GAO sides with protester on $85M Program Integrity Services task at CMS

Posted (Last updated )

** Posted June 7, 2017

G2X TAKE: That didn't take long as Health Integrity, LLC is firing back, filing their own protest this week after GAO sided with a protestor who challenged the award of this large Program Integrity Services task. 

The brief provided by GAO in the thread below lays out a detailed challenge by AdvanceMed, an NCI company, as they identified a number of perceived deficiencies in the award and evaluation process. GAO agreed in large part with their assessment. No information has been provided at this time as to the rationale for this latest protest by Health Integrity. GAO has listed a due date of September 13, 2017 for resolution 


** Posted June 2, 2017

“AdvanceMed Corporation, of Reston, Virginia, protests the issuance of a task order to Health Integrity, LLC, of Easton, Maryland, under request for proposals (RFP) No. HHSM-500-2016-RFP-0027, issued by the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS), for Medicare and Medicaid program integrity services. The protester challenges the agency’s cost realism analysis and best-value decision.

We sustain the protest.

BACKGROUND - The agency issued the solicitation on July 13, 2016, to contractors holding one of CMS’s Unified Program Integrity Contract (UPIC) indefinite-delivery, indefinite-quantity (IDIQ) contracts. The solicitation sought proposals to support the agency’s fraud, waste, and abuse detection, deterrence, and prevention activities for Medicare and Medicaid claims within the Western Jurisdiction.[1] RFP, § B.1, at 3; RFP, Attach. J.1, SOW, at 1. The solicitation contemplated the award of a …” Read a full synopsis of the challenge Here

G2X TAKE: A protest of this recent task award to support CMS fraud, waste, and abuse detection, deterrence, and prevention activities for Medicare and Medicaid claims has been sustained.

The basis for the challenge put forth by AdvanceMed, an NCI company, centered around price realism as they identified multiple perceived deficiencies and omissions in the awardee's pricing that led to a more than $20M difference between the two bidders.

Competed under the Unified Program Integrity Contract (UPIC) IDIQ, the recommendation by GAO is that CMS conduct and document a new cost realism evaluation and prepare a new source selection decision. No new award has been announced yet. 


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