Medical Review Of North Carolina, Inc.

Medical Review Of North Carolina, Inc., doing business as Constellation Quality Health, is a nonprofit organization based in Raleigh, North Carolina, that delivers healthcare quality improvement, disease management platform development, and cardiovascular disease prevention services to federal health agencies as a prime grant recipient and subcontractor on federal health programs.

Constellation Quality Health operates predominantly as a prime awardee (80% of recent awards) across federal health agencies, primarily the Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC). The vendor's customer concentration is narrow: CMS and CDC account for 70% of awards by count and 69% of combined potential value. CMS anchors the portfolio with 4 awards carrying $26.6 million in combined potential value; CDC holds 3 awards, though their individual dollar magnitudes are not specified in the source. Work categorizes under NAICS 541611 (Other Management Consulting Services) and PSC codes for medical-dependent Medicare and research and development facilities.

The vendor's primary recent capability involves cardiovascular disease prevention and health equity programming. A September 2023 CDC cooperative agreement (ultimate completion September 2028) funds expansion of the 4-C Learning Collaboratives across the Southeast to address hypertension and cardiovascular disease disparities in areas where hypertension prevalence exceeds 53%. The initiative combines provider education in evidence-based CVD best practices, EHR workflow optimization, disease management detection and monitoring, and community care hubs connecting patients with social determinants-of-health supports across 92 census tracts in four Southeast states.

Constellation Quality Health also owns and maintains proprietary healthcare software platforms deployed through state health departments. The Vega platform, licensed to and operated under the Maryland Department of Health via sub-grant award (November 2025), provides claim submission, EHR system integration, and insurance billing interfaces. The Workshop Wizard platform, similarly deployed through Maryland (June 2025 sub-grant), supports Diabetes Prevention Program enrollment, EHR integration, and insurance billing. Both platforms are subject to escrow agreements for data and software code.

Award activity is sparse and episodic: three awards in 2008, one in 2011, one in 2019, one in 2023, and two in 2025. Combined potential value across all ten awards totals $38.6 million, against which the vendor has obligated $43.9 million (114% of potential), indicating scope growth or cost overruns on active awards. The Service Contract Inventory dataset shows minimal SCI-reportable activity: two subcontractor records spanning FY2022–FY2024, with roughly 3.6–4.3 FTEs delivered to federal programs in that period. This SCI footprint is a strict subset of the vendor's federal services activity and does not capture grant-funded work or proprietary platform revenue.