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U.S. Department Of Health And Human Services·Maryland

Private Marketscan Commercial Health Insurance Claims Database(Notice of Intent to Award Sole Source)

Closes 9/11/2026$2M – $5MSole Source
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Description

The Centers for Medicare & Medicaid Services (CMS) intends to award a sole‑source contract to Merative US L.P. for a license to access the Private Marketscan Commercial Health Insurance Claims Database. The contractor will deliver a comprehensive, longitudinal claims data set (1998‑present) via a secure portal, including payment, cost‑sharing, utilization, demographic, and payer‑plan information, together with technical support, data dictionaries, quality notifications, and Section 508 accessibility compliance. The data will be used by CMS for analysis, policy development, and program evaluation. • License to a proprietary commercial health‑insurance claims database covering >20 years of data. • Data elements: total payments, allowed charges, co‑pay/coinsurance/deductibles, visits, stays, prescriptions, age, gender, plan type. • Delivery through a secure data‑sharing portal with ongoing technical support and documentation. • Mandatory data‑quality issue notifications within 3 business days and remediation plan. • Compliance with Section 508 accessibility standards. • Capability statement and price quote required within 14 days of the notice.

Attached files

Contact

Kristy Hollobaugh(Contract Specialist)

[email protected]

(410) 786-8236

Key dates

Opened
8/28/2026
Closes
9/11/2026

Last updated

Details

Type
Sole Source
Industry
Information Technology and Software Development
NAICS
513140
Solicitation №
RFQ260737

Budget estimate

$2,000,000 – $5,000,000

The contract is for a comprehensive, longitudinal health‑claims database that typically commands multi‑million‑dollar licenses. Similar CMS data‑licensing awards have ranged from $2 M to $5 M annually, depending on data volume, update frequency, and support services. Given the breadth (1998‑present, nationwide private‑plan data) and required technical support, a reasonable estimate for the award value is between $2 M and $5 M. Factors influencing the final amount include the number of data extracts requested, frequency of updates, and any additional customization or analytics services.

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