PALMETTO GBA, LLC - PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION M (JM)
Key Details
Description
PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION M (JM)
Context & Analysis
On Nov 5, 2025, Department of Health and Human Services obligated $615,641,499 to PALMETTO GBA, LLC for part a/part b medicare administrative contractor (mac) jurisdiction m (jm). The award is classified under NAICS 524114 — DIRECT HEALTH AND MEDICAL INSURANCE CARRIERS and issued as a cost plus award fee contract. Competition extent: full and open competition with 1 offer received. The procurement used a NO SET ASIDE USED. set-aside. Performance is located in COLUMBIA, SC. The contract is scheduled through Aug 31, 2029. This award is one of several similar procurements from Department of Health and Human Services under NAICS 524114 — related awards are listed below.
Market context
- Recompete outlook
- Ends Aug 31, 2029, in 34 months. Recompete signal as of Oct 25, 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. 96% of 25 awards in this market (Department of Health and Human Services awards in NAICS 524114 over the last 3 years) were competed; median 2 offers.
- Award size
- At $615.6M, this award is larger than three in four of the 25 priced Department of Health and Human Services awards in NAICS 524114 over the last 3 years (median $261.5M).
- Incumbent at this agency
- PALMETTO GBA, LLC has 11 other awards from Department of Health and Human Services, totalling $504.2M, 2021–2026.
- Largest vendors in this market
By obligations, Department of Health and Human Services awards in NAICS 524114 over the last 3 years.
- NOVITAS SOLUTIONS, INC. — 4 awards, $2.7B
- NORIDIAN HEALTHCARE SOLUTIONS, LLC — 6 awards, $1.5B
- NATIONAL GOVERNMENT SERVICES, INC. — 2 awards, $845.3M
- CGS ADMINISTRATORS, LLC — 5 awards, $729.1M
- WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. — 2 awards, $688.1M
Computed from USAspending award data on Oct 25, 2026.
Contractor Information
Similar Awards
THE PURPOSE OF THIS CONTRACT IS TO OBTAIN SERVICES FOR THE JURISDICTION H (PART A AND B) MEDICARE ADMINISTRATIVE CONTRACTOR (MAC). THE CONTRACTOR WILL PROVIDE SPECIFIED HEALTH INSURANCE BENEFIT ADMINISTRATION SERVICES, INCLUDING MEDICARE CLAIMS PROCESSING AND PAYMENT SERVICES, IN SUPPORT OF THE MEDICARE PROGRAM (ALSO KNOWN AS THE MEDICARE FEE-FOR-SERVICE, OR FFS, PROGRAM) FOR JURISDICTION H. JURISDICTION H INCLUDES THE FOLLOWING STATES: ARKANSAS, COLORADO, LOUISIANA, MISSISSIPPI, NEW MEXICO, OKLAHOMA, AND TEXAS.
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