VA awards $34.8M for UPTODATE subscription, a sole-source contract for medical information

Contract Overview

Contract Amount: $34,801,078 ($34.8M)

Contractor: Uptodate, Inc

Awarding Agency: Department of Veterans Affairs

Start Date: 2018-09-01

End Date: 2023-09-29

Contract Duration: 1,854 days

Daily Burn Rate: $18.8K/day

Competition Type: NOT COMPETED

Number of Offers Received: 1

Pricing Type: FIRM FIXED PRICE

Sector: IT

Official Description: IGF::OT::IGF POINT OF CARE SUBSCRIPTION TO UPTODATE

Place of Performance

Location: WALTHAM, MIDDLESEX County, MASSACHUSETTS, 02451

State: Massachusetts Government Spending

Plain-Language Summary

Department of Veterans Affairs obligated $34.8 million to UPTODATE, INC for work described as: IGF::OT::IGF POINT OF CARE SUBSCRIPTION TO UPTODATE Key points: 1. The VA is spending $34.8 million on a subscription to UPTODATE, a medical information resource. 2. This contract was awarded sole-source to UPTODATE, INC. 3. The contract duration is 1854 days, ending in September 2023. 4. The primary sector for this spending is Information Technology (IT) due to the nature of the subscription service.

Value Assessment

Rating: fair

The total award is $34.8 million over approximately 5 years. Without comparable contract data for similar medical information subscriptions, it's difficult to definitively assess if this pricing is competitive.

Cost Per Unit: N/A

Competition Analysis

Competition Level: sole-source

The contract was awarded sole-source, meaning there was no competition. This limits price discovery and potentially leads to higher costs than if multiple vendors had competed.

Taxpayer Impact: Taxpayers are potentially overpaying due to the lack of competition for this essential medical information resource.

Public Impact

Ensures healthcare providers have access to up-to-date medical information for patient care. Supports clinical decision-making and potentially improves patient outcomes. The sole-source nature raises questions about cost-effectiveness for taxpayers.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This spending falls within the IT sector, specifically for digital information resources and subscription services. Benchmarks for similar large-scale medical information subscriptions are not readily available, making direct comparison difficult.

Small Business Impact

The contract was awarded to UPTODATE, INC., a single entity. There is no indication that small businesses were involved in this sole-source award, limiting opportunities for them.

Oversight & Accountability

The sole-source justification and lack of competition warrant further oversight to ensure the VA is obtaining fair value for taxpayer dollars. Transparency in the procurement process is crucial.

Related Government Programs

Risk Flags

Tags

internet-publishing-and-broadcasting-and, department-of-veterans-affairs, ma, definitive-contract, 10m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Veterans Affairs awarded $34.8 million to UPTODATE, INC. IGF::OT::IGF POINT OF CARE SUBSCRIPTION TO UPTODATE

Who is the contractor on this award?

The obligated recipient is UPTODATE, INC.

Which agency awarded this contract?

Awarding agency: Department of Veterans Affairs (Department of Veterans Affairs).

What is the total obligated amount?

The obligated amount is $34.8 million.

What is the period of performance?

Start: 2018-09-01. End: 2023-09-29.

What is the justification for awarding this contract sole-source, and what steps were taken to ensure the price is fair and reasonable?

The justification for a sole-source award typically involves a unique capability or lack of viable alternatives. For this contract, the VA would need to demonstrate that UPTODATE, INC. is the only source capable of providing the required service. Steps to ensure fair and reasonable pricing might include historical pricing analysis, comparison to commercial sales, or independent cost estimates, though these are less effective without competition.

What is the potential financial risk to taxpayers given the sole-source nature of this contract?

The primary financial risk is the potential for overpayment. Without competitive bidding, UPTODATE, INC. may not have been incentivized to offer the lowest possible price. This could result in taxpayers bearing a higher cost than if multiple vendors had competed for the contract, potentially by a significant margin.

How does the availability of UPTODATE impact the effectiveness of VA healthcare providers and patient care?

UPTODATE is a widely recognized and respected clinical decision support tool. Its availability provides VA healthcare providers with rapid access to evidence-based medical information, guidelines, and treatment options. This can enhance diagnostic accuracy, improve treatment planning, and ultimately contribute to better patient outcomes and more efficient care delivery.

Industry Classification

NAICS: InformationOther Information ServicesInternet Publishing and Broadcasting and Web Search Portals

Product/Service Code: SUPPORT SVCS (PROF, ADMIN, MGMT)ADMINISTRATIVE SUPPORT SERVICES

Competition & Pricing

Extent Competed: NOT COMPETED

Solicitation Procedures: ONLY ONE SOURCE

Offers Received: 1

Pricing Type: FIRM FIXED PRICE (J)

Evaluated Preference: NONE

Contractor Details

Parent Company: Wolters Kluwer Health Inc.

Address: 230 THIRD AVE, WALTHAM, MA, 02451

Business Categories: Category Business, Corporate Entity Not Tax Exempt, Manufacturer of Goods, Not Designated a Small Business, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $35,525,483

Exercised Options: $34,801,078

Current Obligation: $34,801,078

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES

Cost or Pricing Data: NO

Timeline

Start Date: 2018-09-01

Current End Date: 2023-09-29

Potential End Date: 2023-09-29 00:00:00

Last Modified: 2023-09-22

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