HHS CMS - Risk Adjustment Suite of Systems (RASS) - MRAS

The Department of Health and Human Services (HHS), in collaboration with the General Services Administration (GSA), is conducting market research to support its Risk Adjustment Suite of Systems (RASS). This initiative aims to enhance the efficiency and effectiveness of risk adjustment processes, which are crucial for ensuring equitable healthcare coverage. The overarching goal is to refine the systems that manage risk adjustment data, thereby improving accuracy in insurance assessments and fostering a fairer healthcare environment.

The work requested involves several key components within the RASS framework. The Risk Adjustment Processing System (RAPS) and the Risk Adjustment System (RAS) are central to this effort. These systems are responsible for processing risk adjustment data and executing model runs that predict insurance risks based on various factors. Additionally, the Encounter Data Risk Adjustment (EDRA) Database plays a vital role by storing encounter data used in these calculations. Together, these systems form the backbone of HHS's strategy to optimize risk assessment methodologies.

Beyond operational enhancements, the project emphasizes program operations objectives such as education and training related to risk adjustment. This includes developing comprehensive training materials and conducting sessions to ensure stakeholders are well-versed in using these complex systems effectively. Furthermore, there is a strong focus on adopting agile practices and DevOps methodologies to streamline development processes, automate testing, and ensure rapid deployment of system updates.

Security, privacy, and continuity of operations are also paramount concerns within this solicitation. The project seeks solutions that align with CMS information security standards while implementing robust disaster recovery strategies. These measures will safeguard sensitive health data against breaches or disruptions while maintaining seamless operational continuity across all RASS components.