“The Centers for Medicare & Medicaid Services (CMS) has issued a sources-sought notice looking for small businesses that can perform a wide range of benefit and claims administration services in multiple states. The work is currently performed by large companies and could be worth more than $100 million if a portion of the incumbent work converts to small business.”
“CMS wants to discover whether small businesses (e.g., 8(a), service-disabled veteran-owned; HUBZone; small disadvantaged; veteran-owned; and women-owned) are capable of providing specific fee-for-service health insurance benefit administration services.”
“CMS needs vendors that can make health care claims-related payments on behalf of Medicare beneficiaries and establish relationships with health providers and suppliers of healthcare services, according to the notice details.”
“The contract could last as long as 10 years, increasing the potential value. The scope of work includes services in support of Medicare parts A (hospital insurance) and B (doctor and other health care provider services, and durable medical equipment)…” Read the full article here.
Source: Medicare Wants Small Businesses for Big Claims, Payment Services – By Cameron Leuthy, October 9, 2019. Bloomberg Government.