CGI Federal Inc., won a single award, firm-fixed-price contract from the Centers for Medicare & Medicaid Services to help improve access to Medicare for millions of beneficiaries.
Under this contract, CGI will modernize the agency’s Health Plan Management System, helping CMS optimize the plan enrollment and compliance processes for more than 800 private health and drug plans currently participating in the Medicare Advantage and Medicare Part D programs.
The contract includes a 1-year base period and four 1-year option periods, for a total contract value of $72 million.
CGI will modernize HPMS by integrating intelligent automation, leveraging cloud efficient tools, delivering data analytics and applying agile delivery methodologies, the company said. It’ll also apply advanced technologies to help meet increasing stakeholder expectations and improve cybersecurity to address new threat vectors.
“With more than two decades of experience in delivering complex enterprise information technology projects for HPMS, we are proud to extend our support to further advance the CMS HPMS mission and help transform the accessibility of health plans for Medicare beneficiaries through a secure system,” said Ksheeraja Velangulam, CGI vice president of consulting services, and lead for CGI’s HPMS engagement.
“Through our comprehensive healthcare industry knowledge and deep technical expertise, we will deliver innovative solutions that enable CMS to meet the evolving expectations of program beneficiaries.”
Under the contract, CGI will also provide solutions for optimizing the annual lifecycle activities required to successfully execute every MAPD plan, and strategic business and technical solutions to deliver a full-service website meant to improve the HPMS user experience.
With more than 70 software modules of different sizes and complexity, HPMS supports critical functions impacting 65 million Medicare beneficiaries enrolling into MAPD health plans. It also has a Plan Management Dashboard, which organizes HPMS data and visually presents key performance indicators for CMS and health plan executives.
“CGI understands the current challenges in operationalizing data for the Medicare, Medicaid, and healthcare marketplace communities,” said Steve Sousa, CGI senior vice president & Health and Social Services Business Unit lead.
“As the need for evolving digital ecosystem interoperability continues to grow, CGI supports CMS to reinvent digital strategies and optimize operations to improve the beneficiary journey and customer experience.”