HHS Awards $212.5M Medicare MAC Contract to Palmetto GBA for 16 Years

Contract Overview

Contract Amount: $212,508,417 ($212.5M)

Contractor: Palmetto GBA, LLC

Awarding Agency: Department of Health and Human Services

Start Date: 2008-07-01

End Date: 2024-07-31

Contract Duration: 5,874 days

Daily Burn Rate: $36.2K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 2

Pricing Type: COST PLUS AWARD FEE

Sector: Healthcare

Official Description: NATIONAL SUPPLIER CLEARINGHOUSE MEDICARE ADMINISTRATIVE CONTRACTOR

Place of Performance

Location: COLUMBIA, RICHLAND County, SOUTH CAROLINA, 29203

State: South Carolina Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $212.5 million to PALMETTO GBA, LLC for work described as: NATIONAL SUPPLIER CLEARINGHOUSE MEDICARE ADMINISTRATIVE CONTRACTOR Key points: 1. Contract value of $212.5M over 16 years indicates significant long-term investment. 2. Palmetto GBA, LLC is the sole awardee, raising questions about competition. 3. The contract covers 'All Other Insurance Related Activities,' a broad category. 4. Risk of cost overruns or performance issues exists given the long duration and cost-plus award fee structure.

Value Assessment

Rating: fair

The contract's cost-plus award fee structure allows for flexibility but necessitates close monitoring to ensure cost-effectiveness. Benchmarking against similar large-scale administrative contracts is difficult without more granular cost data.

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 long duration and specific nature of the services may limit the pool of potential bidders.

Taxpayer Impact: Taxpayer funds are being used for essential Medicare administrative functions. The long-term nature of the contract aims for stability but requires ongoing scrutiny to ensure value for money.

Public Impact

Ensures continued operation of critical Medicare administrative functions. Impacts beneficiaries through the efficient processing of claims and services. Supports the healthcare industry by providing a stable administrative partner.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls within the healthcare administration sector, focusing on insurance-related activities for Medicare. Spending benchmarks for such long-term, comprehensive administrative contracts are typically high due to the scale and complexity of managing federal healthcare programs.

Small Business Impact

The data does not indicate specific provisions or set-asides for small businesses in this contract. Further analysis would be needed to determine the extent of small business participation.

Oversight & Accountability

The Centers for Medicare and Medicaid Services (CMS) is responsible for oversight. The contract's long duration necessitates robust performance monitoring and regular reviews to ensure accountability and adherence to terms.

Related Government Programs

Risk Flags

Tags

all-other-insurance-related-activities, department-of-health-and-human-services, sc, definitive-contract, 100m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $212.5 million to PALMETTO GBA, LLC. NATIONAL SUPPLIER CLEARINGHOUSE MEDICARE ADMINISTRATIVE CONTRACTOR

Who is the contractor on this award?

The obligated recipient is PALMETTO GBA, LLC.

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 $212.5 million.

What is the period of performance?

Start: 2008-07-01. End: 2024-07-31.

What is the specific breakdown of costs within the $212.5M award, and how does it compare to industry standards for similar administrative functions?

The provided data lacks a detailed cost breakdown. A cost-plus award fee structure means costs are reimbursed plus a fee based on performance. Benchmarking requires comparing specific cost categories (personnel, overhead, profit) against similar contracts, which is not possible with the current information. This lack of transparency hinders a precise value assessment.

Given the 16-year duration, what mechanisms are in place to mitigate the risk of Palmetto GBA becoming complacent or less efficient over time?

The contract utilizes a cost-plus award fee structure, which includes performance metrics and award fees tied to achieving specific goals. Regular performance reviews and potential contract modifications or renegotiations are crucial oversight mechanisms. However, the sheer length of the contract inherently carries a risk of reduced competitive pressure and potential for complacency if oversight is not rigorous.

How effectively does this contract ensure the efficient and accurate processing of Medicare claims and administrative tasks, and what are the key performance indicators?

The contract's effectiveness hinges on the performance metrics defined within the award fee structure. While the long duration suggests a stable provider, the specific KPIs are not detailed here. Success would be measured by metrics like claims processing timeliness, accuracy rates, beneficiary satisfaction, and cost containment. Without access to these specific KPIs and performance reports, a definitive assessment of effectiveness is challenging.

Industry Classification

NAICS: Finance and InsuranceAgencies, Brokerages, and Other Insurance Related ActivitiesAll Other Insurance Related Activities

Product/Service Code: SOCIAL SERVICESSOCIAL SERVICES

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION

Solicitation Procedures: NEGOTIATED PROPOSAL/QUOTE

Offers Received: 2

Pricing Type: COST PLUS AWARD FEE (R)

Evaluated Preference: NONE

Contractor Details

Parent Company: Blue Cross & Blue Shield of South Carolina

Address: 17 TECHNOLOGY CIR, COLUMBIA, SC, 29203

Business Categories: Category Business, Limited Liability Corporation, Not Designated a Small Business, Partnership or Limited Liability Partnership, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $241,704,268

Exercised Options: $225,219,756

Current Obligation: $212,508,417

Actual Outlays: $14,636,102

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: YES

Timeline

Start Date: 2008-07-01

Current End Date: 2024-07-31

Potential End Date: 2024-09-06 00:00:00

Last Modified: 2024-08-10

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