# SAM #OPM202601 OPM healthcare claims benchmark data license and Health Cost Guidelines grouper **Buyer:** OPM Office of Procurement Operations **Posted:** October 01, 2026 **Identifier:** OPM202601 **NAICS:** 513210, 541910 OPM’s Healthcare and Insurance office is procuring Milliman healthcare claims benchmarks and analysis for FEHB program oversight. - **Award and buyer:** The U.S. Office of Personnel Management (OPM), through its Procurement Services Division, supports Health Systems Analytics (HSA) within Healthcare and Insurance. The requirement is described as a sole-source, firm-fixed-price contract with Milliman Solutions, LLC. - **Data license:** Milliman MedInsight commercial claims data license covering approximately 80 million lives across about 100 contributors. The de-identified, longitudinal data includes medical and pharmacy claims, enrollment, provider identifiers, and adjudicated financial fields; records date from 2017 forward and cover all 50 states. - **Refreshes and analysis:** The license includes 12 monthly data refreshes. Milliman will also apply its proprietary Health Cost Guidelines (HCG) grouper to approximately 8 million Federal Employees Health Benefits (FEHB) lives, organizing claim lines into standardized service and utilization categories. - **Intended use:** Support analysis of FEHB utilization, reimbursement, providers, and potential fraud, waste, and abuse. - **Pricing:** Base-year value is $300,000: $200,000 for the MedInsight data license and $100,000 for HCG grouper application. Estimated total value for the base year and two options is $927,270; option years are estimated at $309,000 and $318,270, respectively, reflecting 3% annual escalation. - **Period:** Base year plus two option years. Data delivery begins after award, with 12 monthly refreshes during the contract year. Specific calendar start and end dates are not provided. ### Description

OPM's Healthcare and Insurance, Office of Health Systems Analytics (HSA) requires access to external healthcare claims benchmark data and the proprietary software grouper necessary to analyze that data in a methodologically consistent manner.

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