Risk Scoring Proof of Concept (Phase 1 Pilot)

The Department of Health and Human Services, through the Program Support Center Acquisition Management Service and the Office of the Assistant Secretary for Financial Resources, has awarded a firm-fixed-price task order under the GSA Multiple Award Schedule to MorphWorks, Inc., for a 90-day proof of concept pilot aimed at enhancing the identification, assessment, and prioritization of healthcare providers with elevated improper payment risks. The effort focuses on leveraging state-level Single Audit findings and other authoritative data sources to develop a standardized, explainable risk-scoring model that supports more informed oversight and coordination with the Office of Inspector General, without processing any patient data. The work is non-severable and must be delivered by a single contractor due to the integrated nature of the solution, which relies exclusively on Verato’s patented referential matching technology accessed through Euclidian Trust, a unique capability that cannot be substituted without significant risk to schedule, performance, and integration outcomes. The contract value is set at $223,140, which is 14.84% below the Government’s independent cost estimate, and performance is to be completed remotely across six designated states, with deliverables submitted digitally to HHS offices in Washington, D.C., and Rockville, Maryland. Key deliverables include phased risk-scoring outputs, government-usable .csv datasets, methodology documentation, anomaly detection reports, and executive-ready recommendations including a roadmap for nationwide expansion. Validation occurs iteratively during Weeks 5 through 8 via direct collaboration with ASFR and OIG stakeholders, and final acceptance is contingent upon the accuracy, operational relevance, and explainability of results. The award was made as a sole-source acquisition under CICA 41 U.S.C. § 3304(a)(1) and GSA FSS procedures due to the proprietary nature of the Verato engine and the contractor’s exclusive institutional expertise in deploying it. No formal FAR clauses, COTR, or detailed accounting codes are specified, and while the contract allows for a future non-binding follow-on order to preserve institutional knowledge, no options or pricing for subsequent phases are established. All work must be completed within the fixed 90-day period with no physical delivery requirements, and invoicing methods remain unspecified.