential value. Within the CMS universe, work concentrates in hospital cost report audit and desk-review activities, with secondary exposure to benefits coordination and recovery services routed through General Dynamics Information Technology and First Coast Service Options as prime contractors.

Cahaba places task orders under five parent vehicles: the GSA Multiple Award Schedule (21 task orders, $89.8 million combined potential value), the GSA Professional Services Schedule (11 task orders, $31.9 million), and three HHS indefinite delivery contracts (HHSM500201100004I, HHSM500201100033I, and related OASIS+ task orders). Representative prime work includes a $5.25 million CMS delivery order issued January 30, 2026, for Rural Community Hospital Demonstration cost-report audits running through January 2031 under labor-hours pricing; a $2.28 million CMS order placed September 14, 2026, for wage-index integrity audits through September 2031 under time-and-materials pricing; and the $100 million CDC WTC Health Program TPA contract awarded June 2022 through May 2023. A 2023 CMS Rural Community Hospital audit order (ceiling $923,727) shows SCI-reported government-paid rates of $158.46/hr in FY2023 and $168.50/hr in FY2024, with Cahaba self-performing all hours and scaling 0.7 FTEs to 1.0 FTEs across the performance period.

GSA labor portfolio spans 33 categories priced from $63.39/hr (Benefit Integrity Specialist, high school education) through $268.97/hr (Audit Director, 10 years' experience, bachelor's degree), with no security-cleared roles. The spectrum reflects audit, benefits-administration, and reimbursement-specialist capability — Senior Accountant, In-Charge Auditor, Administrator III, and Reimbursement Technical Advisor roles populate the mid-range pricing through $183/hr, positioning Cahaba for mid-to-senior healthcare program analysis and audit leadership.

Activity over the past five years shows episodic award volume — two to three awards annually in 2021–2024, with two awards placed in 2026 — against a combined potential value of $1.35 billion driven by multi-year, high-ceiling CMS and CDC contracts. Obligated dollars total $101.4 million (8% of potential value), indicating substantial unutilized ceiling exposure on long-term CMS orders. The 2023 Rural Community Hospital order reaches ultimate completion September 2025, creating a recompete opportunity in the near term; the 2026 orders carry completion dates through 2031, anchoring Cahaba's CMS revenue stream across the mid-term recompete cycle. Cahaba subcontracts on a minor basis — five sub-awards, all to prime contractors (General Dynamics Information Technology on two Benefits Coordination and Recovery Center tasks, First Coast Service Options on two Part A/Part B Medicare Administrative Contractor Jurisdiction N cost-report audits, and National Opinion Research Center on one CPI marketplace-integrity data-analysis task) — and self-performs the majority of its prime work without subcontractor engagement, as evidenced by zero sub-hours share on SCI-reportable prime contracts.