Centers for Medicare & Medicaid Services #260146J

CMS Solicitation for Performance Measurement Services for Medicare Advantage Program

This opportunity is issued by the Centers for Medicare & Medicaid Services (CMS), under the Department of Health and Human Services, for specialized performance measurement services supporting the Medicare Advantage (MA) Program. - Government Buyer: - Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services - OEMs and Vendors: - National Committee for Quality Assurance (NCQA) (current contractor) - Products/Services Requested: - Development and collection of MA HEDIS® measures for Medicare Advantage Organizations (MAOs) and Special Needs Plans (SNPs) - Creation and implementation of new quantifiable outcome measures to assess care coordination performance in MAOs - Implementation of review and approval processes for SNP models of care as required by Section 1859(f)(7) of the Act - Unique or Notable Requirements: - Emphasis on specialized expertise in healthcare performance measurement and care coordination assessment - No specific products or part numbers; focus is on professional services and subject matter expertise - Firm fixed price contract structure - Estimated contract value between $10 million and $20 million - 5-year period of performance

Description

This contract supports CMS in developing and collecting MA HEDIS® measures for MAOs and SNPs. It includes developing and implementing new quantifiable outcome measures to assess care coordination performance in MAOs. The contract also involves implementing the review and approval of SNP models of care as required by Section 1859(f)(7) of the Act. The contract type is firm fixed price with a duration of 5 years and an estimated total value between $10 million and $20 million.

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