HHS awards $60.8M for Part B North Appeals contractor C2C Innovative Solutions

Contract Overview

Contract Amount: $60,782,377 ($60.8M)

Contractor: C2C Innovative Solutions, Inc.

Awarding Agency: Department of Health and Human Services

Start Date: 2012-09-01

End Date: 2018-12-31

Contract Duration: 2,312 days

Daily Burn Rate: $26.3K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 2

Pricing Type: FIRM FIXED PRICE

Sector: Other

Official Description: QUALIFIED INDEPENDENT CONTRACTOR PART B NORTH APPEALS

Place of Performance

Location: JACKSONVILLE, DUVAL County, FLORIDA, 32202

State: Florida Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $60.8 million to C2C INNOVATIVE SOLUTIONS, INC. for work described as: QUALIFIED INDEPENDENT CONTRACTOR PART B NORTH APPEALS Key points: 1. Contract awarded to C2C Innovative Solutions, Inc. for administrative management and general management consulting services. 2. The contract spans over six years, from September 2012 to December 2018. 3. The total award value is $60,782,376.58. 4. The contract was awarded under full and open competition. 5. The North American Industry Classification System (NAICS) code is 541611.

Value Assessment

Rating: good

The contract's firm fixed price structure suggests a clear understanding of costs. The total award value of $60.8 million over six years indicates a significant but potentially reasonable investment for specialized administrative services.

Cost Per Unit: N/A

Competition Analysis

Competition Level: full-and-open

The contract was awarded through full and open competition, indicating a robust price discovery process. This method generally leads to competitive pricing as multiple vendors had the opportunity to bid.

Taxpayer Impact: Taxpayer funds were utilized through a competitive process, aiming for value for money in the procurement of essential administrative support services for Medicare.

Public Impact

Ensures continued operation of Medicare Part B appeals processes. Supports administrative functions critical to healthcare program integrity. Impacts beneficiaries by facilitating timely resolution of claims disputes. Contributes to the overall efficiency of the Centers for Medicare and Medicaid Services.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Contract duration is long (6 years).
No small business participation noted.

Positive Signals

Awarded via full and open competition.
Firm fixed price contract type.

Sector Analysis

The sector is administrative management and general management consulting services, a common area for government contracting. Benchmarks for similar contracts would depend on the specific scope of services, but $60.8 million over six years suggests a substantial, long-term engagement.

Small Business Impact

The data indicates that this contract was not awarded to small businesses (ss=false, sb=false). This suggests that the scope or requirements of the contract may have favored larger, more established companies, or that small businesses did not bid or were not qualified.

Oversight & Accountability

The contract was awarded as a delivery order, implying it falls under a larger indefinite-delivery/indefinite-quantity (IDIQ) contract or a similar framework. Oversight would typically involve monitoring performance against the delivery order terms and conditions by the contracting officer's representative.

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

Long contract duration.
No small business participation.
Potential for service stagnation over time.
Specific geographic focus may limit broader applicability.

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $60.8 million to C2C INNOVATIVE SOLUTIONS, INC.. QUALIFIED INDEPENDENT CONTRACTOR PART B NORTH APPEALS

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 $60.8 million.

What is the period of performance?

Start: 2012-09-01. End: 2018-12-31.

What was the specific scope of work for C2C Innovative Solutions, Inc. under this contract?

The contract is categorized under 'Administrative Management and General Management Consulting Services' (NAICS 541611) and specifically relates to 'QUALIFIED INDEPENDENT CONTRACTOR PART B NORTH APPEALS'. This suggests the contractor provided services related to managing and processing appeals for Medicare Part B beneficiaries in a specific geographic region (North), ensuring adherence to qualification standards and administrative procedures.

What are the potential risks associated with a six-year contract for appeals processing?

A long contract duration like six years carries risks of vendor lock-in, potential for service degradation over time if not actively managed, and the possibility of the contractor's processes becoming outdated compared to evolving government needs or technological advancements. It also limits opportunities for other vendors to compete for the work during that period.

How does this contract contribute to the overall effectiveness of Medicare's appeals system?

By securing a qualified independent contractor for Part B North Appeals, the contract aims to ensure efficient, fair, and timely processing of beneficiary appeals. This contributes to the effectiveness of the Medicare program by upholding beneficiary rights, ensuring accurate claim adjudications, and maintaining program integrity through proper dispute resolution.

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

Offers Received: 2

Pricing Type: FIRM FIXED PRICE (J)

Evaluated Preference: NONE

Contractor Details

Parent Company: TMF Health Quality Institute

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: $60,782,377

Exercised Options: $60,782,377

Current Obligation: $60,782,377

Contract Characteristics

Commercial Item: COMMERCIAL ITEM PROCEDURES NOT USED

Cost or Pricing Data: YES

Parent Contract

Parent Award PIID: HHSM500200400005I

IDV Type: IDC

Timeline