CMS CCIIO MPMCR

StrategyGen: Prime Contractor for the CMS CCIIO MPMCR Contract

Driving Innovation & Excellence in Medicare Program Management

StrategyGen is honored to serve as the Prime Contractor for the Centers for Medicare & Medicaid Services (CMS) and its Center for Consumer Information and Insurance Oversight (CCIIO) through the Marketplace Plan Management Compliance Reviews (MPMCR) contract.

MPMCR supports compliance reviews of Qualified Health Plan issuers and direct-enrollment entities in Federally Facilitated Exchanges. This work helps CMS and CCIIO assess compliance with Marketplace-specific requirements, strengthen program oversight, and support effective operation of the Health Insurance Marketplace.

What is the CMS CCIIO MPMCR Contract?

The MPMCR contract is a mission-critical vehicle that supports CMS and CCIIO in overseeing compliance within the Health Insurance Marketplace.

This contract focuses on:

• Marketplace compliance reviews and oversight activities
• Evaluation of Qualified Health Plan (QHP) issuer and direct-enrollment entity compliance
• Regulatory compliance monitoring and risk assessment
• Healthcare data analysis, reporting, and performance evaluation
• Program operations support and policy implementation
• Stakeholder engagement, training, and operational support

Through MPMCR, CMS and CCIIO strengthen oversight, improve Marketplace integrity, and support compliance with federal Marketplace requirements.

Why CMS and CCIIO Chose StrategyGen

• Proven Expertise – Extensive experience supporting federal healthcare programs, compliance oversight initiatives, healthcare policy analysis, and operational performance improvement.
• Advanced Data & Technology Capabilities – Expertise in data analytics, automation, AI-enabled insights, and process optimization to support compliance review activities and program oversight.
• Commitment to Compliance & Integrity – Deep knowledge of federal healthcare regulations, Marketplace oversight requirements, compliance monitoring, and risk management practices.
• Collaboration & Partnership – Strong collaboration with CMS, CCIIO, issuers, stakeholders, and industry partners to support effective Marketplace operations and compliance objectives.
• Demonstrated Performance Excellence – Consistent history of Exceptional and Very Good Contractor Performance Assessment Reporting System (CPARS) ratings across federal healthcare contracts.