AWARD
R -- Recovery - Multi-Payor Claims Database
- Notice Date
- 9/14/2010
- Notice Type
- Award Notice
- NAICS
- 518210
— Data Processing, Hosting, and Related Services
- Contracting Office
- Department of Health and Human Services, Centers for Medicare & Medicaid Services, Office of Acquisition and Grants Management, 7500 Security Blvd., C2-21-15, Baltimore, Maryland, 21244-1850
- ZIP Code
- 21244-1850
- Solicitation Number
- RFQ-MPCD-2010-DRCG03
- Archive Date
- 9/29/2010
- Point of Contact
- Evelyn R Dixon, Phone:, Edward Cooney, Phone:
- E-Mail Address
-
evelyn.dixon@cms.hhs.gov, edward.cooney@cms.hhs.gov
(evelyn.dixon@cms.hhs.gov, edward.cooney@cms.hhs.gov)
- Small Business Set-Aside
- N/A
- Award Number
- GS-35F-0027W-HHSM-500-2010-00228G
- Award Date
- 9/14/2010
- Awardee
- Ingenix Public Sector Solutions, Inc., 800 King Farm Blvd<br />, Suite 500, Rockville, Maryland 20850, United States
- Award Amount
- $16,436,482
- Description
- DETERMINATION AND FINDINGS Recovery Act-Funded Contract Action Identification of OPDIV/Contracting Activity: ASPE/OAGM/AGG/DRCG ASPE COTRs: Patrick Conway and Amol Navathe Title: Multi-Payor Claims Database Implementation Contract Type: Fixed Price Contractors: GSA Vendors Period of Performance: Three (3) years from DOA - not to exceed 9/15/2013 Est. Total Costs: $16,436,482 Findings: I. Authority This task order is funded by the American Recovery and Reinvestment Act of 2009, (Recovery Act, P.L. 111-5) which specifies, "To the maximum extent practicable, contracts funded under this Act shall be awarded as fixed-price contracts through the use of competitive procedures." II. This contract action is competitive. __X__ Yes _____ Not Available for Competition. This action is statutorily exempt from competition, e.g., noncompetitive 8(a) set-aside, Tribal agreements (for IHS only), mandatory source. _____ No As appropriate, please attach a copy of (1) the Justification for Other than Full and Open Competition (JOFOC); (2) the Limited Source Justification (LSJ); (3) documentation of Exception to the Fair Opportunity Process (under FAR 16.505(b)(5)); or (4) for simplified acquisitions, a brief description of the circumstances which justify not competing, signed by the contracting officer. III. This contract action is fixed price. __ X_ Yes ___ _ No Purpose The overall purpose of this project is to build and operate a multi-payor claims database (MPCD) to support Comparative Effectiveness Research (CER) using Medicare, Medicaid and private payor claims data and to enable access to the database for researchers who seek to use it to improve the public's health. The goals of the project are to: o Establish a multi-stakeholder governance committee composed of representatives from at least the following: the U.S. Department of Health and Human Services, private payers, state Medicaid organizations, patient advocates, health services researchers, and provider representatives o Obtain Medicare and Medicaid data, to be made available from CMS; identify states with promising multi-payor claims database efforts; dentify sources of claims data beyond Medicare and Medicaid claims and build partnerships that facilitate their incorporation into the database o Develop a technical implementation plan to create a multi-payer claims database and develop or customize existing hardware and software needed to create and operate database o Validate and develop appropriate linkages across the various data sources to be included in the database o Execute appropriate data use agreements and obtain Medicare and Medicaid data; obtain data from non-CMS sources identified in prior phase of contract o Create mechanisms for researchers to access the database, including both data extracts and possibly direct query methods through a point of access with usable user-interface o Develop and implement a mechanism for updating the database regularly and for expanding the data sources contained within the database; the database should be capable of incorporating claims data from any public or private payer. The mechanism for update and growth should support incorporation of select clinical data (e.g. from EHRs, lab data) over time o Develop a proposal that outlines the range of potential users of the database, proposed uses, the level of personal health information able to be disclosed to a user given the users objectives, and the fee schedule for each user and type of use o Provide free access to data extracts to a group of qualified researchers for a period of one year after the database is operational to help validate and promote the database o Provide free access to the Department of Health and Human Services for research purposes for a period of three years from award of this contract o Maintain the database and provide access to other qualified users as defined by the multi-stakeholder governance board at fee levels that will sustain the business model Specificity/nature of requirement (risk and profit): The Contractor will build and operate a multi-payor claims database (MPCD) to support Comparative Effectiveness Research (CER) using Medicare, Medicaid and private payor claims data and to enable access to the database for researchers who seek to use it to improve the public's health. Phase I of this effort, the Strategic Design phase, resulted in the creation of a framework and recommendations to guide the implementation of a MCPD. In addition, the government is supporting an ongoing project to customize existing software platforms for use in linking and analyzing claims and other datasets for CER. A single access point to Medicaid, Medicare, and private payer claims data for researchers would facilitate new comparative effectiveness studies on variation in utilization, approaches to healthcare financing, payment and delivery as well as approaches to performance benchmarking. In addition, such a data approach could provide support for analysis in the areas of prevention, diagnosis and treatment strategies. Claims data could help address a number of the evidence questions within the IOM's 100 priority topics for CER. This project reflects Phase II of the creation of a multi-payor claims database. In general, the requirements of this database would include:  A sample that reflects the U.S. population demographically and geographically;  Information for the purposes of understanding variation in utilization across payers, providers, and geographies;  The potential to allow researchers to perform de-identified analysis of physician performance based on a near-complete set of a physician's patients;  The statistical power for users to conduct "hypothesis testing" analysis for subpopulations or specific medical interventions not found in large enough numbers in other databases;  A combination of CMS and private-payer data at a national level; and,  Meaningful access for researchers seeking to better the public health to administrative data from public and private payer sources.  A platform from which to explore future incorporation of additional data sources and data types (e.g. clinical data, EMR data, etc.) Monitoring and Cost Control ASPE proposes to compete the acquisitions utilizing the fixed price contract type. This acquisition approach combines the knowledge and experience of ASPE's technical program acumen and the vast experience of the contractor community with ASPE programs and goals. Under a fixed price contract the contractor assumes the risk for performance. A fixed price contract is suitable when reasonable definitive functional or detailed specifications exist, and the contracting officer can establish fair and reasonable prices based on the following considerations: • there is adequate price competition • there are reasonable price comparisons under prior purchases of the same or similar services on a competitive basis supported by valid pricing data • available pricing information permits realistic estimates of probable cost, and • performance uncertainties can be identified and reasonable estimates of their cost impact can be made. IV. If this contract action is not both fixed price and competitive, describe any additional steps taken to pursue a fixed priced competitive award (e.g., prepared more precise requirements documents; established more stringent review thresholds; expanded market research). If no additional steps were taken, please so state. No additional steps were taken, as this will be a fixed price award.  V. Determination: Based upon the findings, it is the determination of the government that a fixed price contract type enhances the degree of potential successful performance and promotes the potential of competition from offerors. The HCA (or a GS-1102-15 or higher designee) certifies that a fixed price award is appropriate.
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