Wednesday, January 14, 2009

CMS Contracts with Optimal

As reported in “HHS Pulse”, Optimal Solutions Group, LLC an 8(a) small business company is working with CMS on several contracts. The company does public policy research and provides technical assistance to government agencies, corporations, non-profits, and foundations and is an example of how a small business can gain traction in the federal contracting arena.

The company has showed a steady growth in recent years growing by 7% between 2004 and 2008. In the beginning, the company began working with federal agencies as a subcontractor on projects with HHS and the Department of Education. By 2005, Optimal attained sufficient technical experience as a subcontractor and now the company was ready for “prime time”. At this point, Optimal won contracts with several federal agencies on major research contracts as a prime contractor.

According to INC. Magazine, the Federal Government is spending more than $500 billion annually on Medicare and Medicaid. There is an ever increasing need for fraud and waste research which is Optimal’s fastest growing division of study.

Optimal is now under contract with CMS to monitor and evaluate Medication Therapy Management Programs (MTMP) offered by Part D sponsors. The idea is to identify and understand how MTMPs may be effective for the Medicare Program beneficiaries and providers. Prescription drug plans and Medicare Advantage plans offer prescription drug coverage and are required to have an MTMP for beneficiaries who meet high risk criteria.

The research will assist CMS in identifying MTMPs that demonstrate the most positive impact on medication that Medicare beneficiaries use and will help to identify standardized outcomes that can be measured by all Part D Sponsors.

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