Case Studies
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Bidding System (DBidS)
Client
- The Centers for Medicare & Medicaid Services (CMS)
INDUSTRY
- Healthcare
Summary
The Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Bidding System (DBidS) is an interactive web-based application designed to manage the activities of the Medicare competitive bidding program, standardize quality, and streamline collaboration.
The modernized system helps the Centers for Medicare & Medicaid Services (CMS) enforce standard quality for DMEPOS suppliers, in compliance with Section 302 of the Medicare Modernization Act of 2003 (MMA).
Challenge
Addressing the Modern Healthcare Market
Since the DMEPOS Competitive Bidding Program was implemented, CMS has used a competitive bidding process in which potential suppliers submit bids to provide DMEPOS items, lowering out-of-pocket costs for beneficiaries and Medicare program costs. Our team is challenged with modernizing the existing system to accommodate the continuously evolving needs of CMS, healthcare providers, and medical suppliers while improving the overall DBidS user experience. The modernization effort would also need to be a full lift and shift, ensuring that functionality would remain available throughout all deployments.
Solution
The Benefits of Modernization without Bidding Disruption
Our team proposed the DBidS solution, which would make use of several AWS services in order to streamline and simplify the competitive bidding process for medical suppliers. The system would be a user-friendly, modernized system built for autoscaling, standardized data quality, and easier collaboration. The team would also focus on a lift and shift throughout deployments to allow users to continue use of the DBidS system as normal. As we continue to support DBidS Operations and Management and the DME bidding cycle, we will refactor DBidS changes using Infrastructure as Code (IaC) and microservices established in AWS.
Outcome
Infrastructure Savings with Ongoing Improvements
Our team successfully shifted the DBidS application to the CMS AWS Cloud as part of the operations and management cycle, with plans to introduce modern architecture and functionality over the contract period.
Full lift and shift of DBidS application and databases
In just one year, our team was able to fully lift and shift the DBidS application to the CMS AWS Cloud, retaining functionality from the legacy system while improving performance.
Cost savings with Infrastructure as Code (IaC)
We provide our client CMS with annual savings by using IaC processes for continuous integration and delivery.
Complete visibility into development
With an architecture diagram, system overview, and breakdown of all artifacts within Jira, our team was able to provide complete visibility the development process.
AWS SERVICES USED