RESEARCH TRIANGLE INSTITUTE - MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM ANALYSIS AND OPERATIONAL SUPPORT
Key Details
Description
MEDICARE SHARED SAVINGS PROGRAM ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM ANALYSIS AND OPERATIONAL SUPPORT
Context & Analysis
Department of Health and Human Services obligated $93,112,929 to RESEARCH TRIANGLE INSTITUTE for medicare shared savings program accountable care organization (aco) program analysis and operational support. The award is classified under NAICS 541611. Competition extent: full and open competition with 2 offers received. Performance is located in NC. This award is one of several similar procurements from Department of Health and Human Services under NAICS 541611 — related awards are listed below.
Contractor Information
Subcontractors on this Prime(1 disclosed)
First-tier subawards from USASpending’s FSRS reporting. Sub-recipient names are often partially disclosed or redacted; amounts reflect the sub portion only.
| Subcontractor | Amount |
|---|---|
| Not disclosed Nov 4, 2025 | $50,000 |
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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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