R -- A-76 STEAMLINED STUDY- Premium Billing and Collections, Accounting Management Group, Office of Financial Management

The Centers for Medicare and Medicaid Services (CMS) is initiating a Streamlined Competition to evaluate and potentially restructure the Premium Billing and Collections functions within its Accounting Management Group, Office of Financial Management. This effort follows the Revised Office of Management and Budget (OMB) Circular A-76 guidelines and involves assessing the current government workforce of 23 employees who handle the critical task of collecting Medicare Part A and Part B premiums from beneficiaries and third parties under the new Medicare Modernization Act (MMA) program. CMS is developing the Most Efficient Organization (MEO) through a streamlined methodology, and has opted to waive the usual 45-day extension during this process. No Request for Proposals will be issued; instead, the decision to contract the work out will be made after completing a study that incorporates documented market research. Key officials managing the process include Karen O'Steen as the Competitive Sourcing Official, James Weber as the Agency Tender Official, and Robyn Salawitch as the Contracting Officer. Upon conclusion of the streamlined study, CMS will publicly announce the performance decision regarding whether the premium billing and collections services will remain within the federal workforce or be outsourced. The solicitation references NAICS code 541219 and aligns with Public Law 109-115 requirements, underscoring the agency’s intent to optimize efficiency while ensuring continuity in these mission-critical business functions.