the largest purchaser of health care in the United States CMS expends approximately $1 trillion annually on Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) programs The Agency currently serves more than 100 million beneficiaries—approximately 1 out of every 3 Americans— making it the largest health care insurer in the world The Agency has absorbed a significant amount of Affordable Care Act work
and relies heavily on contractor support to meet its mission Employees work from locations across the country, including the Central Office in Baltimore and 10 Regional Offices At least 4 million claims and over 1 billion transactions are processed each day for services rendered to beneficiaries Under the Affordable Care Act, CMS will cover approximately 30 million more beneficiaries beginning 1/1/14
negotiating and administering hundreds of contracts, grants, and interagency agreements We obligated approximately $8 billion in FY 12 through over 4,700 contracts, grants, and interagency transactions CMS Active Contracts (with 630 Vendors): 1,116 Active Contracts 560 Active Contracts are with Small Businesses OAGM currently has 216 employees OAGM: A Business Partner to CMS 4
National Government Services, Inc. Vangent, Inc. Cigna Government Services, LLC CGI Federal, Inc. Group Health Incorporated Palmetto GBA, LLC Highmark Medicare Services, Inc. Noridian Administrative Services, LLC Northrup Grumman Information Technology, Inc.
Data Center (VDC) Enterprise Systems Development (ESD) Medicare/Medicaid Research and Demonstration (MRAD) Measure & Instrument Development and Support (MIDS) MIC (Medicaid Integrity Program) National Education Campaign (NEC) CMS IDIQ Umbrella Contracts 7
Affordable Care Act Implementation Stood up two significant Centers in FYs 11 and 12 Center for Medicare and Medicaid Innovation Center for Consumer Information and Insurance Oversight Significant increase in contracting Has been steadily trending upward in the past decade >30% transaction increase between FY 10 and FY 11 >29% dollar increase between FY 10 and FY 11
Contracting Issues Reliance on At-Risk Contracts Organizational Conflicts of Interest Office of Federal Procurement Policy (OFPP) Government Accountability Office (GAO) Office of the Inspector General (OIG) Congress
(CCR) database: Make sure your core competencies in CCR reflect the knowledge and experience CMS might be searching for Seek partnering opportunities: Pursue large businesses, as well as other small businesses Past performance matters: Do good work! Be prepared: Review contract and task order award data in the Federal Procurement Data System via https://www.fpds.gov/fpdsng_cms/ or http://www.usaspending.gov. Be aware of what may be coming up for re-compete. Respond thoughtfully to Sources Sought Notices Get a GSA Federal Support Service (FSS) contract