SAM #GS00F090CA75FCMC26F0116

Award for Actuarial and Rate Review Services for Medicare-Medicaid Financial Alignment Demonstrations

This award notice announces a contract by the Centers for Medicare & Medicaid Services (CMS) for actuarial, rate-review, and analytic services supporting Medicare-Medicaid financial alignment demonstrations. - Contract awarded to Actuarial Research Corporation (ARC) for $2,799,412.30 - Services include: - Reviewing Medicaid components of capitated payment rates for Medicare-Medicaid Plans (MMPs) - Providing technical assistance for demonstration operations across multiple states - Conducting ongoing analytics to monitor demonstration financing issues - Contract covers a base year and two option years (total potential duration: 3 years) - No physical products or part numbers are involved; this is a professional services contract - Focus is on supporting integrated care for dually eligible Medicare and Medicaid beneficiaries - Sole source follow-on contract, indicating limited competition

Description

Provide the Centers for Medicare & Medicaid Services (CMS) with actuarial, rate-review, and analytic services to support the ongoing operations of Medicare-Medicaid financial alignment model demonstrations for individuals enrolled in both Medicare and Medicaid (dually eligible beneficiaries). These demonstrations are opportunities for CMS and states to test new approaches to providing integrated, high-quality care to dually eligible beneficiaries. The contractor awarded this contract will provide actuarial services, rate-review, analytic services, and technical assistance for the ongoing operation of these demonstrations in multiple states. The work will include the review of the Medicaid components of the capitated payment rates for Medicare-Medicaid Plans (MMPs) under capitated demonstrations and ongoing analytic work to monitor demonstration financing issues.

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