Government // Leadership
Commentary
1/13/2014
05:45 PM
Ken Terry
Ken Terry
Commentary
Connect Directly
RSS
E-Mail
50%
50%

Fired HealthCare.gov Contractor CGI Won't Starve

Centers for Medicare & Medicaid Services replaces HealthCare.gov prime contractor CGI with Accenture. But CGI won't go hungry for Medicare contracts.

8 Healthcare Startups Catch Fire
8 Healthcare Startups Catch Fire
(Cick image for larger view and for slideshow.)

CGI Federal, the lead contractor on the healthcare.gov website, will not have its contract renewed when it expires at the end of February. The Centers for Medicare & Medicaid Services (CMS) is hiring Accenture to fix the flawed federal marketplace that operates the health insurance exchanges of 36 states. But CGI continues to hold important CMS contracts and has reportedly received $37 million in new business from the agency in the past few months.

Among other things, CGI is a "prime contractor" on the Enterprise System Development (ESD) contract of CMS, according to the company. ESD's scope of work includes "the planning, design, development, testing, implementation, operations coordination, and maintenance for the CMS's automated systems and business application software that integrate hardware, software, and communication technologies," CGI's website says.

A CMS document shows that CGI won its piece of the ESD contract in 2007. A list of current and recent CMS contracts indicates that, for one phase of ESD that ended Nov. 30, 2011, CGI received $4.7 million. Another part of the project, which ended Feb. 2, 2012, netted CGI $6.5 million.

[Read our complete coverage of the HealthCare.gov launch here.]

CGI has some other ongoing contracts with CMS, including:

  • TAS website support services, $20.5 million, through April 29, 2015
  • TAS Medicare appeals system, $7.7 million, through May 31, 2014
  • Medicare Advantage and Part D system maintenance, two contracts worth a total of $36.56 million, through July 31, 2014

How extensive is CGI's work with CMS overall? According to Influence Explorer, a website financed by the Sunlight Foundation, CGI held CMS contracts valued at $274 million from 2009 to 2013. By comparison, Accenture valued the initial phase of its new Healthcare.gov contract at $45 million, and The Washington Post reported that Accenture was set to receive $90 million from the CMS in the first year.

Mary Lamb, a government healthcare consultant at Suss Consulting in Jenkintown, Pa., declined to speculate on why the CMS would continue to contract with CGI. But she said that the CMS, like many other government agencies, uses a two-part approach to procuring services. First, it qualifies a group of bidders for a particular project such as ESD. Then it puts up certain task orders for bid. Under that system, unless CMS removed CGI's designation as a qualified bidder, the company could continue to compete for future CMS contracts.

CGI cannot be wholly blamed for the disastrous launch of healthcare.gov, because a number of other contractors worked on the federally facilitated marketplace. Those companies include Equifax Work Solutions, Serco Quality Software Services, and UnitedHealth Group's QSSI subsidiary, which developed the CMS data hub and is now the general contractor for healthcare.gov. (Clarification: This is not intended to assert that those vendors were at fault; only that CGI alone was not responsible for every aspect of the website.) But the Washington Post article pointed out that about half of the "new software code" that CGI has written for healthcare.gov in the past few months has failed. And CGI had not delivered 45% of the website components it was responsible for by Oct. 1, the Post reported.

Accenture, which has been hired to provide "continued technical improvements" to  healthcare.gov for one year, will have its hands full when it comes on board. The website still cannot send enrollment information to state Medicaid agencies when applicants qualify for Medicaid; is still having trouble transmitting enrollment data accurately to health plans; and reportedly cannot yet transmit subsidy payments to health plans.

Accenture has a large footprint in the federal government, including work for the IRS, the Census Bureau, and the Education Department. It has helped several states set up online programs, and it spearheaded the successful launch of California's health information exchange. The latter contract, which was worth $359 million, included the design and implementation of the website as well as continuing development and maintenance.

"Following a transition period on the current program, Accenture will provide services to support the Federally Facilitated Marketplace (FFM) to prepare for open enrollment in October 2014, including 24/7 support of the Marketplace application, eligibility and enrollment functions, generation and transmission of enrollment forms, and features related to special enrollment periods, among other services," said a company press release.

Ken Terry is a freelance healthcare writer specializing in health IT. A former technology editor of Medical Economics Magazine, he also is the author of the book Rx for Health Care Reform.

Moving email to the cloud has lowered IT costs and improved efficiency. Find out what federal agencies can learn from early adopters. Also in the The Great Email Migration issue of InformationWeek Government: Lessons from a successful government data site. (Free registration required.)

Comment  | 
Print  | 
More Insights
Comments
Newest First  |  Oldest First  |  Threaded View
WKash
50%
50%
WKash,
User Rank: Author
1/14/2014 | 4:47:09 PM
Re: Soft landing
Ken has it right that the only a handful of firms have the expertise to navigate the gauntlet of federal procurement rules and ALSO deliver at the scale required by the federal government.  That's why CGI Federal was found to be the best technical applicant at the time when it bid on the HealthCare.gov project, even thought a closer look at its past performance should have shot up warning flares. 

The big question now is, can Accenture realistically repair the foundation, establish the necessary ties with the remaining contractors and begin engineering the fixes HealthCare.gov really needs at the price tag and on the schedule it has agreed to with CMS?
SaneIT
50%
50%
SaneIT,
User Rank: Ninja
1/14/2014 | 11:48:37 AM
Replacing CGI
While Accenture is no group of slouches I do wonder if they have taken a very long look at the health care site and started negotiating based on what it will take to fix and maintain what CGI already did.  Many times and I suspect this is true with HealthCare.gov coming in second and facing all of the angry stake holders is harder than being the company that failed to deliver.  Accenture is going to be expected to deliver some fixes NOW and without the benefit of being able to say "this hasn't been done before".  They will be doing as much clean up as they will be doing new work and the clean up is a no win situation so I feel for anyone working on that project.
Ken Terry
50%
50%
Ken Terry,
User Rank: Apprentice
1/14/2014 | 11:47:52 AM
Re: Soft landing
That's true, but it's also the big, connected firms that seem to sail right on. David Blumenthal and others have spoken about this and how the vendors selected for government projects seem to be those that are best at navigating the procurement maze. Accenture is one of those companies, too, but it has done very little work for CMS up to now. Maybe it will bring a fresh perspective to the healthcare.gov mess.
David F. Carr
50%
50%
David F. Carr,
User Rank: Author
1/14/2014 | 11:43:58 AM
Soft landing
Seems better than this firm deserves. You have to screw up really big to escape the consequences.
2014 US Salary Survey: 10 Stats
2014 US Salary Survey: 10 Stats
InformationWeek surveyed 11,662 IT pros across 30 industries about their pay, benefits, job satisfaction, outsourcing, and more. Some of the results will surprise you.
Register for InformationWeek Newsletters
White Papers
Current Issue
InformationWeek Tech Digest - August 27, 2014
Who wins in cloud price wars? Short answer: not IT. Enterprises don't want bare-bones IaaS. Providers must focus on support, not undercutting rivals.
Flash Poll
Video
Slideshows
Twitter Feed
InformationWeek Radio
Sponsored Live Streaming Video
Everything You've Been Told About Mobility Is Wrong
Attend this video symposium with Sean Wisdom, Global Director of Mobility Solutions, and learn about how you can harness powerful new products to mobilize your business potential.