Quality Insights, Inc.

Quality Insights, Inc., a Charleston, West Virginia–based 501(c)(3) nonprofit organization registered in the federal contracting system since 2003, delivers healthcare quality improvement, external peer review, medical performance measurement, and clinical data collection services to federal health agencies as a prime contractor on large federal healthcare programs and as a subcontractor supporting quality improvement networks. The vendor competes full-and-open, without set-aside designations, across Centers for Medicare and Medicaid Services (CMS), the Department of Veterans Affairs, and state health departments acting as federal grant administrators.

Quality Insights' customer base is heavily concentrated in federal health programs. CMS accounts for 31 awards valued at $373.7 million in combined potential value, driven by two major delivery orders awarded May 1, 2026: a $5.1 million task order covering End Stage Renal Disease (ESRD) Networks 3, 4, and 5, and a $6.9 million task order for ESRD Networks 2, 10, 11, and 12, both running through April 30, 2031, under the Network of Quality Improvement and Innovation Contractors (NQIIC) IDIQ. The Department of Veterans Affairs ranks second, with ten awards valued at $267.3 million combined potential value, anchored by a $62.8 million firm-fixed-price definitive contract awarded June 17, 2025, for the External Peer Review Program (EPRP) VII—a medical record review and clinical performance evaluation initiative running through March 31, 2030. The top five customer agencies account for approximately 68% of recent awards. Quality Insights also holds eight task orders under the Quality Innovation Network – Quality Improvement Organizations vehicle (combined potential value $76.1 million), positioning the vendor as a repeat player in CMS quality contracting.

The vendor's capability portfolio centers on healthcare quality assessment, external peer review, clinical measure development and validation, medical record abstraction and analysis, provider performance measurement, and quality improvement initiative delivery across multiple federal health domains—ESRD networks, VA healthcare system performance, and Medicare beneficiary care outcomes. Representative contract work includes the VA External Peer Review Program task for clinical performance evaluation of VA inpatient and outpatient care; ESRD Network contracts focusing on quality improvement and external peer review for Medicare beneficiaries with end-stage renal disease; and subcontracted support to Superior Health Quality Alliance Inc. under NQIIC and to Arbor Research Collaborative for Health on ESRD quality support, including education, training, and stakeholder engagement. Quality Insights also acts as a federal grant sub-recipient under the Delaware and Pennsylvania health departments and West Virginia Department of Health and Human Resources, delivering quality improvement, health equity, behavioral health, and chronic disease prevention initiatives with focus areas including cardiovascular disease prevention, diabetes management, behavioral health programming, vaccination program quality, and lead screening.

Activity has grown from two awards in 2022 to seventeen in 2024, though the past two years show moderation (nine awards in 2025, three through May 2026). The vendor maintains a balanced prime-versus-sub posture: 55 awards (53%) as prime and 48 awards (47%) as sub. Across SCI-reportable service contracts, invoiced revenue grew from $18 million in FY2022 to $21.6 million in FY2024, with staffing scaling from 46.6 FTEs to 56.3 FTEs over the same period. Median government-paid hourly rates on prime contracts run around $112.97/hr, with senior labor reaching the 90th percentile of $329.61/hr. Quality Insights deploys minimal subcontracting: across SCI-reportable prime contracts, subcontractor hours represent an average of 3% of total delivery, with Alps Services, Inc. (a small disadvantaged business) named as a recurrent sub for specialized medical record data abstraction and other technical functions. The vendor's subcontractor footprint also includes engagements with Superior Health Quality Alliance Inc. and Arbor Research Collaborative for Health on quality improvement network and ESRD-related work.