HMS picks up Marketplace Management Compliance Reviews task

G2X TAKE: Leveraging Healthcare Management Solutions, LLC (HMS)’s prior experience working alongside CCIIO in support of their oversight and monitoring of Issuers who offer Qualified Health Plans in the Federally-Facilitated Marketplace, this woman-owned small business and CMS SPARC Prime, who carries a blend of clinical and IT expertise intended to touch the entire Healthcare delivery lifecycle of its primary customer, the Centers for Medicare & Medicaid Services (CMS), recently beat out two other bidders to be awarded a new 3-year task. This task was awarded using GSA Professional Services Schedule (PSS).

Take Bytes

  • HMS is a known incumbent on this effort, having been awarded a 3-year contract in 2016 for Marketplace Plan Management Compliance Review. They also bring a broad set of past performance in support of CMS ranging from providing Oversight of State Performance and Federal Oversight and Training in Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), to support efforts to Survey Organ Transplants. 
  • HMS’ compliance related past performance with CMS includes reviewing the Qualified Health Plans (QHPs) offered on; performing clinical quality data validity and reliability testing; reviewing, editing, and remediating approximately 8,100 documents annually for section 508 compliance; and investigating and resolving automated system exceptions associated with Medicare beneficiary enrollments, direct billing, or third-party transactions on behalf of CMS. Source: HMS
  • Led by President, Leah Heimbach, late last year, HMS added William Turner as Chief Strategy Officer to assist with developing, communicating, executing, and sustaining corporate strategic initiatives in the areas of commercial, state and Federal Healthcare marketplaces, while expanding HMS into adjacent verticals and markets of Defense and Veterans Healthcare.

This topic contains 0 replies, has 1 voice, and was last updated by  Heather Seftel-Kirk 7 months, 2 weeks ago.

  • Author
  • #60664
     Heather Seftel-Kirk
    • Writer
    • G2Xchange

    Replies viewable by members only


You must be logged in to reply to this topic.


Questions?. Send us an email and we'll get back to you, asap.


©2020 G2Xchange all rights reserved (new) | Community and Member Guidelines | Privacy Policy | About G2Xchange Health

Federal Government Employees Join Free

As a special thank you to all the federal agencies that have been supportive of our efforts over the years we offer a free individual membership to Federal Government employees.  Membership includes:

Full Access to the G2Xchange Health website, including exclusive member content.

Access to Forums, Comments, and Discussions

Member Directory

Private Messaging

The G2Xchange Health Daily Take Newsletter which includes the latest intelligence, news, and happenings from across the Federal Health IT Market.

Exclusive Discounts on G2Xchange Events and G2Xchange Partner Events.

Click Here to Join


Opportunities. Starting Points.

About our Data

The Vault is a listing of expiring contracts, task orders, etc. within a certain set of parameters, to include:

  • Have an initial total estimated contract value of $10 million or above
  • Federal Health Only – MHS/DHA, HHS, CMS, or VA Actions
  • NAICS codes include: 511210, 518210, 519130, 519190, 541511,
    541513, 541519, 541611, 541618,
    541690, 541720, 541990
  • Were modified within the last 12 calendar months
  • The data represented is based on information provided by the government

Who has access? Please note that ALL G2Xchange Health Members will receive access to all basic and much of the advanced data. G2Xchange Health Corporate Members will receive access to ALL Vault content (basic and advanced).

Feedback/Suggestions? Contact us at and let us know what you think. 

Log in with your credentials

Forgot your details?