Measure and Instrument Development and Support (MIDS)


As the healthcare market moves rapidly towards value-based care, the Centers for Medicare and Medicaid Services (CMS) has served as a market pioneer in driving priorities and standards towards meaningful healthcare system improvement. Part of that objective involves developing and implementing quality measures and associated programs – to analyze care quality based on value and patient outcomes. It also includes encouraging providers to improve those outcomes by delivering payment adjustments, enabling transparent public quality reporting, and providing other incentives. The Measure and Instrument Development and Support (MIDS) contract plays a critical role in supporting that effort by offering a curated suite of consulting and research firms – providing services to develop and sustain these quality measures and support the value-based quality payment programs of which they are a part. Overall, the MIDS contract helps advance CMS’s goal of developing Meaningful Measures and enabling greater value and efficiency across the entire healthcare continuum.

What is CMS MIDS?

The Measure and Instrument Development and Support (MIDS) contract is an unrestricted, multiple-award Indefinite Delivery Indefinite Quantity (IDIQ) contract developed, solicited, and managed by CMS. It has a maximum ceiling of $1.6 billion over a five-year contract lifecycle. The IDIQ offers Cost Plus Fixed Fee (CPFF), Firm Fixed Price (FFP), Time and Materials (T&M), and Labor Hour (LF) task orders, depending on the scope of work. The MIDS IDIQ was awarded to 31 companies in August 2018.

What is the Scope of CMS MIDS?

The MIDS Statement of Work (SOW) includes requirements to perform activities across the full measure lifecycle, including developing, implementing, and aligning measures to fill key gaps in quality care priorities, along with data collection and analysis, and quality program support. The measures developed under this contract may include outcome, process, structural, cost, and composite quality measures across multiple quality care settings – including a renewed focus on electronic Clinical Quality Measures (eCQMs) and Patient-Reported Outcome Measures (PROMs). The MIDS IDIQ SOW requirements include the following:

  • Chapter 2: General Requirements
  • Chapter 3: Information Gathering
  • Chapter 4: Quality Measure Development, and Reevaluation
  • Chapter 5: Instrument/Item Development
  • Chapter 6: Testing/Validation
  • Chapter 7: Reports/Approval Packages
  • Chapter 8: Implementation, Production, and Assessment
  • Chapter 9: Public Reporting/Compare Sites
  • Chapter 10: Access to Systems/Data
  • Chapter 11: Quality Assurance and Performance Evaluation
  • Chapter 12: Transition from Incumbent to Successor

Who Should Use CMS MIDS?

The MIDS IDIQ was originally intended for CMS – to use across all CMS centers. However, as MIDS task orders are released and contract performance is evaluated, the IDIQ may be made available to other entities across the Department of Health and Human Services (HHS). Whether MIDS is used outside CMS may depend on whether other HHS entities take on responsibilities around measure development and support, which would require this niche contracting alternative.

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