HHS awards $11.3M for Grouper maintenance to Solvuentum Health, raising concerns over lack of competition

Contract Overview

Contract Amount: $11,313,479 ($11.3M)

Contractor: Solventum Health Information Systems, Inc.

Awarding Agency: Department of Health and Human Services

Start Date: 2021-09-01

End Date: 2026-08-31

Contract Duration: 1,825 days

Daily Burn Rate: $6.2K/day

Competition Type: NOT COMPETED

Number of Offers Received: 1

Pricing Type: COST SHARING

Sector: Healthcare

Official Description: MAINTENANCE OF THE GROUPERS

Place of Performance

Location: SALT LAKE CITY, SALT LAKE County, UTAH, 84123

State: Utah Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $11.3 million to SOLVENTUM HEALTH INFORMATION SYSTEMS, INC. for work described as: MAINTENANCE OF THE GROUPERS Key points: 1. Significant contract value for specialized technical services. 2. Sole-source award limits competitive pricing and innovation. 3. Potential for overpayment due to restricted market access. 4. IT services sector with critical healthcare data implications.

Value Assessment

Rating: questionable

The contract value of $11.3 million over five years for maintenance services is substantial. Without competitive bidding, it's difficult to assess if this price is aligned with market rates for similar technical services.

Cost Per Unit: N/A

Competition Analysis

Competition Level: sole-source

This contract was awarded sole-source, meaning no other vendors were considered. This significantly limits price discovery and potentially leads to higher costs for taxpayers as competition is bypassed.

Taxpayer Impact: The lack of competition in this sole-source award may result in higher costs for taxpayers compared to a competitively bid contract.

Public Impact

Impacts the accuracy and efficiency of healthcare claims processing. Ensures continued operation of critical Medicare and Medicaid systems. Potential for increased healthcare costs if maintenance is overpriced.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls under 'All Other Professional, Scientific, and Technical Services' and specifically relates to IT maintenance within the healthcare sector. Spending benchmarks for similar sole-source IT maintenance contracts are difficult to establish without competitive data.

Small Business Impact

The data indicates no specific set-aside for small businesses, and the sole-source nature of the award further limits opportunities for small business participation in this contract.

Oversight & Accountability

The sole-source justification for this significant contract requires thorough review to ensure it was appropriate and that taxpayer funds are being used efficiently. Oversight should focus on performance and cost justification.

Related Government Programs

Risk Flags

Tags

all-other-professional-scientific-and-te, department-of-health-and-human-services, ut, definitive-contract, 10m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $11.3 million to SOLVENTUM HEALTH INFORMATION SYSTEMS, INC.. MAINTENANCE OF THE GROUPERS

Who is the contractor on this award?

The obligated recipient is SOLVENTUM HEALTH INFORMATION SYSTEMS, 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 $11.3 million.

What is the period of performance?

Start: 2021-09-01. End: 2026-08-31.

What is the specific technical function of the 'Grouper' system, and how critical is its maintenance to CMS operations?

The 'Grouper' system is crucial for the Centers for Medicare and Medicaid Services (CMS) as it translates healthcare diagnosis and procedure codes into standardized payment classifications. Its accurate and efficient maintenance is vital for correct reimbursement processing, ensuring the financial integrity of Medicare and Medicaid programs and preventing payment errors or fraud.

What are the risks associated with a sole-source award for critical IT maintenance, particularly concerning cost and vendor lock-in?

Sole-source awards for critical IT maintenance pose risks of inflated costs due to the absence of competitive pressure. This can lead to vendor lock-in, where the government becomes dependent on a single provider, potentially facing higher prices and less flexibility for future upgrades or transitions. It also limits opportunities for innovation from other market players.

How can CMS ensure the effectiveness and value for money of this sole-source contract over its duration?

CMS can ensure effectiveness and value by implementing rigorous performance metrics and regular reviews. This includes closely monitoring service delivery against defined standards, benchmarking costs against industry averages where possible, and maintaining open communication channels to address any issues promptly. Periodic re-evaluation of the sole-source justification is also advisable.

Industry Classification

NAICS: Professional, Scientific, and Technical ServicesOther Professional, Scientific, and Technical ServicesAll Other Professional, Scientific, and Technical Services

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

Competition & Pricing

Extent Competed: NOT COMPETED

Solicitation Procedures: ONLY ONE SOURCE

Offers Received: 1

Pricing Type: COST SHARING (T)

Evaluated Preference: NONE

Contractor Details

Parent Company: 3M Company

Address: 575 W MURRAY BLVD, MURRAY, UT, 84123

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: $11,313,479

Exercised Options: $11,313,479

Current Obligation: $11,313,479

Actual Outlays: $6,391,840

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: NO

Timeline

Start Date: 2021-09-01

Current End Date: 2026-08-31

Potential End Date: 2026-08-31 00:00:00

Last Modified: 2025-12-04

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