WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. - MEDICARE ADMINISTRATIVE CONTRACTOR JURISDICTION 5
Key Details
Description
MEDICARE ADMINISTRATIVE CONTRACTOR JURISDICTION 5
Context & Analysis
On Dec 4, 2025, Department of Health and Human Services obligated $369,229,590 to WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. for medicare administrative contractor jurisdiction 5. 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 2 offers received. The procurement used a NO SET ASIDE USED. set-aside. Performance is located in MADISON, WI. 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
- Ended Aug 31, 2026 (2 months ago). Recompete signal as of Oct 25, 2026: 28/100, combining time to the end date, the incumbent's history with this agency, whether the award was competed, and its size.
- Competition
- Competed, with 2 offers. 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 $369.2M, this award is above the median 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
- WISCONSIN PHYSICIANS SERVICE INSURANCE CORP. has 1 other award from Department of Health and Human Services, totalling $318.9M, in 2025.
- 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
- PALMETTO GBA, LLC — 2 awards, $753.8M
- CGS ADMINISTRATORS, LLC — 5 awards, $729.1M
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.
NOVITAS SOLUTIONS, INC.
$889.8M
JURISDICTION H A/B MAC CONTRACT
NOVITAS SOLUTIONS, INC.
$876.7M
PART A/PART B MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) JURISDICTION M (JM)
PALMETTO GBA, LLC
$615.6M
A/B MAC JURISDICTION E
NORIDIAN HEALTHCARE SOLUTIONS, LLC
$482.8M
IGF::OT:IGF SOLICITATION OF JURISDICTION F
NORIDIAN HEALTHCARE SOLUTIONS, LLC
$471.2M
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