Department of Health and Human Services 
   
OFFICE OF 
INSPECTOR GENERAL 
A O
N  VERVIEW OF       
60 C T
  ONTRACTS  HAT 
C
ONTRIBUTED TO THE 
D
EVELOPMENT AND 
O
PERATION OF THE 
F M
EDERAL  ARKETPLACE 
 
 
Daniel R. Levinson 
 Inspector  General  
 
August 2014 
OEI-03-14-00231 
   
  PURPOSE 
To  provide  descriptive  and  financial  data  regarding  60  contracts  related  to  the  development  and  
operation  of  the  Federal  Marketplace  at  HealthCare.gov.  
BACKGROUND 
The  Patient  Protection  and  Affordable  Care  Act  (ACA)  required  the  establishment  of  a  health  insurance  
exchange  (marketplace)  in  each  State.1,  2    For  States  that  elect  not  to  establish  their  own  marketplaces,  
the  Federal  Government  is  required  to  operate  a  marketplace  on  behalf  of  the  State.   A  marketplace  is  
designed  to  serve  as  a  onestop  shop  where  individuals  can  obtain  information  about  their  health  
insurance  options,  determine  eligibility  for  Qualified  Health  Plans  (QHPs)  and  insurance  affordability  
programs,  and  select  the  QHP  of  their  choice.   QHPs  are  private  health  insurance  plans  that  each  
marketplace  recognizes  and  certifies  as  meeting  certain  standards  and  covering  a  core  set  of  benefits.  
As  of  October  1,  2013,  the  Centers  for  Medicare  &  Medicaid  Services  (CMS)  operated  the  Federally  
Facilitated  Marketplace  (Federal  Marketplace)  for  36  States,  consisting  of  29  States  that  use  the  Federal  
Marketplace  and  7  Statepartnership  marketplaces.3   Fifteen  States  (including  the  District  of  Columbia)  
operated  their  own  Statebased  marketplaces.   
Use  of  Contracts  for  the  Federal  Marketplace  
CMS  reliedand  continues  to  rely  extensivelyon  contractors  to  operate  the  Federal  Marketplace.   The  
troubled  launch  of  the  Federal  Marketplace  on  October  1,  2013,  raised  serious  concerns  about  the  
Departments  management  and  oversight  of  the  project,  including  the  selection  and  oversight  of  the  
many  contractors  that  played  a  role  in  the  development  and  operation  of  the  Federal  Marketplace.4  
The  Office  of  Inspector  General  (OIG)  is  reviewing  the  Departments  efforts  to  develop  and  operate  the  
Federal  Marketplace.    This  body  of  work  will  include  reviews  of  the  planning,  acquisition,  management,  
and  performance  oversight  of  Federal  Marketplace  contracts,  as  well  as  various  aspects  of  Federal  
Marketplace  operations.    This  report  is  the  first  in  a  series  regarding  contracting  for  the  Federal  
Marketplace.   This  report  provides  basic,  descriptive  information  about  the  contracts  that  contributed  to  
the  development  and  operation  of  the  Federal  Marketplace.   Additional  reviews  regarding  contract  
procurement  and  oversight  are  ongoing  and  several  reports  are  expected  in  2014  and  2015.   These  
reviews  will  provide  more  indepth  analyses  and,  when  appropriate,  findings  and  recommendations.      
                                                 
1  P.L.  111148,    1311(b),  1321(c)  (March  23,  2010),  as  amended  by  the  Health  Care  and  Education  Reconciliation  Act  of  2010,  
P.L.  111152  (March  30,  2010),  collectively  known  as  ACA.   
2  The  ACA  uses  the  term  exchanges  to  refer  to  Federal  and  State  competitive  marketplaces  for  insurance.   However,  CMS  now  
uses  the  term  marketplaces.   There  were  a  number  of  additional  terms  used  to  refer  to  the  Federal  Marketplace  during  the  
contracting  process,  including  Federally  Funded  Exchange,  Federally  Facilitated  Marketplace,  Health  Insurance  Exchange,  and  
Federal  Exchange  Program  System.   
3  A  State  may  establish  a  Statepartnership  marketplace,  in  which  the  Department  of  Health  and  Human  Services  (Department)  
and  the  State  share  responsibilities  for  core  functions. 
4  In  this  report,  we  refer  to  the  Department  to  acknowledge  activities  related  to  the  Federal  Marketplace  that  were  undertaken  
by  the  Office  of  Consumer  Information  and  Insurance  Oversight  (OCIIO),  which  was  originally  established  in  the  Office  of  the  
Secretary;  the  Center  for  Consumer  Information  and  Insurance  Oversight  (CCIIO)  within  CMS,  to  which  OCIIOs  responsibilities  
were  transferred  in  early  2011;  and  other  offices  within  the  Department  that  were  part  of  the  development  and  operation  of  
the  Federal  Marketplace.  
 
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  1 
  Types  of  Contracts   
Federal  agencies  can  choose  from  many  different  contract  types  depending  on  the  specificity  of  the  
need,  the  circumstances  at  hand,  and  whether  incentives  would  be  warranted.5   
For  the  development  of  the  Federal  Marketplace,  the  Department  chose  primarily  from  two  broad  
categories  of  contract  types:   fixedprice  and  costreimbursement.   For  fixedprice  contracts,  the  
contractor  generally  is  required  to  deliver  the  product  specified  for  a  fixed  price,  with  a  fixed,  maximum  
amount  of  money  that  the  Federal  Government  must  pay.   The  contractor  assumes  the  risk  for  cost  
overruns.   Costreimbursement  contracts  provide  for  payment  of  allowable  costs  to  the  extent  
prescribed  in  the  contract,  and  the  Federal  Government  assumes  the  risk  for  cost  overruns.    
Within  these  two  broad  categories  are  a  number  of  specific  contract  types,  which  include,  but  are  not  
limited  to,  firmfixedprice,  costplusfixedfee,  and  costplusawardfee.    A  firmfixedprice  contract  
provides  for  a  price  that  is  not  subject  to  any  adjustment  on  the  basis  of  the  contractors  costs  in  
performing  the  contract.   This  contract  type  provides  the  maximum  incentive  for  the  contractor  to  
control  costs  and  perform  effectively.    A  costplusfixedfee  contract  is  a  costreimbursement  contract  
that  provides  for  payment  to  the  contractor  of  a  negotiated  fee  that  is  fixed  at  the  beginning  of  the  
contract.   This  contract  type  supports  contracting  efforts  that  might  otherwise  present  too  great  a  risk  to  
contractors,  but  it  provides  the  contractor  only  a  minimum  incentive  to  control  costs.   A   
costplusawardfee  contract  is  a  costreimbursement  contract  that  provides  for  a  fee  consisting  of  a  
base  amount  which  is  fixed  at  the  beginning  of  the  contract  and  an  award  amount  that  the  contractor  
may  earn  in  whole  or  in  part  during  the  contract.   This  contract  type  provides  the  contractor  with  an  
incentive  to  provide  excellent  performance  under  the  contract.  
There  are  other  types  of  contracts  used  under  certain  circumstances;  these  include  timeandmaterials  
contracts  and  letter  contracts.   A  timeandmaterials  contract  may  be  used  when  it  is  not  possible  to  
estimate  accurately  the  extent,  duration,  or  cost  of  the  work  being  contracted.   A  letter  contract  is  used  
when  the  Federal  Governments  interests  demand  that  the  work  start  immediately  and  there  is  not  
sufficient  time  to  negotiate  a  definitive  contract.   
Standards   
This  study  was  conducted  in  accordance  with  the  Quality  Standards  for  Inspection  and  Evaluation  issued  
by  the  Council  of  the  Inspectors  General  on  Integrity  and  Efficiency.  
   
                                                 
5  In  the  Federal  Acquisition  Regulations,  Part  16  describes  the  types  of  contracts  that  may  be  used  in  acquisitions,  prescribes  
policies  and  procedures,  and  provides  guidance  for  selecting  a  contract  type.  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  2 
  METHODOLOGY 
As  of  February  7,  2014,  CMS  identified  60  contracts  (the  contracts)  related  to  the  development  and  
operation  of  the  Federal  Marketplace.   Not  all  of  these  contracts  were  awarded  solely  for  the  purpose  of  
the  Federal  Marketplace.   Some  also  provided  services  for  the  State  marketplaces  and  other  CMS  
systems  and  programs.6    To  determine  the  estimated  value  of  the  contracts  base  and  option  years  
(estimated  at  the  time  of  award)  and  the  amount  obligated7  for  the  contracts  (base  year,  option  years,  
and  modifications),  OIG  analyzed  contract,  order,  and  modification  documentation  provided  by  CMS  for  
the  60  contracts.8   CMS  provided  contract  modification  documents  through  February  19,  2014  for  the   
contracts.9    
We  calculated  the  total  obligation  and  expenditure  amounts  related  to  the  Federal  Marketplace  
portions  of  each  contract  by  summarizing  the  financial  accounting  transactions  that  CMS  identified  as  
related  to  the  Federal  Marketplace  for  each  contract.   These  financial  accounting  transactions  
(obligations  and  expenditures)  include  all  transactions  that  CMS  processed  through  its  Healthcare  
Integrated  General  Ledger  Accounting  System  (HIGLAS)  as  of  February  28,  2014,  that  CMS  had  provided  
to  the  OIG  as  of  June  18,  2014.    
We  provided  CMS  with  an  opportunity  to  comment  on  the  report  and  have  made  revisions  based  on  its  
technical  comments.  
SUMMARY 
The  60  contracts  related  to  the  development  and  operation  of  the  Federal  Marketplace  started  between  
January  2009  and  January  2014.   Twenty  contracts  started  before  2012,  22  started  in  2012,  17  in  2013,  
and  1  in  2014.   The  purpose  of  the  60  contracts  ranged  from  health  benefit  data  collection  and  
consumer  research  to  cloud  computing  and  Web  site  development.     
Types  of  Contracts  
The  contract  types  vary  across  the  60  contracts.   The  contract  types  for  these  60  contracts  consist  of   
26  firmfixedprice  contracts,  13  timeandmaterials  contracts,  9  costplusfixedfee  contracts,   
6  costplusawardfee  contracts,  and  6  contracts  that  are  a  combination  of  the  different  types.    
Appendix  A  provides  financial  data  for  the  60  contracts  summarized  by  contract  type.  
                                                 
6  For  example,  a  task  order  was  originally  awarded  to  obtain  Web  site  development  and  support  services  for  CMSs  external  and  
internal  Web  sites  and  applications  including  MyMedicare.gov.   The  task  order  was  later  modified  to  support  the  Web  design  of  
the  Federal  Marketplace.   
7  Government  Accountability  Office,  A  Glossary  of  Terms  Used  in  the  Federal  Budget  Process,  September  2005,  GAO05734SP,  
pp.  48,  70,  and  73.   An  obligation"  is  a  definite  commitment  that  creates  a  legal  liability  of  the  Federal  government  for  the  
payment  of  goods  and  services  ordered  or  received.   An  obligation  is  incurred  when  a  contract  is  awarded  or  an  order  is  placed  
for  goods  and/or  services.   An  expenditure  is  an  outlay  or  the  actual  payment  made  to  liquidate  a  Federal  obligation.   
Accessed  at  http://www.gao.gov/products/GAO05734SP  on  June  25,  2014.  
8  We  use  the  term  contract  to  collectively  refer  to  procurement  methods  that  were  used.   This  includes  contracts  as  well  as  
task,  delivery,  and  call  orders  placed  on  previously  awarded  contracts.   Of  the  60  contracts  identified  by  CMS,  55  were  actually  
orders  placed  on  previously  awarded  contracts.   For  these  55  contracts,  the  descriptive  and  financial  information  is  provided  for  
the  specific  order  identified  by  CMS.        
9  This  was  the  latest  date  on  any  of  the  contract  modification  documents  provided  by  CMS  for  59  of  the  60  contracts.  For  one  
contract  awarded  in  2014,  CMS  provided  updated  modifications  through  February  21,  2014.  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  3 
  Estimated  Contract  Values  at  Time  of  Award  
The  original  estimated  value  of  these  contracts  totaled  $1.7  billion;  the  contract  values  ranged  from  
$69,195  to  over  $200  million.10,  11   For  20  of  the  60  contracts,  the  amounts  obligated  through  February  
2014  already  exceeded  the  estimated  value  of  the  contracts  at  award.   For  7  of  these  contracts,  the  
obligated  amounts  exceeded  the  expected  value  by  more  than  100  percent.   Appendix  B  provides  
descriptive  and  financial  data  for  each  of  the  60  contracts.  
Obligation  and  Expenditures  for  the  Federal  Marketplace  Contracts  
Nearly  $800  million  has  been  obligated  for  the  development  and  operation  of  the  Federal  Marketplace  
as  of  February  2014.   CMS  had  expended  nearly  $500  million  for  the  development  and  operation  of  the  
Federal  Marketplace  to  the  contractors  awarded  the  60  contracts  as  of  February  2014.12     
CONCLUSION  
This  report  provides  an  initial  overview  of  key  characteristics  of  the  60  contracts  for  the  Federal  
Marketplace,  including  basic  financial  information,  and  is  intended  to  serve  as  an  informational  
resource.   In  the  coming  months,  OIG  will  be  issuing  additional,  indepth  audits  and  evaluations  that  look  
more  closely  at  contracting  for  the  Federal  Marketplace  and  will  include,  when  appropriate,  
recommendations  to  resolve  vulnerabilities  we  identify  and/or  build  on  promising  approaches.  
   
                                                 
10  Not  all  of  these  contracts  were  awarded  solely  for  the  purpose  of  the  Federal  Marketplace.   Some  also  provided  services  for  
the  State  marketplaces  and  other  CMS  systems  and  programs.   
11  This  is  the  estimated  value  of  the  contract  or  order  on  the  date  it  was  awarded.   It  is  only  an  expected  value.   This  amount  
may  be  less,  for  example,  if  option  years  are  not  exercised.   This  amount  may  be  more,  for  example,  if  modifications  are  made  
to  the  contract/order  that  increase  the  costs  of  the  contract. 
12  The  obligation  and  expenditure  amounts  for  the  Federal  Marketplace  were  based  on  financial  transactions  processed  through   
CMSs  HIGLAS  as  of  February  28,  2014,  and  received  from  CMS  as  of  June  18,  2014.  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  4 
  APPENDIX A 
DATA BY CONTRACT TYPE FOR FEDERAL MARKETPLACE CONTRACTS 
Table  A1  provides  financial  data  for  the  60  Federal  Marketplace  contracts,  summarized  by  contract  type.   
The  estimated  value  of  a  contracts  base  and  option  years  is  established  at  the  time  of  award.   The  
amount  obligated  for  the  contract,  the  specific  amount  obligated  for  the  Federal  Marketplace,  and  the  
expenditure  for  the  Federal  Marketplace  are  through  February  2014.   
 Table  A1:   Financial  Data  for  Federal  Marketplace  Contractors  by  Contract  Type  (20092014)  
Estimated  Contract   Amount  Obligated  For  
Value  for  Base  and   Base  Year,    Total  Amount   Total  Amount  
Option  Years  at  Time   Option  Years,  and   Obligated  for  Federal   Expended  for  Federal  
of  Award1   Modifications2   Marketplace2   Marketplace  2  
Firmfixedprice  contracts  (N=26)3 
$225,081,865   $153,777,222  $122,447,025  $85,205,294 
Timeandmaterials  contracts  (N=13)4  
$121,629,716   $82,626,207  $59,019,850  $38,560,753 
Costplusfixedfee  contracts  (N=9)  
$298,129,557   $253,894,064   $79,470,726  $47,937,613 
Costplusawardfee  contracts  (N=6)5 
$463,868,927   $285,214,283  $155,699,946  $41,047,033 
Combination  contracts6  (N=6)  
$623,441,761   $621,525,709  $382,525,249  $286,536,241 
Totals  
$1,732,151,826   $1,397,037,485  $799,162,796  $499,286,934 
Source:   OIG  analysis  of  Federal  Marketplace  contract  and  financial  transaction  data  provided  by  CMS  in  2014.
 
1  This  is  the  estimated  value  of  the  contract  or  order  on  the  date  it  was  awarded.   It  is  only  an  expected  value.   This  amount
  
may  be  less,  for  example,  if  option  years  are  not  exercised.   This  amount  may  be  more,  for  example,  if  modifications  are 
 
made  to  the  contract/order  that  increase  the  costs  of  the  contract.
 
2  Obligation  and  expenditure  amounts  do  not  include  interest,  which  totaled  $4,267.58.
  
3  One  of  these  contracts  was  designated  as  fixed  price.  

4  One  of  these  contracts  was  designated  as  timeandmaterialslabor  hour.
  
5  Includes  one  letter  contract  that  was  definitized  as  a  costplusawardfee  contract.   Definitization  is  the  agreement  on,  or  

determination  of,  contract  terms,  specifications,  and  price,  that  converts  the  undefinitized  contract  actione.g.,  a  letter  

contractto  a  definitive  contract.  
  
6  These  contracts  were  awarded  using  a  combination  of  contract  types.   For  example,  the  contracts  base  year  may  be
   
costplusfixedfee,  but  option  years  may  be  costplusawardfee. 
 
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  5 
  APPENDIX B 
DESCRIPTIVE AND FINANCIAL DATA ON FEDERAL MARKETPLACE CONTRACTS 
Table  B1  provides  descriptive  and  financial  data  for  each  of  the  60  Federal  Marketplace  contracts.   For  
each  contract,  the  table  provides  the  following  descriptive  information:   contractor  name  (in  
alphabetical  order),  contract  number,  order  number  (when  applicable),  contract  type,  start  date  of  the  
contracts  performance  period,  and  a  brief  description  of  the  contracts  purpose.   The  purpose  
descriptions  were  abstracted  from  contract  documentation,  e.g.,  statements  of  work  or  objectives,  that  
were  developed  at  the  time  the  contract  or  order  was  awarded.  
For  each  contract,  the  table  provides  financial  data  on  the  estimated  value  of  the  contract  at  the  time  of  
award;  the  amount  obligated  for  the  contracts  base  year,  option  years,  and  modifications  through  
February  2014;  and  the  estimated  amount  obligated  and  expended  for  the  Federal  Marketplace  through  
February  2014.  
Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
1.  Accenture  Federal  Services  LLC  
HHSM500201400191C  
Cost  plus  
Letter  contract    01/11/2014   $90,000,0003   $60,000,000   $45,000,000   $0  
award  fee   
No  task  order  
Purpose:   To  provide  design,  development,  testing,  implementation  support,  software  licensing,  and  services  to  support  the  
Federally  Facilitated  Marketplace.   To  support  CMSapproved  new  and  revised  requirements  and  provide  an  iterative  agile  
approach  to  programming  that  provides  the  best  opportunity  to  incrementally  build  and  test  software  functionality.  
2.  Aquilent  Inc.   
HHSN316201200005W      Time  and  
09/13/2013   $18,997,567   $8,296,740   $7,675,100   $1,975,760 
HHSM500201300074U   materials   
 
Purpose:   To  support  CMSs  Office  of  Communications  Web  and  New  Media  Group  to:   perform  general  Web  site  development,  
operations,  and  maintenance,  especially  with  the  new  HealthCare.gov  Web  site;  provide  Help  Desk  support  for  multiple  CMS  
Web  sites;  provide  continuous  Section  508  compliance  on  all  tasks;  provide  Web  Content  Management  System  support  for  
multiple  CMS  Web  sites;  and  provide  training  to  various  users  for  Web  siterelated  components  and  tasks.  
3.  Blast  Design  Studio  Inc.  dba  Blast  Advanced  Media   
 
HHSM500201200080C   Firm  fixed  
09/28/2012   $197,625   $197,625   $197,625   $197,625 
No  task  order   price  
   
Purpose:   To  integrate  the  results  of  online  marketing  services  for  Exchange  efforts Web  properties  with  CMS's  current  Google  
Analytics  Premium  service.   Google  Analytics  Premium  will  be  used  to  power  Web  statistics  and  analytics  for  all  Exchangerelated  
Web  sites.   
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  6 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
4.  Blast  Design  Studio  Inc.  dba   Blast  Advanced  Media    
    
HHSM500201300153C   Firm  fixed  
09/28/2013   $1,570,800   $392,700   $392,700   $163,625 
No  task  order   price  
   
Purpose:   To  purchase  online  marketing  consulting  services  for  the  Federally  Funded  Exchange  efforts  for  HealthCare.gov.  The  
online  marketing  consulting  services  will  work  in  tandem  and  be  dependent  on  custom  functionality  of  CMSs  Google  Analytics  
Premium  interface.  
5.   Blue  Canopy  Group  LLC                                                                                                  
Firm  fixed  
price;  
HHSN316201200120W      training  
HHSM500201300054U   and  travel   07/15/2013   $1,000,000   $4,713,997   $686,886   $99,602  
  by  time  
and  
materials  
Purpose:   For  technical  services  to  perform  Security  Certification  (Controls)  Assessment  testing  upon  different  CMS  datacenters,  
systems,  and  applications  (objects  under  test),  as  tasked  by  CMSs  Office  of  Information  Systems  (OIS)  Resource  and  Acquisition  
Management  Group.   
6.   Booz  Allen  Hamilton                                                                                         
GS23F9755H                      
Firm  fixed  
HHSM500201100011B4     09/17/2012   $25,969,949   $12,498,678   $12,498,678   $8,140,660  
price  
HHSM500B0003  
Purpose:   To  provide  technical  and  operational  guidance  for  standing  up  the  Exchange  datacenter,  including  the  requisite  
Infrastructure  as  a  Service  (IaaS),  Software  as  a  Service  (SaaS),  Platform  as  a  Service  (PaaS),  Privacy,  Compliance,  and  Security  
solutions,  as  well  as  operational  procedures.   To  support  Exchange  vendors  in  the  ongoing  development  and  propagation  of  
essential  Exchange  capabilities  and  traceability  reporting.   To  develop  Exchange  security  and  privacy  frameworks  for  CMS  and  
crossGovernment  agencies.  
7.  Carahsoft  Technology  Corp.    
GS35F0119Y                          Firm  fixed  
06/08/2013   $131,487   $39,951   $39,951   $39,951  
HHSM500201300249G   price  
Purpose:   To  procure  an  Application  Code  Analysis  tool  for  static  code  testing.   To  provide  Application  Code  software,  licensing,  
and  support  to  disparate  developers,  testers,  and  quality  assurance  staff.    
8.  Carahsoft  Technology  Corp.   
GS35F0119Y     Firm  fixed  
06/08/2012   $238,349   $238,349   $238,349   $238,349  
HHSM500201200066G   price  
Purpose:   To  provide  Application  Code  software,  licensing,  and  installation  services  to  support  disparate  developers,  testers,  and  
quality  assurance  staff.   To  provide  training  to  various  user  groups  such  as  administrators,  developers,  testers,  and  management  
through  a  combination  of  computerbased  training  and  an  onsite  training.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  7 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
9.  CGI  Federal  Inc.  
GS35F4797H   Time  and  
04/15/2010   $7,250,000   $23,547,2105   $11,022,422   $11,009,575  
HHSM500201000157G   materials   
Purpose:   To  provide  the  information  system  to  support  data  collection  for  the  Internet  Web  Portal  and  Health  Benefit  
Exchanges.   To  design,  develop,  test,  implement,  maintain,  and  enhance  an  Internetaccessible  information  system  to  collect  
data  required  for  the  population  of  the  consumerfacing  Internet  Web  site  portal.   
10.  CGI  Federal  Inc.  
GS35F4797H   Time  and  
04/15/2013   $24,949,949   $13,447,178   $12,648,328   $10,365,371  
HHSM500201300236G   materials   
Purpose:   To  provide  IT  development  and  data  services  in  support  of  the  CMS  requirements  for  the  Health  Insurance  Oversight  
System.   To  maintain  and  support  CMSs  Center  for  Consumer  Information  and  Insurance  Oversights  (CCIIO)  existing  Health  
Insurance  Oversight  System  and  for  the  design,  development,  test,  and  implementation  of  new  functionality  and  required  
enhancements.   To  continue  the  design,  development,  testing,  implementation,  maintenance,  and  enhancement  of  the  Health  
Insurance  Oversight  System  to  collect  data  required  for  the  population  of  HealthCare.gov  and  the  dissemination  of  information  
to  increase  transparency  of  the  health  insurance  marketplace.  
11.  CGI  Federal  Inc.  
HHSM500200700015I     Cost  plus  
04/30/2010   $69,302,725   $118,582,436   $20,928,862   $15,928,862  
HHSM500T0007   fixed  fee  
Purpose:   To  obtain  Web  site  development  and  support  services  for  CMSs  external  and  internal  Web  sites  and  applications.    
 
12.  CGI  Federal  Inc.  
HHSM500200700015I     Cost  plus  
06/07/2011   $8,867,066   $15,786,140   $7,922,182   $6,661,855  
HHSM500T0011   fixed  fee  
 
Purpose:   To  provide  the  Rate  and  Benefits  Information  System  HealthCare.gov  Plan  Finder  Application.   To  provide  maintenance  
and  support  of  CCIIO's  ongoing  collection  of  pricing  and  benefits  data  from  health  insurance  issuers.   This  includes  any  necessary  
design,  development,  test,  and  implementation  of  new  functionality  and  required  enhancements  to  the  existing  system.   To  take  
over  the  collection  of  health  plan  benefits  and  pricing  data,  stand  up  a  new  system,  and  transition  issuers  to  that  system.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  8 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
13.  CGI  Federal  Inc.  
Cost  plus   
fixed  fee  
for  base  
period  
HHSM500200700015I     and  cost  
09/30/2011   $93,735,469   $204,498,091   $198,588,332   $176,026,956  
HHSM500T0012   plus  
award  fee  
for  the  
optional  
periods    
Purpose:   To  provide  services  for  the  Federal  Exchange.   To  build  the  technical  solution  and  support  the  operations  of  the  
Federal  Exchange  that  serves  the  needs  as  described  within  the  ACA,  enables  consumers  to  obtain  affordable  health  care  
coverage,  and  allows  employers  to  offer  healthcare  coverage  to  their  employees.   The  Federal  Exchange  serves  the  needs  of  
individualsincluding  exchange  insurance  support  and  Medicaid  supportwithin  States  where  those  States  do  not  have  their  
own  Staterun  exchange.   As  such,  the  Federal  Exchange  may  perform  all  the  core  functions  as  any  State  exchange  would  or  
provide  a  subset  of  the  services  to  augment  the  capabilities  built  by  the  State.   The  capability  must  exist  to  activate  or  enable  
States  within  the  Federal  Exchange  with  varying  degrees  of  notice.   The  key  Exchange  IT  systems  modules  shall  include,  but  not  
be  limited  to  eligibility  and  enrollment;  health  plan  management  to  support  qualified  health  plan  certification;  premium  tax  
credits  administration;  and  costsharing  assistance  administration.  
14.  Corporate  Executive  Board   
GS35F0549W    Firm  fixed  
09/24/2012   $746,949   $373,474   $373,474   $373,474  
HHSM500201200186G   price  
Purpose:   To  procure  a  professional  research  Webbased  subscription  service  for  CMSs  Consumer  Information  and  Insurance  
Systems  Group  (CIISG).   To  provide  Web  site  access  to  research  briefs,  tools,  and  diagnostics,  as  well  as  formal  advisory  services  
including  research  and  insights;  proven  Federal  agency  best  practices;  peer  benchmarks;  executive  networking;  advisory  support;  
and  decision  and  diagnostic  tools.   To  provide  senior  management  with  access  to  live  and  online  learning  events.  
15.  Creative  Computing  Solutions  Inc.  
GS06F0612Z    Firm  fixed  
08/02/2012   $33,718,136   $10,992,321   $10,992,321   $8,812,681  
HHSM500201200097G   price  
Purpose:   To  provide  security  operations  monitoring  and  management,  system  scans,  configuration  management,  requirements  
analysis,  firewall  support,  incident  handling,  investigative  rapid  response,  data  breach  and  fraud  support  services,  cyber  threat  
intelligence,  audit  support,  actionable  security  risk  report  security  documentation;  to  maintain  security  appliance;  and  to  identify  
capabilities  and  recommend  solutions.   CMS  is  required  to  implement  a  robust  operational  security  management  program  for  its  
new  virtual  data  center  (eCloud),  which  hosts  systems  and  applications  that  support  the  ACA.   This  system  represents  a  
significant  leap  for  CMS  into  cloud  computing,  but  it  also  symbolizes  the  largest  cloudbased  IT  project  underway  in  the  Federal  
Government.   Ensuring  this  eCloud  operates  and  is  maintained  in  a  way  that  protects  against  worldwide  attacks  requires  a  
blended  solution  that  incorporates  both  near  realtime  global  threat  intelligence  along  with  a  solid  working  knowledge  of  CMS's  
eCloud.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  9 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
16.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Time  and  
HHSM500200500001B4     05/20/2011   $2,828,148   $3,266,077   $3,266,077   $3,156,044  
materials   
HHSM500B0018  
Purpose:   To  conduct  fullscale  IT  requirements  elicitation,  analysis,  and  documentation  for  CCIIO  programs  and  projects  that  will  
support  both  agile  system  lifecycle  and  traditional  system  development  lifecycle;  provide  technical  support  for  CCIIO  and  OIS  
projects  by  developing  solution  architectures  that  include  lowfidelity  mockups/designs;  identify  crossprogram  IT  synergies  and  
develop  recommendations  for  costeffective  solution  architectures;  and  provide  general  strategic  support  to  CCIIO  and  OIS.  
17.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Firm  fixed  
HHSM500201200021B4   06/11/2012   $1,110,327   $1,110,327   $1,110,327   $1,110,327  
price  
HHSM500B0006  
Purpose:   To  facilitate  requirements  workshop  sessions,  develop  business  and  functional  requirements  documentation,  provide  
requirements  development,  provide  requirements  management,  and  provide  other  miscellaneous  services,  e.g.,  developing  
highlevel  technical  design  concept  documents.  
18.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Firm  fixed  
HHSM500201200021B4     06/21/2013   $1,244,636   $1,979,580   $1,642,580   $907,636  
price  
HHSM500B0019  
Purpose:   To  develop  a  comprehensive  testing  strategy  for  the  Health  Insurance  Exchange  and  related  systems  and  data.   The  
testing  strategy  includes  testing  approach;  test  activities  and  deliverables;  test  resources;  IT  test  environments,  infrastructure,  
and  tools;  test  communication  plan;  testing  schedule;  assumptions,  constraints,  and  dependencies;  and  issues  and  risks.  
19.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Firm  fixed  
HHSM500201200021B4   06/25/2012   $10,883,568   $7,148,053   $3,626,797   $2,115,632  
price  
HHSM500B0008  
Purpose:   To  review  requirements  produced  across  systems  and  projects,  identify  potential  integration  points  and/or  areas  
requiring  reconciliation  between  those  requirements,  and  provide  recommendations.   To  learn  the  fundamental  functionality  of  
CIISG  key  systems  in  order  to  more  easily  identify  these  integration/reconciliation  areas.  These  systems  shall  include,  but  are  not  
limited  to,  the  Federally  Facilitated  Exchange  (inclusive  of  the  functional  areas  of  plan  management,  enrollment  and  eligibility,  
and  financial  management),  Data  Services  Hub,  Multidimensional  Insurance  Data  Analytics  System,  Health  Insurance  Oversight  
System,  and  Rate  and  Benefits  Information  System.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  10 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
20.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Firm  fixed  
HHSM500201200021B4   06/21/2012   $1,749,947   $1,749,608   $674,192   $674,192  
price  
HHSM500B0007  
Purpose:   To  develop  highlevel  technical  system  designs  for  major  OIS  managed  data  systems.   To  develop  an  overview  diagram  
that  shall  bring  all  of  the  major  data  flows  and  components  together  along  with  a  narrative  that  explains  component  
functionality,  data  exchange  approaches,  and  other  descriptive  text  needed  to  convey  these  highlevel  architectures  and  designs.   
To  develop  transition  architectures  that  depict  phasing  of  new  system  capabilities  and  interfaces  as  well  as  the  phasing  out  of  
retired  systems.   To  develop  data  architectural  options  for  a  given  project  or  program.   To  support  the  data  architecture  
implementation  of  the  ACA  as  well  as  other  legislation  imposed  upon  CMS  and  to  support  new  initiatives  within  OIS.   To  provide  
general  strategic  and  tactical  support  such  as  project  scope  agreements,  impact  analysis,  data  source  agreements,  system  
concept  and  architecture  diagrams,  data  source  analysis,  and  data  reference  models.  
 
21.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Firm  fixed  
HHSM500201200021B4   08/01/2013   $1,573,039   $3,175,424   $1,302,384   $0  
price  
HHSM500B0020  
Purpose:   To  assist  CMS  in  developing  a  set  of  enterprise  standards  and  engineering  approaches  for  servicesbased  technical  
architecture.  
22.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Firm  fixed  
HHSM500201200021B4     05/20/2012   $10,878,848   $7,579,078   $7,579,078   $6,628,750  
price  
HHSM500B0003  
Purpose:   To  provide  CMSs  CIISG  with  business  requirements  engineering  support  including  support  to  produce  business,  
functional,  and  technical  requirements  that  will  enable  both  the  Government  and  developers  to  implement  aspects  of  the  ACA.  
23.  DEDE  Inc.  dba  Genova  Technologies  
GS35F0303M  
Firm  fixed  
HHSM500201200021B4     09/28/2012   $6,381,500   $6,575,068   $6,390,545   $4,963,623  
price  
HHSM500B0013  
Purpose:   To  provide  CMSs  CIISG  with  business  and  test  data  requirements  integration  engineering  support  to  generate  and  
maintain  test  data  and  cases  that  are  faithfully  derived  from  the  business  requirements  and  inherent  logic.   To  collaborate  and  
coordinate  with  other  vendors  to  ensure  the  integrity  of  the  test  data;  to  collaborate  and  coordinate  with  the  test  execution  and  
application  development  contractors.   To  work  across  other  Federal  Exchange  Program  System  development,  testing,  and  
deployment  contractor  teams  as  directed  by  the  Government.   
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  11 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
24.  Deloitte  Consulting  LLP  
GS10F0083L   Firm  fixed  
01/24/2012   $1,953,882   $2,129,716   $670,486   $670,486  
HHSM500201200016G   price  
Purpose:   To  assist  with  market  report  card  and  operational  dashboard  design  and  implementation.   To  develop  metrics,  in  
collaboration  with  CMS,  on  the  performance  of  Exchange  marketplaces  for  the  annual  Exchange  Market  Report  Cards.   To  define  
an  approach  and  implementation  plan  for  collecting  data  surrounding  identified  Exchange  marketplace  performance  metrics.   To  
develop  operational  performance  metrics  and  an  implementation  plan  for  collecting  data  for  an  Exchange  Operational  
Dashboard  covering  those  activities  performed  at  the  Federal  level.    
 
25.   FedResults  Inc.  
GS35F0256K   Firm  fixed  
04/01/2012   $8,462,357   $6,107,855   $3,801,526   $3,801,526  
HHSM500201200038G   price  
Purpose:   To  provide  CMS  with  the  GovDelivery  Digital  Communication  Suite  that  provides  a  more  comprehensive  digital  
communication  platform  and  a  full  suite  of  secure  applications  for  CMS  to  use  to  improve  communications  and  access  to  agency  
information.   
26.  Global  Tech  Inc.  dba  eGlobalTech  
GS06F1088Z   Firm  fixed  
06/15/2013   $3,986,800   $2,405,205   $2,405,205   $997,616  
HHSM500201300052U   price  
Purpose:   To  provide  system  and  application  integration  support  for  CMS.  To  provide  CMS  with  technical  integration  support,  
which  includes  identifying  potential  gaps  in  the  technical  architecture;  managing  development  release  cycles;  managing  all  
phases  of  testing;  coordinating  and  facilitating  risk  identification  and  resolution  across  development  teams  and  vendors;  
developing  service  operations  processes  and  plans;  and  managing  the  integration  of  systems.   The  activities  include,  but  are  not  
limited  to,  providing  technical  engineering  support  to  document  and  coordinate  the  infrastructure  and  platform  build  and  
configuration  for  each  of  the  environments  including  development,  test,  preproduction  and  production  for  the  Data  Services  
Hub  and  Federally  Facilitated  Exchange  systems.  
 
27.  Global  Tech  Inc.  dba  eGlobalTech  
GS06F1088Z    Time  and  
05/03/2013   $3,603,027   $2,349,754   $2,349,754   $816,602  
HHSM500201300046U   materials   
Purpose:   To  provide  Hub  verification  support  services.   To  act  as  the  Hub  Verification  Contractorthis  includes  creation  and  
maintenance  of  a  lightweight  testing  support  and  change  management  database,  and  various  analyses  examining  software  
engineering  topics.   
28.  Global  Tech  Inc.  dba  eGlobalTech  
GS06F1088Z    Firm  fixed  
11/25/2013   $3,998,799   $1,975,916   $1,975,916   $740,968  
HHSM500201400083U   price  
Purpose:   To  support  CMSs  Exchange  Operations  Center  by  providing  monitoring,  management,  and  coordination  for  the  CMS  
cloud  infrastructure  and  applications  hosted  in  the  cloud.   
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  12 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
29.  Global  Tech  Inc.  dba  eGlobalTech  
GS35F0183T    Time  and  
09/24/2012   $1,984,012   $1,307,022   $1,307,022   $908,530  
HHSM500201200154G   materials   
Purpose:   To  develop  a  CMS  cloudcomputing  technical  framework.   To  develop  an  overarching  CMS  cloudcomputing  
portability/interoperability  reference  architecture  to  show  how  CMS  applications/services  and  associated  data  can  be  ported  
from  one  cloud  service  offering  to  another  cloud  service  offering,  and  how  different  CMS  cloudse.g.,  enterprise  cloud,  Health  
Insurance  Exchanges  clouds,  and  commercial  clouds  that  may  be  dedicated  to  CMSinterface  and  interact  with  each  other  for  
resource  pooling  and  data  synchronization  to  support  the  interoperability  of  similar  categories  of  cloud  services.    
30.  Government  Acquisitions  Inc.   
HHSN263999900442I     Firm  fixed  
08/02/2012   $14,269,378   $5,308,378   $3,442,756   $3,442,756  
HHSM500201200014U   price  
Purpose:   To  obtain  an  Informatica  enterprise  license  agreement  including  access  to  one  onsite  technical  architecture  manager.    
31.  Heitech  Services  Inc.   
GS06F0276Z    Time  and  
07/25/2011   $2,998,342   $2,998,342   $1,424,380   $1,396,872  
HHSM500201100027U   materials   
Purpose:   To  provide  design,  development,  testing,  and  deployment  support  for  small  to  mediumsize  IT  projects.   Solutions  shall  
include  but  are  not  limited  to  smallscale  database  development  (logical  and  physical  modeling,  database  implementation,  and  
loading  from  provided  datasets),  user  interface  design  and  development,  Web  design  and  development,  and  basic  report  writing  
as  well  as  production  support  for  bug  fixes  and  small  enhancements.  
32.  Heitech  Services  Inc.   
GS06F0726Z     Time  and  
07/03/2012   $3,984,622   $3,966,308   $3,781,653   $2,653,226  
HHSM500201200074G   materials   
Purpose:   To  provide  programming  support  (inclusive  of  enhancements,  configurations,  revisions,  and  upgrades)  for  small  to  
mediumsize  IT  projects.   Projects/solutions  shall  include,  but  are  not  limited  to  smallscale  databases  (logical  and  physical  
modeling,  database  implementation,  and  loading  from  provided  datasets),  user  interface  design  and  upgrade,  Web  design  and  
enhancement,  and  basic  report  writing.   To  also  provide  ongoing  application  operations  and  maintenance  support  for  a  number  
of  opensource  and  commercialofftheshelf  applications  hosted  in  the  Governments  cloud  environment.    
33.  Heitech  Services  Inc.   
GS06F0726Z     Time  and  
08/02/2013   $22,575,815   $3,703,770   $3,655,525   $373,974  
HHSM500201300275G   materials   
Purpose:   To  provide  design,  development,  testing,  deployment,  and  programming  support  (inclusive  of  enhancements,  
configurations,  revisions,  and  upgrades)  for  small  to  medium  size  IT  projects.   Projects/solutions  shall  include,  but  are  not  limited  
to:   smallscale  databases  (logical  and  physical  modeling,  database  implementation,  and  loading  from  provided  datasets),  user  
interface  design  and  upgrade,  Web  design  and  enhancement,  and  basic  report  writing.   To  also  provide  production  support  and  
ongoing  application  operations  and  maintenance  support  for  a  number  of  opensource  and  commercialofftheshelf  
applications  hosted  in  the  Governments  cloud  environment.   To  be  responsible  for  the  upkeep  (renewals  and  purchasing)  of  
maintenance  packages  and  licensing  for  commercialofftheshelf  products  used  by  CMS.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  13 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
34.  HP  Enterprise  Services  LLC   
Firm  fixed  
price,  cost  
HHSM500201300014I   plus  fixed  
07/01/2013   $208,110,366   $77,561,786   $77,561,786   $19,199,838  
HHSM500T0003   fee,  and  
time  and  
materials  
Purpose:   To  provide  all  activities  (endtoend)  necessary  to  deliver  efficient,  effective,  and  responsive  services  to  support  CMS's  
Health  Insurance  Marketplace  Infrastructure  production  hosting  and  disaster  recovery  requirements  and  Virtual  Data  Center  
programrelated  objectives.   This  includes  all  necessary  aspects  of  planning,  implementing,  transitioning,  operating,  and  
maintaining  CMS's  applications  and  all  related  hardware  and  software  within  the  Virtual  Data  Center  environment.  
 
35.  IDL  Solutions  Inc.  
HHSM500200700023I   Cost  plus  
09/27/2011   $58,966,657   $46,529,214   $31,770,058   $11,829,563  
HHSM500T0001   fixed  fee  
Purpose:   To  evaluate,  design,  implement,  and  test  the  initial  Multidimensional  Insurance  Data  Analytics  System,  as  well  as  all  
enhancements  stemming  from  new  data  and  functional  requirements  over  the  period  of  the  contract.   The  Multidimensional  
Insurance  Data  Analytics  System  will  serve  as  CCIIOs  central  repository  for  capturing,  organizing,  aggregating,  and  analyzing  
information  related  to  CCIIOs  mission.   To  perform  database  development,  data  modeling,  reporting,  query,  business  
intelligence  and  analytics  development,  and  operation  and  maintenance  of  the  Multidimensional  Insurance  Data  Analytics  
System.    
36.  Innosoft  Corporation   
HHSM500201100071C   Firm  fixed  
08/15/2011   $1,916,322   $2,804,742   $2,103,114   $1,464,777  
No  task  order   price  
Purpose:   To  provide  professional  services  to  support  the  cloud  computing  services  initiatives.   To  provide  services  to  configure  
the  Application  Lifecycle  Management  tool  that  will  be  installed  by  the  cloud  computing  services  contractor.   To  collaborate  with  
the  cloud  computing  services  contractor  and  provide  support  in  designing  an  infrastructure  and  services  that  will  address  specific  
needs  that  will  be  required  by  CCIIO.   This  effort  extends  to  supporting  the  growth,  and  contraction,  of  technology  requirements  
as  programs  are  added,  evolve,  terminate,  or  change  ownership.   Key  among  these  objectives  is  the  integration  between  and  
among  partners  within  CCIIO's  partner  network.   This  partner  network  includes,  but  is  not  limited  to  Federal  agencies,  e.g.,  
Internal  Revenue  Service  (IRS);  Social  Security  Administration;  Department  of  Homeland  Security;  State  Medicaid  offices;  State  
Exchanges;  vendor  groups;  internal  Department  of  Health  and  Human  Services  centers  and  offices;  etc.   
37.  L  &  M  Policy  Research  LLC   
HHSM500201000015I   Cost  plus  
01/23/2012   $1,353,969   $4,201,927   $1,494,238   $580,000  
HHSM500T0002   fixed  fee  
Purpose:   To  conduct  appropriate  qualitative  and  quantitative  research  to  support  the  implementation  of  the  Health  Insurance  
Exchanges  with  a  focus  on  consumer  experience  of  the  Web  portal,  and  inform  the  development  of  effective  Webbased  
consumer  tools  for  the  individual  and  Small  Business  Health  Options  Program  (SHOP)  Exchange  based  on  an  environment  scan  
and  consumer  research.  
 
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  14 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
38.  Lockheed  Martin  Services  Inc .  
Firm  fixed  
26301D0054   price  and  
01/01/2009   $248,388,340   $232,608,1446   $19,724,700   $17,273,184  
HHSM500200900002U   cost  plus  
fixed  fee  
Purpose:   To  provide  an  information  technology  and  information  systems  and  support  vehicle  for  CMS.   This  Consolidated  
Information  Technology  Infrastructure  Contract  (CITIC)  covers  maintenance;  support;  all  hardware  and  software  applications;  
and  security  processes  necessary  for  Tier  I,  II,  and  III  mainframes,  servers,  and  desktops.   With  the  CITIC,  the  Government  seeks  
to  obtain  a  business  partner  who  can  assume  responsibility  for  daytoday  operations  and  maintenance  functions,  ensure  that  
the  infrastructure  functions  efficiently  and  with  a  high  availability,  and  assist  the  Government  in  planning  for  modernization  of  
the  IT  infrastructure.   Also,  to  have  the  CITIC  contractor  configure  Remedy  for  Change  Management  and  procure  licenses  to  
support  the  Federally  Facilitated  Exchange  and  Data  Services  Hub  systems  maintainers  support  teams.6  
 
39.  Maricom  Systems  Inc.  
HHSM500200700025I    Cost  plus  
11/28/2011   $105,417,775   $48,887,062   $14,393,226   $4,138,486  
HHSM500T0005   award  fee  
Purpose:   To  award  an  enterprise  data  services  contract  to  design,  build,  or  acquire  innovative,  costeffective,  and  efficient  
master  data  management,  portal,  and  business  rules  management  system  governance,  oversight,  and  engineering  services.  
40.  Northrop  Grumman  Information  Technology  Inc.   
HHSM500200700014I    Cost  plus  
11/28/2011   $85,695,482   $40,363,432   $2,911,783   $2,607,976  
HHSM500T0006   award  fee  
Purpose:   To  award  a  Patient  Protection  and  Affordable  Care  Act  integrated  care  data  and  applications  (ICD&A)  contract  to  
develop,  test,  implement,  and  maintain  the  Pioneer  Fast  Track  Accountable  Care  Organizations  (ACO)  Demonstration  and  the  
Medicare  Shared  Saving  Program  for  ACOs.   Optional  tasks  may  include  services  to  design,  develop,  test,  implement,  and  
maintain  additional  programs  in  support  of  the  ACA.   
41.  Onix  Networking  Corp.            
GS35F5519H   Firm  fixed  
09/19/2012   $113,625   $113,625   $44,340   $44,340  
HHSM500201200103G   price  
Purpose:   To  purchase  Google  Site  Search  licenses  used  to  power  Web  search  for  the  Exchange  efforts  public  Web  site.    
42.  ProTelecom  LLC   
HHSM500200900005I   Firm  fixed  
03/28/2013   $69,195   $69,195   $65,500   $65,500  
HHSM500T0014   price  
Purpose:   To  enhance  the  infrastructure  of  the  CMS  video  teleconferencing  capabilities  for  senior  management,  in  preparation  
for  health  care  reform  realignment.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  15 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
43.  ProTelecom  LLC   
HHSM500200900005I   Firm  fixed  
09/12/2013   $685,260   $685,260   $53,490   $0  
HHSM500T0015   price  
Purpose:   To  procure  the  services  of  a  vendor  who  has  the  experience,  knowledge,  expertise,  and  skill  required  to  accomplish  the  
infrastructure  enhancement  of  the  CMS  video  teleconferencing  capabilities.  
44.  Quality  Software  Services  Inc.  (QSSI)  
GS06F0148Z     Time  and  
09/24/2010   $3,208,989   $3,236,399   $199,364   $35,848  
HHSP233201000588G   materials7  
Purpose:   To  support  the  Health  Insurance  Exchange  information  technology  program.   To  support  the  IT  function  across  Health  
Insurance  Exchange  business  process  efforts.   To  support  enterprise  project  life  cycle  tasks  for  the  implementation  of  HHSs  
Office  of  Consumer  Information  and  Insurance  Oversights  (OCIIO,  currently  CMSs  CCIIO)  exchange  program;  to  support  the  
establishment  of  OCIIOs  enterprise  architecture  program's  structure  and  strategic  direction;  to  support  OCIIOs  IT  strategic  
planning  process;  and  to  support  OCIIOs  IT  role  in  the  Capital  Planning  IT  Investment  Management  Process.  
45.  Quality  Software  Services  Inc.  (QSSI)  
Cost  plus  
fixed  fee  
for  base  
period  
HHSM500200700024I   and  cost  
09/30/2011   $68,740,877   $84,527,128   $84,527,128   $73,252,566  
HHSM500T0007   plus  
award  fee  
for  the  
optional  
periods  
Purpose:   To  develop  IT  systems  to  obtain  the  Data  Services  Hub.   The  IT  systems  will  support  a  simple  and  seamless  
identification  of  people  who  qualify  for  coverage  through  the  Exchange,  tax  credits,  costsharing  reductions,  Medicaid,  and  
Children's  Health  Insurance  Program.   The  Data  Services  Hub  requirements  support  common  services  and  provide  an  interface  to  
Federal  agency  information.   These  requirements  drive  a  data  services  information  hub  structure  that  will  act  as  a  single  
interface  point  for  Exchanges  to  all  Federal  agency  partners  and  provide  common  functional  service  support.   This  involves  
architecting  and  developing  of  solutions  for  the  Data  Services  Hub  that  include  building  of  functional  common  services  that  can  
be  used  by  multiple  Exchanges  and  Federal  partners;  designing  a  solution  that  is  flexible,  adaptable,  and  modular  to  
accommodate  the  implementation  of  additional  functional  requirements  and  services;  and  participating  in  a  collaborative  
environment  and  relationship  to  support  the  coordination  between  CMS  and  the  primary  partners,  e.g.,  the  IRS.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  16 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
46.  Quality  Software  Services  Inc.  (QSSI)  
HHSM500200700024I   Cost  plus  
06/18/2012   $109,926,956   $66,527,420   $38,510,666   $15,500,895  
HHSM500T0010    award  fee  
Purpose:   To  provide  enterprise  identity  management  (EIDM)  services.   To  assist  in  designing,  building,  operating,  and  
maintaining  an  enterprise  identity  and  access  management  infrastructure  to  include  integration  with  thirdparty  online  identity  
proofing  and  multifactor  authentication  services.   This  activity  includes  the  design,  development,  documentation,  integration,  
and  deployment  of  services  that  satisfy  applicable  documented  requirements.   It  also  includes  developing,  documenting,  
updating,  and  maintaining  interfaces  between  and  among  the  new  EIDM  system  and  existing  legacy  CMS  identity  management  
systems  that  facilitate  integrated  data  exchange  of  appropriate  data  in  accordance  with  guidance  provided  by  the  Government.  
47.  Quality  Software  Services  Inc.  (QSSI)  
HHSM500200700024I   Cost  plus  
01/17/2012   $49,599,494   $56,236,663   $41,684,565   $9,845,958  
HHSM500T0008   award  fee  
Purpose:   To  provide  technical  testing  expertise  and  support  to  test  components  and  services  delivered  by  multiple  component  
contracts,  including  the  integrated  care  data  and  applications  contract,  enterprise  data  services  contract,  Data  Services  Hub,  and  
Federal  Exchange.  
 
48.  Quality  Technology  Inc.   
GS06F0653Z     Cost  plus  
09/25/2012   $23,229,220   $13,199,706   $13,199,706   $8,953,718  
HHSM500201200123G   award  fee  
Purpose:   To  function  as  an  Operational  Support  Center  in  assisting  CIISG  application  users,  Health  Insurance  Exchanges,  State  
agencies,  insurance  companies,  third  party  administrators,  and  other  healthcare  stakeholders  with  the  implementation  and  
operational  issues  of  the  ACA  programs  under  CCIIO  oversight.   This  support  includes  systems  issue  identification,  classification,  
diagnosis,  resolution,  and  disposition,  during  which  monitoring,  tracking,  and  communication  activities  are  taking  place.   The  
contractor  shall  be  responsible  for  handling  and  managing  all  CIISG  systems  user  inquiries  and  support  the  resolution  of  CIISG  
systemrelated  issues  for  the  Federally  Facilitated  Exchange,  Multidimensional  Insurance  Data  Analytics  System,  Data  Services  
Hub,  Collaborative  Application  Lifecycle  Tool,  Health  Insurance  Oversight  System,  Adobe  LiveCycle,  business  intelligence  
applications,  Rate  and  Benefits  Information  System,  and  CMSs  cloud  environment.   
49.  Science  Applications  International  Corporation  (SAIC)  
HHSM500200700020I    Firm  fixed  
01/31/2012   $78,600,380   $16,193,145   $10,870,013   $5,289,646  
HHSM500T0001   price  
Purpose:   To  implement  enterprise  remote  Identity  proofing  services  to  CMS  and  Stateoperated  health  insurance  exchanges.   To  
increase  security;  accommodate  a  highly  scalable  user  base  of  30100  million  users;  provide  authentication  services  that  support  
multiple  credential  formats;  implement  remote  identity  proofing  and  multifactor  authentication  services  for  CMS  applications;  
increase  confidence  in  legitimate  users;  mitigate  use  of  false  identities;  reduce  repetitive  proofing  burden  to  the  consumer;  
improve  risk  mitigation;  reduce  fraud;  realize  cost  reduction;  achieve  compliance;  and  improve  privacy  sensitivity  and  reduce  
data  breaches.   Responsible  for  testing  services,  including  CCIIO  Exchange.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  17 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
50.  Scope  Infotech  Inc.   
HHSM500201300109C   Fixed  
4/15/2013   $3,796,914   $1,094,967   $1,094,967   $821,225  
No  task  order   price  
Purpose:   To  provide  user  support  and  system  development  for  Exchange  collaboration  tools.   To  provide  varying  levels  of  
service  for  three  systems:   Collaborative  Application  Lifecycle  Tool,  zONE  (Opportunity  to  Network  and  Engage),  and  Adobe  
LiveCycle.  
51.  Spann  &  Associates  Inc.  
GS35F0235M   Time  and  
09/25/2013   $21,190,031   $6,796,868   $3,000,000   $0  
HHSM500201300334G   materials   
Purpose:   To  provide  information  security  support  services.  
52.  SphereCom  Enterprises  Inc.  
Fixed  
GS35F0437N  
price  and  
HHSM500201100001B4   03/01/2011   $3,466,709   $17,616,563   $1,436,417   $684,095  
time  and  
HHSM500B0001  
materials  
Purpose:   To  provide  services  in  regard  to  CMS  information  security  program  support.    
53.  SphereCom  Enterprises  Inc.  
GS35F0437N  
Time  and  
HHSM500201100001B4   07/15/2011   $3,136,717   $3,961,725   $2,941,411   $1,947,660  
materials   
HHSM500B0003  
Purpose:   To  provide  information  security  support.   To  perform  tasks  in  the  following  areas:   IT  security  and  privacy  support  
(includes  assistance  with  maintaining  security  and  privacy  documentation  relative  to  CCIIO  systems;  research  and  report  on  
security  discipline;  review,  revise,  and  enhance  CCIIO's  IT  programs  to  support  future  changes;  review,  research,  and  prepare  
content  for  service  level  agreements  and  data  exchange  agreements  to  support  CCIIO),  information  security  subject  matter  
expert/technical  advisor,  and  project  management  support  (support  audit  readiness  activities  and  provide  project  management  
administrative  support).  
54.  Terremark  Federal  Group  Inc.  
GS35F0073U     Firm  fixed  
04/01/2011   $10,833,793   $60,838,982   $48,860,711   $33,499,929  
HHSP233201100177G   price  
Purpose:   To  provide  cloudcomputing  services  to  OCIIO  (now  CCIIO).   To  provide  a  Federal  Information  Security  Management  
Actcompliant  cloudbased  infrastructure  that  can  dynamically  scale  as  needed.  
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  18 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
55.  The  Mitre  Corporation  
HHSM500201200008I    Cost  plus  
09/27/2013   $22,526,712   $5,591,641   $5,591,641   $1,731,865  
HHSM500T0015   fixed  fee  
Purpose:   To  provide  acquisition  and  systems  engineering  support  services.   These  include  providing  CMS  with  technical,  
acquisition,  communication,  governance,  and  process  expertise  to  implement  and  manage  effective  Federally  Facilitated  
Marketplace  program  operations;  assisting  in  the  development  and  integration  of  security  governance  strategies  and  security  
standards  for  the  ACA  marketplace  entities;  and  assisting  in  creating  and  executing  program  monitoring  and  evaluation  
methodologies.  
56.  The  Mitre  Corporation  
TIRNO99D00005   Cost  plus  
06/13/2011   $9,156,932   $7,343,197   $550,000   $535,997  
HHSM500201100014U   fixed  fee  
Purpose:   To  obtain  technical,  operational,  and  management  support  for  the  implementation  of  the  security  operations  
program.   To  provide  support  in  the  following  areas:   task  management,  security  operation  center  architecture  and  engineering  
support,  security  configuration  management  support,  security  penetration  testing  support,  CMS  enterprise  vulnerability  
management  architecture  and  engineering  support,  identification  of  vulnerability  management  and  best  practices,  enterprise  
vulnerability  management  enhancement,  and  continuous  monitoring.  
 
57.  The  Mitre  Corporation  
TIRNO99D00005     Cost  plus  
07/28/2009   $87,109,655   $22,167,085   $2,761,512   $2,616,402  
HHSM500200900021U   fixed  fee  
Purpose:   To  provide  services  in  support  of  security  testing  and  evaluation  of  applications  and  infrastructure.  
 
58.  The  Mitre  Corporation  
TIRNO99D00005     Cost  plus  
09/26/2011   $36,747,056   $28,567,878   $6,477,209   $6,153,588  
HHSM500201100036U   fixed  fee  
Purpose:   To  provide  acquisition  and  technical  systems  engineering  support  services.   Objectives  include  (but  are  not  limited  to):  
support  planning  and  development  of  performance  measurement  frameworks  for  standing  up  and  operating  the  insurance  
exchanges  and  Medicaid  IT  systems;  and  assistance  with  the  expansion  of  the  enterprise  architecture  activities  to  include,  among  
other  things,  development  of  a  Federal  Data  Services  Hub  Supplement.  
 
continued  on  next  page  
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  19 
  Table  B1:   Descriptive  and  Financial  Data  on  Federal  Marketplace  Contracts  (20092014)   
Amount  
Estimated   Obligated  For  
Contract   Base  Year,   Total  Amount   Total  Amount  
Start  of   Value  at   Option  Years,   Obligated  for   Expended  for  
Contract  Number/   Contract   Contract   Time  of   and   Federal   Federal  
Order  Number   Type   Period   Award1   Modifications2   Marketplace2   Marketplace2  
59.  The  Mitre  Corporation  
TIRNO99D00005     Cost  plus  
09/28/2010   $4,098,785   $5,124,546   $1,975,024   $1,899,481  
HHSP233201000138W   fixed  fee  
Purpose:   To  provide  acquisitions  and  technical  systems  engineering  support  services.   The  objectives  for  this  effort  include  
continued  reduction  of  administrative  costs;  continued  increases  in  CCIIO's  efficiency;  improved  economies  of  scale  by  
implementing  enterprise  applications;  support  the  planning  for,  and  development  of,  performance  measurement  framework  for  
standing  up  and  operating  the  insurance  exchanges;  develop  and  provide  a  standard  technical  reference  architecture  for  all  of  
CCIIO's  production  environments;  strengthened  security  of  CCIIO  systems  and  data;  develop  and  implement  the  process  
necessary  to  coordinate  the  activities  of  the  various  CCIIO  workgroups,  contractors  and  staff  to  address  the  
many  complex  regulatory  issues  presented  by  ACA;  and  assist  with  business  process  modeling.   
 
60.  TurningPoint  Global  Solutions  LLC   
GS06F0672Z    Time  and  
05/15/2012   $4,922,497   $5,748,814   $5,748,814   $3,921,291  
HHSM500201200008U   materials   
Purpose:   To  provide  Federal  Exchange  independent  verification  and  validation  (IV&V)  services.   The  Federal  Exchange  Program  
System  IV&V  processes  shall  include  activities  such  as  assessment,  analysis,  measurement,  inspection,  and  testing  of  select  
system  components  and  processes.    
Source:   OIG  analysis  of  Federal  Marketplace  contract  and  financial  transaction  data  provided  by  CMS  in  2014.
 
1  This  is  the  estimated  value  of  the  contract  or  order  on  the  date  it  was  awarded.   It  is  only  an  expected  value.   This  amount  may  be  less, 
 
for  example,  if  option  years  are  not  exercised.   This  amount  may  be  more,  for  example,  if  modifications  are  made  to  the  contract/order 
 
that  increase  the  costs  of  the  contract. 
 
2  Obligation  and  expenditure  amounts  do  not  include  interest,  which  totaled  $4,267.58.
  
3  The  letter  contract  was  for  $45  million  but  the  expected  value  of  the  contract  was  $90  million.   CMS  also  developed  an  Independent
  
Government  Cost  Estimate  for  the  contract  that  totaled  to  $91,152,800.  

4  For  this  contract,  there  is  both  a  contract  number  and  a  blanket  purchase  agreement  number.   CMS  can  utilize  blanket  purchase
  
agreements  to  fill  anticipated  repetitive  needs  for  supplies  and  services. 

5  This  contract  was  transferred  to  CMS  when  OCIIOs  responsibilities  were  transferred  to  CCIIO  in  CMS.   There  were  two  modifications  for 
 
this  contract  designated  as  modification  number  1one  from  CMS  and  one  from  the  prior  contracting  agency.    Only  the  amount  for 
 
CMSs  modification  number  1  is  included  in  the  total  amount  obligated  for  base  year,  option  years,  and  modifications. 

6  The  obligations  for  this  task  order  include  only  the  base  year  and  modification  numbers  66,  68,  70,  72,  76,  77,  7981,  8386,  88,  and  90,  

as  they  were  the  only  modifications  provided  by  CMS  as  relevant  to  the  Federal  Marketplace.   The  purpose  description  for  this  contract  

includes  information  from  the  task  order  and  modifications.  
  
7  This  contract  was  designated  as  timeandmaterialslabor  hours.
      
Contracts  That  Contributed  to  the  Development  and  Operation  of  the  Federal  Marketplace  (OEI-03-14-00231)  20 
  Office of Inspector General
http://oig.hhs.gov  
 
The mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as  
amended, is  to protect the integrity of the Department of  Health and Human Services  
(HHS)  programs, as well as the health and welfare of beneficiaries  served by those 
programs.  This statutory mission  is  carried  out through  a nationwide network  of  audits, 
investigations, and inspections conducted by the  following operating components: 
Office of Audit Services 
The Office  of  Audit Services  (OAS) provides auditing services  for HHS, either by  conducting  
audits  with its own audit resources or by  overseeing  audit work done by others.  Audits  
examine the performance of HHS programs and/or its grantees and contractors in carrying  
out their respective responsibilities and are intended  to provide independent assessments of 
HHS programs and operations.  These assessments help reduce waste, abuse, and  
mismanagement and promote economy and efficiency  throughout  HHS. 
Office of Evaluation and Inspections 
The Office  of  Evaluation and Inspections (OEI)  conducts national evaluations to  provide 
HHS, Congress, and the public with timely, useful, and reliable information on significant 
issues.  These evaluations focus on preventing fraud,  waste, or abuse  and promoting  
economy, efficiency, and effectiveness of departmental programs.  To promote impact, OEI 
reports also present practical recommendations for improving program operations.  
Office of Investigations 
The Office of Investigations (OI) conducts criminal, civil, and administrative investigations  
of  fraud and misconduct  related to HHS programs, operations, and beneficiaries.  With 
investigators working in all 50 States and the District of Columbia, OI  utilizes its resources 
by actively  coordinating with the Department  of Justice  and other Federal, State, and local 
law enforcement authorities.  The investigative efforts of OI often lead to  criminal 
convictions, administrative sanctions,  and/or  civil monetary  penalties.  
Office of Counsel to the Inspector General 
The Office of Counsel to the  Inspector  General (OCIG) provides general legal services to 
OIG, rendering  advice and opinions on HHS programs  and operations and providing all 
legal support for OIGs  internal operations.  OCIG represents  OIG in all civil and 
administrative fraud and abuse cases involving HHS programs,  including False Claims Act, 
program exclusion, and civil monetary penalty cases.  In  connection with these cases, OCIG 
also negotiates and monitors corporate integrity agreements.  OCIG renders advisory 
opinions, issues compliance program  guidance, publishes fraud alerts, and provides other  
guidance  to  the health care industry concerning the anti-kickback statute and other  OIG  
enforcement authorities.