CMS Seeks Industry Input on Fraud Defense Contracting Model – ExecutiveGov

CMS Seeks Industry Input on Fraud Defense Contracting Model  ExecutiveGov

CMS is seeking industry recommendations on restructuring fraud defense contracts to improve Medicare fraud detection and prevention. The Centers for Medicare and Medicaid Services is seeking industry recommendations to restructure its fraud defense contracts, aiming to improve fraud detection and prevention across federal healthcare programs. Deputy Administrator and Chief Operating Officer at the Centers for Medicare & Medicaid Services, Kimberly Brandt, will deliver a keynote address at the Potomac Officers Club’s 2026 Healthcare Summit. The Dec. 3 event will bring together federal health leaders and industry executives to explore key healthcare priorities, innovation, modernization and the future of federal healthcare delivery. Secure your spot now! Kimberly Brandt announced the request for information in a LinkedIn post, saying the agency wants to explore new ways to structure its contracts as technology and investigative techniques evolve.

In an RFI published Oct. 5 on SAM.gov, CMS invited vendors and other interested parties to propose innovative approaches for supporting program integrity investigations. The agency is seeking feedback on how contractors could help identify potential fraud, support investigations and facilitate appropriate administrative and enforcement actions. CMS is considering an outcome-focused contracting model that would give the agency greater control over investigative priorities while assigning contractors responsibility for managing and executing investigations, and providing the expertise and resources needed to develop cases and support appropriate enforcement