Healthcare Management Solutions, LLC

Healthcare Management Solutions, LLC, a small business based in Fairmont, West Virginia, delivers healthcare program oversight, clinical data management, and quality-assurance services to federal health agencies as a prime contractor (94% of recent awards) under total small business set-asides, with heavy concentration in Centers for Medicare and Medicaid Services (CMS) work and emerging presence on government-wide IT and professional-services vehicles.

The vendor's customer base is sharply concentrated in health agencies, with CMS dominating 87% of award volume and 100% of obligated dollars. CMS has issued 64 awards with $319.6 million combined potential value, spanning survey and certification oversight for Medicare and Medicaid providers, hospice oversight, clinical data abstraction and validation for skilled nursing facility value-based purchasing, and state performance management under the SPSS program. The next-largest customer cluster is the GSA Federal Acquisition Service (5 awards, $69.5 million), driven by Healthcare Management Solutions' December 2024 award of a total small business OASIS+ Small Business IDIQ with a multi-billion-dollar ceiling and five-year base through December 2029. The remaining federal portfolio includes the Department of Health and Human Services Office of the Assistant Secretary for Administration (4 awards, $3.2 million), the FDA (2 awards, $10.8 million), and the National Institutes of Health NITAAC Office of Information Technology Acquisition (1 award, $20 billion potential value). The NIH NITAAC award represents a government-wide ceiling that dwarfs the combined potential of all other holdings but carries minimal near-term obligation; obligated dollars are concentrated in the CMS delivery-order work.

The vendor's recent capability work centers on healthcare compliance and data operations. Representative prime awards include a $41.95 million CMS delivery order (August 2024–August 2029, time-and-materials) overseeing survey and certification activities for Medicare and Medicaid providers across state systems; a $41.1 million firm-fixed-price CMS delivery order (February 2024–February 2029) for clinical data abstraction, validation, adjudication, and entry supporting skilled nursing facility value-based purchasing and quality reporting; a $5.87 million CMS hospice oversight delivery order (August 2024–August 2027, time-and-materials, running at blended rates near $157/hr in FY2024); and a $3.9 million CMS delivery order (May 2026–April 2031, time-and-materials) for SPSS program development and state performance surveillance. All are positioned under the GSA Multiple Award Schedule, with CMS issuing thirteen task orders totaling $179.3 million in potential value against MAS and related vehicles.

On the sub-award side, Healthcare Management Solutions subcontracts with Semanticbits LLC on IT services supporting QIES and IQIES platform re-platforming (July 2025); with American Institutes for Research on CMS Bundled Payments for Care Improvement Advanced initiative measurement and monitoring (December 2024); with Cormac Corporation on data analytics supporting healthcare quality initiatives under QMIR II (December 2024); and with Cognosante MVH LLC on VA Time and Attendance System operations and maintenance quality assurance (September 2024). It also acts as a sub-recipient to the Missouri Department of Health and Senior Services on federal recertification and complaint surveys of long-term-care facilities (August 2024).

SCI-reportable invoiced revenue tracks an active but modest federal services footprint: $23.1 million across three fiscal years (FY2022–FY2024), ranging from $5.8 million in FY2023 to $9.5 million in FY2024, with federal workforce roughly 30–60 FTEs per year. On SCI-reportable prime contracts, government-paid hourly rates run from $97.68/hr (10th percentile) to $168.55/hr (median around $129.43/hr), with senior roles reaching $267.80/hr on the GSA Schedule. The vendor's GSA labor portfolio spans 41 categories from entry-level project coordinators ($46.63/hr) through senior project managers and directors, with no security-cleared roles. Across SCI-reportable prime contracts, subcontractors handle approximately 10% of total contractor hours, with three named subs representing light use of downstream teaming. The award portfolio suggests Healthcare Management Solutions performs most work with its own staff and draws subs selectively rather than operating as a feeder to larger primes.

Activity historically ran sparse (one to two awards per year through 2023) but accelerated in 2024 (eight awards, including the two largest CMS delivery orders and the OASIS+ IDIQ). Only one award ($5.9 million) faces recompete within the next twenty-four months, indicating a backlog of multi-year delivery orders extending through 2031 and minimal near-term reprocurement pressure. The vendor's category concentration tilts heavily administrative and management consulting (38 awards across NAICS 541611) with secondary IT services exposure (13 awards in computer systems design), reflecting its positioning in federal healthcare program administration and data stewardship rather than technology delivery.

Healthcare IT, Medicare, Medicaid, physician practice and perfornance,healthcare management, risk management, progam analysis, compliance, coding and documentation audits, business consulting: Employee education, training, HIPAA Privacy