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.
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