Serco Inc. has been awarded a contract worth up to $900 million to support eligibility determinations for consumers purchasing health insurance through the Federal Health Insurance Exchanges.
The contract was awarded by the Centers for Medicare and Medicaid Services, and has a one-year base period and four one-year option periods. The contract would be valued at approximately $900 million, if all option years are exercised.
Under the contract, Serco will help qualified consumers verify their eligibility for benefits, and will also continue development of the eligibility support platform. Serco will ensure the integrity of the program while assisting qualified consumers in securing and maintaining their eligibility to enroll in a qualified health plan, the company said.
“Since 2013, Serco has developed a great working partnership with CMS to provide vital services to consumers applying for health insurance eligibility,” said Serco chairman and chief CEO Dave Dacquino. “As we move forward, Serco is committed to continuing to deliver our case management expertise in support of program integrity.”
Serco said that it has assisted millions of consumers in adjudicating their eligibility applications over the past five years, using a combination of skilled staff and process automation to drive down costs and protect program integrity. Under the new contract, Serco’s eligibility support team will continue to enhance their automated processing platforms and their staff expertise to provide even better and more efficient consumer service, the company said.