Thursday, June 13, 2024

CMS Sources Sought: Health Plan Management System (HPMS)-Website Maintenance and Enhancement Services

Notice ID: HHS-CMS-SBSS-2024-000001S-HPMS

Description

The purpose of the work is to obtain system development and support services for the Agency’s Health Plan Management System (HPMS). HPMS is a full service website where health and drug plans, plan consultants, third party vendors, and pharmaceutical manufacturers can work with CMS to fulfill the plan enrollment and compliance requirements of the Medicare Advantage (MA) and Prescription Drug (Part D) programs.

HPMS manages the plan enrollment and compliance business processes for more than 800 private health and drug plans participating in the MA and Part D programs. In total, there are approximately 70 software modules, of varying sizes and complexity, which support MA and Part D functions, including, but not limited to: application submission, automated network adequacy review, formulary submission, bid and benefit package submissions, marketing material reviews, Part D drug pricing and pharmacy network submission, program audits and compliance oversight, performance monitoring, fraud, waste, and abuse tracking and reporting, improper payments, plan surveys, financial reporting, beneficiary complaint tracking, and data support for the Medicare & You handbook, Medicare Plan Finder, and Online Enrollment Center. HPMS also houses the Plan Management Dashboard, a visual platform that organizes HPMS data and presents key performance indicators for plan compliance, fiscal soundness, marketing, contract performance, enrollment operations, and account management…

Support requires, but is not limited to, full-lifecycle software development and maintenance; DevSecOps; application development in .Net 4.0/4.5 (C# language) and Node.js; testing in CMS’ test and implementation environments: performance, integration and load testing; cloud hosting; analyzing and refactoring existing code and database structures to optimize performance; and technical expertise in project management, website usability, Section 508 compliance, Internet security, information architecture, customer relationship management, service-oriented architectures, application performance, operational efficiencies, web services. and e-Government best practices…

Read more here.

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