HHS Modifies $3.2M Consulting Contract, Descoping Non-Essential Services for HCBS and PACE Programs

Contract Overview

Contract Amount: $3,217,159 ($3.2M)

Contractor: Guidehouse Inc.

Awarding Agency: Department of Health and Human Services

Start Date: 2025-09-16

End Date: 2026-09-15

Contract Duration: 364 days

Daily Burn Rate: $8.8K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 2

Pricing Type: TIME AND MATERIALS

Sector: Healthcare

Official Description: EOI::DEFEND THE SPEND (FEBRUARY 6, 2025)::EOI MODIFICATION TO DESCOPE NON-ESSENTIAL CONSULTING SERVICES RATE REVIEW OF THE HOME AND COMMUNITY-BASED SERVICES (HCBS) AND PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS

Place of Performance

Location: MCLEAN, FAIRFAX County, VIRGINIA, 22102

State: Virginia Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $3.2 million to GUIDEHOUSE INC. for work described as: EOI::DEFEND THE SPEND (FEBRUARY 6, 2025)::EOI MODIFICATION TO DESCOPE NON-ESSENTIAL CONSULTING SERVICES RATE REVIEW OF THE HOME AND COMMUNITY-BASED SERVICES (HCBS) AND PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS Key points: 1. Contract modification aims to reduce spending by descoping non-essential consulting services. 2. Focus on HCBS and PACE programs suggests a strategic shift in resource allocation. 3. The modification indicates a review of consulting needs and potential cost savings. 4. The contract's Time and Materials (T&M) pricing structure warrants scrutiny for efficiency.

Value Assessment

Rating: fair

The contract's Time and Materials (T&M) pricing model can lead to cost overruns if not closely managed. Benchmarking against similar T&M contracts for administrative consulting services is crucial to ensure fair pricing.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

The contract was awarded under full and open competition, suggesting a competitive bidding process. However, the modification to descoping services may impact the original price discovery and value realization.

Taxpayer Impact: By descoping non-essential services, taxpayers are likely to see reduced expenditure on consulting, potentially saving funds that can be reallocated to core program needs.

Public Impact

Potential savings for taxpayers through service descoping. Focus on essential services for vulnerable populations (elderly and community-based care). Increased scrutiny on consulting expenditures within federal health programs. Ensuring efficient use of funds for HCBS and PACE programs.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls under administrative management and general management consulting services. Spending in this sector can vary widely, but federal agencies often use consultants for program analysis, efficiency improvements, and strategic planning, with costs dependent on scope and duration.

Small Business Impact

The data indicates this contract was not awarded to small businesses (ss: false, sb: false). Further analysis would be needed to determine if small business participation was considered or if opportunities were missed.

Oversight & Accountability

The modification to descoping services suggests active oversight of the contract's scope and necessity. Continued monitoring by CMS is essential to ensure the descoped services are indeed non-essential and that the remaining work provides value.

Related Government Programs

Risk Flags

Tags

administrative-management-and-general-ma, department-of-health-and-human-services, va, delivery-order, 1m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $3.2 million to GUIDEHOUSE INC.. EOI::DEFEND THE SPEND (FEBRUARY 6, 2025)::EOI MODIFICATION TO DESCOPE NON-ESSENTIAL CONSULTING SERVICES RATE REVIEW OF THE HOME AND COMMUNITY-BASED SERVICES (HCBS) AND PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS

Who is the contractor on this award?

The obligated recipient is GUIDEHOUSE 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 $3.2 million.

What is the period of performance?

Start: 2025-09-16. End: 2026-09-15.

What specific criteria were used to define 'non-essential' consulting services, and how will adherence to these criteria be monitored post-modification?

The criteria for defining 'non-essential' services would typically be based on alignment with core program objectives, direct impact on patient care, and necessity for regulatory compliance or operational continuity. Monitoring would likely involve regular progress reports from the contractor, performance reviews by the Contracting Officer's Representative (COR), and potentially independent government assessments to ensure the descoped services are not being performed and that the remaining work remains focused and valuable.

Given the T&M structure, what mechanisms are in place to prevent cost overruns on the remaining services, and how does the descoping impact the overall value proposition?

Mechanisms to prevent cost overruns on T&M contracts include strict labor hour tracking, defined ceilings for labor categories, and regular budget reviews. The descoping of services, if executed effectively, should enhance the value proposition by focusing funds on critical needs and eliminating expenditures on less impactful activities, thereby improving the return on investment for the government.

How will the effectiveness of the remaining consulting services be measured to ensure they contribute meaningfully to the HCBS and PACE programs?

Effectiveness will be measured through defined performance metrics and deliverables outlined in the modified contract. This could include the quality of analysis provided, the actionable insights generated, and the extent to which these insights lead to improvements in program efficiency, beneficiary outcomes, or cost-effectiveness. Regular performance evaluations against these metrics will be crucial.

Industry Classification

NAICS: Professional, Scientific, and Technical ServicesManagement, Scientific, and Technical Consulting ServicesAdministrative 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

Offers Received: 2

Pricing Type: TIME AND MATERIALS (Y)

Evaluated Preference: NONE

Contractor Details

Parent Company: Veritas Capital Fund Management, L.L.C.

Address: 1676 INTERNATIONAL DR STE 800, MC LEAN, VA, 22102

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

Financial Breakdown

Contract Ceiling: $18,098,655

Exercised Options: $3,217,159

Current Obligation: $3,217,159

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES

Parent Contract

Parent Award PIID: GS00F045DA

IDV Type: FSS

Timeline

Start Date: 2025-09-16

Current End Date: 2026-09-15

Potential End Date: 2030-09-15 00:00:00

Last Modified: 2026-01-27

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