NATIONAL COMMITTEE FOR QUALITY ASSURANCE - PERFORMANCE MEASUREMENT FOR THE MEDICARE ADVANTAGE PROGRAM
Key Details
Description
PERFORMANCE MEASUREMENT FOR THE MEDICARE ADVANTAGE PROGRAM
Context & Analysis
On Aug 31, 2021, Department of Health and Human Services obligated $16,827,113 to NATIONAL COMMITTEE FOR QUALITY ASSURANCE for performance measurement for the medicare advantage program. The award is classified under NAICS 541611 — ADMINISTRATIVE MANAGEMENT AND GENERAL MANAGEMENT CONSULTING SERVICES and issued as a j contract. Competition extent: full and open competition with 1 offer received. Performance is located in WASHINGTON, DC. This award is one of several similar procurements from Department of Health and Human Services under NAICS 541611 — related awards are listed below.
Market context
- Recompete outlook
- Ended Sep 28, 2026 (23 days ago). Recompete signal as of Oct 10, 2026: 50/100, combining time to the end date, the incumbent's history with this agency, whether the award was competed, and its size.
- Competition
- Competed, with 1 offer. 81% of 898 awards in this market (Department of Health and Human Services awards in NAICS 541611 over the last 3 years) were competed; median 3 offers.
- Award size
- At $16.8M, this award is larger than 19 in 20 of the 1624 priced Department of Health and Human Services awards in NAICS 541611 over the last 3 years (median $702K).
- Incumbent at this agency
- NATIONAL COMMITTEE FOR QUALITY ASSURANCE has 20 other awards from Department of Health and Human Services, totalling $76.4M, 2022–2026.
- Largest vendors in this market
By obligations, Department of Health and Human Services awards in NAICS 541611 over the last 3 years.
- DELOITTE CONSULTING LLP — 69 awards, $802.7M
- GENERAL DYNAMICS CORP — 3 awards, $411.8M
- MAXIMUS INC — 7 awards, $358.4M
- RESEARCH TRIANGLE INSTITUTE — 46 awards, $326.3M
- BOOZ ALLEN HAMILTON HOLDING CORPORATION — 34 awards, $308.1M
Computed from USAspending award data on Oct 10, 2026.
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IGF::OT::IGF THE CERT PROGRAM CALCULATES BI-ANNUAL IMPROPER PAYMENT RATES BASED ON THE RESULTS OF THE REVIEWS CONDUCTED. THESE RATES INCLUDE AN OVERALL NATIONAL MEDICARE FFS IMPROPER PAYMENT RATE AND IMPROPER PAYMENT RATES FOR EACH CLAIM TYPE [PART A INPATIENT HOSPITAL PROSPECTIVE PAYMENT SYSTEM (PPS); PART A EXCLUDING INPATIENT HOSPITAL PPS; PART B; AND DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS, AND SUPPLIES (DMEPOS)]. THE CERT PROGRAM ENSURES A STATISTICALLY VALID RANDOM SAMPLE; THEREFORE, THE IMPROPER PAYMENT RATE CALCULATED FROM THIS SAMPLE IS CONSIDERED TO BE REFLECTIVE OF ALL OF CLAIMS PROCESSED BY MEDICARE FFS PROGRAM DURING THE REPORT PERIOD. CMS ALSO USES THE CERT PROGRAM TO PERFORM SPECIAL STUDIES AND SUPPLEMENTAL MEASUREMENTS TO DETERMINE THE IMPROPER PAYMENT RATES OF PARTICULAR CLAIM TYPES. CALCULATIONS OF THESE RATES FACILITATE CMS ABILITY TO TAKE APPROPRIATE CORRECTIVE ACTIONS TO REDUCE IMPROPER PAYMENTS.
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