Texas QIO contract awarded to TMF Health Quality Institute for over $26 million
Contract Overview
Contract Amount: $26,215,986 ($26.2M)
Contractor: TMF Health Quality Institute
Awarding Agency: Department of Health and Human Services
Start Date: 2011-08-01
End Date: 2014-07-31
Contract Duration: 1,095 days
Daily Burn Rate: $23.9K/day
Competition Type: FULL AND OPEN COMPETITION
Number of Offers Received: 1
Pricing Type: COST PLUS FIXED FEE
Sector: Healthcare
Official Description: QIO 10TH SOW FOR THE STATE OF TEXAS
Place of Performance
Location: AUSTIN, TRAVIS County, TEXAS, 78730
State: Texas Government Spending
Plain-Language Summary
Department of Health and Human Services obligated $26.2 million to TMF HEALTH QUALITY INSTITUTE for work described as: QIO 10TH SOW FOR THE STATE OF TEXAS Key points: 1. Contract value appears reasonable given the duration and scope of quality improvement services. 2. Full and open competition suggests a competitive bidding process, potentially leading to better pricing. 3. The contract's duration of three years indicates a stable, long-term engagement. 4. Performance is tied to quality metrics for Medicare beneficiaries in Texas. 5. This contract falls within the 'Other Management Consulting Services' NAICS code. 6. The award was made by the Centers for Medicare and Medicaid Services (CMS).
Value Assessment
Rating: good
The contract value of approximately $26.2 million over three years averages to about $8.7 million annually. This is within a reasonable range for large-scale quality improvement initiatives managed by a Quality Improvement Organization (QIO). Benchmarking against similar QIO contracts managed by CMS would provide a more precise value-for-money assessment, but the scale of the award is consistent with the responsibilities of a state-level QIO.
Cost Per Unit: N/A
Competition Analysis
Competition Level: full-and-open
The contract was awarded under full and open competition, indicating that all responsible sources were permitted to submit a bid. This suggests a robust bidding process where multiple entities likely vied for the contract. The level of competition is a positive indicator for price discovery and ensuring the government receives competitive pricing for the services rendered.
Taxpayer Impact: Taxpayers benefit from a competitive process that aims to secure the best value for public funds. Open competition generally drives down costs and encourages innovation among bidders.
Public Impact
Beneficiaries include Medicare beneficiaries in the state of Texas. Services delivered focus on improving the quality of healthcare services for Medicare beneficiaries. Geographic impact is statewide across Texas. Workforce implications include employment for the contractor's staff managing the QIO functions in Texas.
Waste & Efficiency Indicators
Waste Risk Score: 50 / 10
Warning Flags
- Potential for scope creep if performance metrics are not clearly defined and monitored.
- Reliance on contractor performance for achieving critical healthcare quality improvements.
- Ensuring effective communication and coordination between the contractor and CMS.
Positive Signals
- Awarded through full and open competition, indicating a potentially strong value proposition.
- Long contract duration suggests stability and commitment to achieving long-term quality goals.
- Focus on quality improvement aligns with CMS's core mission.
Sector Analysis
This contract falls under the management consulting services sector, specifically related to healthcare quality improvement. The market for QIO services is specialized, with contracts typically awarded to organizations with demonstrated expertise in healthcare quality, patient safety, and Medicare program administration. Spending in this area is driven by CMS's mandate to oversee and improve the quality of care for Medicare beneficiaries nationwide.
Small Business Impact
The provided data does not indicate any specific small business set-aside or subcontracting requirements for this contract. As a large-scale contract managed by a likely established organization (TMF Health Quality Institute), the primary focus is on the prime contractor's ability to deliver comprehensive QIO services. Further investigation into the contractor's subcontracting plan would be needed to assess small business impact.
Oversight & Accountability
Oversight is primarily conducted by the Centers for Medicare and Medicaid Services (CMS), which is responsible for monitoring the contractor's performance against contract requirements and quality metrics. Accountability measures are typically built into the contract through performance standards and payment adjustments. Transparency is facilitated through public reporting of quality data and contract award information.
Related Government Programs
- Medicare Quality Improvement Program
- Quality Improvement Organizations (QIOs)
- Healthcare Quality Initiatives
- CMS Contracts
Risk Flags
- Contract Duration
- Performance Monitoring
- Healthcare Quality Metrics
Tags
healthcare, quality-improvement, medicare, cms, department-of-health-and-human-services, management-consulting, cost-plus-fixed-fee, full-and-open-competition, texas, state-contract, large-contract
Frequently Asked Questions
What is this federal contract paying for?
Department of Health and Human Services awarded $26.2 million to TMF HEALTH QUALITY INSTITUTE. QIO 10TH SOW FOR THE STATE OF TEXAS
Who is the contractor on this award?
The obligated recipient is TMF HEALTH QUALITY INSTITUTE.
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 $26.2 million.
What is the period of performance?
Start: 2011-08-01. End: 2014-07-31.
What specific quality improvement initiatives were mandated under this contract for the state of Texas?
While the specific initiatives are not detailed in the provided data, QIO contracts typically mandate a range of activities aimed at improving healthcare quality for Medicare beneficiaries. These often include initiatives focused on patient safety, reducing hospital-acquired conditions, improving chronic disease management, promoting appropriate use of medications, enhancing care transitions, and addressing health disparities. The contractor, TMF Health Quality Institute, would have been responsible for implementing programs, providing technical assistance to healthcare providers, collecting and analyzing data, and reporting on progress towards specific quality goals set by CMS for the state of Texas during the contract period (2011-2014).
How does the $26.2 million contract value compare to other state-level QIO contracts?
The contract value of approximately $26.2 million over three years, averaging about $8.7 million annually, is generally in line with the expected scale for state-level Quality Improvement Organization (QIO) contracts managed by CMS. QIO contracts are substantial due to the broad scope of responsibilities, which include overseeing quality of care for millions of Medicare beneficiaries within a state, engaging with numerous healthcare providers, and implementing complex quality improvement initiatives. Variations in contract value can occur based on the size of the state's Medicare beneficiary population, the specific priorities set by CMS for that contract period, and the competitive landscape during the bidding process. Without direct comparative data on all state QIO contracts for the same period, this award appears to be a typical investment for such a critical public health function.
What is the track record of TMF Health Quality Institute in managing federal contracts, particularly QIOs?
TMF Health Quality Institute has a long-standing history of serving as a Quality Improvement Organization (QIO) for various states, including Texas. As a designated QIO, they are contracted by CMS to perform specific quality improvement functions mandated by federal law. Their continued selection for these roles suggests a demonstrated ability to meet CMS requirements and deliver on contract objectives. While specific performance metrics from past contracts are not detailed here, their sustained engagement in the QIO program indicates a level of competence and reliability in managing complex healthcare quality initiatives and federal funding.
What were the primary performance metrics or deliverables expected from this contract?
The primary deliverables for this contract would have revolved around improving the quality of healthcare services for Medicare beneficiaries in Texas. Key performance metrics likely included reductions in preventable hospitalizations, improvements in patient safety indicators, better management of chronic conditions (such as diabetes or heart failure), increased adherence to evidence-based practices by healthcare providers, and enhanced patient satisfaction. The contractor would have been expected to provide data analysis, technical assistance to providers, educational outreach, and regular reporting to CMS on progress towards achieving these quality-related goals.
How has CMS spending on QIO services evolved over time, and where does this contract fit?
CMS spending on Quality Improvement Organizations (QIOs) has been a consistent component of its strategy to improve healthcare quality for Medicare beneficiaries. The QIO program has undergone several iterations, with each contract cycle focusing on evolving healthcare priorities. This specific contract, awarded in 2011 for a 2011-2014 period, represents a significant investment in a state-level QIO during that era. Overall CMS spending on quality initiatives, including QIOs, has generally increased over time as the agency has placed greater emphasis on value-based care, patient outcomes, and cost containment. This contract fits within the broader historical context of CMS's commitment to leveraging QIOs as a primary mechanism for driving quality improvements across the nation's healthcare system.
Industry Classification
NAICS: Professional, Scientific, and Technical Services › Management, Scientific, and Technical Consulting Services › Other Management Consulting Services
Product/Service Code: MEDICAL SERVICES › DEPENDENT MEDICARE SERVICES
Competition & Pricing
Extent Competed: FULL AND OPEN COMPETITION
Solicitation Procedures: NEGOTIATED PROPOSAL/QUOTE
Solicitation ID: CMS10TH SOW
Offers Received: 1
Pricing Type: COST PLUS FIXED FEE (U)
Evaluated Preference: NONE
Contractor Details
Address: 5918 W COURTYARD DR STE 300, AUSTIN, TX, 90
Business Categories: Category Business, Corporate Entity Tax Exempt, Nonprofit Organization, Not Designated a Small Business, Special Designations, U.S.-Owned Business
Financial Breakdown
Contract Ceiling: $26,215,986
Exercised Options: $26,215,986
Current Obligation: $26,215,986
Actual Outlays: $609,335
Contract Characteristics
Multi-Year Contract: Yes
Cost or Pricing Data: YES
Timeline
Start Date: 2011-08-01
Current End Date: 2014-07-31
Potential End Date: 2014-07-31 00:00:00
Last Modified: 2014-07-31
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