HHS awards $48.9M contract for QIC Reconsideration Program to C2C Innovative Solutions
Contract Overview
Contract Amount: $48,939,600 ($48.9M)
Contractor: C2C Innovative Solutions, Inc.
Awarding Agency: Department of Health and Human Services
Start Date: 2020-03-31
End Date: 2025-11-17
Contract Duration: 2,057 days
Daily Burn Rate: $23.8K/day
Competition Type: FULL AND OPEN COMPETITION
Number of Offers Received: 2
Pricing Type: FIRM FIXED PRICE
Sector: Other
Official Description: PART D QIC RECONSIDERATION PROGRAM
Place of Performance
Location: JACKSONVILLE, DUVAL County, FLORIDA, 32202
State: Florida Government Spending
Plain-Language Summary
Department of Health and Human Services obligated $48.9 million to C2C INNOVATIVE SOLUTIONS, INC. for work described as: PART D QIC RECONSIDERATION PROGRAM Key points: 1. Contract value of $48.9M over 5 years. 2. Competition was full and open, indicating potential for competitive pricing. 3. Risk appears moderate given the administrative nature of the service. 4. Sector is primarily administrative management and consulting services.
Value Assessment
Rating: good
The contract value of $48.9M over approximately 5.7 years suggests a reasonable annual spend. Benchmarking against similar administrative management contracts would provide a clearer picture of value.
Cost Per Unit: N/A
Competition Analysis
Competition Level: full-and-open
The contract was awarded under full and open competition, which typically fosters competitive pricing and allows for a broad range of qualified vendors. The impact on price discovery is likely positive.
Taxpayer Impact: The competitive award process aims to ensure taxpayer funds are used efficiently for necessary administrative services.
Public Impact
Ensures continued operation of the QIC Reconsideration Program, impacting beneficiaries' access to Medicare appeals. Supports administrative functions within the Department of Health and Human Services. Provides essential consulting services for program management and administration.
Waste & Efficiency Indicators
Waste Risk Score: 50 / 10
Warning Flags
- Potential for scope creep in administrative contracts.
- Reliance on a single vendor for critical administrative functions.
Positive Signals
- Full and open competition utilized.
- Firm Fixed Price contract type.
Sector Analysis
This contract falls within the administrative management and general management consulting services sector. Spending in this sector can vary widely based on agency needs and program complexity.
Small Business Impact
The data does not indicate whether small businesses were involved in this contract, either as prime contractors or subcontractors.
Oversight & Accountability
Oversight is likely managed by the Centers for Medicare and Medicaid Services (CMS) to ensure performance and adherence to contract terms.
Related Government Programs
- Administrative Management and General Management Consulting Services
- Department of Health and Human Services Contracting
- Centers for Medicare and Medicaid Services Programs
Risk Flags
- Contract duration is substantial (over 5 years).
- Potential for vendor lock-in.
- Administrative services can be complex to manage and oversee.
- Performance metrics and quality assurance are critical.
Tags
administrative-management-and-general-ma, department-of-health-and-human-services, fl, delivery-order, 10m-plus
Frequently Asked Questions
What is this federal contract paying for?
Department of Health and Human Services awarded $48.9 million to C2C INNOVATIVE SOLUTIONS, INC.. PART D QIC RECONSIDERATION PROGRAM
Who is the contractor on this award?
The obligated recipient is C2C INNOVATIVE SOLUTIONS, INC..
Which agency awarded this contract?
Awarding agency: Department of Health and Human Services (Centers for Medicare and Medicaid Services).
What is the total obligated amount?
The obligated amount is $48.9 million.
What is the period of performance?
Start: 2020-03-31. End: 2025-11-17.
What specific metrics are used to evaluate the performance and effectiveness of C2C Innovative Solutions in managing the QIC Reconsideration Program?
Performance evaluation would likely involve metrics related to timeliness of reconsiderations, accuracy of decisions, adherence to regulatory requirements, and beneficiary satisfaction. The contract's Statement of Work (SOW) would detail these specific Key Performance Indicators (KPIs) and the methodology for tracking and reporting on them.
How does the $48.9M contract value compare to historical spending on similar QIC Reconsideration Program contracts?
A direct comparison to historical spending requires access to prior contract data for this specific program. However, the annual value of approximately $8.6M (48.9M / 5.7 years) can be benchmarked against similar administrative support contracts within HHS or other federal agencies to assess cost-effectiveness.
What are the potential risks associated with the firm fixed price contract type for this administrative service?
While a firm fixed price contract provides cost certainty, it can pose a risk if the scope of work is not clearly defined or if unforeseen complexities arise. The contractor may be incentivized to cut corners to maintain profitability, potentially impacting service quality if not adequately monitored.
Industry Classification
NAICS: Professional, Scientific, and Technical Services › Management, Scientific, and Technical Consulting Services › Administrative Management and General Management Consulting Services
Product/Service Code: SUPPORT SVCS (PROF, ADMIN, MGMT) › PROFESSIONAL SERVICES
Competition & Pricing
Extent Competed: FULL AND OPEN COMPETITION
Solicitation Procedures: SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY
Solicitation ID: RFP200482
Offers Received: 2
Pricing Type: FIRM FIXED PRICE (J)
Evaluated Preference: NONE
Contractor Details
Address: 532 RIVERSIDE AVE, JACKSONVILLE, FL, 32202
Business Categories: Category Business, Corporate Entity Not Tax Exempt, Not Designated a Small Business, Special Designations, U.S.-Owned Business
Financial Breakdown
Contract Ceiling: $50,504,540
Exercised Options: $48,939,600
Current Obligation: $48,939,600
Actual Outlays: $42,029,120
Contract Characteristics
Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED
Cost or Pricing Data: YES
Parent Contract
Parent Award PIID: HHSM500200400005I
IDV Type: IDC
Timeline
Start Date: 2020-03-31
Current End Date: 2025-11-17
Potential End Date: 2025-11-17 00:00:00
Last Modified: 2025-12-05
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