HHS Spends $94M on ACA/ACO Testing via OptumServe, Raising Value Concerns

Contract Overview

Contract Amount: $94,098,417 ($94.1M)

Contractor: Optumserve Technology Services, Inc.

Awarding Agency: Department of Health and Human Services

Start Date: 2012-01-17

End Date: 2016-02-29

Contract Duration: 1,504 days

Daily Burn Rate: $62.6K/day

Competition Type: FULL AND OPEN COMPETITION

Number of Offers Received: 5

Pricing Type: COST PLUS AWARD FEE

Sector: IT

Official Description: ACA/ACO TESTING

Place of Performance

Location: WINDSOR MILL, BALTIMORE County, MARYLAND, 21244

State: Maryland Government Spending

Plain-Language Summary

Department of Health and Human Services obligated $94.1 million to OPTUMSERVE TECHNOLOGY SERVICES, INC. for work described as: ACA/ACO TESTING Key points: 1. Significant spending on IT services for healthcare testing. 2. OptumServe holds the contract, but competition details are limited. 3. Potential value concerns due to cost-plus award fee structure. 4. Focus on computer systems design services within the healthcare sector.

Value Assessment

Rating: questionable

The contract's Cost Plus Award Fee (CPAF) structure can incentivize cost increases rather than savings. Benchmarking against similar IT system design contracts is difficult without more detailed cost breakdowns, but the fee structure warrants scrutiny.

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 specific award mechanism (Delivery Order) and the CPAF structure may have influenced the final pricing and overall value achieved.

Taxpayer Impact: Taxpayer funds are being used for IT services related to healthcare reform testing. The effectiveness and efficiency of this spending will determine the ultimate taxpayer impact.

Public Impact

Impacts the implementation and testing of the Affordable Care Act (ACA). Affects the development of healthcare data systems and services. Potential for improved healthcare delivery through technology advancements.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Positive Signals

Sector Analysis

This contract falls within the IT sector, specifically focusing on computer systems design services for the healthcare industry. Spending benchmarks for similar government IT contracts vary widely, but large-scale system design and testing projects often represent significant investments.

Small Business Impact

The contract does not indicate any specific set-asides for small businesses. The prime contractor, OptumServe Technology Services, Inc., is a large entity, suggesting limited direct opportunities for small businesses on this specific award.

Oversight & Accountability

Oversight is crucial for Cost Plus Award Fee contracts to ensure performance objectives are met and costs are managed effectively. The Centers for Medicare and Medicaid Services (CMS) is responsible for monitoring this contract's progress and expenditures.

Related Government Programs

Risk Flags

Tags

computer-systems-design-services, department-of-health-and-human-services, md, delivery-order, 10m-plus

Frequently Asked Questions

What is this federal contract paying for?

Department of Health and Human Services awarded $94.1 million to OPTUMSERVE TECHNOLOGY SERVICES, INC.. ACA/ACO TESTING

Who is the contractor on this award?

The obligated recipient is OPTUMSERVE TECHNOLOGY SERVICES, 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 $94.1 million.

What is the period of performance?

Start: 2012-01-17. End: 2016-02-29.

How effectively did the "ACA/ACO TESTING" services contribute to the goals of the Affordable Care Act?

The effectiveness of the testing services is directly tied to their ability to identify system flaws, validate functionality, and ensure compliance with ACA requirements. A thorough post-award review would be needed to assess if the testing met its objectives and contributed to the successful rollout and operation of ACA-related programs.

What were the primary risks associated with the Cost Plus Award Fee structure for this contract?

The primary risks included potential cost overruns, as the contractor is incentivized to incur costs to earn fees, and a lack of strong incentive for cost efficiency. There was also a risk that the award fee criteria might not perfectly align with the government's true priorities, leading to suboptimal performance outcomes despite meeting fee targets.

Was the $94 million expenditure a justifiable investment for the IT services provided?

Justification depends on the tangible outcomes achieved. If the testing services led to robust, reliable systems that facilitated ACA implementation and improved healthcare data management, the expenditure could be justified. However, without clear metrics on system performance and impact, the value proposition remains uncertain.

Industry Classification

NAICS: Professional, Scientific, and Technical ServicesComputer Systems Design and Related ServicesComputer Systems Design Services

Product/Service Code: IT AND TELECOM - INFORMATION TECHNOLOGY AND TELECOMMUNICATIONSADP AND TELECOMMUNICATIONS

Competition & Pricing

Extent Competed: FULL AND OPEN COMPETITION

Solicitation Procedures: SUBJECT TO MULTIPLE AWARD FAIR OPPORTUNITY

Offers Received: 5

Pricing Type: COST PLUS AWARD FEE (R)

Evaluated Preference: NONE

Contractor Details

Parent Company: Optumserve Technology Services Inc.

Address: 10480 LITTLE PATUXENT PKWY SUITE 310, COLUMBIA, MD, 21044

Business Categories: 8(a) Program Participant, Category Business, Minority Owned Business, Not Designated a Small Business, Self-Certified Small Disadvantaged Business, Small Business, Small Disadvantaged Business, Special Designations, Indian (Subcontinent) American Owned Business

Financial Breakdown

Contract Ceiling: $286,315,295

Exercised Options: $94,098,417

Current Obligation: $94,098,417

Actual Outlays: $-576,986

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: NO

Parent Contract

Parent Award PIID: HHSM500200700024I

IDV Type: IDC

Timeline

Start Date: 2012-01-17

Current End Date: 2016-02-29

Potential End Date: 2018-07-16 00:00:00

Last Modified: 2024-09-17

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