HHS Release

HHS Gruber 000003
HHS Gruber 000004
HHS Gruber 000005
HHS Gruber 000006
HHS Gruber 000007
HHS Gruber 000008
HHS Gruber 000009
HHS Gruber 000010
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HHS Gruber 000018
From:
To:
Subject:
Date:
Attachments:
Jon Gruber
Seshamani, Meena (HHS/ASPE); Lambrew, Jeanne (HHS/ASPE)
my work on cadillac tax effects
Friday, November 06, 2009 8:02:40 AM
(b)(5) - del berative process
Meena Nice to talk to you.

Here are two versions of the memo I sent Jeanne. The first INCLUDES a
I also attach the spreadsheet that underlies these calculations

happy to talk further anytime about this
Jon
-Jonathan Gruber
Professor of Economics
MIT Department of Economics
50 Memorial Drive, E52-355
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
e-mail: gruberj@mit.edu
web: http://econ-www.mit.edu/faculty/gruberj/
HHS Gruber 000019
From:
To:
Subject:
Date:
Jon Gruber
Seshamani, Meena (HHS/ASPE)
Re: trigger
Monday, October 26, 2009 9:58:13 PM
(b)(5) - deliberative process
Seshamani, Meena (HHS/ASPE) wrote:

> Hi Jon,
>
> One follow-up question for you is, how do you break down by state/what
> geographic cost variation are you using?
>
> Thanks and good talking to you today. I will touch base w Jeanne in the
> morning.
> Meena
>
> -----Original Message----> From: Lambrew, Jeanne (HHS/ASPE)
> Sent: Monday, October 26, 2009 12:23 PM
> To: 'gruberj@MIT.EDU'; Seshamani, Meena (HHS/ASPE)
> Subject: Re: trigger
>
> Hi Jon. In meetings. Can you and Meena go over the methodology? Thanks.
>
>
> ----- Original Message ----> From: Jonathan Gruber <gruberj@MIT.EDU>
> To: Lambrew, Jeanne (HHS/ASPE)
> Sent: Mon Oct 26 11:15:07 2009
> Subject: trigger
>
> Jeanne >
>
>
>
>
>
> Jon
>
>
>
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000020
From:
To:
Subject:
Date:
Jon Gruber
Re: Quick question
Tuesday, October 20, 2009 2:49:04 PM

Hi jon,
Jeanne asked me to shoot you a quick email. What rates do you use for cpi and premium
growth in your models (to try to match cbo?)
Thanks ans hope you're well. Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000021
From:
To:
Subject:
Date:
Jon Gruber
Seshamani, Meena (HHS/IOS)
Re: quick question
Tuesday, September 29, 2009 9:14:04 AM
Seshamani, Meena (HHS/IOS) wrote:
From: Jon Gruber [mailto:gruberj@economics.mit.edu]

Sent: Tuesday, September 29, 2009 9:04 AM
To: Seshamani, Meena (HHS/IOS)
Subject: Re: quick question


Yes that is what I meant. Thanks as always! Hope you are well. Meena
From: Jon Gruber <gruberj@economics.mit.edu>

HHS Gruber 000022

Sent: Mon Sep 28 20:51:41 2009
Hi Meena. I'm sure you are quite busy as well!


Hi Jon,
I hope you are well. Busy, no doubt. J I just have a very quick clarification
question for you.
I
am sure we already had this discussion a few months ago which seem
like an eternity ago! but I cant for the life of me remember
Thank you!
Meena
Meena Seshamani, MD, PhD

Director of Policy Analysis
Office of Health Reform
Dept of Health and Human Services
202.205.6466 (o)
m)
(b)(6)
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000023
From:
To:
Cc:
Subject:
Date:
Attachments:
Jon Gruber
Furman, Jason L.
Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Re: Request
Thursday, August 06, 2009 12:53:15 PM
Jason -
hope this is helpful

Jon
Furman, Jason L. wrote:
-Jonathan Gruber
HHS Gruber 000024
From:
To:
Cc:
Subject:
Date:
Furman, Jason L.
Jon Gruber; Seshamani, Meena (HHS/IOS)
Lambrew, Jeanne (HHS/IOS)
RE: Request
Thanks for these.

Sent: Thursday, August 06, 2009 1:11 PM
Cc: Furman, Jason L.; Lambrew, Jeanne (HHS/IOS)
Subject: Re: Request
Thank you Jon!
Just to make sure I understand:
Is that right?
Meena

To: Furman, Jason L.
Cc: Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Jason -
HHS Gruber 000026

Jon
As always, sooner is better but Jeanne has a better understanding of the full priorities here.
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
HHS Gruber 000027
From:
To:
Subject:
Date:
Attachments:
Jon Gruber
Seshamani, Meena (HHS/ASPE); Lambrew, Jeanne (HHS/ASPE)
my work on cadillac tax effects
Friday, November 06, 2009 8:02:40 AM
Meena Nice to talk to you.

Here are two versions of the memo I sent Jeanne. The first INCLUDES a
I also attach the spreadsheet that underlies these calculations

happy to talk further anytime about this
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000029
From:
To:
Subject:
Date:
Jon Gruber
Re: trigger
Monday, October 26, 2009 9:58:13 PM

> Hi Jon,
>
> One follow-up question for you is, how do you break down by state/what
> geographic cost variation are you using?
>
> Thanks and good talking to you today. I will touch base w Jeanne in the
> morning.
> Meena
>
> -----Original Message----> From: Lambrew, Jeanne (HHS/ASPE)
> Sent: Monday, October 26, 2009 12:23 PM
> To: 'gruberj@MIT.EDU'; Seshamani, Meena (HHS/ASPE)
> Subject: Re: trigger
>
> Hi Jon. In meetings. Can you and Meena go over the methodology? Thanks.
>
>
> ----- Original Message ----> From: Jonathan Gruber <gruberj@MIT.EDU>
> To: Lambrew, Jeanne (HHS/ASPE)
> Sent: Mon Oct 26 11:15:07 2009
> Subject: trigger
>
> Jeanne >
>
>
>
>
>
> Jon
>
>
>
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000030
From:
To:
Subject:
Date:
Jon Gruber
Re: Quick question
Tuesday, October 20, 2009 2:49:04 PM

Hi jon,
Jeanne asked me to shoot you a quick email. What rates do you use for cpi and premium
growth in your models (to try to match cbo?)
Thanks ans hope you're well. Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000031
From:
To:
Subject:
Date:
Jon Gruber
Re: quick question
Tuesday, September 29, 2009 9:14:04 AM



Yes that is what I meant. Thanks as always! Hope you are well. Meena

HHS Gruber 000032

Sent: Mon Sep 28 20:51:41 2009
Hi Meena. I'm sure you are quite busy as well!


Hi Jon,
I hope you are well. Busy, no doubt. J I just have a very quick clarification
question for you.
I
am sure we already had this discussion a few months ago which seem
like an eternity ago! but I cant for the life of me remember
Thank you!
Meena

202.205.6466 (o)
m)
(b)(6)
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000033
From:
To:
Cc:
Subject:
Date:
Attachments:
Jon Gruber
Furman, Jason L.
Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Re: Request
Jason -

Jon
-Jonathan Gruber
HHS Gruber 000034
From:
To:
Cc:
Subject:
Date:
Furman, Jason L.
Jon Gruber; Seshamani, Meena (HHS/IOS)
RE: Request
Thanks for these.

Cc: Furman, Jason L.; Lambrew, Jeanne (HHS/IOS)
Thank you Jon!
Just to make sure I understand:
Is that right?
Meena

Cc: Jonathan Gruber; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Jason -
HHS Gruber 000036

Jon
As always, sooner is better but Jeanne has a better understanding of the full priorities here.
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
HHS Gruber 000037
out of scope
Ezekiel J. Emanuel, M.D., Ph.D.
Special Advisor for Health Policy

Office of Management and Budget
Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
Other email: eemanuel@nih.gov
-----Original Message----From: Jon Gruber [mailto:gruberj@economics.mit.edu]

Sent: Wednesday, July 29, 2009 8:57 AM
To: Emanuel, Ezekiel J.
Cc: Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena
(HHS/IOS)
Subject: Re: results
Zeke -
HHS Gruber 000039
Page 40 redacted for the following reason:

--------------------Entire page withheld under (b)(5)., (b)(5) - deliberative process
>
> Special Advisor for Health Policy
> Office of Management and Budget
>
> Phone: 202-395-5883
> Fax: 202-395-3174
> Cell:
(b)(6)
>
(b)(6)
> Best Cell:
>
> Personal Cell:
(b)(6)
> Other email: eemanuel@nih.gov
>
>
> -----Original Message----> From: Jon Gruber [mailto:gruberj@economics.mit.edu]
> Sent: Tuesday, July 28, 2009 9:51 PM
> To: Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Lambrew, Jeanne
> (HHS/IOS); Seshamani, Meena (HHS/IOS)
> Subject: results
>
> Zeke, Jeff, Jeanne, Meena >
t
> Jon
>
>
HHS Gruber 000041
From:
To:
Subject:
Date:

Ezekiel Emanuel; "Jon Gruber"; "Liebman, Jeffrey B."; Seshamani, Meena (HHS/IOS)
RE: results
Wednesday, July 29, 2009 8:51:40 AM
I'll let Jon speak to the first few questions, but there are lots of other differences with Finance:
May be others but I am getting on a call.

-----Original Message----From: Ezekiel Emanuel
Sent: Wednesday, July 29, 2009 8:46 AM
To: Jon Gruber; Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Subject: RE: results
Thanks for this help


Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
HHS Gruber 000042

(b)(6)
Personal Cell:
Otheremail: eemanuel@nih.gov
Sent: Tuesday, July 28, 2009 9:51 PM
To: Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena
(HHS/IOS)
Subject: results
Zeke, Jeff, Jeanne, Meena here are the results from the latest runs you requested. As we discussed, the
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000043
From:
To:
Cc:
Subject:
Date:
Attachments:
John Graves on behalf of John A. Graves

Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Jonathan Gruber
Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS)
Re:
Monday, July 27, 2009 3:30:32 PM
Here is our first crack at this.
John
On 7/27/09 3:07 PM, "Emanuel, Ezekiel J." <Ezekiel_J._Emanuel@omb.eop.gov> wrote:

Thanks
From: John Graves
To: Lambrew, Jeanne (HHS/IOS) ; Emanuel, Ezekiel J.; Jonathan Gruber
Cc: Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS)
Sent: Mon Jul 27 15:04:49 2009
Subject: Re:
Weve actually been working on this. Will send a full set of specs for you to verify in
just a bit.
John
On 7/27/09 3:01 PM, "Lambrew, Jeanne (HHS/IOS)" <Jeanne.Lambrew@hhs.gov>

wrote:
Hi,
emails. Beth, can you take a first cut?
Thanks, jml
From: Ezekiel Emanuel

Sent: Monday, July 27, 2009 2:58 PM
To: Jon Gruber
Cc: John A. Graves; Liebman, Jeffrey B.; Seshamani, Meena (HHS/IOS);
HHS Gruber 000044

Subject: RE:
Jon,
One more thing.

FPL.

Phone: 202-395-5883
Fax: 202-395-3174
(b)(6)
Cell:
Best Cell:
(b)(6)
(b)(6)
Personal Cell:

Jeanne Lambrew
Subject: Re:
thanks
jon
Emanuel, Ezekiel J. wrote:
HHS Gruber 000045
Hope this helps.

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
Jeanne Lambrew
Subject: Re:
Thanks Zeke. A few questions right off the bat:
HHS Gruber 000046
thanks
jon

Phone: 202-395-5883
Fax: 202-395-3174
(b)(6)
Cell:
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
John A. Graves
PhD Candidate in Health Policy
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
HHS Gruber 000047
From:
To:
Subject:
Date:
Attachments:
Jon Gruber
Ezekiel Emanuel; Liebman, Jeffrey B.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
results
Tuesday, July 28, 2009 9:51:22 PM
Zeke, Jeff, Jeanne, Meena here are the results from the latest runs you requested. As we
discussed,
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000048
From:
To:
Subject:
Date:
Attachments:

Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Jonathan Gruber; Seshamani, Meena
(HHS/IOS)
Re: ZekeFriday, July 24, 2009 4:42:31 PM
Hi,
Sorry for the confusion.
John
On 7/24/09 2:00 PM, "Emanuel, Ezekiel J." <Ezekiel_J._Emanuel@omb.eop.gov> wrote:
You guys are fantastic. I am sure my brother would have a good four
letter compliment. Thanks a million from me.

Phone: 202-395-5883
Fax: 202-395-3174
(b)(6)
Cell:
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
From: John Graves [mailto:
On Behalf Of John A. Graves
b6
Sent: Friday, July 24, 2009 1:57 PM
To: Emanuel, Ezekiel J.; Jeanne Lambrew; Bafford, Elizabeth A.; Jonathan Gruber;
Subject: Re: Zeke(b)(5) - deliberative process
Hi Zeke,
I am attaching the runs as of this minute. As you can see a couple of the runs are not
filled in yet, but we wanted to get this to you by 2 oclock so well fill in as they finish
up.
HHS Gruber 000049
As always, please let us know if you have any questions.

Thanks,
John
On 7/24/09 10:33 AM, "Emanuel, Ezekiel J." <Ezekiel_J._Emanuel@omb.eop.gov>

wrote:

HHS Gruber 000050
Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
(b)(6)
Personal Cell:
From: Lambrew, Jeanne (HHS/IOS) [mailto:Jeanne.Lambrew@hhs.gov]

Sent: Friday, July 24, 2009 10:27 AM
To: John A. Graves; Emanuel, Ezekiel J.; Bafford, Elizabeth A.; Jonathan Gruber;
Subject: RE: Zeke(b)(5) - deliberative process
Hi, one more clarification


(b)(6)
To: Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Jonathan
Gruber; Seshamani, Meena (HHS/IOS)
Hi,
Here are the specs redone based on my interpretation of Zekes clarifications. I have
highlighted the changes I made in red.
John
On 7/24/09 9:50 AM, "Emanuel, Ezekiel J." <Ezekiel_J._Emanuel@omb.eop.gov> wrote:

Jon and I talked this morning to educate me.
The runs being done are greatvery helpful. Peter and the higher powers asked us
1)

HHS Gruber 000051
2)
3)
4)
5)

Thanks for helping. Hope this is clear. And Peter asked for everything for 2 hours ago
actually for 2 pm today if possible.
should get priority.
You are all extremely helpful and I greatly appreciate it.

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
<mailto:Jeanne.Lambrew@hhs.gov%5d>
To: Bafford, Elizabeth A.; gravesj@nber.org; Jon Gruber; Seshamani, Meena (HHS/IOS)
Cc: Emanuel, Ezekiel J.
Hi, I want to make sure I understand.
Yesterday, per our discussion, we started Jon working on the attached.
Is what you sent this morning a substitute for these? If so, well stop this work.
Also, if so, several questions.
HHS Gruber 000052
Jon and John may have additional questions, but want to make sure that they are
working on exactly what you want.
Thanks, jml
From: Bafford, Elizabeth A. [mailto:Elizabeth_A._Bafford

(b)(6)
<mailto:Elizabeth_A._Bafford
(b)(6)
To: Lambrew, Jeanne (HHS/IOS); gravesj@nber.org; Jon Gruber; Seshamani, Meena
(HHS/IOS)
Cc: Ezekiel Emanuel
Subject: Zeke(b)(5) - deliberative process
Hi Jeanne, Jon, John, and Meena,
Attached are the new specs that Peter and Zeke would like run. Please let us know if
you have any questions.
Thank you SO much for all of your help.
Thanks!
Beth
Beth Bafford
Eisenhower Executive Office Building, Room 279
(202) 395-9132 (o)
(m)
(b)(6)
John A. Graves
Harvard University
HHS Gruber 000053
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
HHS Gruber 000054
From:
To:
Cc:
Subject:
Date:
Attachments:

Jon Gruber
Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Seshamani, Meena (HHS/IOS)
Re: Zeke(b)(5) - del berative process
Friday, July 24, 2009 6:51:06 PM
Sorry again for the back and forth on this today.

John
On 7/24/09 6:04 PM, "Jon Gruber" <gruberj@economics.mit.edu> wrote:
sorry about the mess up but this happens when we are running fast and furious - john
will be sending new runs out soon.
I would like to have a heads up on your thought for the weekend. My email access is
sporadic and I would like to know what you anticipate happening next
thanks
Jon
John A. Graves wrote:
Re: Zeke-
(b)(5)
Hi,
HHS Gruber 000055
Ill be in touch with these in just a bit, and sorry about that I know
youre all under deadlines.
John
On 7/24/09 4:42 PM, "John A. Graves" <gravesj@nber.org>

<mailto:gravesj@nber.org> wrote:
Hi,
Sorry for the confusion.
John
On 7/24/09 2:00 PM, "Emanuel, Ezekiel J."

<Ezekiel_J._Emanuel@omb.eop.gov>
<mailto:Ezekiel J. Emanuel@omb.eop.gov> wrote:
You guys are fantastic. I am sure my

brother would have a good four letter
compliment. Thanks a million from me.
HHS Gruber 000056
Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
(b)(6)
Personal Cell:

(b)(6)
(b)(6)
On Behalf
<mailto
Of John A. Graves
To: Emanuel, Ezekiel J.; Jeanne Lambrew;
Bafford, Elizabeth A.; Jonathan Gruber;
Hi Zeke,
I am attaching the runs as of this minute. As

you can see a couple of the runs are not filled
in yet, but we wanted to get this to you by 2
oclock so well fill in as they finish up.
HHS Gruber 000057
As always, please let us know if you have any

questions.
Thanks,
John
On 7/24/09 10:33 AM, "Emanuel, Ezekiel J."

<mailto:Ezekiel J. Emanuel@omb.eop.gov>
wrote:

HHS Gruber 000058

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
(b)(6)
Personal Cell:
From: Lambrew, Jeanne (HHS/IOS)

[mailto:Jeanne.Lambrew@hhs.gov]
<mailto:Jeanne.Lambrew@hhs.gov%5D>
To: John A. Graves; Emanuel, Ezekiel J.;
Bafford, Elizabeth A.; Jonathan Gruber;
Subject: RE: Zeke
From: John Graves

[mailto:
(b)(6)
On Behalf
<mailto
Of John A. Graves
To: Ezekiel Emanuel; Lambrew, Jeanne
(HHS/IOS); Bafford, Elizabeth A.; Jonathan
Subject: Re: Zeke
Hi,
(b)(5)
HHS Gruber 000059
(b)(5)
costs by 2pm today. Please edit/clarify as

needed.
John
On 7/24/09 9:50 AM, "Emanuel, Ezekiel J."

<mailto:Ezekiel J. Emanuel@omb.eop.gov>
wrote:
The runs being done are greatvery helpful.

Peter and the higher powers asked us asked to
do some more variations.
Thanks for helping. Hope this is clear. And

Peter asked for everything for 2 hours ago
actually for 2 pm today if possible. Variations on
You are all extremely helpful and I greatly

appreciate it.

Phone: 202-395-5883
Fax: 202-395-3174
HHS Gruber 000060
(b)(6)
Cell:
Best Cell:
(b)(6)
(b)(6)
Personal Cell:

[mailto:Jeanne.Lambrew@hhs.gov]
<mailto:Jeanne.Lambrew@hhs.gov%5d>
To: Bafford, Elizabeth A.; gravesj@nber.org; Jon
Yesterday, per our discussion, we started Jon

working on the attached.
Is what you sent this morning a substitute for

these? If so, well stop this work.
Jon and John may have additional questions,

but want to make sure that they are working on
exactly what you want.
HHS Gruber 000061
Thanks, jml
From: Bafford, Elizabeth A.

[mailto:Elizabeth_A._Bafford
<mailto:Elizabeth_A._Baffor
<mailto:Elizabeth_A._Baffor
(b)(6)

To: Lambrew, Jeanne (HHS/IOS);
gravesj@nber.org; Jon Gruber; Seshamani,
Meena (HHS/IOS)
Cc: Ezekiel Emanuel
Subject: Zeke(b)(5) - deliberative process
Attached are the new specs that Peter and

Zeke would like run. Please let us know if you
have any questions.
Thanks!
Beth
Beth Bafford
(202) 395-9132 (o)
m)
(b)(6)
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
HHS Gruber 000062
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
HHS Gruber 000063
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Ezekiel Emanuel
John A. Graves; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Seshamani, Meena (HHS/IOS); "Jonathan
Gruber"
Re: ZekeFriday, July 24, 2009 9:22:35 PM
Zeke sorry, this is actually right. here is what is going on.
Jon

Phone: 202-395-5883
Fax: 202-395-3174
HHS Gruber 000064
Cell:
(b)(6)
Best Cell:
(b)(6)
(b)(6)
Personal Cell:

(b)(6)
To: Jon Gruber
Cc: Emanuel, Ezekiel J.; Jeanne Lambrew; Bafford, Elizabeth A.; Seshamani, Meena
(HHS/IOS)
Sorry again for the back and forth on this today.

John

sorry about the mess up but this happens when we are running fast and furious - john
will be sending new runs out soon.
HHS Gruber 000065
I would like to have a heads up on your thought for the weekend. My email access is
sporadic and I would like to know what you anticipate happening next
thanks
Jon
(b)(5)
Re: Zeke
Hi,
Ill be in touch with these in just a bit, and sorry about that I know youre all under
deadlines.
John
On 7/24/09 4:42 PM, "John A. Graves" <gravesj@nber.org> <mailto:gravesj@nber.org>

wrote:
Hi,

In the attached
John
On 7/24/09 2:00 PM, "Emanuel, Ezekiel J." <Ezekiel J. Emanuel@omb.eop.gov>

<mailto:Ezekiel_J._Emanuel@omb.eop.gov> wrote:
You guys are fantastic. I am sure my brother would have a good four
letter compliment. Thanks a million from me.
HHS Gruber 000066

Phone: 202-395-5883
Fax: 202-395-3174
(b)(6)
Cell:
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
(b)(6)
Behalf Of John A. Graves
To: Emanuel, Ezekiel J.; Jeanne Lambrew; Bafford, Elizabeth A.; Jonathan Gruber;
On
Hi Zeke,
I am attaching the runs as of this minute. As you can see a couple of the runs are not
filled in yet, but we wanted to get this to you by 2 oclock so well fill in as they finish
up.
HHS Gruber 000067
As always, please let us know if you have any questions.
Thanks,
John


Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
(b)(6)
Best Cell:
Personal Cell:
(b)(6)

To: John A. Graves; Emanuel, Ezekiel J.; Bafford, Elizabeth A.; Jonathan Gruber;
HHS Gruber 000068
(b)(6)
To: Ezekiel Emanuel; Lambrew, Jeanne (HHS/IOS); Bafford, Elizabeth A.; Jonathan
Hi,
Here are the specs redone based on my interpretation of Zekes clarifications. I have
highlighted the changes I made in red.
John

The runs being done are greatvery helpful. Peter and the higher powers asked us
asked to do some more variations.
Thanks for helping. Hope this is clear. And Peter asked for everything for 2 hours ago
actually for 2 pm today if possible.
You are all extremely helpful and I greatly appreciate it.

HHS Gruber 000069

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
(b)(6)
Best Cell:
Personal Cell:
(b)(6)

<mailto:Jeanne.Lambrew@hhs.gov%5D> <mailto:Jeanne.Lambrew@hhs.gov%5d>
To: Bafford, Elizabeth A.; gravesj@nber.org; Jon Gruber; Seshamani, Meena (HHS/IOS)
Yesterday, per our discussion, we started Jon working on the attached.
Is what you sent this morning a substitute for these? If so, well stop this work.
Jon and John may have additional questions, but want to make sure that they are
working on exactly what you want.
Thanks, jml
HHS Gruber 000070
(b)(6)
From: Bafford, Elizabeth A. [mailto:Elizabeth_A._Bafford
(b)(6)
To: Lambrew, Jeanne (HHS/IOS); gravesj@nber.org; Jon Gruber; Seshamani, Meena
(HHS/IOS)
Cc: Ezekiel Emanuel
Subject: Zeke(b)(5) - del berative process
Attached are the new specs that Peter and Zeke would like run. Please let us know if
you have any questions.
Thanks!
Beth
Beth Bafford

(202) 395-9132 (o)
(m)
(b)(6)
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
HHS Gruber 000071
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000072
From:
To:
Subject:
Date:
Jason.Levitis@do.treas.gov
RE: Evidence about employment effects of Mass. health reform
Monday, July 13, 2009 12:10:53 AM
Hey. Yeah, the call was good, thanks. And thanks for all the other stuff you sent. You are ever a lifesaver.
-----Original Message----From: Seshamani, Meena (HHS/IOS) [mailto:Meena.Seshamani@hhs.gov]
Sent: Sunday, July 12, 2009 9:44 PM
To: Levitis, Jason
Subject: Re: Evidence about employment effects of Mass. health reform
Sucks! Do you think the phone call was prodcutive, in terms of driving the cliff issue home?
----- Original Message ----From: Jason.Levitis@do.treas.gov <Jason.Levitis@do.treas.gov>
To: gruberj@economics.mit.edu <gruberj@economics.mit.edu>
Cc: Seshamani, Meena (HHS/IOS)
Sent: Sun Jul 12 21:23:55 2009
Subject: RE: Evidence about employment effects of Mass. health reform
Jon,
Thanks for getting me back to me.
Jason
Sent: Sunday, July 12, 2009 7:44 PM
To: Levitis, Jason
Cc: Meena.Seshamani@hhs.gov
Subject: Re: Evidence about employment effects of Mass. health reform
Jason sorry, was offline for the weekend. We really have no evidence in MA,
partly because we didn't have a real pay or play, and partly because it
is too early. sorry
Jason.Levitis@do.treas.gov wrote:
HHS Gruber 000073
Thanks so much,
Jason
Jason Levitis
Senior Advisor
U.S. Treasury Department
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000074
From:
To:
Subject:
Date:
Attachments:
Importance:
Cox, Donald R (HHS/ASPE)

Seshamani, Meena MD, PHD (HHS/IOS)
FW: HHSP23320094301EC
Monday, June 22, 2009 7:48:36 AM
High
(b)(6)
Meena -- FYI, Jon is back in business again.
From: Druk, Clint (PSC/SAS/AMD/Acq/T6)

Sent: Friday, June 19, 2009 10:52 AM
To: 'gruberj@economics.mit.edu'; Cox, Donald R (HHS/ASPE)
Cc: Druk, Clint (PSC/SAS/AMD/Acq/T6)
Subject: HHSP23320094301EC
Importance: High
Please find the subject, fully executed, contract attached.
Clint Druk
Contracting Officer
U.S. Department of Health and Human Services
PSC/SAS/Division of Acquisition Management
(P) 301-443-0403
(F) 301-443-8488
In an effort to evaluate customer service, the staff of PSC would appreciate your taking a few moments to complete
our Customer Comment Card by clicking on the link below. Your time and effort in providing this valuable
feedback pertaining to products and services you received is greatly appreciated.
<Http://www.psc.gov/survey/Customer1/customer_1.htm>
HHS Gruber 000075
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Furman, Jason L.
Lambrew, Jeanne (HHS/IOS); gene.sperling@do.treas.gov; Hash, Michael M.; Seshamani, Meena MD, PHD
(HHS/IOS)
Re: Specs I"m interested in
Tuesday, June 23, 2009 8:58:41 PM
got it. I'm out tomorrow but I will set these up for my RA and he will pass them on
tomorrow
Also, the background data, which I believe is consistent with what you said is:
From: Furman, Jason L.

Sent: Tuesday, June 23, 2009 6:09 PM
To: 'Jon Gruber'
Cc: 'Jeanne.Lambrew@hhs.gov'; Gene Sperling (gene.sperling@do.treas.gov); Hash,
Michael M.; 'Meena.Seshamani@hhs.gov'
Subject: Specs I'm interested in
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000076
From:
To:
Cc:
Subject:
Date:
(b)(6)
Victoria.Palomo@do.treas.gov; Jason_L._Furman
Keith_J._Fontenot
(b)(6)
Jeffrey_B._Liebman
Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS);
(b)(6)
gruberj@economics.mit.edu; Michael_M._Hash
Lauren_Aronson
(b)(6)
(b)(6)
Michael.Mundaca@do.treas.gov; Gerald.Silverstein@do.treas.gov; James.Mackie@do.treas.gov;
Gillian.Hunter@do.treas.gov; John.McClelland@do.treas.gov; Mark.Iwry@do.treas.gov; Foster, Richard S.
(CMS/OACT); Ezekiel J. Emanuel@omb.eop.gov; Gene.Sperling@do.treas.gov; Alan.Krueger@do.treas.gov
Avra_Siegel
Elizabeth_A._Bafford
Ryan_H._Coope
(b)(6)
(b)(6)
(b)(6)
Sarah_B._Fenn
Jacob.Leibenluft@do.treas.gov; Christine.Devlin@do.treas.gov
(b)(6)
Follow-Up from Monday"s Health Reform Modeling Mtg
Wednesday, May 06, 2009 12:48:53 AM
Hello, all. Thanks for the excellent turnout at the modeling discussion.
Thanks,
Jason
From: Palomo, Victoria

Sent: Tuesday, May 05, 2009 11:51 AM
To: 'Furman, Jason L.'; 'Fontenot, Keith J.'; 'Liebman, Jeffrey B.'; 'Lambrew, Jeanne (HHS/IOS)';
'Seshamani, Meena (HHS/IOS)'; 'Jon Gruber'; 'Hash, Michael M.'; 'Aronson, Lauren'; Levitis, Jason;
Mundaca, Michael; Silverstein, Gerald; Mackie, James III; Hunter, Gillian; McClelland, John; Iwry, Mark;
'Foster, Richard S. (CMS/OACT)'; 'Emanuel, Ezekiel J.'; Sperling, Gene; Krueger, Alan
(b)(6)
Cc: 'Avra_Siegel
'Bafford, Elizabeth A.'; 'Cooper, Ryan H.'; 'Fenn, Sarah B.'; Leibenluft,
Jacob; Devlin, Christine
Subject: Confirmation - 12:30PM Health Reform Modeling Mtg Today @ Treasury (MT 3432)
Dear all,
Thanks again for your flexibility on such short notice. I am writing to confirm our meeting today at
12:30pm on health reform modeling/specs issues at Treasury in Gene Sperlings office (MT 3432).
If you require a wave request to enter the Treasury building but have not sent me your information
please do so as soon as possible I will need your name, SSN, and DOB. Also, for those of you
dialing in the conference number is
code (b)(6)
(b)(6)
You may reach me at 202-622-2997 if you have any questions or issues getting in to the building.
HHS Gruber 000077
Thanks so much,
Victoria

Sent: Monday, May 04, 2009 7:35 PM
To: Sperling, Gene; 'Furman, Jason L.'; 'Fontenot, Keith J.'; 'Liebman, Jeffrey B.'; 'Lambrew, Jeanne
(HHS/IOS)'; 'Seshamani, Meena (HHS/IOS)'; 'Jon Gruber'; 'Hash, Michael M.'; 'Aronson, Lauren'; Levitis,
Jason; Mundaca, Michael; Silverstein, Gerald; Mackie, James III; Hunter, Gillian; McClelland, John; Iwry,
Mark; 'Foster, Richard S. (CMS/OACT)'; 'Emanuel, Ezekiel J.'; Sperling, Gene; Krueger, Alan
Cc: 'Avra_Siegel
'Bafford, Elizabeth A.'; 'Cooper, Ryan H.'; 'Fenn, Sarah B.'; Leibenluft,
(b)(6)
Jacob; Devlin, Christine
Subject: TIME CHANGE - Health Reform Modeling Mtg Tomorrow (5/5) *MOVED* to 12:30PM
Importance: High
Dear All,
Thanks for your incredible patience in scheduling the health reform modeling meeting tomorrow at
Treasury. I apologize for the short notice but we will need to move this meeting up 30 mins in order
to accommodate various last minute conflicts.
To confirm the health reform modeling specs meeting will take place tomorrow (5/5) at 12:30pm
in Gene Sperlings office (Main Treasury 3432). If you have not already responded with your
availability please do so at your earliest convenience. Also, if you require a wave request to enter
the Treasury building please also send me your vital information name, SSN, and DOB.
For those of you that would like to join the meeting but are unable to attend in person you may
(b)(6)
dial in using the following conference number --
code (b)(6)
Thanks again for your flexibility. I look forward to seeing everyone tomorrow @ 12:30PM.
Best,
Victoria

Sent: Monday, May 04, 2009 12:29 PM
To: Sperling, Gene; Furman, Jason L.; Fontenot, Keith J.; Liebman, Jeffrey B.; Lambrew, Jeanne
(HHS/IOS); Seshamani, Meena (HHS/IOS); Jon Gruber; Hash, Michael M.; Aronson, Lauren; Levitis,
Jason; Mundaca, Michael; Silverstein, Gerald; Mackie, James III; Hunter, Gillian; McClelland, John; Iwry,
Mark; Foster, Richard S. (CMS/OACT); Emanuel, Ezekiel J.; Sperling, Gene
Cc: 'Avra_Siegel
Bafford, Elizabeth A.; Cooper, Ryan H.; Fenn, Sarah B.; Leibenluft,
(b)(6)
Jacob
Subject: Confirmation - 1:00PM Health Reform Modeling/Specs Meeting Tomorrow (5/5) @ Treasury
(MT 3432)
Dear all,
I am writing to *confirm* the health reform meeting on specs and modeling issues from 1:00-
HHS Gruber 000078
2:00PM tomorrow (5/5) in Gene Sperlings office (Main Treasury 3432). Please respond at your
earliest convenience to confirm your attendance. If you plan on attending and require a wave
request for the Treasury building please also send me your vital information full name, SSN, and
DOB and I will make sure to expedite your clearance. For those of you that would like to join the
meeting but are unable to attend in person you may dial in using the following conference
(b)(6)
number --
code (b)(6)
Please let me know if you have any questions or if I can be of any further assistance. You can reach
me anytime at W: 202-622-2997 C:
(b)(6)
Thanks in advance,
Victoria
-Victoria Palomo
Executive Assistant
Department of the Treasury
victoria.palomo@do.treas.gov
W: 202-622-2997 C:
(b)(6)
HHS Gruber 000079
From:
To:
Subject:
Date:

FW: facts on age rating
Friday, June 05, 2009 7:22:41 PM

Sent: Friday, June 05, 2009 2:52 PM
To: Lambrew, Jeanne (HHS/IOS)
Subject: facts on age rating
Jeanne -
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000080
From:
To:
Subject:
Date:
Jonathan Gruber
RE: take-up rate assumptions
Wednesday, June 17, 2009 10:16:33 PM
On Wed, 17 Jun 2009 22:10:21 -0400, "Seshamani, Meena MD, PHD (HHS/IOS)"
<Meena.Seshamani@hhs.gov> wrote:
> OK last question (I promise!) - do you know how those takeup rates
> compare w CBO?
>
> -----Original Message----> From: Jonathan Gruber [mailto:gruberj@economics.mit.edu]
> Sent: Wednesday, June 17, 2009 10:07 PM
> To: Seshamani, Meena MD, PHD (HHS/IOS)
> Subject: RE: take-up rate assumptions
>
> sorry,
>
(b)(5)
>
> On Wed, 17 Jun 2009 22:03:49 -0400, "Seshamani, Meena MD, PHD
> (HHS/IOS)"
> <Meena.Seshamani@hhs.gov> wrote:
>>
>>
>> Thank you so much for answering my questions, I know how crazy things
>> are.
>>
>> Meena
>>
>> -----Original Message---->> From: Jonathan Gruber [mailto:gruberj@economics.mit.edu]
>> Sent: Wednesday, June 17, 2009 10:00 PM
>> To: Seshamani, Meena MD, PHD (HHS/IOS)
>> Subject: RE: take-up rate assumptions
>>
>> Meena >>
>
>
>
>
>
>
>
>
>
>> Jon
>>
>> On Wed, 17 Jun 2009 16:14:46 -0400, "Seshamani, Meena MD, PHD
>> (HHS/IOS)"
>> <Meena.Seshamani@hhs.gov> wrote:
>>> Sorry.
>
>
>
>>> -----Original Message-----
HHS Gruber 000081
>>> From: Jonathan Gruber [mailto:gruberj@MIT.EDU]

>>> Sent: Wednesday, June 17, 2009 3:54 PM
>>> To: Seshamani, Meena MD, PHD (HHS/IOS)
>>> Subject: Re: take-up rate assumptions
>>>
>>> yes, I heard back today on the contract. Thanks Meena!
>>>
>>> I guess the
> can
>>
>>> you be more precise about what you are looking for?
>>>
>>> Seshamani, Meena MD, PHD (HHS/IOS) wrote:
>>>>
>>> l
>>>>
>>>> Thanks Jon. Hope you are well. And I confirmed that they have moved
>>> your
>>>> contract forward and hopefully you will be hearing back from someone
>>>> soon, if you haven't already. Love bureaucracy.
>>>>
>>>> Meena
>>>>
>>>> -----Original Message---->>>> From: Jonathan Gruber [mailto:gruberj@MIT.EDU]
>>>> Sent: Wednesday, June 17, 2009 3:33 PM
>>>> To: Seshamani, Meena MD, PHD (HHS/IOS)
>>>> Subject: Re: take-up rate assumptions
>>>>
>>>> Meena >
>
>
>
>
>>
>>>> you have but I have not great starting point...
>>>>
>>>> jon
>>>>
>>>> Seshamani, Meena MD, PHD (HHS/IOS) wrote:
>>>>
>>>>> Hi Jon,
>>>>>
>>>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>
>>>>>
>>>>>
>>>>> Thank you>>>>>
>>>>> Meena
>>>>>
HHS Gruber 000082
>>>>>
>>>>>
>>>>> Meena Seshamani, MD, PhD
>>>>>
>>>>> Director of Policy Analysis
>>>>>
>>>>> Office of Health Reform
>>>>>
>>>>> Dept of Health and Human Services
>>>>>
>>>>> 202.205.6466 (o)
>>>>>
>>>>>
(m)
(b)(6)
>>>>>
>>>>>
>>>>>
>>>>>
>>>>
>>>>
>>>>
-Jonathan Gruber
50 Memorial Drive, Room 355
Cambridge MA 02142
gruberj@mit.edu
phone: 617-253-8892
HHS Gruber 000083
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Emanuel, Ezekiel J.
Liebman, Jeffrey B.; Fontenot, Keith J.; Hash, Michael M.; Reilly, Thomas M.; Spuria, Lillian S.;
Jason.Levitis@do.treas.gov; Victoria.Palomo@do.treas.gov; Furman, Jason L.; Lambrew, Jeanne (HHS/IOS);
Seshamani, Meena (HHS/IOS); Aronson, Lauren; Michael.Mundaca@do.treas.gov;
Gerald.Silverstein@do.treas.gov; James.Mackie@do.treas.gov; Gillian.Hunter@do.treas.gov;
John.McClelland@do.treas.gov; Mark.Iwry@do.treas.gov; Foster, Richard S. (CMS/OACT);
Gene.Sperling@do.treas.gov; Alan.Krueger@do.treas.gov; Siegel, Avra; Bafford, Elizabeth A.; Cooper, Ryan H.;
Fenn, Sarah B.; Jacob.Leibenluft@do.treas.gov; Christine.Devlin@do.treas.gov; Martin, Kathryn
Re:
Friday, May 08, 2009 5:13:21 PM

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
From: Liebman, Jeffrey B.

Sent: Thursday, May 07, 2009 9:52 PM
To: Fontenot, Keith J.; Hash, Michael M.; Reilly, Thomas M.; Spuria, Lillian S.;
'Jason.Levitis@do.treas.gov'; 'Victoria.Palomo@do.treas.gov'; Furman, Jason L.;
'Jeanne.Lambrew@hhs.gov'; 'Meena.Seshamani@hhs.gov'; Aronson, Lauren;
'Michael.Mundaca@do.treas.gov'; 'Gerald.Silverstein@do.treas.gov';
'James.Mackie@do.treas.gov'; 'Gillian.Hunter@do.treas.gov';
'John.McClelland@do.treas.gov'; 'Mark.Iwry@do.treas.gov'; 'richard.foster@cms.hhs.gov';
Emanuel, Ezekiel J.; 'Gene.Sperling@do.treas.gov'; 'Alan.Krueger@do.treas.gov'; Siegel,
Avra; Bafford, Elizabeth A.; Cooper, Ryan H.; Fenn, Sarah B.;
'Jacob.Leibenluft@do.treas.gov'; 'Christine.Devlin@do.treas.gov'; Martin, Kathryn
Cc: 'gruberj@economics.mit.edu'
Subject:
Following up from our meeting on Tuesday, Jon and I were asked to write down Jons
HHS Gruber 000084
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000085
From:
To:
Cc:
Subject:
Date:
on your question
Jon Gruber
(b)(6)
Jonathan Gruber; nancy-ann_M._deparle
Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden,
Neera (HHS/IOS); Alan.Krueger@do.treas.gov; Furman, Jason L.; Abraham, Jean M.;
(b)(6)
gene.sperling@do.treas.gov; rkocher
Aronson, Lauren; Seshamani, Meena (HHS/IOS);
Duggan@MIT.EDU
Re: results for 3:00
Monday, April 27, 2009 9:08:29 PM
Lambrew, Jeanne (HHS/IOS) wrote:

>
>
>
>
>
>
>
>
>
>
>
> Thanks, Jeanne
>
> -----Original Message----> From: Jonathan Gruber [mailto:gruberj@MIT.EDU]
> Sent: Monday, April 27, 2009 2:50 PM
(b)(6)
> To: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparl
> Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS);
> Alan.Krueger@do.treas.gov; Furman, Jason L.; Abraham, Jean M.; 'Jonathan
> Gruber'; gene.sperling@do.treas.gov; rkocher
Aronson,
(b)(6)
> Lauren; Seshamani, Meena (HHS/IOS); Duggan@MIT.EDU
> Subject: results for 3:00
>
> Folks >
> Here are almost all of the results for the new runs.
>
I
have
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> Jon Gruber
HHS Gruber 000086
>
>
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000087
From:
To:
Subject:
Date:
Attachments:
Jonathan Gruber
Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle
Emanuel, Ezekiel J.; Liebman, Jeffrey B.;
(b)(6)
Tanden, Neera (HHS/IOS); Alan.Krueger@do.treas.gov; Furman, Jason L.; Abraham, Jean M.; "Jonathan
Gruber"; gene.sperling@do.treas.gov; rkocher
; Aronson, Lauren; Seshamani, Meena (HHS/IOS);
(b)(6)
Duggan@MIT.EDU
results for 3:00
Monday, April 27, 2009 2:49:17 PM
Folks Here are almost all of the results for the new runs. the only thing
official number by COB.

couple notes:
Jon Gruber
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000088
From:
To:
Subject:
Date:
Attachments:
Jon Gruber
Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparl
(b)(6)
(b)(6)
Duggan, Mark G.; jason.levitis@do.treas.gov; kfontenot
(b)(6)
results
Wednesday, April 29, 2009 1:16:27 PM
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000089
From:
To:
Subject:
Date:
Attachments:
Jon Gruber
(b)(6)
(b)(6)
Duggan, Mark G.; jason.levitis@do.treas.gov; kfontenot
Hash, Michael M.
(b)(6)
revised results
here are revised results, with two changes:
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000090
From:
To:
Cc:
Subject:
Date:

"Jon Gruber"
misc
Friday, April 24, 2009 10:51:43 AM
Hi Jon,
Looping in Meena.

Lastly, Jason Furman does have
He emailed about it
yesterday. Could one of us be on the call when it happens? I dont think it is a high priority.
Thanks, jml
HHS Gruber 000091
From:
To:
Subject:
Date:
Jon Gruber
Re: Exchange parameters
Friday, April 24, 2009 2:21:26 PM

So it is just for nongroup? But there is a voucher, right? What size firms can use the
voucher way to get employees in exchange?

Sent: Friday, April 24, 2009 2:18 PM
Subject: Re: Exchange parameters

Sorry to bother you jon but I just wanted to
Thanks and hope you are well. Meena
(b)(5)
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000092
From:
To:
Cc:
Subject:
Date:
Jon Gruber
DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
Re: new request
Sunday, April 26, 2009 9:27:00 PM
OK, i'm running these tonight, will have by COB tomorrow -
(b)(5)
Jon

Hi,
Here are the revised specs team, take a quick look to make sure I got them right.
Jon, these are different than yesterday: pls call with questions. jml
From: DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParle
(b)(6)
Sent: Saturday, April 25, 2009 4:31 PM
To: Lambrew, Jeanne (HHS/IOS); gruberj@economics.mit.edu
Cc: Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
Subject: Re: new request
Importance: High
Yes, but just to clarify:

Nancy-Ann DeParle
Counselor to the President
Director, Office of Health Reform
Thx
HHS Gruber 000093
The White House
---------------------(b)(6)
Sent using BlackBerry
To: DeParle, Nancy-Ann M.; Jon Gruber
Cc: Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
Sent: Sat Apr 25 16:06:01 2009
Subject: RE: new request
Hi,
Thanks, jml
From: DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParle
(b)(6)
To: Jon Gruber
Cc: Lambrew, Jeanne (HHS/IOS); Emanuel, Ezekiel J.; Aronson, Lauren
Subject: new request
Importance: High
Jon:
Call me at
(b)(6)
f this does not make sense.
Thanks,
Nancy-Ann DeParle
The White House
(b)(6)
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
HHS Gruber 000094
From:
To:
Cc:
Subject:
Date:
Jonathan Gruber
Emanuel, Ezekiel J.
Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
Re: new request
Monday, April 27, 2009 2:34:18 PM
fair points. I guess I just have two main points in response:
Jon
>
> Jon,
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> Ezekiel J. Emanuel, M.D., Ph.D.
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> Special Advisor for Health Policy
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> Office of Management and Budget
>
> Phone: 202-395-5883
>
> Fax: 202-395-3174
>
> Cell:
(b)(6)
>
> Best Cell:
(b)(6)
>
> Personal Cell:
(b)(6)
>
> Other email: eemanuel@nih.gov <mailto:eemanuel@nih.gov>
>
> *From:* Jon Gruber [mailto:gruberj@economics.mit.edu]
HHS Gruber 000096
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*Sent:* Sunday, April 26, 2009 9:27 PM

*To:* Lambrew, Jeanne (HHS/IOS)
*Cc:* DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Aronson, Lauren;
*Subject:* Re: new request
Jon

Hi,
Here are the revised specs team, take a quick look to make sure I
got them right.
Jon, these are different than yesterday: pls call with questions. jml
-----------------------------------------------------------------------*From:* DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParle
(b)(6)
*Sent:* Saturday, April 25, 2009 4:31 PM
*To:* Lambrew, Jeanne (HHS/IOS); gruberj@economics.mit.edu
<mailto:gruberj@economics.mit.edu>
*Cc:* Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
*Subject:* Re: new request
*Importance:* High
Nancy-Ann DeParle
HHS Gruber 000097
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The White House

-----------------------(b)(6)
Sent using BlackBerry
-----------------------------------------------------------------------*From*: Lambrew, Jeanne (HHS/IOS)
*To*: DeParle, Nancy-Ann M.; Jon Gruber
*Cc*: Emanuel, Ezekiel J.; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
*Sent*: Sat Apr 25 16:06:01 2009
*Subject*: RE: new request
Hi,
Thanks, jml
-----------------------------------------------------------------------*From:* DeParle, Nancy-Ann M. [mailto:Nancy-Ann_M._DeParle
(b)(6)
*Sent:* Saturday, April 25, 2009 2:52 PM
*To:* Jon Gruber
*Cc:* Lambrew, Jeanne (HHS/IOS); Emanuel, Ezekiel J.; Aronson, Lauren
*Subject:* new request
*Importance:* High
Jon:
Call me at
(b)(6)
if this does not make sense.
Thanks,
Nancy-Ann DeParle
The White House
(b)(6)
HHS Gruber 000098
From:
To:
Subject:
Date:
Jon Gruber
(b)(6)
(b)(6)
Duggan, Mark G.; jason.levitis@do.treas.gov
concern over low income numbers
Thursday, April 23, 2009 11:53:49 AM
I hope that resolves any difficulties.

Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000100
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Truffer, Christopher J. (CMS/OACT)
Klemm, John D. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena (HHS/IOS); Foster, Richard S.
(CMS/OACT)
Re: Medicaid data marts on the web
Wednesday, April 22, 2009 11:20:06 AM
too bad. thanks anyway

Jon
Truffer, Christopher J. (CMS/OACT) wrote:
Jon,
Chris
Sent: Wednesday, April 22, 2009 11:13 AM
To: Truffer, Christopher J. (CMS/OACT)
Cc: Klemm, John D. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena
(HHS/IOS); Foster, Richard S. (CMS/OACT)
Subject: Re: Medicaid data marts on the web
Chris thanks. I wasn't asking about QMB/SLMB. I was asking about the rumors I had
heard that some states at least restrict benefits for adults, for example, by having
limited inpatient days. So are you saying you guys have no info on this?
thanks
Jon
Jon,
We talked with Meena this morning and she will follow up with you on the other
questions.
Chris
HHS Gruber 000101
Christopher Truffer, F.S.A.

Actuary
Office of the Actuary
Centers for Medicare & Medicaid Services
(410) 786-1264

Sent: Tuesday, April 21, 2009 7:49 AM
To: Klemm, John D. (CMS/OACT)
Cc: Truffer, Christopher J. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena
(HHS/IOS); Lambrew, Jeanne (HHS/IOS)
John, John & Christopher thanks again for your help last week. I was wondering if I could follow up with
two questions:
thanks
Jon
Klemm, John D. (CMS/OACT) wrote:
Jon
The URL for the Medicaid data marts I mentioned on the phone is
http://msis.cms.hhs.gov
Dont worry about the registered users only warning. Also note the link to the users
guide.
Hope you find this useful.
--John
-Jonathan Gruber
HHS Gruber 000102

Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000103
From:
To:
Subject:
Date:
Tanden, Neera (HHS/IOS)

"Ezekiel J. Emanuel@omb.eop.gov"; Seshamani, Meena (HHS/IOS); "gruberj@economics.mit.edu"; Lambrew,
Jeanne (HHS/IOS); "nancy-ann_M._deparle
"Jeffrey_B._Liebman
(b)(6)
(b)(6)
"Alan.Krueger@do.treas.gov"; "Jason_L._Furma
"Jean_M._Abraham
(b)(6)
(b)(6)
(b)(6)
"gruberj@mit.edu"; "gene.sperling@do.treas.gov"; "Robert_Kocher
"Lauren_Aronson
"Mark_G._Duggan
"jason.levitis@do.treas.gov";
(b)(6)
(b)(6)
"Keith_J._Fonteno
(b)(6)
Re: Medicaid runs take 2
I think the idea is to bring in optimal people for the pool first with these runs to help ensure a good
pool, but I agree that building the pool is the most imp task, really of this whole exercise.
----- Original Message ----From: Emanuel, Ezekiel J. <Ezekiel_J._Emanuel@omb.eop.gov>
To: Seshamani, Meena (HHS/IOS); Jon Gruber <gruberj@economics.mit.edu>; Lambrew, Jeanne
(b)(6)
(HHS/IOS); DeParle, Nancy-Ann M. <Nancy-Ann_M._DeParle
; Liebman, Jeffrey B.
(b)(6)
<Jeffrey_B._Liebman
; Tanden, Neera (HHS/IOS); Alan.Krueger@do.treas.gov
<Alan.Krueger@do.treas.gov>; Furman, Jason L. <Jason_L._Furman
Abraham, Jean M.
(b)(6)
<Jean_M._Abraham
Jonathan Gruber <gruberj@mit.edu>; gene.sperling@do.treas.gov
(b)(6)
(b)(6)
<gene.sperling@do.treas.gov>; Kocher, Robert <Robert_Kocher
Aronson, Lauren
<Lauren_Aronson
; Duggan, Mark G. <Mark_G._Duggan
(b)(6)
(b)(6)
jason.levitis@do.treas.gov <jason.levitis@do.treas.gov>; Fontenot, Keith J.
<Keith_J._Fontenot
(b)(6)
Sent: Wed Apr 22 08:57:30 2009
Subject: RE: Medicaid runs take 2
I am a bit confused about the phase in options.
We want a stable exchange. Hence phasing in by income or age is hardly likely to be enough people to
create a stable exchange. If we need a minimum of 5 million people nationwide for stability then we
need more realistic phase in.
Just a little worried about all this rush on phase in without proper discussion.

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
Sent: Tuesday, April 21, 2009 7:38 PM
To: Jon Gruber; Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Liebman,
Jeffrey B.; Tanden, Neera (HHS/IOS); Alan.Krueger@do.treas.gov; Furman, Jason L.; Abraham, Jean M.;
Jonathan Gruber; gene.sperling@do.treas.gov; Kocher, Robert; Aronson, Lauren; Duggan, Mark G.;
jason.levitis@do.treas.gov; Fontenot, Keith J.
Subject: Medicaid runs take 2
HHS Gruber 000104
Please get me comments, corrections by 9pm so we can start the runs.

Thanks everyone for your feedback.
Meena
HHS Gruber 000105
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Seshamani, Meena (HHS/IOS); Gene.Sperling@do.treas.gov; Victoria.Palomo@do.treas.gov;
Jacob.Leibenluft@do.treas.gov
Re:
> Jon,
> Yet another quick question:
>
>
>
> Thanks again,
> Jason
>
> -----Original Message----> From: Levitis, Jason
> Sent: Tuesday, April 21, 2009 8:32 PM
> To: 'Jon Gruber'
> Cc: 'Meena.Seshamani@hhs.gov'; Sperling, Gene; Palomo, Victoria;
> Leibenluft, Jacob
> Subject: RE:
>
> Jon,
> Another quick question:
>
>
>
>
> Thanks,
> Jason
>
> To: 'Jon Gruber'
> Cc: Meena.Seshamani@hhs.gov; Sperling, Gene; Palomo, Victoria;
> Leibenluft, Jacob
> Subject: RE:
>
>
>
>
> Thanks
>
> To: Levitis, Jason
> Leibenluft, Jacob
> Subject: Re:
>
> neat! thanks Jason.
HHS Gruber 000106

>
>
> Jason.Levitis@do.treas.gov wrote:
>
> Great, thanks. See artist's rendering attached.
>
> Leibenluft, Jacob
> Subject: Re:
>
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> Jon
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> Thanks, Jon. That all sounds great.
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>- deliberative process
(b)(5)
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> Thanks again.
> Jason
>
> Leibenluft, Jacob
> Subject: Re
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> Jason >
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HHS Gruber 000107
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> Jon
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> Hi, Jon.
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> As a reminder, I?m on the Health Reform Team,
> working
> out of Treasury.
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> I know you?re swamped with other work for us,
> but it
> would be great if you could put some quick thoughts in an email, today
> if
> possible. Can be quite informal ? we?re all modeling junkies here.
>
>
>
> Thanks for all your help,
> Jason
>
> Senior Advisor
>
> U.S. Treasury Department
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HHS Gruber 000108
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-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000109
From:
To:
Cc:
Subject:
Date:
Jeanne Lambrew
"Meena Seshamani"; Lambrew, Jeanne (HHS/IOS)
RE: specs
Friday, April 24, 2009 6:11:17 AM
I read them and had the same response -- what are they thinking?
Will find out today. jml
-----Original Message----From: Meena Seshamani [mailto
Sent: Thursday, April 23, 2009 10:15 PM
To: Jeanne Lambrew; Jeanne Lambrew
Cc: meena.seshamani@hhs.gov
Subject: specs
Some thoughts:
I am not sure what the rationale is behind these benchmark specs, are
they supposed to match w Gruber?
Meena
HHS Gruber 000110
From:
To:
Subject:
Date:
Attachments:

(b)(6)
Lambrew, Jeanne (HHS/IOS); "Jon Gruber"; "nancy-ann_M._deparle
"Emanuel, Ezekiel J.";
"Liebman, Jeffrey B."; Tanden, Neera (HHS/IOS); "Alan.Krueger@do.treas.gov"; "Furman, Jason L."; "Abraham,
Jean M."; "Jonathan Gruber"; "gene.sperling@do.treas.gov"; "rkoche
"Aronson, Lauren";
(b)(6)
Seshamani, Meena (HHS/IOS); "Duggan, Mark G."; "jason.levitis@do.treas.gov"
RE: Estimate and premiums/OOP
Tuesday, April 21, 2009 6:39:29 PM
Hi,
Forgot attachment. Sorry, jml
-----Original Message----From: Lambrew, Jeanne (HHS/IOS)
(b)(6)
To: 'Jon Gruber'; 'nancy-ann_M._deparle
'Emanuel, Ezekiel J.'; 'Liebman, Jeffrey B.';
Tanden, Neera (HHS/IOS); 'Alan.Krueger@do.treas.gov'; 'Furman, Jason L.'; 'Abraham, Jean M.';
'Jonathan Gruber'; 'gene.sperling@do.treas.gov'; 'rkocher
'Aronson, Lauren'; Seshamani,
(b)(6)
Meena (HHS/IOS); 'Duggan, Mark G.'; 'jason.levitis@do.treas.gov'
Subject: Estimate and premiums/OOP
Hi,
Two estimates:
HHS Gruber 000111
From:
To:
Cc:
Subject:
Date:
Attachments:
Jon Gruber
Seshamani, Meena (HHS/IOS); Gene.Sperling@do.treas.gov; Victoria.Palomo@do.treas.gov;
Jacob.Leibenluft@do.treas.gov
Re: Modeling small business subsidies for health plan
(b)(5)
yes, that is in the model. The documentation that describes how this
works, among other things, is attached
Jon Gruber
> Jon,
> Another quick question:
>
>
>
>
> Thanks,
> Jason
>
> To: 'Jon Gruber'
> Leibenluft, Jacob
> Subject: RE:
>
>
>
>
> Thanks
>
> Leibenluft, Jacob
> Subject: Re: Modeling small business subsidies for health plan
>
> neat! thanks Jason.
>
>
>
> Great, thanks. See artist's rendering attached.
>
> Leibenluft, Jacob
> Subject: Re:
>
HHS Gruber 000112
>
>
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>
>
> Jon
>
>
>
>
> Thanks, Jon. That all sounds great. I don't want to make extra
> work
> for you, but if you have the exact phase-out parameters written up,
>
>
>
>
> I'd
>
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>
> love to see it.
>
>
>
> Thanks again.
> Jason
>
> Leibenluft, Jacob
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> Jon
HHS Gruber 000113
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> Hi, Jon.
>
> working
> out of Treasury.
>
>
>
>
>
>
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> but it
> if
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>
> Jason
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> Senior Advisor
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HHS Gruber 000114
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-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000115
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Jeanne Lambrew
Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS)
Re: modificatoin to the runs for today
sounds fair!
Jeanne Lambrew wrote:
Thank you.

To: Jeanne Lambrew
Cc: 'Seshamani, Meena (HHS/IOS)'; jeanne.lambrew@hhs.gov
Subject: Re: modificatoin to the runs for today
Jeanne -
Jon
Hi,
HHS Gruber 000116
Thanks, jml
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000117
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Re: Please review

Thank you.


Cc: Lambrew, Jeanne (HHS/IOS)
Sent: Tue Apr 21 20:19:19 2009
Subject: Re: Please review
oh, also, we are doing health insurance units, not families - so many folks
in the CPS who are in families above poverty are in health insurance units
below poverty
Thinking through the numbers
Thank you Jon.

Meena


HHS Gruber 000118
Thanks Jon.
Meena

Jon
Thanks.
Meena
Hello everyone,
HHS Gruber 000119
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000120
From:
To:
Subject:
Date:
Attachments:
RE: Modeling small business subsidies for health plan
Here you go. I'm not sure if the cool conditional formatting works in
your version.
To: Levitis, Jason
Subject: RE: Modeling small business subsidies for health plan
Sorry to be a pain -I think this must be a newer version of excel than
what I have. Do you mind saving it as an older version and sending?
Thanks!
Meena
-----Original Message----From: Jason.Levitis@do.treas.gov [mailto:Jason.Levitis@do.treas.gov]
To: gruberj@economics.mit.edu
Cc: Seshamani, Meena (HHS/IOS); Gene.Sperling@do.treas.gov;
Victoria.Palomo@do.treas.gov; Jacob.Leibenluft@do.treas.gov
Subject: RE: Modeling small business subsidies for health plan
Great, thanks. See artist's rendering attached.
To: Levitis, Jason
Cc: Meena.Seshamani@hhs.gov; Sperling, Gene; Palomo, Victoria;
Leibenluft, Jacob
Subject: Re: Modeling small business subsidies for health plan
Jon
> Thanks, Jon. That all sounds great.
>
>
>
>
>
>
>
>
Thanks again.
Jason
HHS Gruber 000121

> Leibenluft, Jacob
>
> Jason >
>
>
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> Jon
>
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> Hi, Jon.
>
> working
> out of Treasury.
>
>
>
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HHS Gruber 000122

> but it
> if
>
>
>
> Jason
>
> Senior Advisor
>
>
>
>
>
>
>
>
>
>
>
>
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000123
From:
To:
Cc:
Subject:
Date:
Furman, Jason L.
Jon Gruber
Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden, Neera
(HHS/IOS); Alan.Krueger@do.treas.gov; Abraham, Jean M.; Jonathan Gruber; gene.sperling@do.treas.gov;
Kocher, Robert; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
RE: updated memo on
(b)(5)
Tuesday, April 21, 2009 9:24:57 AM
Now that youre making it personal with Furman Inc. Ill take this off-line.

Cc: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Liebman, Jeffrey B.;
Tanden, Neera (HHS/IOS); Alan.Krueger@do.treas.gov; Abraham, Jean M.; Jonathan Gruber;
gene.sperling@do.treas.gov; Kocher, Robert; Aronson, Lauren; Seshamani, Meena (HHS/IOS)
Subject: Re: updated memo on
(b)(5)
Jon
-----Original Message----HHS Gruber 000124

Cc: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel
J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS);
Alan.Krueger@do.treas.gov; Abraham, Jean M.; Jonathan Gruber;
gene.sperling@do.treas.gov; Kocher, Robert; Aronson, Lauren; Seshamani,
Meena (HHS/IOS)
Subject: Re: updated memo on
(b)(5)
Jason
thanks for thinking this through. I have a few thoughts on htis:
Jon
Jon,
Sorry for the slow motion response but finally had a chance to
confirm
your
circulated:
HHS Gruber 000125

Sent: Sunday, April 12, 2009 8:14 PM
To: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel,
HHS Gruber 000126
Ezekiel
J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS);

Alan.Krueger@do.treas.gov; Furman, Jason L.; Abraham, Jean M.;
'Jonathan Gruber'; gene.sperling@do.treas.gov; Kocher, Robert;
Aronson, Lauren; Seshamani, Meena (HHS/IOS)
Subject: updated memo on
(b)(5)
Here is an update on that earlier memo where I have clarified the

second point. Thanks
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000127
From:
To:
Subject:
Date:

FW:
Monday, April 20, 2009 1:40:58 PM

Sent: Monday, April 20, 2009 1:14 PM
Cc: Lambrew, Jeanne (HHS/IOS); Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS); DeParle, Nancy-Ann
M.
Subject: Re:
Jon
Jon

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
HHS Gruber 000128
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000129
From:
To:
Cc:
Subject:
Date:
on behalf of John Graves

(b)(6)
Jon Gruber
Re: Income definition clarification
Monday, April 20, 2009 12:13:30 PM
Hi Meena,
John
On Mon, Apr 20, 2009 at 12:03 PM, Jon Gruber <gruberj@economics.mit.edu>
wrote:
good question. I'm copying John Graves, my HIU master, on this and he can
respond - although perhaps not until late today or tomorrow
Jon
Hi Jon,
HHS Gruber 000130
Also,
Thank you for the clarification. Hope you are well.

Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000131
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Furman, Jason L.
Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Re: one run for tomorrow (plus)
Monday, April 20, 2009 9:11:03 AM
ok, this is something we can figure out down the road - Jason, I'm happy to discuss
this further - it really is unfortunately complicated.
Jeanne, I'm just gonig to do the
(b)(5)
and send that to you later today
Jon
As I said last week, I dont think we need to figure this out this week.

Sent: Monday, April 20, 2009 7:23 AM
To: gruberj@economics.mit.edu
Cc: Seshamani, Meena (HHS/IOS); Furman, Jason L.
Subject: Re: one run for tomorrow (plus)
Hi.
On the first, yes,
On the second, Jason, I was just trying to

Thoughts?
Thanks. Jeanne
Cc: Seshamani, Meena (HHS/IOS); Furman, Jason L. <Jason_L._Furman
Sent: Mon Apr 20 07:15:41 2009
Subject: Re: one run for tomorrow (plus)
(b)(6)
To turn my last email from a complaint into a question: how exactly do you
HHS Gruber 000132
Jon
Hi,
Thanks for your work this weekend: very helpful.
Nancy-Ann very specifically wants one more run for the meeting with principals on
Tuesday: a catastrophic plan.
Attached are the specs plus the AV table from Jim. Is this possible?
The second one is to address a concern Jason has about the subsidy schedule: not a
high priority but I think he has a point.
Thanks Jon, Jeanne
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000133
From:
To:
Subject:
Date:

RE: three additional analyses
Sunday, April 19, 2009 7:48:00 PM
PS --

-----Original Message----From: Seshamani, Meena (HHS/IOS)

Subject: RE: three additional analyses
Specs look fine to me.
Meena
-----Original Message----From: Lambrew, Jeanne (HHS/IOS)
(b)(6)
To: Seshamani, Meena (HHS/IOS); 'Jon Gruber'; 'nancy-ann_M._deparle
'Emanuel,
Ezekiel J.'; 'Liebman, Jeffrey B.'; Tanden, Neera (HHS/IOS); 'Alan.Krueger@do.treas.gov'; 'Furman,
Jason L.'; 'Abraham, Jean M.'; 'Jonathan Gruber'; 'gene.sperling@do.treas.gov'; 'rkoche
(b)(6)
'Aronson, Lauren'; 'Fontenot, Keith J.'; 'jason.levitis@do.treas.gov'; 'Crowley, Jeffrey S.'
Subject: three additional analyses
Hi,
Per our discussion, attached are two new runs for Jon Gruber: the first is
policy.
comments on Friday.
er Jason's
To get them done by 5:30 tomorrow, comments are needed asap.

Sorry and thanks, Jeanne
HHS Gruber 000134
From:
To:
Subject:
Date:
Attachments:
Jon Gruber
(b)(6)
(b)(6)
Duggan, Mark G.; jason.levitis@do.treas.gov
results!
Saturday, April 18, 2009 10:10:58 PM
Here are new results. RElative to what we saw on friday, a couple changes:
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000135
From:
To:
Subject:
Date:
Jon Gruber
CMS
Friday, April 17, 2009 11:44:32 AM
would be it useful (and action forcing) to set up a call with them?

jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000136
From:
To:
Subject:
Date:
Jon Gruber
one other modeling issue
Friday, April 17, 2009 1:10:15 PM
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000137
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Re: Follow-up Medicaid Data
Friday, April 17, 2009 5:34:14 PM
ok, thanks. will run these tomorrow, hopefully have by end of the day tomorrow or
worst thing sunday morning
Jon
Well get the formal specs to you this evening, but thats what they are: right Meena?

Subject: Re: Follow-up Medicaid Data
to be clear - do you want me to go back and redo what I did for 3:00 with this
change, or hold off and just work on what meena is sending around?
Jon
Hi,
We just spoke.

So we think you should do it.
Thanks for the work and Meena will circulate the next set of specs this evening 4
runs including the ones that are already in the queue.
Thanks, Jeanne
HHS Gruber 000138

Jon
Would it be possible to conf call so that I can listen in?
(b)(6)
Just give us a heads up when calling in.
If inconvenient, not a big deal and they can call Jon directly.
Meena
From: Sutton, Erin (CMS/CPC)

To: 'Jon Gruber'; Blum, Jonathan D. (CMS/OA)
Cc: Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS)
Subject: RE: Follow-up Medicaid Data
Hi Jon,
They are gathering and calling in the next 10-20 minutes.
Thank you.
Erin

To: Blum, Jonathan D. (CMS/OA)
Cc: Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS); Sutton, Erin (CMS/CPC)
still no word - do you know when they might be calling?
HHS Gruber 000139
Blum, Jonathan D. (CMS/OA) wrote:

Jon, whats your number. OACT is going to call you direct right now.

To: Blum, Jonathan D. (CMS/OA)
Cc: Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS)
Blum, Jonathan D. (CMS/OA) wrote:

Let me see what I can do.
From: Seshamani, Meena (HHS/IOS)

To: Blum, Jonathan D. (CMS/OA); Lambrew, Jeanne (HHS/IOS); 'Jon Gruber'
This evening; the information is time-sensitive.
From: Blum, Jonathan D. (CMS/OA)

To: Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); 'Jon Gruber'
Sure, but just so Im clear.
Is this for this evening or Monday?
I fear that we may not be able to find people on short notice.

To: Blum, Jonathan D. (CMS/OA); Seshamani, Meena (HHS/IOS); 'Jon Gruber'
HHS Gruber 000140
Hi,
Jon Blum, we are hoping that you might set up a quick call about these numbers
with the Actuaries. This information is useful but Jon Gruber really needs to talk
to them about a key assumption or two.
Can you broker this?
Thanks, Jeanne
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000141
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000142
From:
To:
Subject:
Date:

"Ezekiel J. Emanuel@omb.eop.gov"; Seshamani, Meena (HHS/IOS); "gruberj@economics.mit.edu"; Lambrew,
Jeanne (HHS/IOS); "nancy-ann_M._deparle
"Jeffrey_B._Liebman
(b)(6)
(b)(6)
"Alan.Krueger@do.treas.gov"; "Jason_L._Furman
; "Jean_M._Abraham
(b)(6)
(b)(6)
"gruberj@mit.edu"; "gene.sperling@do.treas.gov"; "Robert_Koche
(b)(6)
"Lauren_Aronson
"Keith_J._Fontenot
"jason.levitis@do.treas.gov"
(b)(6)
(b)(6)
Re: results for 3:00 call
Friday, April 17, 2009 9:08:03 AM
I agree w that.
We can discuss this am and all decide if that makes sense.
----- Original Message ----From: Emanuel, Ezekiel J. <Ezekiel_J._Emanuel@omb.eop.gov>
To: Seshamani, Meena (HHS/IOS); Jon Gruber <gruberj@economics.mit.edu>; Lambrew, Jeanne
(b)(6)
(HHS/IOS); DeParle, Nancy-Ann M. <Nancy-Ann_M._DeParle
>; Liebman, Jeffrey B.
(b)(6)
<Jeffrey_B._Liebman
; Tanden, Neera (HHS/IOS); Alan.Krueger@do.treas.gov
Abraham, Jean M.
(b)(6)
<Jean_M._Abraham
; Jonathan Gruber <gruberj@mit.edu>; gene.sperling@do.treas.gov
(b)(6)
<gene.sperling@do.treas.gov>; Kocher, Robert <Robert_Kocher
; Aronson, Lauren
(b)(6)
<Lauren_Aronson
Fontenot, Keith J. <Keith_J._Fontenot
(b)(6)
(b)(6)
jason.levitis@do.treas.gov <jason.levitis@do.treas.gov>
Sent: Fri Apr 17 08:55:20 2009
Subject: RE: results for 3:00 call
We should add this as another run. We need this answer but getting it over the weekend is soon
enough in my view.

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
Sent: Friday, April 17, 2009 8:28 AM
To: Seshamani, Meena (HHS/IOS); Jon Gruber; Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.;
Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS); Alan.Krueger@do.treas.gov;
Furman, Jason L.; Abraham, Jean M.; Jonathan Gruber; gene.sperling@do.treas.gov; Kocher, Robert;
Aronson, Lauren; Fontenot, Keith J.; jason.levitis@do.treas.gov
Hi everyone,
HHS Gruber 000143
Meena
-----Original Message----From: Seshamani, Meena (HHS/IOS)
To: 'Jon Gruber'; Lambrew, Jeanne (HHS/IOS); 'nancy-ann_M._deparle@who.eop.gov'; 'Emanuel,
Ezekiel J.'; 'Liebman, Jeffrey B.'; Tanden, Neera (HHS/IOS); 'Alan.Krueger@do.treas.gov'; 'Furman,
Jason L.'; 'Abraham, Jean M.'; 'Jonathan Gruber'; 'gene.sperling@do.treas.gov'; 'rkocher@who.eop.gov';
'Aronson, Lauren'; 'Fontenot, Keith J.'; 'jason.levitis@do.treas.gov'
Hello everyone,
Here are the specs for the next set of runs. Jon says he can get the first 4 (and potentially the first 8)
in time for a 3pm call tomorrow.
Jon says he needs to think a little more about the model for autoenrollment and affordability waiver. For
simplicity sake, can we use the same call-in as today:
(b)(6)
And of course, let me know any changes to the runs.

Zeke - we checked w Jon and the
(b)(5)
in the floor run.
Thanks everyone Meena

To: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle@who.eop.gov; Emanuel, Ezekiel J.; Liebman,
'Jonathan Gruber'; gene.sperling@do.treas.gov; rkocher@who.eop.gov; Aronson, Lauren; Seshamani,
Meena (HHS/IOS)
Subject: results for 3:00 call
Team The past couple weeks have been pretty hairy for all of us and I think part of the problem is that there
are just too many moving pieces. This
So here is the process I would suggest going forward, which we can discuss at 3:00. I attach a new
HHS Gruber 000144
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000145
From:
To:
Subject:
Date:
Attachments:
Jon Gruber
Lambrew, Jeanne (HHS/IOS); nancy-ann M. deparle@who.eop.gov; Emanuel, Ezekiel J.; Liebman, Jeffrey B.;
Gruber"; gene.sperling@do.treas.gov; rkocher@who.eop.gov; Aronson, Lauren; Seshamani, Meena (HHS/IOS);
Duggan@mit.edu
results for 3:00
Friday, April 17, 2009 11:06:43 AM
Folks Here is a bunch of results. The layout is as before, with a few changes
to accomodate requests from yesterday:
HHS Gruber 000146
I hope this is enough to get us started. speak to you all at 3

Jon Gruber
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000147
From:
To:
Cc:
Subject:
Date:
Attachments:
Fontenot, Keith J.
Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS)
Bafford, Elizabeth A.
FW: results for 3:00 call
Friday, April 17, 2009 7:35:37 AM
-----Original Message----From: Jason.Levitis@do.treas.gov [mailto:Jason.Levitis@do.treas.gov]

Sent: Friday, April 17, 2009 1:46 AM
To: Fontenot, Keith J.
Subject: FW: results for 3:00 call
Thanks,
Jason
To: Jon Gruber; Lambrew, Jeanne (HHS/IOS);
nancy-ann_M._deparle@who.eop.gov; Emanuel, Ezekiel J.; Liebman, Jeffrey
B.; Tanden, Neera (HHS/IOS); Krueger, Alan; Furman, Jason L.; Abraham,
Jean M.; Jonathan Gruber; Sperling, Gene; rkocher@who.eop.gov; Aronson,
Lauren; Fontenot, Keith J.; Levitis, Jason
Hello everyone,
Here are the specs for the next set of runs. Jon says he can get the
first 4 (and potentially the first 8) in time for a 3pm call tomorrow.
Jon says he needs to think a little more about the model for
For simplicity sake, can we use
the same call-in as today:
(b)(6)

Zeke - we checked w Jon and the
floor run.
(b)(5)
in the
HHS Gruber 000148

To: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle@who.eop.gov;
Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS);
Alan.Krueger@do.treas.gov; Furman, Jason L.; Abraham, Jean M.; 'Jonathan
Gruber'; gene.sperling@do.treas.gov; rkocher@who.eop.gov; Aronson,
Lauren; Seshamani, Meena (HHS/IOS)
Team The past couple weeks have been pretty hairy for all of us and I think
part of the problem is that there are just too many moving pieces. This
Jon
HHS Gruber 000149
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000150
From:
To:
Cc:
Subject:
Date:
Attachments:
Jon Gruber
Hall, Amy (CMS/OL)
Shatto, John D. (CMS/OACT); Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Klemm, John D.
(CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S. (CMS/OACT); Jon Gruber
initial round of data
Monday, April 13, 2009 9:37:18 PM
Nice to talk to you all today. I am very excited to have your insights in improving
my modeling of Medicaid expansions.
thanks
Jon Gruber
HHS Gruber 000151
Hall, Amy (CMS/OL) wrote:

Can we get everyone on the phone at 510 tonight? I can get a call in line, I think.
To: Shatto, John D. (CMS/OACT)
Cc: Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS);
Klemm, John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S.
(CMS/OACT)
Sent: Mon Apr 13 16:46:02 2009
Subject: Re: connecting actuaries and Gruber
I can talk anytime before 6. tomorrow is hard as I am on the road all

day. I am planning to meet with folks at Treasury at 5, so we could
perhaps make this part of the meeting.
Jon
Shatto, John D. (CMS/OACT) wrote:
Amy,
We would like to meet as soon as possible. Could we try for 5

or 5:30pm? First thing tomorrow would be okay as well.
John
From: Hall, Amy (CMS/OL)

To: 'Jon Gruber'; Lambrew, Jeanne (HHS/IOS); Seshamani,
Meena (HHS/IOS); Klemm, John D. (CMS/OACT); Shatto, John
D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster,
Richard S. (CMS/OACT)
Subject: FW: connecting actuaries and Gruber
Importance: High
Hi guys,
We would like to try to set up a call this evening to
What times work for folks? Ill throw out 6PM for starters?
7PM? Otherwise, first thing tomorrow?
HHS Gruber 000152
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000153
From:
To:
Subject:
Date:
Jon Gruber
Re: connecting actuaries and Gruber
There are no stupid questions! Always feel free to ask.


Hi Jon,
This may be a stupid question, and if so, I apologize in advance. I was looking over the
spreadsheet and we are estimating
(b)(5)
Thanks,
Meena

Sent: Wednesday, April 15, 2009 5:31 PM
Cc: Seshamani, Meena (HHS/IOS); Truffer, Christopher J. (CMS/OACT); Foster, Richard S.
(CMS/OACT); Klemm, John D. (CMS/OACT); Hall, Amy (CMS/OL); Lambrew, Jeanne
(HHS/IOS); Tanden, Neera (HHS/IOS); Fontenot, Keith J.
thanks
Jon gruber
Meena,
Based on a quick look through the information that you sent us and our discussions
with Jon, we have identified 3 possible reasons for the differences between our
estimates.
HHS Gruber 000154
Please let me know if you have any questions.
John
John D. Shatto, F.S.A.

Deputy Director, Parts C&D Actuarial Group
Office of the Actuary, CMS
(410) 786-0706
John.Shatto@cms.hhs.gov

To: Truffer, Christopher J. (CMS/OACT); 'Jon Gruber'; Shatto, John D. (CMS/OACT);
Foster, Richard S. (CMS/OACT); Klemm, John D. (CMS/OACT)
Cc: Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Tanden, Neera (HHS/IOS);
'Fontenot, Keith J.'
Subject: RE: connecting actuaries and Gruber
Importance: High
Hi,
To the CMS Actuaries: have you looked through Jon Grubers numbers and do you have
comments to rectify any differences? We need to figure this out ASAP.
Thank you
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000155
From:
To:
Cc:
Subject:
Date:
Attachments:
Jon Gruber
Jeanne Lambrew
Re: questions on spreadsheet from yesterday
Jeanne I'm not sure that you even had the right output, as the specs are different for the
spec sheet - see the attached.
We should disucss (4), as well as more generally the help I need to get from CMS
actuaries. I'm free at 10:30 and would be happy to talk
jon

Hi Jon,
Sorry for the chaos on the call yesterday: no one had the output in the right form in
front of them.
I have three questions on it.
HHS Gruber 000157
Also, if we are going to want to talk to you about yesterdays runs, would you be free at
10:30?
Thanks, jml
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000158
From:
To:
Emanuel, Ezekiel J.
Seshamani, Meena (HHS/IOS); Jon Gruber; Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Liebman,
Jonathan Gruber; gene.sperling@do.treas.gov; Kocher, Robert; Aronson, Lauren; Fontenot, Keith J.;
jason.levitis@do.treas.gov
RE: results for 3:00 call
Thursday, April 16, 2009 6:20:29 PM
Subject:
Date:
Meena
Thanks for this. The models look exactly right to me. We will get the full range here. I am still not
sure it is pearl--but lets go with it--it will not change much.

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
(b)(6)
Best Cell:
Personal Cell:
(b)(6)
To: Jon Gruber; Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Liebman,
Jonathan Gruber; gene.sperling@do.treas.gov; Kocher, Robert; Aronson, Lauren; Fontenot, Keith J.;
jason.levitis@do.treas.gov
Hello everyone,
Here are the specs for the next set of runs. Jon says he can get the first 4 (and potentially the first 8)
in time for a 3pm call tomorrow.
Jon says he needs to think a little more about the model for autoenrollment and affordability waiver. For
simplicity sake, can we use the same call-in as today:
(b)(6)

Zeke - we checked w Jon and the benefits are a stingy pearl plan in the floor run.
HHS Gruber 000159

To: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle@who.eop.gov; Emanuel, Ezekiel J.; Liebman,
'Jonathan Gruber'; gene.sperling@do.treas.gov; rkocher@who.eop.gov; Aronson, Lauren; Seshamani,
Meena (HHS/IOS)
Team -
Jon
HHS Gruber 000160
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000161
From:
To:
Subject:
Date:
Jon Gruber
Seshamani, Meena (HHS/IOS); William N Barge
facts for CMS actuaries
Monday, April 13, 2009 9:23:31 PM
William -
Please do this for 2008.

thanks
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000162
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Emanuel, Ezekiel J.
Jim Mays; Seshamani, Meena (HHS/IOS); Tanden, Neera (HHS/IOS); Scanlon, Jim (HHS/ASPE); Corrigan, Dara
(HHS/ASPE); Lambrew, Jeanne (HHS/IOS); Childress, Mark (HHS/IOS); Abraham, Jean M.; Liebman, Jeffrey B.;
Kocher, Robert; DeParle, Nancy-Ann M.; Aronson, Lauren; Fontenot, Keith J.; Cathi Callahan; Rebecca Moxley;
"Jonathan Gruber"
Re: Illustrative Premiums for Plan L - 10 April 09
Friday, April 10, 2009 11:04:08 PM
Zeke -
Jim, what do you make of this?

Jon
Can you help me?


Phone: 202-395-5883
Fax:
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
-----Original Message----From: Jim Mays [mailto:jwm@aresearch.com]
HHS Gruber 000163
Cc: Tanden, Neera (HHS/IOS); gruberj@economics.mit.edu; Emanuel,

Ezekiel J.; Scanlon, Jim (HHS/ASPE); Corrigan, Dara (HHS/ASPE);
Lambrew, Jeanne (HHS/IOS); Childress, Mark (HHS/IOS); Abraham,
Jean M.; Liebman, Jeffrey B.; Kocher, Robert; DeParle, Nancy-Ann
M.; Aronson, Lauren; Fontenot, Keith J.; Cathi Callahan; Rebecca
Moxley
Subject: Re: Illustrative Premiums for Plan L - 10 April 09
Please email or call with questions.

Hello everyone,
We are having a call with Jim Mays and Jon Gruber at
11:30 to discuss
more of the model. Here is the info:
Call-in number
Participant code
(b)(6)
(b)(6)
Thank you,
Meena
-James W. Mays
Actuarial Research Corporation
6928 Little River Turnpike, Suite E
Annandale, VA 22003
tel (703) 941-7400 ext 26
fax (703) 941-3951
HHS Gruber 000164
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000165
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Emanuel, Ezekiel J.
jwm@aresearch.com; Seshamani, Meena (HHS/IOS); Tanden, Neera (HHS/IOS); Scanlon, Jim (HHS/ASPE);
Corrigan, Dara (HHS/ASPE); Lambrew, Jeanne (HHS/IOS); Childress, Mark (HHS/IOS); Abraham, Jean M.;
Liebman, Jeffrey B.; Kocher, Robert; DeParle, Nancy-Ann M.; Aronson, Lauren; Fontenot, Keith J.;
cma@aresearch.com; rmoxley@aresearch.com
Re: Revised Illustrative Premiums - 9 April 09
Friday, April 10, 2009 1:33:28 PM
Jon
From: Jon Gruber

Cc: jwm@aresearch.com ; Meena.Seshamani@hhs.gov ; Neera.Tanden@hhs.gov ;
Jim.Scanlon@hhs.gov ; Dara.Corrigan@hhs.gov ; Jeanne.Lambrew@hhs.gov ;
Mark.Childress@hhs.gov ; Abraham, Jean M.; Liebman, Jeffrey B.; Kocher, Robert;
DeParle, Nancy-Ann M.; Aronson, Lauren; Fontenot, Keith J.; cma@aresearch.com ;
rmoxley@aresearch.com
Sent: Fri Apr 10 13:22:19 2009
Subject: Re: Revised Illustrative Premiums - 9 April 09
Jon
----- Original Message ----From: Jim Mays <jwm@aresearch.com>

To: Seshamani, Meena (HHS/IOS) <Meena.Seshamani@hhs.gov>
Cc: Tanden, Neera (HHS/IOS) <Neera.Tanden@hhs.gov>;
gruberj@economics.mit.edu <gruberj@economics.mit.edu>;
Emanuel, Ezekiel J.; Scanlon, Jim (HHS/ASPE)
<Jim.Scanlon@hhs.gov>; Corrigan, Dara (HHS/ASPE)
<Dara.Corrigan@hhs.gov>; Lambrew, Jeanne (HHS/IOS)
<Jeanne.Lambrew@hhs.gov>; Childress, Mark (HHS/IOS)
HHS Gruber 000166
<Mark.Childress@hhs.gov>; Abraham, Jean M.; Liebman,

Jeffrey B.; Kocher, Robert; DeParle, Nancy-Ann M.;
Aronson, Lauren; Fonteno
t, Keith J.; Cathi Callahan <cma@aresearch.com>; Rebecca
Moxley <rmoxley@aresearch.com>
Sent: Thu Apr 09 18:21:09 2009
Please email or call with questions.

Hello everyone,
We are having a call with Jim Mays and Jon
Gruber at 11:30 to discuss
more of the model. Here is the info:
HHS Gruber 000167
Call-in number
Participant code
(b)(6)
(b)(6)
Thank you,
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000168
From:
To:
Cc:
Subject:
Date:

"gruberj@economics.mit.edu"; "jwm@aresearch.com"
Seshamani, Meena (HHS/IOS); Tanden, Neera (HHS/IOS); "Ezekiel J.
(HHS/ASPE); Corrigan, Dara (HHS/ASPE); Childress, Mark (HHS/IOS);
"Jeffrey B. Liebman@omb.eop.gov"; "Robert Kocher@who.eop.gov";
"Lauren Aronson@who.eop.gov"; "Keith J. Fontenot@omb.eop.gov";
"rmoxley@aresearch.com"
Re: Revised Illustrative Premiums - 9 April 09
Emanuel@omb.eop.gov"; Scanlon, Jim

"Jean M. Abraham@cea.eop.gov";
"nancy-ann M. deparle@who.eop.gov";
"cma@aresearch.com";
Jim and Cathy can then back into cost sharing, etc that hit these marks. These percents could apply
across the income spectrum.
Otherwise, my fear is we lose a day or more given holidays of modeling.
Thoughts? Jml
----- Original Message ----From: Jon Gruber <gruberj@economics.mit.edu>
To: Jim Mays <jwm@aresearch.com>
Cc: Seshamani, Meena (HHS/IOS); Tanden, Neera (HHS/IOS); Ezekiel_J._Emanuel@omb.eop.gov
<Ezekiel_J._Emanuel@omb.eop.gov>; Scanlon, Jim (HHS/ASPE); Corrigan, Dara (HHS/ASPE); Lambrew,
Jeanne (HHS/IOS); Childress, Mark (HHS/IOS); Jean_M._Abraham@cea.eop.gov
<Jean_M._Abraham@cea.eop.gov>; Jeffrey_B._Liebman@omb.eop.gov
<Jeffrey_B._Liebman@omb.eop.gov>; Robert_Kocher@who.eop.gov <Robert_Kocher@who.eop.gov>;
nancy-ann_M._deparle@who.eop.gov <nancy-ann_M._deparle@who.eop.gov>;
Lauren_Aronson@who.eop.gov <Lauren_Aronson@who.eop.gov>; Keith_J._Fontenot@omb.eop.gov
<Keith_J._Fontenot@omb.eop.gov>; Cathi Callahan <cma@aresearch.com>; Rebecca Moxley
<rmoxley@aresearch.com>
Sent: Thu Apr 09 21:14:23 2009
Jim -
thanks
Jon
Jim Mays wrote:
>
>
>
>
>
>
>
>
>
>
HHS Gruber 000169
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
> Part Two of the sheet is identical to Part One, except the underlying
> population and expense levels represent the demographics of the
> always-uninsured population.
>
> Please email or call with questions.
>
>
>
>
>
> Seshamani, Meena (HHS/IOS) wrote:
>>
>> Hello everyone,
>>
>> We are having a call with Jim Mays and Jon Gruber at 11:30 to discuss
>> more of the model. Here is the info:
>>
>> Call-in number
>>
(b)(6)
>> Participant code
>>
>> Thank you,
>>
>> Meena
>>
>
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000170
From:
To:
Subject:
Date:
Attachments:

Fw: tax exclusion results
Monday, April 06, 2009 11:34:54 AM
----- Original Message ----From: Jon Gruber <gruberj@economics.mit.edu>

To: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle@who.eop.gov <nancyann_M._deparle@who.eop.gov>; Emanuel, Ezekiel J. <Ezekiel_J._Emanuel@omb.eop.gov>; Liebman,
Jeffrey B. <Jeffrey_B._Liebman@omb.eop.gov>; Tanden, Neera (HHS/IOS); Alan.Krueger@do.treas.gov
(b)(6)
Abraham, Jean M.
<Jean_M._Abraham@cea.eop.gov>; 'Jonathan Gruber' <gruberj@mit.edu>; gene.sperling@do.treas.gov
<gene.sperling@do.treas.gov>; rkocher@who.eop.gov <rkocher@who.eop.gov>; Aronson, Lauren
<Lauren_Aronson@who.eop.gov>
Sent: Mon Apr 06 11:10:54 2009
Subject: tax exclusion results
Folks here are a whole bunch of results on tax exclusion runs. There are two
sheets here. The first gives the implications of each run for coverage &
revenues. The second gives the distributional facts for each run.
HHS Gruber 000171
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000172
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Liebman, Jeffrey B.
Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Emanuel, Ezekiel J.; Tanden, Neera (HHS/IOS);
Alan.Krueger@do.treas.gov; Abraham, Jean M.; gruberj@MIT.EDU; gene.sperling@do.treas.gov; Kocher,
Robert; Aronson, Lauren; Seshamani, Meena (HHS/IOS); Furman, Jason L.
Re: incidence of pay or play
here are the facts for the breaks I discussed with Jeff, which are slightly revised
from what he asked for.
Jon
Liebman, Jeffrey B. wrote:
Jon,
Thanks,
Jeff
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000173
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Aronson, Lauren; Liebman, Jeffrey B.; Crowley, Jeffrey S.; Childress, Mark (HHS/IOS); Tanden, Neera
(HHS/IOS); Emanuel, Ezekiel J.; Fontenot, Keith J.; Furman, Jason L.; Kocher, Robert; Rouse, Cecilia E.;
gene.sperling@do.treas.gov; Abraham, Jean M.; alan.krueger@do.treas.gov; DeParle, Nancy-Ann M.;
Seshamani, Meena (HHS/IOS); WH Office of Health Reform; Bafford, Elizabeth A.
Re:
Friday, April 03, 2009 9:53:28 PM
two things to add:
Jon
Hi all,
Hopefully on Monday well get the distributional analyses associated with at least the
three exclusion options listed here and possibly for the mega spreadsheet if those
estimates are similar enough given the base policy.
Thanks all, Jeanne et al.
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000174
From:
To:
Subject:
Date:
Attachments:

"Jon Gruber"; Seshamani, Meena (HHS/IOS)
RE: Treasury model
Hi,
A few things.
Am I missing anything?
Thanks, jml

Subject: Re: Treasury model
Thanks Meena - this is a bit hard to interpret out of context - hopefully a few answers will
clarify for me:
HHS Gruber 000175
jon
Please excuse my chicken scratch I had to send you my copy.

Thanks!
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000176
From:
To:
Cc:
Subject:
Date:
Attachments:

"Liebman, Jeffrey B."; "Crowley, Jeffrey S."; Childress, Mark (HHS/IOS); Tanden, Neera (HHS/IOS); "Emanuel,
Ezekiel J."; "Fontenot, Keith J."; "Furman, Jason L."; "Kocher, Robert"; "Rouse, Cecilia E.";
"gene.sperling@do.treas.gov"; "Abraham, Jean M."; "alan.krueger@do.treas.gov"; "DeParle, Nancy-Ann M.";
"Aronson, Lauren"; Seshamani, Meena (HHS/IOS)
"Jonathan Gruber"
Pay or play and exclusion run results
Friday, April 03, 2009 9:02:20 AM
Hi all,
Attached please find the runs that Jeff et al. requested of Jon: Jon, thank you for your quick work. The
Guide explains the first page of the spreadsheet.
Per the note from yesterday, the model has been updated. The first two tabs show the update with and
without the CBO Medicaid adjustment. The rest are the requests.
Assuming some of these numbers are going to be presented to principals on Tuesday, it probably
makes sense to have a call with Jon to answer any questions and possibly request refinements. Jon is
available tomorrow (Saturday) morning at 9am.
Well use:
1-800-5668-0174
X 7347318
Thanks all, Jeanne
HHS Gruber 000177
From:
To:
Cc:
Subject:
Date:
Attachments:

"Aronson, Lauren"; "Liebman, Jeffrey B."; "Crowley, Jeffrey S."; Childress, Mark (HHS/IOS); Tanden, Neera
(HHS/IOS); "Emanuel, Ezekiel J."; "Fontenot, Keith J."; "Furman, Jason L."; "Kocher, Robert"; "Rouse, Cecilia
E."; "gene.sperling@do.treas.gov"; "Abraham, Jean M."; "alan.krueger@do.treas.gov"; "DeParle, Nancy-Ann
M."; Seshamani, Meena (HHS/IOS)
"Jonathan Gruber"; "WH Office of Health Reform"; "Bafford, Elizabeth A."
Slightly revised tables
Friday, April 03, 2009 8:22:31 PM
Hi all,
Attached are Jons slightly revised tables.
Also, apparently the CBO baseline assumes a constant nominal number of enrollees in ESI so feel free
to look at the coverage impact in this spreadsheet.
Hopefully on Monday well get the distributional analyses associated with at least the three exclusion
options listed here and possibly for the mega spreadsheet if those estimates are similar enough given
the base policy.
Thanks all, Jeanne et al.
HHS Gruber 000178
From:
To:
Cc:
Subject:
Date:
gruberj@mit.edu
Evidence about employment effects of Mass. health reform
Saturday, July 11, 2009 6:58:48 PM
Thanks so much,
Jason
Jason Levitis
Senior Advisor
U.S. Treasury Department
HHS Gruber 000179
From:
To:
Subject:
Date:
Attachments:
Lambrew, Jeanne (HHS/ASPE)

FW: what do you think of the attached
Thursday, October 29, 2009 3:02:26 PM
Can you take a quick look? Thanks.

Sent: Thursday, October 29, 2009 11:18 AM
To: Lambrew, Jeanne (HHS/ASPE)
Subject: what do you think of the attached
can you do the powerpoints - I don't know how to and it should be easy
to edit what you had before
thanks
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000180
From:
To:
Cc:
Subject:
Date:
Hi. Sorry:

"gruberj@economics.mit.edu"
"nancy-ann M. deparle@who.eop.gov"; Seshamani, Meena (HHS/IOS); "Lauren Aronson@who.eop.gov"
Re: Specs for Hill request
Starts in 2012.
Thanks.
Cc: nancy-ann_M._deparle@who.eop.gov <nancy-ann_M._deparle@who.eop.gov>; Seshamani, Meena
(HHS/IOS); Aronson, Lauren <Lauren_Aronson@who.eop.gov>
Sent: Tue Apr 21 14:47:29 2009
Subject: Re: Specs for Hill request
thanks Jeanne. A couple questions:
Jon
Hi,
Attached is one run request that we got from the Hill: the same policy is at CBO for
scoring which will help with our calibration. There was no deadline put on the request so
we probably need to have you do the work for our principals meetings first.
Thanks, jml
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000181
From:
To:
Subject:
Date:
Cathi Arsenault Callahan

Re: FW: actuarial values
Did you not get what I had attached to the original note? Or is it something else?
Thanks everyone. Cathi do you mind forwarding the crosswalk to me for my records?

To: Cathi Arsenault Callahan
Cc: Seshamani, Meena (HHS/IOS); Jim Mays; Lambrew, Jeanne (HHS/IOS)
Subject: Re: FW: actuarial values
Cathi Arsenault Callahan wrote:

Attached please find two crosswalk tables that look at the following effects:
Please let me know if you have any questions or would like to look at these in another
manner.
Cathi
Thanks Cathi.

Meena
HHS Gruber 000182

From: Cathi Arsenault Callahan [mailto:cma@aresearch.com]
Sent: Thursday, April 30, 2009 9:31 AM
To: Jon Gruber
Jon,
Cathi
Jon Gruber wrote:

Jon (and Meena):
I hope this helps - I should be around later this morning (after about 9/9:30) if you'd
like to discuss more.
Cathi
HHS Gruber 000183

FYI, could you help answer Jons question? I am attaching the file that Zeke sent around
based on the summary table we went over today.

Cc: Lambrew, Jeanne (HHS/IOS); DeParle, Nancy-Ann M.; Liebman, Jeffrey B.; Tanden,
Jonathan Gruber; gene.sperling@do.treas.gov; Robert Kocher; Aronson, Lauren;
Seshamani, Meena (HHS/IOS); Duggan, Mark G.; jason.levitis@do.treas.gov; Fontenot,
Keith J.
Subject: Re: actuarial values
very interesting. Jim, Cathi, are you saying
(b)(5) - Attorney Client privilege


Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
(b)(6)
Personal Cell:

Jonathan Gruber; gene.sperling@do.treas.gov; Kocher, Robert; Aronson, Lauren;
Keith J.
zeke -
HHS Gruber 000184
this is very helpful, but I am a bit confused by the results. The second plan looks
unambigously much more gneerous than the first - how can they both be 0.75?
Jon

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
Personal Cell:
(b)(6)
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
HHS Gruber 000185

Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Cathi Arsenault Callahan

cma@aresearch.com
voice
-7400 x16
cell:
(b)(6)
fax: (770) 939-2385
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330

cma@aresearch.com
voice
-7400 x16
cell:
(b)(6)
fax: (770) 939-2385

cma@aresearch.com
voice mail: (703) 941-7400 x16
cell:
(b)(6)
fax: (770) 939-2385
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330

HHS Gruber 000186
From:
To:
Cc:
Subject:
Date:
Attachments:

Seshamani, Meena (HHS/IOS); Jon Gruber
Jim Mays; Lambrew, Jeanne (HHS/IOS)
Re: FW: actuarial values
(b)(5)
Attached please find two crosswalk tables that look at the following effects:
Please let me know if you have any questions or would like to look at these in
another manner.
Cathi
Thanks Cathi

Meena
From: Cathi Arsenault Callahan [mailto:cma@aresearch.com]

To: Jon Gruber
Jon,
HHS Gruber 000187
Cathi
Jon Gruber wrote:

Jon (and Meena):
I hope this helps - I should be around later this morning (after about 9/9:30) if you'd
like to discuss more.
Cathi
FYI, could you help answer Jons question? I am attaching the file that Zeke sent around
based on the summary table we went over today.

Jonathan Gruber; gene.sperling@do.treas.gov; Robert Kocher; Aronson, Lauren;
Keith J.
very interesting. Jim, Cathi,
HHS Gruber 000188


Phone: 202-395-5883
Fax: 202-395-3174
(b)(6)
Cell:
Best Cell:
(b)(6)
Personal Cell:

Jonathan Gruber; gene.sperling@do.treas.gov; Kocher, Robert; Aronson, Lauren;
Keith J.
zeke -
Jon
HHS Gruber 000189

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
(b)(6)
Personal Cell:
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330

cma@aresearch.com
voice mail: (703) 941-7400 x16
cell:
(b)(6)
fax: (770) 939-2385
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000190

cma@aresearch.com
voice
-7400 x16
cell:
(b)(6)
fax: (770) 939-2385

cma@aresearch.com
voice mail: (703) 941-7400 x16
cell:
(b)(6)
fax: (770) 939-2385
HHS Gruber 000191
From:
To:
Cc:
Subject:
Date:
Jon Gruber
John A. Graves; Jim Mays; Seshamani, Meena (HHS/IOS)
Re: UPDATE actuarial summary
thanks so much for all this, Cathi!

Please let me know if you've got questions or comments.

Cathi
Got it, thanks!
John
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
On 4/14/09 1:28 PM, "Cathi Arsenault Callahan" <cma@aresearch.com>

wrote:
HHS Gruber 000192
Jon,
Again, let me know if you've got questions and I'm moving

to item #4
Cathi
Jon,
See comments below in blue.
Please let me know if you've got any

questions. My cell is
(b)(6)
Cathi
Jon Gruber wrote:

Jim, Cathi
HHS Gruber 000193
HHS Gruber 000194
does that make sense? I'm off

email now so please call my cell
tomorrow
if ANY
(b)(6)
questions
thanks
Jon
Jim Mays wrote:
Hi Jon,
HHS Gruber 000195
Thanks.
Jim
Jon Gruber wrote:
super.
HHS Gruber 000196
thanks
so
much!
Jon
Cathi
Arsenault
Callahan
wrote:
HHS Gruber 000197
Jon
Gruber
wrote:
HHS Gruber 000198
Jon
Cathi
Arsenault
Callahan
wrote:
C.
Jon Gruber wrote:
Cathi
I mentioned this to JIm but not to you - I am FINE with hitting these
thanks
HHS Gruber 000199

jon

cma@aresearch.com
voice
-7400 x16
(b)(6)
cell:
fax: (770) 939-2385
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000200
From:
To:
Subject:
Date:
Jon Gruber
[Fwd: RE: [Fwd: Medicaid data marts on the web]]
Monday, April 20, 2009 12:50:39 PM
intersting stuff below from Mark.
Jon
-------- Original Message -------Subject:RE: [Fwd: Medicaid data marts on the web]
Date:Sun, 19 Apr 2009 00:25:28 -0400
From:Duggan, Mark G. <Mark G. Duggan@cea.eop.gov>
To:Jon Gruber <gruberj@economics.mit.edu>
References:<49EA4267.1050206@economics.mit.edu>
Jon-
OK I went to this site and downloaded info for Medicaid recipients who are disabled and b/w ages of 21 and 64.
I really hope this helps and am happy to do more stuff like this to assist you and the group in the days and
weeks ahead.
Best,
Mark
TOTAL: $54.5 BILLION

HOSP INP CARE: $10.6 BILLION
PRESC DRUGS: $9.7 BILLION
CAPITATED CARE: $7.0 BILLION (MANAGED CARE PAYMENTS)
OTHER CARE: $6.4 BILLION
NURS FACILITY CARE: $3.9 BILLION
PERS SUPPORT SERVICES: $3.7 BILLION
INTERM CARE FAC / MENT RETARDED: $3.5 BILLION
OUTPATIENT HOSPITAL: $2.8 BILLION
PHYSICIAN SERVICES: $2.4 BILLION
CLINIC: $1.8 BILLION
HOME HEALTH: $1.3 BILLION
LAB & X-RAY: $0.9 BILLION
HHS Gruber 000201
DENTAL CARE: $0.2 BILLION

ALL OTHER: $0.4 BILLION

To: Duggan, Mark G.
Subject: [Fwd: Medicaid data marts on the web]
Mark Got a great thing you could help wiht. the CMS actuaries sent me this link to their full data
breakouts - perhaps you already knew about it. I think it wuld be great to dive in and see
how we could save money on the benefit package
What
do
you
think?
Jon
-------- Original Message -------Subject:Medicaid data marts on the web
Date:Fri, 17 Apr 2009 18:04:04 -0400
From:Klemm, John D. (CMS/OACT) <John.Klemm@cms.hhs.gov>
To:Jon Gruber <gruberj@economics.mit.edu>
CC:Truffer, Christopher J. (CMS/OACT) <Christopher.Truffer@cms.hhs.gov>,
Shatto, John D. (CMS/OACT) <John.Shatto@cms.hhs.gov>
References:<491BEC79676DBB4788ACAEB90E667D8E02DDE889@AVN3VS002.ees.hhs.gov>
<CF07BFF834E0A14DA10C6A6851CE5F580C796724@AVN3VS002.ees.hhs.gov>
<49E3A48A.8070605@economics.mit.edu>
<ECA7EDA79B932E4CAD9AAFF9956112BE5366A0@AVN3VS021.ees.hhs.gov>
<1813C9820A55F643B232D9016C23C9F8017B77CB@AVN3VS032.ees.hhs.gov>
<364805CD2A648D4BBB76A994C595480706C3CAC8@AVN3VS003.ees.hhs.gov>
<ECA7EDA79B932E4CAD9AAFF9956112BE5AFDFA@AVN3VS021.ees.hhs.gov>
<CF07BFF834E0A14DA10C6A6851CE5F580C83542A@AVN3VS002.ees.hhs.gov>
<49E65219.9000607@economics.mit.edu>
Jon
Dont worry about the registered users only warning. Also note the link to the users guide.
--John
-Jonathan Gruber
HHS Gruber 000202

Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000203
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Re: 22 million question

Hi Jon,
I have tried to put together your answers in one email. Please check below and
fill in the blanks that are in bold. If you are okay w this then can you send the
explanation to the group? (and Jeanne please proof as well),
Thank you,
Meena
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000204
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Re: 22 million
Jeanne -
Jon
Hi,
Thanks, jml
Subject: Re: 22 million
Jeanne -
So here are the relevant facts:
HHS Gruber 000205
Jon
Jon
Hi Jon,
So, can you write a note to the group on the following:

For 2014 Baseline
1.
2.
Sorry to bother you but this is our top priority right now.
Thanks, jml
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000206
From:
To:
Cc:
Subject:
Date:
Jon Gruber
Jim Mays; Seshamani, Meena (HHS/IOS)
Re: nongroup comparison & MA comparison

Jon,
Thanks so much Cathi

Jon Gruber wrote:
that is fantastic. thanks so much. Please send results as you
have them!
HHS Gruber 000207
thanks
jon
Cathi
Jon Gruber wrote:
gotcha. thank you for the warning!
would be greatly appreciated. How

long will that take?
HHS Gruber 000208
Cathi
Jon Gruber wrote:
Cathi -
HHS Gruber 000209
thanks
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000210
Meena,
As you know, Jon Gruber has made a couple of sizable requests to OACT for data, state policies, etc.
(attached).
Because of our statutory and other critical workloads (e.g., the Medicare Trustees Report, ongoing
requests related to the Presidents 2010 Budget, etc.), were not in a position to be able to provide
this assistance to Jon. Im hoping that ASPE might be able to work with Jon on the Medicaid and
other data, Medicaid rules, etc.
We recognize the importance of nailing down the best estimate for the Medicaid 100% proposal,
and well continue to try to compare the key elements of OACTs and Jons estimates.
Please let me know if this sounds workable. Thanks.
Rick
HHS Gruber 000211
From:
To:
Cc:
Subject:
Date:
Attachments:
Foster, Richard S. (CMS/OACT)

Hickman, Peter J. (CMS/OP)
Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Blum, Jonathan D. (CMS/OA)
RE: Requests from Jon Gruber
Friday, April 17, 2009 5:08:49 PM
Peter,
Rick

To: Foster, Richard S. (CMS/OACT); Seshamani, Meena (HHS/IOS); Blum, Jonathan D. (CMS/OA)
Subject: RE: Requests from Jon Gruber
Hi Rick
We apologize for the demands in light of a heavy workload. We spoke to Jon about triaging the
requests. Mostly, we are hoping you could share baseline detail so, while there may be assumption
differences, there is no difference in the body counts, per-capita costs, and growth.
Specifically, we are hoping your team could share:
Hopefully this is more manageable? Thanks, Jeanne et al
From: Foster, Richard S. (CMS/OACT)

Subject: Requests from Jon Gruber
HHS Gruber 000212
Pages 213 through 552 redacted for the following reasons:

---------------------------all pages withheld under exemption (b)(5) - deliberative process
all pages withtheld under exemption (b)(5) - deliberative process
From:
To:
Subject:
Date:

FW: revised results
Tuesday, May 12, 2009 2:32:00 PM
(b)(5)

Subject: Re: revised results
(b)(5)

> Thanks Jon -- these look like what they wanted.
>
(b)(5)
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>
Sorry for all the work on short notice, and am thrilled you finished the
Congressional runs. What is your availability for a call with the
Senate requestor tomorrow? Want to do it before the CBO meeting if
possible.
To: Lambrew, Jeanne (HHS/IOS); nancy-ann_M._deparle@who.eop.gov;
Emanuel, Ezekiel J.; Liebman, Jeffrey B.; Tanden, Neera (HHS/IOS);
Alan.Krueger@do.treas.gov; Furman, Jason L.; Abraham, Jean M.; 'Jonathan
Gruber'; gene.sperling@do.treas.gov; rkocher@who.eop.gov; Aronson,
Lauren; Seshamani, Meena (HHS/IOS); Duggan, Mark G.;
jason.levitis@do.treas.gov; kfontenot@omb.eop.gov; Hash, Michael M.
Subject: revised results
here are revised results, with two changes:
(b)(5)
> Jon
>
>
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
HHS Gruber 000553
From:
To:
Emanuel, Ezekiel J.
Tanden, Neera (HHS/IOS); Abraham, Jean M.; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS);
Kocher, Robert; Martin, Kathryn; Vinkenes, Mark; Reilly, Thomas M.; Fontenot, Keith J.; Aronson, Lauren;
DeParle, Nancy-Ann M.; Cannistra, Jennifer M.; Alan.Krueger@do.treas.gov; john.bellows@do.treas.gov; Blum,
Jonathan D. (CMS/OA); Hall, Amy (CMS/OL); healthreform2009@gmail.com
Liebman, Jeffrey B.
Tuesday, March 31, 2009 3:46:57 PM
Cc:
Date:
We just had a very good conversation with Gruber. I will summarize but there are two
topics that are very important and may deserve much more concrete, structured
thinking.
(b)(5)
This is a bit long but I hope this is helpful as we go forward.

Phone: 202-395-5883
Fax: 202-395-3174
Cell:
(b)(6)
Best Cell:
(b)(6)
HHS Gruber 000554
From:
To:
Subject:
Date:

"Jon Gruber"; Seshamani, Meena (HHS/IOS)
RE: [Fwd: Re: Specs on Republican substitutes]
Tuesday, July 28, 2009 12:39:43 PM
(b)(5)

Sent: Tuesday, July 28, 2009 12:30 PM
To: Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Subject: [Fwd: Re: Specs on Republican substitutes]
good question - jeanne & meena, please add this to the list!
-------- Original Message -------Subject:Re: Specs on Republican substitutes
Date:Tue, 28 Jul 2009 12:21:09 -0400
From:John A. Graves <gravesj@nber.org>
To:Jon Gruber <gruberj@economics.mit.edu>, John Graves <graveja0@gmail.com>
(b)(5)
John

yes, there is! this is crazy stuff
Re: Specs on Republican substitutes Geez. Have they submitted this to CBO at all?
(b)(5)
(b)(5)
On 7/28/09 12:09 PM, "Jon Gruber" <gruberj@economics.mit.edu>

<mailto:gruberj@economics.mit.edu> wrote:
yes, that is right. got to love those republicans!
Re: Specs on Republican substitutes
(b)(5)
HHS Gruber 000555
(b)(5)
On 7/28/09 11:22 AM, "Jon Gruber" <gruberj@economics.mit.edu>

<mailto:gruberj@economics.mit.edu> <mailto:gruberj@economics.mit.edu> wrote:
super, thanks. ah, those wacky republicans! A few questions about Options 1 & 2
(b)(5)
thanks
Jon
Hi, here is our best guess at specs on the substitute bills.

HHS Gruber 000556
Let us know if you have questions, jml
John A. Graves
Harvard University
gravesj@nber.org
617.935.2824
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000557
From:
To:
Subject:
Date:

Seshamani, Meena (HHS/IOS); Tanden, Neera (HHS/IOS)
Re: Medicaid Question
Saturday, April 25, 2009 7:41:25 PM
(b)(5)
(b)(5)
we'll likely have a call on Monday or Tues about this.
----- Original Message ----From: Seshamani, Meena (HHS/IOS)

To: Tanden, Neera (HHS/IOS); Lambrew, Jeanne (HHS/IOS)
Sent: Sat Apr 25 18:35:21 2009
Subject: Re: Medicaid Question
(b)(5)
----- Original Message ----From: Tanden, Neera (HHS/IOS)

To: Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS)
Sent: Sat Apr 25 17:01:27 2009
Subject: Medicaid Question
(b)(5)
HHS Gruber 000558
From:
To:
Subject:
Date:
Jon Gruber
Re: very quick question on voucher
Tuesday, July 07, 2009 10:46:23 AM
you never have to apologize for bothering me! that's what I'm here for.
(b)(5)

Hi Jon
I know you are incredibly busy so forgive me in advance for bothering you.
(b)(5)
(b)(5)
Thanks
Meena

202.205.6466 (o)
(m)
(b)(6)
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000559
(b)(5)
thanks
Jon Gruber

Cc: Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Klemm, John D. (CMS/OACT);
Truffer, Christopher J. (CMS/OACT); Foster, Richard S. (CMS/OACT)
Sent: Mon Apr 13 16:46:02 2009
I can talk anytime before 6. tomorrow is hard as I am on the road all day. I am planning to meet with folks at
Treasury at 5, so we could perhaps make this part of the meeting.
(b)(5)
Jon
Amy,
We would like to meet as soon as possible. Could we try for 5 or 5:30pm? First thing tomorrow would be okay
as well.
John

To: 'Jon Gruber'; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Klemm, John D.
(CMS/OACT); Shatto, John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S.
(CMS/OACT)
Importance: High
HHS Gruber 000561
Hi guys,
(b)(5)
What times work for folks? Ill throw out 6PM for
(b)(5)
starters? 7PM? Otherwise, first thing tomorrow?
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000562
From:
Sent:
To:
Cc:
Subject:

Tuesday, April 21, 2009 10:02 PM
'Jon Gruber'; Klemm, John D. (CMS/OACT); Blum, Jonathan D. (CMS/OA)
Truffer, Christopher J. (CMS/OACT); Shatto, John D. (CMS/OACT); Lambrew, Jeanne
(HHS/IOS)
questions for CMS actuaries
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Hi everyone,
In doing our analyses, Jon Gruber had a few follow up questions for the CMS actuaries to improve his model which are of
high priority as we are presenting these models to principals Thursday. Here are the questions:
(b)(5)
Jon Gruber, if I have gotten something wrong here, please holler.

We all really appreciate your help as we push these models forward.
Meena
Cc: Truffer, Christopher J. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena (HHS/IOS); Lambrew, Jeanne
(HHS/IOS)
John, John & Christopher thanks again for your help last week. I was wondering if I could follow up with two questions:
(b)(5)
2) I am confirming the Medicaid eligibility numbers in my model and I was wondering if you all had a reliable
Medicaid eligilibility calculator I could cross-check against
thanks
Jon
1
HHS Gruber 000563

Jon
--John
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000564
From:
Sent:
To:
Cc:
Subject:
Jon Gruber <gruberj@economics.mit.edu>

Monday, April 13, 2009 4:46 PM
Shatto, John D. (CMS/OACT)
Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS);
Klemm, John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S.
(CMS/OACT)
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
(b)(5)
Jon
Amy,
as well.
John

(CMS/OACT)
Importance: High
HHS Gruber 000565
Hi guys,
(b)(5)
(b)(5)
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000566
From:
Sent:
To:
Hall, Amy (CMS/OL)

'Jon Gruber'; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Klemm, John
D. (CMS/OACT); Shatto, John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT);
FW: connecting actuaries and Gruber
Preliminary Analysis Medicaid Expansion to 100 percent_030509_2.doc; Lambrew_
40909_v1.xls
Subject:
Attachments:
Importance:
High
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Higuys,
Wewouldliketotrytosetupacallthiseveningto
(b)(5)
(b)(5)
Whattimesworkforfolks?Illthrowout6PMforstarters?
7PM?Otherwise,firstthingtomorrow?
Amy
HHS Gruber 000567
From:
Sent:
To:
Cc:
Subject:
Hall, Amy (CMS/OL)

'gruberj@economics.mit.edu'; Shatto, John D. (CMS/OACT)
Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Klemm, John D.
(CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S. (CMS/OACT)
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform

Sent: Mon Apr 13 16:46:02 2009
(b)(5)
Jon
Amy,
as well.
John

1
HHS Gruber 000568

(CMS/OACT)
Importance: High
Hi guys,
(b)(5)
(b)(5)
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000569
From:
Sent:
To:
Cc:
Subject:

Wednesday, April 22, 2009 10:57 AM
'Jon Gruber'; Klemm, John D. (CMS/OACT)
Shatto, John D. (CMS/OACT); Seshamani, Meena (HHS/IOS); Foster, Richard S.
(CMS/OACT)
RE: Medicaid data marts on the web
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Jon,
(b)(5)
We talked with Meena this morning and she will follow up with you on the other questions.
Chris
Actuary
(410) 786-1264

(HHS/IOS)
(b)(5)
thanks
1
HHS Gruber 000570
Jon
Jon
--John
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000571

---------------------------Out-of-Scope of request - Jon Gruber isn't a party in the VT proposal.

(CMS/OACT)
Importance: High
Hi guys,
(b)(5)
(b)(5)
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000596
From:
Sent:
To:
Cc:
Subject:

'Jon Gruber'
Klemm, John D. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena
RE: Medicaid data marts on the web
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Jon,
(b)(5)
Chris
To: Truffer, Christopher J. (CMS/OACT)
Cc: Klemm, John D. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena (HHS/IOS); Foster, Richard S.
(CMS/OACT)
Chris -
(b)(5)
thanks
Jon
Jon,
(b)(5)
Chris
HHS Gruber 000597

Actuary
(410) 786-1264

(HHS/IOS)
(b)(5)
thanks
Jon
Jon
--John
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
2
HHS Gruber 000598
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000599
From:
Sent:
To:
Cc:
Subject:

Seshamani, Meena (HHS/IOS); 'Jon Gruber'; Shatto, John D. (CMS/OACT)
Hall, Amy (CMS/OL); Klemm, John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT);
RE: connecting actuaries and Gruber
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Hi,
(b)(5)
Thanks, Jeanne

To: 'Jon Gruber'; Shatto, John D. (CMS/OACT)
Cc: Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Klemm, John D. (CMS/OACT); Truffer, Christopher J.
(CMS/OACT); Foster, Richard S. (CMS/OACT)
Lets talk at 5:10 pm. Here is a call-in:
(b)(4)
Code
(b)(4)
Meena

(b)(5)
Jon
1
HHS Gruber 000600

Amy,
as well.
John

(CMS/OACT)
Importance: High
Hi guys,
(b)(5)
(b)(4)
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000601
From:
Sent:
To:
Cc:
Subject:

Tuesday, April 21, 2009 7:49 AM
Klemm, John D. (CMS/OACT)
Truffer, Christopher J. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena
(HHS/IOS); Lambrew, Jeanne (HHS/IOS)
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
(b)(6)
thanks
Jon
Jon
--John
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
1
HHS Gruber 000602
HHS Gruber 000603
From:
Sent:
To:
Subject:

Wednesday, April 15, 2009 1:12 PM
Truffer, Christopher J. (CMS/OACT); 'Jon Gruber'; Shatto, John D. (CMS/OACT); Foster,
Richard S. (CMS/OACT); Klemm, John D. (CMS/OACT)
Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Tanden, Neera (HHS/IOS); 'Fontenot,
Keith J.'
Importance:
High
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Cc:
Hi,
To the CMS Actuaries: have you looked through Jon Grubers numbers and do you have comments to rectify any
differences? We need to figure this out ASAP.
Thank you
Meena
HHS Gruber 000604
From:
Sent:
To:
Subject:

Seshamani, Meena (HHS/IOS); Truffer, Christopher J. (CMS/OACT); 'Jon Gruber'; Foster,
Richard S. (CMS/OACT); Klemm, John D. (CMS/OACT)
Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Tanden, Neera (HHS/IOS); 'Fontenot,
Keith J.'
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Cc:
Meena,
BasedonaquicklookthroughtheinformationthatyousentusandourdiscussionswithJon,wehaveidentified3
possiblereasonsforthedifferencesbetweenourestimates.
(b)(5)
Pleaseletmeknowifyouhaveanyquestions.
John

(410) 786-0706

To: Truffer, Christopher J. (CMS/OACT); 'Jon Gruber'; Shatto, John D. (CMS/OACT); Foster, Richard S. (CMS/OACT);
Cc: Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Tanden, Neera (HHS/IOS); 'Fontenot, Keith J.'
Importance: High
Hi,
1
HHS Gruber 000605
Thank you
Meena
HHS Gruber 000606
From:
Sent:
To:
Cc:
Subject:

Friday, April 17, 2009 6:04 PM
Jon Gruber
Truffer, Christopher J. (CMS/OACT); Shatto, John D. (CMS/OACT)
Medicaid data marts on the web
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Jon
--John
HHS Gruber 000607
From:
Sent:
To:
Cc:
Subject:

Seshamani, Meena (HHS/IOS); Truffer, Christopher J. (CMS/OACT); Foster, Richard S.
(CMS/OACT); Klemm, John D. (CMS/OACT); Hall, Amy (CMS/OL); Lambrew, Jeanne
(HHS/IOS); Tanden, Neera (HHS/IOS); Fontenot, Keith J.; 'Jonathan Gruber'
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
very helpful - thanks so much. What would be most helpful would be for me to align my model with what you
are doing. Doing so would be a lot easier if I could get the following from you:
(b)(5)
I know that is a lot! But armed with this I can calibrate my model much more appropriately, so I really
appreciate your help here. thanks
Jon Gruber
Meena,
BasedonaquicklookthroughtheinformationthatyousentusandourdiscussionswithJon,wehaveidentified3
possiblereasonsforthedifferencesbetweenourestimates.
(b)(5)
HHS Gruber 000608
(b)(5)
Pleaseletmeknowifyouhaveanyquestions.
John

(410) 786-0706

To: Truffer, Christopher J. (CMS/OACT); 'Jon Gruber'; Shatto, John D. (CMS/OACT); Foster, Richard S. (CMS/OACT);
Importance: High
Hi,
Thank you
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000609
From:
Sent:
To:
Cc:
Subject:

Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); 'Jon Gruber'; Shatto, John
D. (CMS/OACT)
Hall, Amy (CMS/OL); Klemm, John D. (CMS/OACT); Foster, Richard S. (CMS/OACT)
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Jeanne,
(b)(5)
Chris
To: Seshamani, Meena (HHS/IOS); 'Jon Gruber'; Shatto, John D. (CMS/OACT)
Cc: Hall, Amy (CMS/OL); Klemm, John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S.
(CMS/OACT)
Hi,
(b)(5)
Thanks, Jeanne

To: 'Jon Gruber'; Shatto, John D. (CMS/OACT)
Cc: Hall, Amy (CMS/OL); Lambrew, Jeanne (HHS/IOS); Klemm, John D. (CMS/OACT); Truffer, Christopher J.
(CMS/OACT); Foster, Richard S. (CMS/OACT)
Lets talk at 5:10 pm. Here is a call-in:
(b)(4)
Code
(b)(4)
Meena
1
HHS Gruber 000610

(b)(5)
Jon
Amy,
as well.
John

(CMS/OACT)
Importance: High
Hi guys,
(b)(5)
(b)(5)
HHS Gruber 000611
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000612
From:
Sent:
To:
Subject:

Hall, Amy (CMS/OL); 'Jon Gruber'; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena
(HHS/IOS); Klemm, John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster,
Richard S. (CMS/OACT)
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Amy,
Wewouldliketomeetassoonaspossible.Couldwetryfor5or5:30pm?Firstthingtomorrowwouldbeokayaswell.
John

To: 'Jon Gruber'; Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Klemm, John D. (CMS/OACT); Shatto,
John D. (CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S. (CMS/OACT)
Importance: High
Higuys,
Wewouldliketotrytosetupacallthiseveningto
(b)(5)
(b)(5)
Whattimesworkforfolks?Illthrowout6PMforstarters?
7PM?Otherwise,firstthingtomorrow?
Amy
HHS Gruber 000613

Importance: High
Hi,
Thank you
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000615
Public Insurance Enrollment

premod_US_2008_033109_2_baseline_2009Apr01_10_39.dta
Below Poverty
Children
Non-disabled Adults
Disabled Adults
All
On Public
Not on Public
Insurance
Insurance
All
9,606,159
4,703,404
5,519,974
17,869,295
3,659,985
1,682,836
18,786,118
24,255,535
14,309,563
23,389,269
5,342,821
43,041,653
On Public
Not on Public
Insurance
Insurance
All
10,655,547
54,088,338
4,445,950
131,022,819
2,403,137
4,382,088
17,504,634
189,493,245
64,743,885
135,468,769
6,785,225
206,997,879
On Public
Not on Public
Insurance
Insurance
All
20,261,706
58,791,742
9,965,924
148,892,114
6,063,122
6,064,924
36,290,752
213,748,780
79,053,448
158,858,038
12,128,046
250,039,532
Above Poverty
Children
Non-disabled Adults
Disabled Adults
All
All
Children
Non-disabled Adults
Disabled Adults
All
HHS Gruber 000616
Public Insurance Eligibility

premod_US_2008_033109_2_baseline_2009Apr01_10_39.dta
Below Poverty
Children
Non-disabled Adults
Disabled Adults
All
Eligible for Public Not Eligible for

Insurance
Public Insurance All
14,309,563
0
8,477,469
14,911,800
3,790,085
1,552,736
26,577,117
16,464,536
14,309,563
23,389,269
5,342,821
43,041,653

Insurance
20,023,814
44,720,071
6,310,089
129,158,680
2,451,411
4,333,814
28,785,314
178,212,565
64,743,885
135,468,769
6,785,225
206,997,879

Insurance
34,333,377
44,720,071
14,787,558
144,070,480
6,241,496
5,886,550
55,362,431
194,677,101
79,053,448
158,858,038
12,128,046
250,039,532
Above Poverty
Children
Non-disabled Adults
Disabled Adults
All
All
Children
Non-disabled Adults
Disabled Adults
All
HHS Gruber 000617
Table 1
Medicaid Enrollment by Group, PYE, FFY 2005
Enrollment (rounded to nearest 100)
State
United States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Total
Aged
45,384,500
802,900
85,000
1,088,100
618,100
7,947,700
401,400
443,800
139,200
137,700
2,243,200
1,368,400
177,300
164,300
1,921,900
760,300
303,400
265,500
652,100
889,300
246,800
617,100
938,900
1,339,200
581,300
666,200
925,200
85,900
175,900
177,200
107,300
742,800
407,300
4,075,000
1,228,500
52,700
1,582,800
492,900
406,100
1,676,500
160,700
803,300
91,400
1,350,700
2,975,000
211,100
127,400
673,100
940,100
305,100
750,900
60,100
5,247,000
111,500
6,900
75,600
55,900
827,900
43,800
56,100
11,100
12,400
333,700
141,600
20,000
11,300
331,900
67,000
34,500
28,000
81,200
98,900
29,800
70,000
125,600
111,400
65,400
87,000
87,200
8,600
20,300
19,300
11,600
128,300
29,900
463,000
159,400
7,900
135,400
55,900
42,600
195,100
21,600
127,000
10,500
155,700
370,400
12,200
17,800
88,700
73,100
29,200
133,400
4,500
Disabled Age 19- Disabled Under

64
Age 19
6,269,000
133,200
10,400
93,400
73,600
745,600
57,700
58,100
14,400
21,500
326,400
182,400
20,100
21,600
233,200
118,500
50,900
41,900
154,000
143,000
39,500
94,900
197,700
220,300
81,200
116,600
161,300
14,200
26,100
24,600
17,600
121,100
41,000
493,900
203,000
8,100
249,300
72,000
61,000
320,000
29,600
104,000
11,500
259,700
335,400
24,900
15,900
113,700
125,500
79,600
99,200
6,700
1,211,300
32,100
1,500
24,400
21,400
118,800
11,100
100
4,600
5,100
93,100
43,300
2,100
6,400
22,400
12,800
9,500
9,000
30,200
37,800
5,300
17,200
23,600
39,500
15,100
27,400
4,900
2,100
3,100
5,400
200
23,700
8,200
102,200
42,000
800
39,600
11,700
7,900
107,000
6,800
25,300
2,400
37,400
86,200
4,000
2,300
19,500
18,000
11,100
24,400
1,300
Non-Disabled Men
Non-Disabled Age 19-44 and NonNon-Disabled Women Age 19- Disabled Adults Age
Under Age 19
44
45-64
21,762,400
347,900
50,900
506,800
341,700
3,155,400
222,100
226,900
59,700
63,200
1,159,100
811,000
78,000
103,400
990,300
431,500
150,800
149,800
301,400
511,400
85,400
289,100
326,100
749,600
285,300
330,200
465,100
45,700
103,600
97,800
64,200
381,900
230,900
1,523,000
629,000
25,200
787,400
293,200
192,800
733,400
72,400
361,600
53,000
519,900
1,929,300
117,000
54,300
357,900
497,600
148,200
312,700
38,300
7,634,900
171,700
10,200
213,100
116,400
2,204,900
53,700
72,900
31,300
25,100
251,500
162,300
28,400
17,300
276,500
110,300
41,700
28,900
69,300
85,600
45,600
114,400
156,800
161,500
89,800
96,700
154,300
10,700
17,500
23,500
11,100
71,100
77,800
728,200
156,600
8,200
266,500
53,400
62,500
229,200
21,900
161,000
10,500
222,200
214,400
34,300
18,500
81,000
184,900
29,000
143,800
7,000
3,259,900
6,500
5,100
174,800
9,100
895,200
12,900
29,800
18,200
10,400
79,500
27,800
28,700
4,300
67,600
20,100
16,000
7,900
16,100
12,600
41,200
31,500
109,100
56,900
44,600
8,300
52,400
4,500
5,400
6,600
2,600
16,800
19,500
764,600
38,600
2,500
104,500
6,700
39,300
91,800
8,600
24,500
3,500
155,900
39,300
18,700
18,600
12,200
41,000
8,000
37,400
2,200
Source: Kaiser Commission on Medicaid and the Uninsured and Urban Institute estimates based on data from MSIS 2005
HHS Gruber 000618
Table 2
Medicaid Expenditures by Group, FFY 2005
Expenditures (in millions)
State
United States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
llinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Total
Aged
$263,115.4
3,081.4
992.4
4,217.4
2,619.8
28,051.0
2,379.2
3,764.6
881.4
1,238.8
11,929.5
6,376.7
921.7
1,057.8
9,110.3
4,704.2
2,315.5
1,980.8
3,999.6
4,174.5
2,346.6
4,907.2
8,244.0
6,591.4
5,190.5
3,027.0
5,235.5
600.6
1,413.1
1,103.0
814.3
6,920.3
2,197.3
38,681.7
8,356.8
547.7
12,059.7
2,539.6
2,405.1
11,757.5
1,631.5
3,336.2
621.7
7,631.3
14,137.2
1,113.8
840.4
4,021.7
4,146.7
1,959.3
4,545.3
394.8
$71,674.4
1,017.3
172.4
751.2
728.4
8,056.6
674.1
1,386.0
185.8
246.5
3,609.3
1,480.5
251.7
209.2
2,361.5
1,260.8
596.1
508.5
958.8
976.3
434.5
1,187.9
2,309.5
1,490.3
1,363.9
949.5
1,303.5
166.3
379.3
232.8
253.6
2,588.9
436.5
11,464.8
2,161.1
204.1
3,435.0
626.4
543.2
3,830.8
447.9
767.1
165.0
1,578.4
3,437.6
177.8
210.5
1,072.3
908.4
501.9
1,534.1
80.7

64
Age 19
$96,783.7
932.3
295.6
981.3
794.7
10,018.3
864.3
1,503.5
239.3
510.2
4,115.7
2,031.9
255.7
414.0
3,908.6
1,950.4
959.0
780.2
1,495.0
1,753.2
815.4
1,941.1
3,252.7
2,591.1
2,072.3
1,058.6
2,166.1
196.4
526.9
412.9
322.0
2,720.2
695.3
14,953.2
3,054.3
212.0
5,027.6
886.2
756.1
3,793.7
613.6
1,161.2
202.7
2,913.7
4,168.3
437.5
249.9
1,594.2
1,425.1
884.7
1,732.7
142.9
$15,210.2
177.7
64.3
497.7
293.4
1,459.3
137.4
1.2
75.4
99.0
942.2
403.1
40.1
106.0
193.4
150.6
195.1
143.0
271.6
312.1
144.4
314.1
329.4
463.9
337.0
194.6
69.1
37.5
50.1
82.8
6.6
282.5
121.7
1,768.4
675.4
16.6
548.8
123.4
113.0
1,235.7
121.8
220.9
38.3
323.9
1,096.0
73.3
65.5
199.9
213.3
118.3
237.7
23.5
Non-Disabled Men
Under Age 19
44
45-64
$46,140.2
723.7
325.9
1,214.5
645.8
4,808.0
462.3
562.3
157.8
216.6
2,015.7
1,581.9
182.9
217.4
1,650.3
896.4
335.8
384.7
844.6
719.3
466.6
922.2
1,393.2
1,249.0
879.6
538.5
1,117.3
130.5
348.5
249.5
178.2
928.3
630.4
3,834.6
1,435.2
72.3
1,640.5
692.8
487.2
1,665.4
286.0
787.3
150.3
1,031.3
4,116.5
260.5
167.3
771.0
859.8
318.0
489.8
96.8
$23,150.4
211.1
105.6
626.5
139.6
2,784.7
210.5
231.3
131.2
108.2
1,025.6
778.1
95.3
94.5
783.1
385.1
174.2
138.6
357.6
368.4
253.0
457.4
578.6
568.8
378.5
263.3
447.5
52.6
83.2
105.6
43.6
295.6
245.1
2,959.7
816.1
34.6
1,081.4
191.3
329.4
890.1
114.3
335.0
53.2
936.9
1,150.0
126.5
76.4
333.2
638.9
109.3
409.6
42.7
$10,156.5
19.2
28.6
146.2
17.9
924.2
30.5
80.3
91.9
58.3
221.0
101.2
95.9
16.6
213.4
60.8
55.3
26.0
72.1
45.1
232.8
84.5
380.5
228.3
159.2
22.6
132.0
17.3
25.0
19.5
10.3
104.8
68.3
3,701.0
214.8
8.1
326.4
19.5
176.3
341.8
48.0
64.7
12.3
847.1
168.8
38.2
70.9
51.1
101.2
27.1
141.5
8.2
HHS Gruber 000619
Table 3
Medicaid Expenditures Per PYE by Group, FFY 2005
Expenditures
State
United States
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
llinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Total
Aged
$5,797
3,838
11,680
3,876
4,239
3,529
5,927
8,482
6,331
8,998
5,318
4,660
5,198
6,436
4,740
6,187
7,632
7,461
6,133
4,694
9,509
7,952
8,781
4,922
8,929
4,544
5,659
6,992
8,033
6,224
7,586
9,316
5,395
9,492
6,802
10,402
7,619
5,153
5,922
7,013
10,150
4,153
6,801
5,650
4,752
5,275
6,596
5,975
4,411
6,421
6,053
6,569
$13,660
9,121
25,130
9,937
13,036
9,731
15,377
24,713
16,814
19,961
10,818
10,452
12,575
18,552
7,116
18,817
17,258
18,145
11,805
9,876
14,569
16,961
18,394
13,380
20,852
10,908
14,941
19,389
18,707
12,068
21,889
20,186
14,601
24,760
13,557
25,916
25,360
11,207
12,748
19,632
20,780
6,042
15,718
10,137
9,280
14,624
11,850
12,094
12,434
17,170
11,497
17,824

64
Age 19
$15,439
7,001
28,521
10,507
10,790
13,437
14,982
25,877
16,596
23,706
12,609
11,140
12,735
19,129
16,762
16,452
18,852
18,640
9,706
12,258
20,641
20,453
16,456
11,760
25,523
9,081
13,430
13,786
20,195
16,790
18,313
22,458
16,974
30,274
15,048
26,115
20,163
12,305
12,398
11,856
20,757
11,168
17,694
11,222
12,427
17,557
15,701
14,017
11,352
11,116
17,470
21,261
$12,557
5,534
42,301
20,403
13,728
12,286
12,332
14,027
16,353
19,355
10,122
9,302
19,016
16,471
8,625
11,754
20,528
15,841
9,002
8,250
27,430
18,253
13,976
11,739
22,364
7,105
14,184
17,484
16,012
15,197
34,365
11,939
14,835
17,310
16,083
20,770
13,852
10,578
14,262
11,552
17,959
8,713
16,163
8,667
12,719
18,199
27,965
10,235
11,863
10,641
9,761
18,275
Non-Disabled Men
Under Age 19
44
45-64
$2,120
2,080
6,398
2,396
1,890
1,524
2,082
2,478
2,645
3,428
1,739
1,951
2,346
2,103
1,666
2,078
2,226
2,568
2,803
1,407
5,464
3,190
4,272
1,666
3,083
1,631
2,402
2,854
3,365
2,551
2,774
2,430
2,730
2,518
2,282
2,875
2,083
2,363
2,527
2,271
3,952
2,178
2,835
1,984
2,134
2,226
3,082
2,154
1,728
2,145
1,566
2,525
$3,032
1,230
10,340
2,940
1,200
1,263
3,917
3,174
4,192
4,309
4,077
4,793
3,351
5,477
2,832
3,490
4,182
4,802
5,162
4,303
5,549
3,999
3,689
3,521
4,217
2,723
2,900
4,929
4,762
4,496
3,918
4,159
3,150
4,064
5,212
4,230
4,058
3,583
5,268
3,883
5,226
2,081
5,043
4,217
5,363
3,685
4,126
4,112
3,455
3,774
2,847
6,116
$3,116
2,950
5,637
836
1,978
1,032
2,365
2,696
5,057
5,614
2,780
3,645
3,343
3,849
3,159
3,022
3,456
3,286
4,476
3,591
5,648
2,678
3,489
4,012
3,572
2,722
2,517
3,815
4,663
2,951
3,941
6,242
3,494
4,840
5,565
3,210
3,123
2,921
4,482
3,723
5,564
2,643
3,492
5,434
4,297
2,045
3,812
4,181
2,470
3,393
3,782
3,653
HHS Gruber 000620
state name
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
state
pspend_kids
63
94
86
71
93
84
16
53
51
59
58
95
82
33
32
42
47
61
72
11
52
14
34
41
64
43
81
46
88
12
22
85
21
56
44
31
73
92
23
15
57
45
62
74
87
13
54
91
55
pspend_disab
2080.11
6398.03
2396.46
1889.79
1523.74
2081.69
2477.97
2644.95
3427.76
1739.07
1950.63
2345.80
2102.59
1666.41
2077.56
2226.18
2567.64
2802.64
1406.70
5463.79
3190.29
4271.66
1666.35
3082.74
1630.91
2402.23
2854.35
3365.43
2551.37
2774.26
2430.47
2730.02
2517.71
2281.72
2874.84
2083.37
2362.74
2527.04
2270.92
3952.20
2177.61
2834.51
1983.67
2133.64
2225.87
3081.58
2154.30
1727.82
2145.10
7000.98
28520.70
10507.42
10790.48
13436.97
14982.38
25877.08
16596.26
23705.91
12608.84
11140.32
12735.01
19128.63
16762.06
16452.26
18852.10
18639.89
9706.30
12257.71
20640.92
20453.11
16456.29
11760.15
25523.10
9081.05
13430.07
13786.28
20194.70
16790.35
18313.24
22457.82
16974.36
30274.24
15048.26
26115.24
20163.31
12305.14
12398.02
11855.88
20757.35
11168.22
17694.37
11221.63
12427.23
17556.50
15700.78
14017.04
11352.13
11115.56
HHS Gruber 000621
Wisconsin
Wyoming
35
83
1566.25
2525.08
17470.24
21261.24
HHS Gruber 000622
pspend_women_19_44
pspend_men_olderwomen
1230.05
2949.93
10340.10
5637.14
2940.18
836.03
1199.99
1978.15
1262.97
1032.43
3917.21
2364.68
3173.59
2696.10
4192.06
5056.55
4308.60
5613.59
4077.46
2780.18
4793.15
3644.65
3350.73
3343.42
5477.03
3849.07
2831.88
3159.05
3490.25
3021.91
4181.88
3456.25
4801.73
3285.88
5162.24
4475.53
4303.45
3590.84
5549.47
5647.97
3998.77
2677.74
3689.25
3488.70
3521.09
4012.48
4217.08
3572.31
2723.17
2721.84
2900.16
2517.45
4928.71
3814.90
4762.08
4662.92
4495.57
2950.53
3918.43
3940.91
4159.30
6241.68
3150.31
3494.46
4064.45
4840.29
5212.47
5564.50
4230.07
3209.65
4058.37
3123.38
3582.99
2921.44
5268.27
4481.97
3882.80
3723.14
5226.19
5564.16
2080.73
2643.12
5042.92
3491.56
4216.93
5433.69
5363.34
4296.91
3685.07
2045.34
4125.52
3812.30
4112.17
4181.13
3454.58
2469.53
3773.52
3393.29
HHS Gruber 000623
2847.22
6116.48
3782.09
3652.50
HHS Gruber 000624
Policy Specifications
RUN ID
LOW INCOME SUBSIDIES
< poverty
100-150% of poverty
150-200% of poverty
200-250% of poverty
250-300% of poverty
300-350% of poverty
350-400% of poverty
400-450% of poverty
450-500% of poverty
500%+ of poverty
% of income in which year
How is % of income indexed
40209.01
40909.03
40909.04
40909.05
KID
MANDATE+AUTOEN
R
40909.06
Medicaid
2.25% inc
5% inc
7.5% inc
10% inc
12.5% inc
15% inc
N/A
N/A
N/A
2012
9%
Medicaid
5.00%
5%
10.00%
10%
10.00%
10.00%
N/A
N/A
N/A
2012
6%
Medicaid
2.50%
5%
7.50%
10%
12.50%
12.50%
12.50%
12.50%
12.50%
2012
9%
Medicaid
2.50%
5%
7.50%
10%
12.50%
12.50%
12.50%
12.50%
12.50%
2012
9%
Medicaid
2.50%
5%
7.50%
10%
12.50%
12.50%
12.50%
12.50%
12.50%
2012
9%
Benefit Generosity to Which

Subsidies are Indexed
< poverty
100-150% of poverty
150-200% of poverty
200-250% of poverty
250-300% of poverty
300-350% of poverty
350-400% of povert
400-450% of poverty
450-500% of poverty
500%+ of poverty
Medicaid
AV = 0.8
AV = 0.8
AV = 0.7
AV = 0.7
AV = 0.6
AV = 0.6
N/A
N/A
N/A
Medicaid
AV = Plan L
AV = Plan L
AV = Plan L
AV = Plan L
AV = Plan L
AV = Plan L
N/A
N/A
N/A
Medicaid
AV = 0.87
AV = 0.87
AV = 0.83
AV = 0.80
AV = 0.80
AV = 0.78
N/A
N/A
N/A
Medicaid
AV = 0.87
AV = 0.87
AV = 0.83
AV = 0.80
AV = 0.80
AV = 0.78
N/A
N/A
N/A
Medicaid
AV = 0.87
AV = 0.87
AV = 0.83
AV = 0.80
AV = 0.80
AV = 0.78
N/A
N/A
N/A
Voucher/Firewall
Voucher
Voucher
Voucher
Voucher
Voucher
Single
Both
3%
7%
Single
Both
3%
7%
Single
Both
3%
7%
Single
Both
3%
7%
Single
Both
3%
7%
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0.6
Pool Structure
Single vs. Dual pools
Monopoly?
Managed Competition Savings
HMO Savings
MCC Standard
Inside Pool
Outside Pool
2/2/09 Baseline
"L" Plan
LESS EFFECTIVE
MANDATE
Proposal X
HHS Gruber 000625
Rating Reforms
Inside Pool
Outside Pool
N/A
3:1 on age, no
health
N/A
Firm Buy-In
Eligibility
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Payroll: <250k, 250-500k, 500k1m, 1m+
Payroll: <$250k;
$250-$500k; $500k$1m; >$1m
0%,2%,4%,6%
GDP
All
All
All
$295 /worker
HEALTH
$295 /worker
HEALTH
$295 /worker
HEALTH
Treatment of Tax Exclusion

Cap Level
Cap Year
Cap Indexing
Income Range
Income Year
Income Indexing
Pay or Play
Size categories
Rates
Indexing
Small Firm Credit
Subsidy Rate for Full Credit
Full credit eligibility
Phase out range
Indexing
Assumed Savings
Initial year savings
growth rate savings
Mandate
Population
Policy
3:1 on age, no health
0%, 2%, 4%, 6%

N/A
3:1 on age, no
health
N/A
3:1 on age, no
health
N/A
3:1 on age, no health

N/A
50%
<10 employees AND <$20,000
avg. earnings
50%
50%
50%
50%
<10 employees
<10 employees
<10 employees
<10 employees AND
AND <$20,000 avg. AND <$20,000 avg. AND <$20,000 avg.
<$20,000 avg.
earnings
earnings
earnings
earnings
10-25 employees AND 20-40k avg. 10-25 employees
10-25 employees
10-25 employees 10-25 employees AND
earnings
AND 20-40k avg.
AND 20-40k avg.
AND 20-40k avg.
20-40k avg. earnings
earnings
earnings
earnings
GDP
GDP
GDP
GDP
GDP
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
All
Individual Mandate
All
Individual Mandate
All
Less Effective
All
Individual Mandate
All
Kid Mand + Autoenr
HHS Gruber 000626
Proposal Z
"R" Plan
High Base Year

Subsidies
High Subsidy
Growth
High Benefit
Generosity
No Rules Outside
Pool
40909.07
40909.08
40909.09
40909.1
40909.11
40909.12
Medicaid
2.50%
5%
7.50%
10%
12.50%
12.50%
12.50%
12.50%
12.50%
2012
9%
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Medicaid
0% inc
2.5% inc
4.0% inc
5.5% inc
7.0% inc
8.5% inc
12.5% inc
12.5% inc
12.5% inc
2012
9%
Medicaid
2.5% inc
5% inc
7.5% inc
10% inc
12.5% inc
12.5% inc
12.5% inc
12.5% inc
12.5% inc
2012
0%
Medicaid
2.5% inc
5% inc
7.5% inc
10% inc
12.5% inc
12.5% inc
12.5% inc
12.5% inc
12.5% inc
2012
9%
Medicaid
2.5% inc
5% inc
7.5% inc
10% inc
12.5% inc
12.5% inc
12.5% inc
12.5% inc
12.5% inc
2012
9%
Medicaid
AV = ?
AV = ?
AV = ?
AV = ?
AV = ?
AV = ?
N/A
N/A
N/A
Medicaid
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Medicaid
AV = 0.87
AV = 0.87
AV = 0.83
AV = 0.80
AV = 0.80
AV = 0.78
N/A
N/A
N/A
Medicaid
AV = 0.87
AV = 0.87
AV = 0.83
AV = 0.80
AV = 0.80
AV = 0.78
N/A
N/A
N/A
Medicaid
AV = 0.95
AV = 0.95
AV = 0.92
AV = 0.92
AV = 0.9
AV = 0.9
N/A
N/A
N/A
Medicaid
AV = Plan X
AV = Plan X
AV = Plan X
AV = Plan X
AV = Plan X
AV = Plan X
N/A
N/A
N/A
Voucher
N/A
Voucher
Voucher
Voucher
Voucher
Single
Both
3%
7%
Single
Both
3%
7%
Single
Both
3%
7%
Single
Both
3%
7%
Single
Both
3%
7%
Dual
No
3%
7%
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0.6
0
HHS Gruber 000627
3:1 on age, no
health
N/A
3:1 on age, no
health
N/A
3:1 on age, no
health
N/A
3:1 on age, no
health
N/A
3:1 on age, no
health
N/A
3:1 on age, no
health
None
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
>$1m
All
All
All
All
All
6%
GDP
$295 /worker
HEALTH
$295 per worker

iHealth
$295 per worker

iHealth
$295 per worker

iHealth
$295 per worker

iHealth
50%
50%
50%
50%
50%
50%
<10 employees
<10 employees
<10 employees
<10 employees
<10 employees
<10 employees
AND <$20,000 avg. AND <$20,000 avg. AND <$20,000 avg. AND <$20,000 avg. AND <$20,000 avg. AND <$20,000 avg.
earnings
earnings
earnings
earnings
earnings
earnings
10-25 employees
10-25 employees
10-25 employees
10-25 employees
10-25 employees
10-25 employees
AND 20-40k avg.
AND 20-40k avg.
AND 20-40k avg.
AND 20-40k avg.
AND 20-40k avg.
AND 20-40k avg.
earnings
earnings
earnings
earnings
earnings
earnings
GDP
GDP
GDP
GDP
GDP
GDP
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
All
Individual Mandate
All
Individual Mandate
All
Individual Mandate
All
Individual Mandate
All
Individual Mandate
All
Individual Mandate
HHS Gruber 000628
BASELINE COVERAGE
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
LESS
EFFECTIVE
MANDATE
40909.04
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
40909.05
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
KID
MANDATE+AUT
OENR
40909.06
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
Proposal X
High Base
High Subsidy High Benefit
Year
Growth
Generosity
Subsidies
40909.09
40909.1
40909.11
155.73
155.73
155.73
155.73
155.73
155.73
0
0
0
10.94
10.94
10.94
10.94
10.94
10.94
0
0
0
0
0
0
38.75
38.75
38.75
55.89
55.89
55.89
POPULATION MOVEMENTS
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
-5.07
-5.07
0
33.537
1.83
4.989
26.718
21.317
-49.784
-4.471
-4.471
0
34.532
2.154
5.173
27.206
21.958
-52.019
-9.457
-9.457
0
18.375
-3.007
2.137
19.245
13.511
-22.429
-12.926
-12.926
0
42.712
3.38
1.935
37.396
22.357
-52.143
-6.262
-6.262
0
36.273
2.377
4.017
29.879
22.041
-52.052
-6.61
-6.61
0
36.565
2.451
5.043
29.071
22.057
-52.012
FEDERAL OUTLAYS AND REVENUES

Medicaid
106071
108350
72478
109718
108565
108636
Group Subsidies
Pool Buy-in Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
7605
0
0
78758
86363
7671
0
0
79016
86687
7360
0
0
77859
85218
6155
0
0
118114
124269
7382
0
0
88327
95709
7353
0
0
97886
105239
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
4785
5073
12148
22006
4229
4700
12148
21077
9889
7664
12103
29655
10115
9511
13529
33155
5692
5819
12497
24008
5760
6049
12583
24392
170428
173961
128041
200832
180265
189483
1539084
1571555
1151872
1814715
1681649
1700839
Total Gap
Total 10 Year Gap
HHS Gruber 000629
32471
419683
-243160
-110094
-129284
HHS Gruber 000630
(40909.04) X WITH LESS EFFECTIVE MANDATE

BASELINE COVERAGE
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
EX ANTE
-
2012
155.73
155.73
0
10.94
10.94
0
0
37.91
52.78
2013
155.73
155.73
0
10.94
10.94
0
0
38.33
54.31
-7.077
-7.077
0
33.757
1.789
3.874
28.094
20.321
-47.001
-6.019
-6.019
0
33.598
1.796
4.514
27.288
20.795
-48.374
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured

Medicaid
141413
89743
97520
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
0
0
0
0
0
6491
0
0
74036
80527
7042
0
0
76165
83208
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
858160
1013169
0
1871328
5754
5605
10840
22199
5233
5324
11477
22034
148072
158694
Total Gap
Total 8 Year Gap
STATE OUTLAYS AND REVENUES
Medicaid
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
1539084
104070
9607
10385
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000631
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
Total Gap
Total 8 Year Gap
213421
0
0
213421
1569
0
0
1569
1499
0
0
1499
8037
8886
92707
HHS Gruber 000632
2014
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
2015
155.73
155.73
0
10.94
10.94
0
0
39.18
57.51
2016
155.73
155.73
0
10.94
10.94
0
0
39.61
59.18
2017
155.73
155.73
0
10.94
10.94
0
0
40.05
60.89
2018
155.73
155.73
0
10.94
10.94
0
0
40.49
62.66
2019
155.73
155.73
0
10.94
10.94
0
0
40.93
64.48
-5.07
-5.07
0
33.537
1.83
4.989
26.718
21.317
-49.784
-4.102
-4.102
0
33.539
1.804
5.543
26.192
21.796
-51.233
-3.154
-3.154
0
33.545
1.823
6.105
25.617
22.334
-52.725
-2.344
-2.344
0
33.717
1.872
6.667
25.179
22.879
-54.252
-1.438
-1.438
0
33.837
1.917
7.292
24.628
23.432
-55.83
-0.716
-0.716
0
34.111
1.95
7.906
24.256
24.041
-57.436
106071
115209
125231
136078
147798
160660
7605
0
0
78758
86363
8195
0
0
81663
89858
8849
0
0
84706
93555
9537
0
0
87734
97271
10313
0
0
90300
100613
11061
0
0
93422
104483
4785
5073
12148
22006
4256
4756
12878
21890
3685
4390
13650
21725
3247
4081
14522
21850
2614
3619
15428
21662
2048
3266
16424
21739
170428
183177
197061
211499
226749
243404
11269
12175
13203
14340
15556
16936
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000633
1449
0
0
1449
1386
0
0
1386
1315
0
0
1315
1255
0
0
1255
1181
0
0
1181
1110
0
0
1110
9821
10789
11888
13085
14375
15826
HHS Gruber 000634
(40909.05) X Plan
BASELINE COVERAGE
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
EX ANTE
-
2012
155.73
155.73
0
10.94
10.94
0
0
37.91
52.78
2013
155.73
155.73
0
10.94
10.94
0
0
38.33
54.31
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
-6.504
-6.504
0
34.696
2.107
4.016
28.572
20.928
-49.12
-5.433
-5.433
0
34.565
2.116
4.678
27.771
21.418
-50.549

Medicaid
141413
91666
99613
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
0
0
0
0
0
6547
0
0
74282
80829
7103
0
0
76417
83520
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
858160
1013169
0
1871328
5274
5283
10840
21397
4717
4978
11477
21171
151098
161962
Total Gap
Total 8 Year Gap
Medicaid
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
1571555
104070
10113
10936
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000635
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
Total Gap
Total 8 Year Gap
213421
0
0
213421
1490
0
0
1490
1414
0
0
1414
8623
9522
99106
HHS Gruber 000636
2014
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
2015
155.73
155.73
0
10.94
10.94
0
0
39.18
57.51
2016
155.73
155.73
0
10.94
10.94
0
0
39.61
59.18
2017
155.73
155.73
0
10.94
10.94
0
0
40.05
60.89
2018
155.73
155.73
0
10.94
10.94
0
0
40.49
62.66
2019
155.73
155.73
0
10.94
10.94
0
0
40.93
64.48
-4.471
-4.471
0
34.532
2.154
5.173
27.206
21.958
-52.019
-3.488
-3.488
0
34.566
2.129
5.753
26.684
22.453
-53.53
-2.524
-2.524
0
34.6
2.151
6.341
26.109
23.01
-55.086
-1.701
-1.701
0
34.809
2.203
6.929
25.676
23.573
-56.681
-0.779
-0.779
0
34.961
2.252
7.587
25.122
24.145
-58.327
-0.041
-0.041
0
35.275
2.289
8.225
24.761
24.774
-60.008
108350
117688
127932
139017
150996
164144
7671
0
0
79016
86687
8266
0
0
81934
90200
8927
0
0
85000
93926
9621
0
0
88050
97671
10405
0
0
90627
101031
11161
0
0
93784
104945
4229
4700
12148
21077
3657
4353
12878
20889
3039
3954
13650
20643
2554
3612
14522
20688
1867
3112
15428
20408
1246
2720
16424
20390
173961
187000
201215
216000
231620
248699
11869
12827
13915
15116
16402
17860
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000637
1357
0
0
1357
1287
0
0
1287
1209
0
0
1209
1141
0
0
1141
1058
0
0
1058
978
0
0
978
10513
11540
12706
13975
15345
16882
HHS Gruber 000638
(40909.06) Y Plan
BASELINE COVERAGE
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
EX ANTE
-
2012
155.73
155.73
0
10.94
10.94
0
0
37.91
52.78
2013
155.73
155.73
0
10.94
10.94
0
0
38.33
54.31
-11.311
-11.311
0
19.504
-2.938
1.646
20.796
12.927
-21.12
-10.323
-10.323
0
18.889
-2.971
1.953
19.907
13.217
-21.782
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured

Medicaid
141413
61434
66726
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
0
0
0
0
0
6304
0
0
72606
78910
6811
0
0
75011
81822
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
858160
1013169
0
1871328
10224
7876
10816
28917
9982
7731
11425
29137
111428
119411
104070
3924
4216
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Gap
Total 8 Year Gap
Medicaid
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
HHS Gruber 000639
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
Total Gap
Total 8 Year Gap
213421
0
0
213421
2134
0
0
2134
2098
0
0
2098
1789
2119
24803
HHS Gruber 000640
2014
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
2015
155.73
155.73
0
10.94
10.94
0
0
39.18
57.51
2016
155.73
155.73
0
10.94
10.94
0
0
39.61
59.18
2017
155.73
155.73
0
10.94
10.94
0
0
40.05
60.89
2018
155.73
155.73
0
10.94
10.94
0
0
40.49
62.66
2019
155.73
155.73
0
10.94
10.94
0
0
40.93
64.48
-9.457
-9.457
0
18.375
-3.007
2.137
19.245
13.511
-22.429
-8.627
-8.627
0
17.898
-3.041
2.334
18.606
13.832
-23.103
-7.866
-7.866
0
17.464
-3.053
2.471
18.046
14.164
-23.761
-7.076
-7.076
0
17.04
-3.054
2.619
17.475
14.478
-24.442
-6.306
-6.306
0
16.63
-3.09
2.762
16.958
14.829
-25.153
-5.677
-5.677
0
16.289
-3.105
3.037
16.357
15.207
-25.819
72478
78776
85571
92878
100885
109615
7360
0
0
77859
85218
7945
0
0
80950
88894
8557
0
0
84115
92673
9230
0
0
87216
96446
9995
0
0
90263
100258
10681
0
0
93309
103989
9889
7664
12103
29655
9760
7547
12815
30122
9683
7479
13614
30776
9563
7317
14480
31360
9448
7154
15395
31996
9312
7064
16364
32740
128041
137548
147468
157965
169146
180864
4530
4891
5284
5694
6158
6698
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1151872
HHS Gruber 000641
2096
0
0
2096
2072
0
0
2072
2073
0
0
2073
2047
0
0
2047
2043
0
0
2043
2031
0
0
2031
2434
2818
3211
3648
4115
4668
HHS Gruber 000642
(40909.09) High Base Year Subsidies

BASELINE COVERAGE
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
EX ANTE
-
2012
155.73
155.73
0
10.94
10.94
0
0
37.91
52.78
2013
155.73
155.73
0
10.94
10.94
0
0
38.33
54.31
-15.301
-15.301
0
43.204
3.551
1.266
38.387
21.309
-49.212
-14.09
-14.09
0
42.928
3.482
1.651
37.794
21.818
-50.656
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured

Medicaid
141413
92877
100926
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
0
0
0
0
0
5226
0
0
107988
113214
5676
0
0
112858
118534
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
858160
1013169
0
1871328
10709
9737
12094
32540
10468
9626
12781
32874
173551
186585
Total Gap
Total 8 Year Gap
Medicaid
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
1814715
104070
10518
11394
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000643
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
Total Gap
Total 8 Year Gap
213421
0
0
213421
2637
0
0
2637
2620
0
0
2620
7881
8774
92956
HHS Gruber 000644
2014
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
2015
155.73
155.73
0
10.94
10.94
0
0
39.18
57.51
2016
155.73
155.73
0
10.94
10.94
0
0
39.61
59.18
2017
155.73
155.73
0
10.94
10.94
0
0
40.05
60.89
2018
155.73
155.73
0
10.94
10.94
0
0
40.49
62.66
2019
155.73
155.73
0
10.94
10.94
0
0
40.93
64.48
-12.926
-12.926
0
42.712
3.38
1.935
37.396
22.357
-52.143
-11.791
-11.791
0
42.589
3.324
2.216
37.049
22.869
-53.667
-10.708
-10.708
0
42.527
3.316
2.597
36.614
23.413
-55.232
-9.583
-9.583
0
42.454
3.247
2.979
36.228
23.972
-56.843
-8.538
-8.538
0
42.469
3.215
3.523
35.73
24.565
-58.496
-7.547
-7.547
0
42.569
3.229
4.144
35.196
25.173
-60.195
109718
119014
129272
140336
152466
165663
6155
0
0
118114
124269
6718
0
0
123821
130539
7300
0
0
129634
136933
7932
0
0
135380
143312
8599
0
0
141073
149672
9259
0
0
147031
156290
10115
9511
13529
33155
9697
9381
14312
33390
9439
9244
15151
33834
8867
8947
16031
33845
8509
8704
16983
34195
8090
8404
17993
34487
200832
216163
232371
249803
267942
287466
12360
13324
14434
15663
16997
18474
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000645
2575
0
0
2575
2565
0
0
2565
2547
0
0
2547
2479
0
0
2479
2419
0
0
2419
2365
0
0
2365
9785
10759
11887
13183
14578
16108
HHS Gruber 000646
(40909.1) High Subsidy Growth

BASELINE COVERAGE
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
EX ANTE
-
2012
155.73
155.73
0
10.94
10.94
0
0
37.91
52.78
2013
155.73
155.73
0
10.94
10.94
0
0
38.33
54.31
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
-6.504
-6.504
0
34.696
2.107
4.016
28.572
20.928
-49.12
-6.361
-6.361
0
35.449
2.231
4.044
29.175
21.476
-50.565

Medicaid
141413
91666
99757
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
0
0
0
0
0
6547
0
0
74282
80829
6961
0
0
80850
87811
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
858160
1013169
0
1871328
5274
5283
10840
21397
5455
5523
11633
22611
151098
164957
Total Gap
Total 8 Year Gap
Medicaid
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
1681649
104070
10113
10995
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000647
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
Total Gap
Total 8 Year Gap
213421
0
0
213421
1490
0
0
1490
1560
0
0
1560
8623
9436
96673
HHS Gruber 000648
2014
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
2015
155.73
155.73
0
10.94
10.94
0
0
39.18
57.51
2016
155.73
155.73
0
10.94
10.94
0
0
39.61
59.18
2017
155.73
155.73
0
10.94
10.94
0
0
40.05
60.89
2018
155.73
155.73
0
10.94
10.94
0
0
40.49
62.66
2019
155.73
155.73
0
10.94
10.94
0
0
40.93
64.48
-6.262
-6.262
0
36.273
2.377
4.017
29.879
22.041
-52.052
-6.179
-6.179
0
37.125
2.513
4.014
30.598
22.636
-53.582
-6.126
-6.126
0
38.05
2.677
3.961
31.411
23.229
-55.154
-6.091
-6.091
0
39.011
2.877
3.958
32.175
23.85
-56.77
-5.999
-5.999
0
39.947
3.026
3.919
33.002
24.487
-58.435
-5.9
-5.9
0
40.883
3.166
3.834
33.883
25.166
-60.149
108565
118206
128594
139915
152174
165588
7382
0
0
88327
95709
7832
0
0
96577
104409
8301
0
0
105732
114033
8804
0
0
115413
124218
9344
0
0
126165
135509
9908
0
0
137751
147659
5692
5819
12497
24008
5922
6126
13424
25472
6215
6487
14448
27150
6571
6863
15528
28962
6842
7222
16667
30731
7152
7603
17906
32662
180265
197142
215478
235171
256952
280586
11962
13050
14205
15482
16896
18466
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
HHS Gruber 000649
1646
0
0
1646
1738
0
0
1738
1844
0
0
1844
1959
0
0
1959
2072
0
0
2072
2187
0
0
2187
10316
11312
12361
13523
14824
16279
HHS Gruber 000650
(40909.11) High Benefit Generosity

BASELINE COVERAGE
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured
EX ANTE
-
2012
155.73
155.73
0
10.94
10.94
0
0
37.91
52.78
2013
155.73
155.73
0
10.94
10.94
0
0
38.33
54.31
-9.097
-9.097
0
37.147
2.637
3.898
30.612
21.054
-49.104
-7.828
-7.828
0
36.814
2.562
4.474
29.778
21.553
-50.539
Group
Standard ESI
Firm Buy-In
Nongroup
Reformed Nongroup
Unsubsidized Pool
Subsidized Pool
Public
Uninsured

Medicaid
141413
92021
100000
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
0
0
0
0
0
6205
0
0
93357
99562
6752
0
0
95198
101950
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
858160
1013169
0
1871328
6752
6688
11293
24733
6261
6344
11929
24534
166850
177416
104070
10261
11099
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Gap
Total 8 Year Gap
Medicaid
Group Subsidies
Nongroup Subsidies
Pool Subsidies
Total Subsidies
HHS Gruber 000651
Income Tax Revenue

Payroll Tax Revenue
Pay or Play Revenue
Total Revenue
Total Gap
Total 8 Year Gap
213421
0
0
213421
1864
0
0
1864
1780
0
0
1780
8397
9318
97633
HHS Gruber 000652
2014
155.73
155.73
0
10.94
10.94
0
0
38.75
55.89
2015
155.73
155.73
0
10.94
10.94
0
0
39.18
57.51
2016
155.73
155.73
0
10.94
10.94
0
0
39.61
59.18
2017
155.73
155.73
0
10.94
10.94
0
0
40.05
60.89
2018
155.73
155.73
0
10.94
10.94
0
0
40.49
62.66
2019
155.73
155.73
0
10.94
10.94
0
0
40.93
64.48
-6.61
-6.61
0
36.565
2.451
5.043
29.071
22.057
-52.012
-5.512
-5.512
0
36.438
2.438
5.53
28.47
22.597
-53.524
-4.415
-4.415
0
36.371
2.46
6.157
27.753
23.122
-55.077
-3.351
-3.351
0
36.351
2.475
6.884
26.992
23.676
-56.676
-2.285
-2.285
0
36.358
2.456
7.493
26.409
24.252
-58.325
-1.5
-1.5
0
36.628
2.554
8.156
25.917
24.874
-60.003
108636
118088
128263
139336
151390
164519
7353
0
0
97886
105239
8022
0
0
101118
109140
8673
0
0
104139
112812
9332
0
0
107061
116394
10053
0
0
110325
120378
10799
0
0
113743
124541
5760
6049
12583
24392
5159
5713
13272
24144
4437
5308
14058
23803
3766
4865
14893
23525
2972
4354
15785
23111
2380
4006
16801
23187
189483
203083
217271
232205
248657
265874
11996
13006
14060
15255
16563
18034
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1700839
HHS Gruber 000653
1718
0
0
1718
1638
0
0
1638
1543
0
0
1543
1459
0
0
1459
1349
0
0
1349
1289
0
0
1289
10278
11368
12517
13796
15214
16745
HHS Gruber 000654
Page 655 redacted for the following reason:

--------------------Out-of-Scope of request - Jon Gruber isn't a party in the VT proposal.
From:
Sent:
To:
Cc:
Subject:
Attachments:

Tuesday, April 14, 2009 10:53 AM
'Jon Gruber'; Hall, Amy (CMS/OL)
Shatto, John D. (CMS/OACT); Lambrew, Jeanne (HHS/IOS); Klemm, John D.
(CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S. (CMS/OACT); 'Jon
Gruber'
RE: initial round of data
2008 Public Enrollment and Eligibility 4-14-09.xls
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Here is Jon Grubers eligibility information as detailed at the end of his email below.
Meena

To: Hall, Amy (CMS/OL)
Cc: Shatto, John D. (CMS/OACT); Lambrew, Jeanne (HHS/IOS); Seshamani, Meena (HHS/IOS); Klemm, John D.
(CMS/OACT); Truffer, Christopher J. (CMS/OACT); Foster, Richard S. (CMS/OACT); Jon Gruber
Subject: initial round of data
Nice to talk to you all today. I am very excited to have your insights in improving my modeling of Medicaid
expansions.
(b)(5)
HHS Gruber 000656
(b)(5)
(b)(5)
thanks
Jon Gruber

Sent: Mon Apr 13 16:46:02 2009
(b)(5)
Jon
Amy,
as well.
John
HHS Gruber 000657

(CMS/OACT)
Importance: High
Hi guys,
(b)(5)
(b)(5)
Amy
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000658
From:
Sent:
To:
Cc:
Subject:

Klemm, John D. (CMS/OACT); Shatto, John D. (CMS/OACT); Seshamani, Meena
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
Chris -
(b)(5)
thanks
Jon
Jon,
(b)(5)
Chris
Actuary
(410) 786-1264

(HHS/IOS)
John, John & Christopher 1
HHS Gruber 000659
thanks again for your help last week. I was wondering if I could follow up with two questions:
(b)(5)
thanks
Jon
Jon
--John
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000660
(b)(5)
Thanks Rick
Meena
HHS Gruber 000662
From:
Sent:
To:
Cc:
Subject:

Wednesday, May 06, 2009 1:57 PM
Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS); 'Jon Gruber'
Foster, Richard S. (CMS/OACT); Blum, Jonathan D. (CMS/OA); Truffer, Christopher J.
(CMS/OACT)
RE: Medicaid expansion estimates
Follow Up Flag:
Flag Status:
Follow up
Flagged
Meena,
Theanswerstoyourfollowupquestionsarebelow.Thesearebasedonourcurrentestimateswhichwerecontrolledto
the2008NHEprojections.Alloftheestimatesarefor2010.
John

To: Foster, Richard S. (CMS/OACT)
Cc: Blum, Jonathan D. (CMS/OA); Lambrew, Jeanne (HHS/IOS)
Subject: Medicaid expansion estimates
Hi Rick,
Jon forwarded the estimates that your team put together on what Medicaid expansion to < 100% FPL at 100% FMAP
would cost. We would like to ask a few questions to learn more about the assumptions and the model:
(b)(5)
HHS Gruber 000663
(b)(5)
Thanks Rick
Meena
HHS Gruber 000664

---------------------------b5
From:
Sent:
To:
Cc:
Subject:

Tuesday, April 21, 2009 10:06 PM
Klemm, John D. (CMS/OACT); Blum, Jonathan D. (CMS/OA); Truffer, Christopher J.
(CMS/OACT); Shatto, John D. (CMS/OACT); Lambrew, Jeanne (HHS/IOS)
Re: questions for CMS actuaries
Follow Up Flag:
Flag Status:
Follow up
Flagged
Categories:
Reform
that's right. thanks meena

Hi everyone,
In doing our analyses, Jon Gruber had a few follow up questions for the CMS actuaries to improve his model which are of
high priority as we are presenting these models to principals Thursday. Here are the questions:
1.
2.
3.
(b)(5)
Jon Gruber, if I have gotten something wrong here, please holler.

We all really appreciate your help as we push these models forward.
Meena
(HHS/IOS)
(b)(5)
1
HHS Gruber 000667
thanks
Jon
Jon
--John
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000668

----------------------------
Mac-based attendees
Required: Mac OS X 10.6 or newer
Mobile attendees
Required: iPhone, iPad, Android phone or Android tablet
HHS Gruber 000673
From:
Sent:
To:
Cc:
Subject:

Thursday, May 07, 2009 2:23 PM
Shatto, John D. (CMS/OACT); Lambrew, Jeanne (HHS/IOS); Foster, Richard S.
(CMS/OACT); Blum, Jonathan D. (CMS/OA); Truffer, Christopher J. (CMS/OACT)
Re: Medicaid expansion estimates
Follow Up Flag:
Flag Status:
Follow up
Flagged
This is very helpful. A few reactions/questions:

1) What is the reference year for these population/cost estimates?
2) In response (3), what do you mean by "medicaid as a second payer"?
3) For my calibration purposes, it would be really helpful if CMS could put together the following for me: total
expenditures by type of beneficiary (kid, non-disabled adult, adult), and ideally additionally cut by income
group (below vs. above poverty). Is that possible?
thanks
Jon Gruber
Thanks John, Rick and Chris (and it was nice to finally meet you yesterday as well).
(b)(5)
Thanks,
Meena
From: Shatto, John D. (CMS/OACT)

Sent: Wednesday, May 06, 2009 1:57 PM
To: Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS); 'Jon Gruber'
Cc: Foster, Richard S. (CMS/OACT); Blum, Jonathan D. (CMS/OA); Truffer, Christopher J. (CMS/OACT)
Subject: RE: Medicaid expansion estimates
Meena,
Theanswerstoyourfollowupquestionsarebelow.Thesearebasedonourcurrentestimateswhichwerecontrolledto
the2008NHEprojections.Alloftheestimatesarefor2010.
John

1
HHS Gruber 000674

Hi Rick,
Jon forwarded the estimates that your team put together on what Medicaid expansion to < 100% FPL at 100% FMAP
would cost. We would like to ask a few questions to learn more about the assumptions and the model:
(b)(5)
Thanks Rick
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
2
HHS Gruber 000675
HHS Gruber 000676

----------------------------
From:
To:
Cc:
Jon Gruber
Shatto, John D. (CMS/OACT); Lambrew, Jeanne (HHS/IOS); Foster, Richard S. (CMS/OACT); Blum, Jonathan D.
(CMS/OA); Truffer, Christopher J. (CMS/OACT)
Re: Medicaid expansion estimates
Thursday, May 07, 2009 2:23:51 PM
Subject:
Date:
This is very helpful. A few reactions/questions:

1) What is the reference year for these population/cost estimates?
2) In response (3), what do you mean by "medicaid as a second payer"?
3) For my calibration purposes, it would be really helpful if CMS could put together
the following for me: total expenditures by type of beneficiary (kid, non-disabled
adult, adult), and ideally additionally cut by income group (below vs. above
poverty). Is that possible?
thanks
Jon Gruber
Thanks John, Rick and Chris (and it was nice to finally meet you yesterday as well).
(b)(5)
Thanks,
Meena
From: Shatto, John D. (CMS/OACT)

To: Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS); 'Jon Gruber'
Cc: Foster, Richard S. (CMS/OACT); Blum, Jonathan D. (CMS/OA); Truffer, Christopher J.
(CMS/OACT)
Subject: RE: Medicaid expansion estimates
Meena,
The answers to your follow-up questions are below. These are based on our current
estimates which were controlled to the 2008 NHE projections. All of the estimates are
for 2010.
John

HHS Gruber 000689

Hi Rick,
(b)(5)
HHS Gruber 000690
(b)(5)
Thanks Rick
Meena
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000691

---------------------------B5
Out-of-scope VT Health Reform powerpoint slides
From:
To:
Cc:
Subject:
Date:

Seshamani, Meena (HHS/IOS); Lambrew, Jeanne (HHS/IOS); "Jon Gruber"
Foster, Richard S. (CMS/OACT); Blum, Jonathan D. (CMS/OA); Truffer, Christopher J. (CMS/OACT)
RE: Medicaid expansion estimates
Wednesday, May 06, 2009 1:56:43 PM
Meena,
The answers to your follow-up questions are below. These are based on our current estimates
which were controlled to the 2008 NHE projections. All of the estimates are for 2010.
John

Hi Rick,
Jon forwarded the estimates that your team put together on what Medicaid expansion to < 100% FPL
at 100% FMAP would cost. We would like to ask a few questions to learn more about the
assumptions and the model:
(b)(5)
HHS Gruber 000853
(b)(5)
Thanks Rick
Meena
HHS Gruber 000854

----------------------------
Kramer, Jennifer (PSC/AOP/FOIA)

From:
Sent:
To:
Subject:
donotreply@hcas.gov
Thursday, March 26, 2009 5:54 AM
Druk, Clint (PSC/SAS/DAM)
For your reference: Award: HHSP233200900181P
Award:HHSP233200900181PhasbeenapprovedbyPRISM.
Description:HP09002(TechnicalAssistanceforEvaluationOptionsforNationalHealthcareReform)
Owner:CLINTDRUK
Requisitioner:MARIANLROBINSON
Buyer:CLINTDRUK
ContractingOfficer:CLINTDRUK
Site:PSCDAM
OriginatingOffice:HHS
IssuingOffice:DAM
AdminOffice:DAM
HHS Gruber 000859

From:
Sent:
To:
Subject:

Friday, June 12, 2009 2:56 PM
Wilhere, John (PSC/FMS/DFO/GA/CP ); Druk, Clint (PSC/SAS/AMD/Acq/T6); Higgs,
Tawana (PSC/PSC\FMS\DFO)
RE: invoice for Purchase Order HHSP23320090018P
Thankyouverymuch.
OriginalMessage
From:Wilhere,John(PSC/FMS/DFO/GA/CP)
Sent:Friday,June12,20092:55PM
To:Druk,Clint(PSC/SAS/AMD/Acq/T6);Cox,DonaldR(HHS/ASPE);Higgs,Tawana(PSC/PSC\FMS\DFO)
Cc:Wilhere,John(PSC/FMS/DFO/GA/CP)
Subject:RE:invoiceforPurchaseOrderHHSP23320090018P
Thisiscurrently"validatedandinitiated"inUFMS,vendorshouldreceivefundsviaACH/electronicfundstransferin
aboutthreebusinessdays.
OriginalMessage
From:Druk,Clint(PSC/SAS/AMD/Acq/T6)
Sent:Friday,June12,200910:11AM
To:Cox,DonaldR(HHS/ASPE);Wilhere,John(PSC/FMS/DFO/GA/CP);Higgs,Tawana(PSC/PSC\FMS\DFO)
John,
Canyouletmeknowwhenthisispaidoriftherearefurtherproblemsplease?Thanksforactingonthisquicklyaswell
andIapologizefortheconfusionIcreated.
Regards,
ClintDruk
ContractingOfficer
U.S.DepartmentofHealthandHumanServicesPSC/SAS/DivisionofAcquisitionManagement
(P)3014430403
(F)3014438488
Inanefforttoevaluatecustomerservice,thestaffofPSCwouldappreciateyourtakingafewmomentstocompleteour
CustomerCommentCardbyclickingonthelinkbelow.Yourtimeandeffortinprovidingthisvaluablefeedback
pertainingtoproductsandservicesyoureceivedisgreatlyappreciated.
HHS Gruber 000860

OriginalMessage
From:Cox,DonaldR(HHS/ASPE)
To:Wilhere,John(PSC/FMS/DFO/GA/CP);Druk,Clint(PSC/SAS/AMD/Acq/T6);Higgs,Tawana(PSC/PSC\FMS\DFO)
Hi
Ijustapprovedpaymentofthefull$95KinUFMS.Thereceipt#is24056.Thanksforhelpingmeoutwiththis.
Don
OriginalMessage
From:Wilhere,John(PSC/FMS/DFO/GA/CP)
To:Druk,Clint(PSC/SAS/AMD/Acq/T6);Cox,DonaldR(HHS/ASPE);Higgs,Tawana(PSC/PSC\FMS\DFO)
Cc:Wilhere,John(PSC/FMS/DFO/GA/CP)
ThisislistedinUFMSasP330900181P.
Weneedreceivingaddedfor$95,000.00andpaymentcanproceed.
OriginalMessage
To:Cox,DonaldR(HHS/ASPE);Wilhere,John(PSC/FMS/DFO/GA/CP);Higgs,Tawana(PSC/PSC\FMS\DFO)
Thepurchaseordernumberinthesubjecthadatypo.ThefullnumberisHHSp233200900181P.Pleaseconfirmthatis
inUFMSb/cifitisn'tthereisanHCASproblem.
ClintDruk
ContractingOfficer
(P)3014430403
(F)3014438488
OriginalMessage
2
HHS Gruber 000861
(P)3014430403
(F)3014438488
OriginalMessage
From:JonGruber[mailto:gruberj@economics.mit.edu]
Sent:Thursday,May28,20099:05PM
To:Cox,DonaldR(HHS/ASPE);Druk,Clint(PSC/SAS/AMD/Acq/T6);PSCPSC_Invoices
Subject:invoiceforPurchaseOrderHHSP23320090018P
Theinvoiceisattached.IwillalsoputahardcopyinthemailtoClint.thanks.
JonGruber
JonathanGruber
ProfessorofEconomics
MITDepartmentofEconomics
50MemorialDrive,E52355
Cambridge,MA02142
phone:6172538892
fax:6172531330
email:gruberj@mit.edu
web:http://econwww.mit.edu/faculty/gruberj/
HHS Gruber 000863

From:
Sent:
To:
Cc:
Subject:

Sunday, Marie (PSC/SAS)
RE: JOFOC Template
Thanks Clint - I appreciate your assistance.
From: Druk, Clint (PSC/SAS/DAM)

To: Cox, Donald R (HHS/ASPE)
Cc: Sunday, Marie (PSC/SAS)
Subject: JOFOC Template
Don,
Attached is the JOFOC template I mentioned.
Marie, I think Don spoke with you about this briefly (b)
(5)
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
In an effort to evaluate customer service, the staff of PSC would appreciate your taking a few moments to complete our Customer
Comment Card by clicking on the link below. Your time and effort in providing this valuable feedback pertaining to products and
services you received is greatly appreciated.
HHS Gruber 000864

From:
Sent:
To:
Subject:

Wednesday, August 12, 2009 12:17 PM
Druk, Clint (PSC/SAS/AMD/Acq/T6)
Re: Mod 1 HHSP23320094301EC (requisition OS14127)
ok, thanks Clint! have a good rest of the summer

Druk, Clint (PSC/SAS/AMD/Acq/T6) wrote:
Please find attached the subject modification. There was an internal HHS need to change the CAN (cost accounting
number). Thus, this administrative modification was executed to change the CAN. All funds from the old, inaccurate CAN
have been deobligated as a result of this modification.
Dr. Gruber You are provided a copy of the modification simply because you are a party to the contract. The change has
no impact on you and is administrative. If you have questions please call me.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
<Http://www.psc.gov/survey/Customer1/customer 1.htm>
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000865

From:
Sent:
To:
Subject:

Thursday, June 04, 2009 12:54 PM
Re: next contract
super, thanks Clint

You will receive it and can do with it as you see fit. Although, I'd
strongly encourage you to submit a proposal in response to the
solicitation and I have virtually no doubt that you will. The proposal
will then be evaluated, any discussions that need to be held will, any
proposal revisions that may be needed will be made, and then we'll
finalize things and sign the contract basically.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
In an effort to evaluate customer service, the staff of PSC would

appreciate your taking a few moments to complete our Customer Comment
Card by clicking on the link below. Your time and effort in providing
this valuable feedback pertaining to products and services you received
is greatly appreciated.

Sent: Thursday, June 04, 2009 12:44 PM
To: Druk, Clint (PSC/SAS/AMD/Acq/T6)
Subject: Re: next contract
ok, thanks.
What happens once it is issued?
thanks
Jon
I'm waiting for the synopsis to close then I have to put together the
solicitation and issue it. Given current workload, I don't know when
that will be ready to issue.
HHS Gruber 000866
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

this valuable feedback pertaining to products and services you
received

Sent: Thursday, June 04, 2009 11:29 AM
Subject: next contract
Clint How is the timing looking on the next contract?
thanks
Jon Gruber
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000867
(F) 301-443-8488
From: Cox, Donald R (HHS/ASPE)

Sent: Tuesday, March 24, 2009 2:59 PM
To: Druk, Clint (PSC/SAS/DAM)
Subject: RE: one last question
not yet -- I'm working on it. Don't I have until 4/15?

Subject: one last question
Are you FAC-COTR certified yet? If so, can I get a copy?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 000869

From:
Sent:
To:
Subject:
Pickett, Valerie
Monday, May 18, 2009 9:09 AM
RE: OS4809
Done.
Valerie C. Pickett
Chief, Acquisition Branch
Division of Acquisition Management, SAS/PSC
Parklawn Building, Room 5-101
5600 Fishers Lane
Rockville, Maryland 20857
Voice: 301-443-8348
Fax: 301-443-3849
Sent: Monday, May 18, 2009 8:23 AM
To: Pickett, Valerie
Subject: OS4809
Valerie,
The subject requisition should be assigned to me. It is for a requirement that Marie and I have been working with ASPE
and is related to another contract we awarded for ASPE (similar work and same intended source but new requirement).
Can you assign it to me?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 000870

From:
Sent:
To:
Subject:

Re: Potential new contract
got it. thanks Clint!

Jon Gruber
Jon,
I would refer you to page 5, section 9 INVOICE SUBMISSION, of your contract for invoicing information. For the final
report, and the contract should have been clear on this but wasnt and that is my fault, please submit the final report to
Don Cox as the COTR is delegated the authority to review and approve deliverables under the contract.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: Potential new contract
Clint I am preparing my final report and invoice for my first contract - to whom should I address/send the
invoice? I'll send the report to Don Cox.
thanks
Jon Gruber
Druk, Clint (PSC/SAS/DAM) wrote:
Dr. Gruber,
HHS Gruber 000871
The acquisition for additional services, which are similar to the services you are currently providing HHS, is being worked
on. I anticipate having an announcement on www.fbo.gov in the near future (e.g. under a week) but posting is contingent
on a few things that Im waiting on. That posting must, by regulation, be posted for 15 days before I can issue a
solicitation. Once a solicitation is available proposals will be accepted. I will make sure that you are provided a copy of
the solicitation when it is available and ready to release.
Please direct all questions regarding the requirement to me from this point forward.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000872

From:
Sent:
To:
Subject:
Attachments:

Friday, February 20, 2009 6:42 PM
FW: ASPE Contract Request
Gruber GCE-II.XLSX; HP-09-002-II.WPD; Gruber JFOC.doc; Gruber SOW Final.doc
Here is the preliminary information on the award for Dr. Gruber. He is a Ph.D.
Marie
From: Scanlon, Jim (HHS/ASPE)

Sent: Wednesday, February 18, 2009 2:18 PM
To: Sunday, Marie (PSC/SAS)
Cc: Scanlon, Jim (HHS/ASPE)
Subject: ASPE Contract Request
Hi Marie Here is the material for the contract I mentioned to you this morning. The new HHS Health Reform Office has
asked for our assistance with this requirement and it is on an urgent timeline. I appreciate your handling it expeditiously.
Thanks.
Jim Scanlon
Deputy Assistant Secretary for Planning
and Evaluation (Science and Data Policy)
Office of the Assistant Secretary for Planning and Evaluation, HHS
Room 442E, Humphrey Building
Phone (202) 690-5874
HHS Gruber 000873
Statement of Work
Professional Services Contract
Technical Assistance for Evaluating Options for National
Healthcare Reform
(REMIS # HP-09-002)
Project Officer:
Donald.F. Cox
Senior Health Economist
Office of the Assistant Secretary for Planning and Evaluation
Room 447D.7
Washington DC 20201
Tel: 202.690.6597
Fax: 202.401.7321
Email: donald.cox@hhs.gov
Contractor:
Jonathan Gruber
Associate Head
Cambridge MA 02142-1347
Tel: 617.253.8892
Fax: 617.253.1330
Email: gruberj@mit.edu
Period of Performance: 12 months from date of award.

Background
One of the most important policy initiatives of President Obama is increasing access to
affordable health insurance for all Americans. In general this will be accomplished by
building on the existing health care system, using existing health care providers and
health insurance plans, and establishing an insurance exchange and a public plan
option. In order to expand coverage, some of the initiatives that the Presidents plan calls
for include expanding eligibility for Medicaid and SCHIP, creating a tax credit to small
businesses to provide health insurance, expanding community health centers, requiring
larger employers that do not offer coverage to make a meaningful contribution to the cost
of coverage, and mandating that all children be covered.
The purpose of this contract is to produce a series of technical memoranda on the
estimated changes in health insurance coverage and associated costs and impacts to the
government under alternative specifications of health system reform. The alternative
HHS Gruber 000874
specifications to be considered will be derived from the Presidents health reform

proposal.
Statement of Work
Task 1
Consult with Senior Officials in the HHS Office of Health Reform and the
The contractor shall consult with senior officials in the HHS Office of Health Reform and
the Office of the Assistant Secretary for Planning and Evaluation (ASPE) to develop
detailed specifications of alternative proposals to increase health insurance coverage.
These alternatives may vary in terms of the value of a tax subsidy, the change in
eligibility for public insurance coverage, the specification of a health insurance benefits
package, or other elements that might affect the decision to obtain health insurance
coverage. These consultations shall be on-going throughout the course of the project. It
is anticipated that these discussions will be done via telephone and not necessitate the
contractor to incur any travel expenses.
Task 2
Develop Estimates of the Impacts of Various Health Reform Proposals on

Health Insurance Coverage and Cost.
Based on the specifications developed in Task 1, the contractor shall develop estimates of
the change in the number of individuals with health insurance coverage (i.e., changes in
total coverage and the newly insured) and the costs to the government and the private
sector associated with these estimated changes in coverage. These estimates shall be
accomplished utilizing a simulation model that the contractor has already developed for
the purpose of developing such estimates. The results of these simulations shall be
presented to the HHS Office of Health Reform, ASPE and the Office of Management and
Budget, and subsequent refinements made on an as needed basis.
Task 3
Technical Memoranda
The contractor shall prepare and submit four technical memoranda that fully describe the
proposal impact estimates as well as indicating the strengths and limitations of this
analysis. Each memorandum shall cover the analyses performed over the proceeding
three months of the project.
List of Deliverables:
Task 3
Technical Memorandum #1
Quantity required
5
5
5
5
Due date
3 months ADA*
6 months ADA
9 months ADA
12 months ADA
HHS Gruber 000875
* ADA = after date of award.
HHS Gruber 000876
INDEPENDENT COST ESTIMATE

Technical Assistance for Evaluating Options for Health Care Reform
REMIS: HP-09-02
1. DIRECT LABOR
Labor Category
Labor Hours
Rate ($s)
Principal Investigator
Research Assistant
total
Research Assistant
total
Total Labor Costs
Task 1
Task 2
Task 3
(mtgs)
(simulations)
(report)
Total
(b) (6)
(b) (6)
(b) (6)
2. OTHER DIRECT COSTS

A. ADP Services
$0.00
B. Postage, FedEX, etc
$0.00
C. Travel
$0.00
D. Data Acquisition
$0.00
Subtotal
$0.00
Subtotal Multiplier (@ 35%)
$0.00
Total ODC
$0.00
3. TOTAL COSTS
(b) (6)
HHS Gruber 000877
Justification for Other than Full and Open Competition

Technical Assistance for Evaluating Options for National
Healthcare Reform
(REMIS # HP-09-002)
1.
Requesting Agency: Office of the Assistant Secretary for Planning and Evaluation
(ASPE)
2.
Action Requested: ASPE is submitting a Form 393, Purchase/Service Stock Requisition,

a Statement of Work and a cost estimate to the Program Support Center (PSC) for a
professional services contract to obtain expert assistance in analyzing the impacts of
alternative health reform proposals. We request that a professional services contract be
implemented as a sole-source award to Jonathan Gruber, of Cambridge MA.
3.
Description: This contract will provide the government with technical assistance in
examining the impacts of alternative health policy reforms on insurance coverage and
costs to the government. This analysis will be done in close consultation with senior
officials within the HHS Office of Health Reform and the Office of the Assistant
Secretary for Planning and Evaluation. The results of these analyses will be fully
described in a technical memorandum that shall be produced at the end of the project.
4.
The statement of work requires the contractor to: (1) consult with senior officials in the
HHS Office of Health Reform and ASPE; (2) develop estimates of the impacts of various
health reform proposals on health insurance coverage and cost; and (3) prepare project
technical memoranda that fully describe the proposal impact estimates as well as
indicating the strengths and limitations of this analysis.
5.
Authority: This procurement is authorized by Section 1110 of the Social Security Act
(42 U.S.C. 1310) and awards will be made from funds appropriated under Public Law
No. 110-161.
6.
Justification: Jonathan Gruber, Ph.D. is in a unique position to provide this analytic work
to the government with over 15 years of experience in matters concerning health care and
health policy. He is a recognized expert in health policy and health economics. In
particular, Dr. Gruber has published widely in the peer-reviewed academic and health
policy literature on the effects of changes in health benefit designs on the cost of and
enrollment in health insurance. In order to estimate these impacts, Dr. Gruber has
developed a proprietary statistically sophisticated micro-simulation model that has the
flexibility to ascertain the distribution of changes health care spending and public and
private sector health care costs due to a large variety of changes in health insurance
benefit design, public program eligibility criteria, and tax policy. This model has been
used by Dr. Gruber in the past in assessing changes in tax policy for employer-sponsored
insurance, public program expansions, and other health reform proposals. While other
contractors may have similar skill sets, Dr. Gruber, due to his on-going advisory role to
HHS Gruber 000878
the HHS Office of Health Reform, is the most resource effective, cost and time effective,
alternative to the government.
Finally, one of the most important agenda items for President Obama is increasing access
to affordable health insurance for all Americans. As such, it is imperative that specific
well-developed legislative proposals be put forth for Congressional consideration as
rapidly as possible. The Office of Health Reform was established shortly after the
Presidents inauguration for the purpose of fulfilling this objective. The technical
assistance to this office that will be provided by Dr. Gruber will greatly facilitate their
efforts to develop these proposals in the urgent time frame envisioned.
7.
Recommendation: It is recommended that an "Other than Full and Open Competition"

process be used to accomplish this review and assessment of current Medicare program
anti-fraud activities and that a sole-source personal services contract be awarded to
Jonathan Gruber to accomplish this.
Recommended:
Date:
________________________________________
Dara Corrigan, Associate Deputy Assistant
Secretary for Health Policy
______________
Approved:
Date:
________________________________________
______________
HHS Gruber 000879
Clint thanks for turning this around so quickly. I looked at it after Friday at 5 and was able to craft a response this
weekend. Can you please remind me of what else I need to do besides emailng this to you?
thanks
Jon Gruber
Dr. Gruber,
Please find attached the subject solicitation.

gruberj@economics.mit.edu
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000881

From:
Sent:
To:
Cc:
Subject:

Re: Proposed Contract to Provide Technical Assistance for Evaluating Options for
National Healthcare Reform
thanks, Clint has been very helpful.

Jon Gruber
Sunday, Marie (PSC/SAS) wrote:
Dr. Gruber,
Im sorry not to have responded before (b) (6)
Ive spoken with Clint
Druk and he is actively trying to get a response from the CCR HelpDesk so he can assist you in registering.
Marie L. Sunday, Contracting Officer

(301)443-7081; FAX: (301)443-8488 or (301)443-2761

Sent: Monday, February 23, 2009 4:42 PM
Subject: Re: Proposed Contract to Provide Technical Assistance for Evaluating Options for National Healthcare Reform
I'm trying to get this done but there is a holdup with CCR. Aparently I am already registered there and have a
"TPIN" number, but they won't seem to send it to me. is there anyone there you can talk to? I ahve my DUNS
number, it is just this CCR step that is the hold up.
thanks
Jon Gruber
Dr. Gruber,
The Office of the Assistant Secretary for Planning and Evaluation, HHS has notified me of their intent to contract with your
to provide technical assistance for evaluating options for National Healthcare Reform. This requirement will be assigned
to Clint Druk, Contracting Officer. It is anticipated that the award will be made directly to you. All contractors doing
business with the Government must register in the Centeral Contractor Registry, therefore it is necessary that you obtain
a DUNS number and register in the Central Contractor Registry. We will also need your tax identification number or social
security number for the award.
Below is the FAR clause 52.204-7 which further explains how to obtain a DUNS number and how to register in the CCR.
Central Contractor Registration (Apr 2008)

1
HHS Gruber 000882
(a) Definitions. As used in this clause

Central Contractor Registration (CCR) database means the primary Government repository for Contractor
information required for the conduct of business with the Government.
Data Universal Numbering System (DUNS) number means the 9-digit number assigned by Dun and
Bradstreet, Inc. (D&B) to identify unique business entities.
Data Universal Numbering System+4 (DUNS+4) number means the DUNS number means the number
assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation
with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to
establish additional CCR records for identifying alternative Electronic Funds Transfer (EFT) accounts (see the
FAR at Subpart 32.11) for the same concern.
Registered in the CCR database means that
(1) The Contractor has entered all mandatory information, including the DUNS number or the DUNS+4
number, into the CCR database; and
(2) The Government has validated all mandatory data fields, to include validation of the Taxpayer Identification
Number (TIN) with the Internal Revenue Service (IRS), and has marked the record Active. The Contractor
will be required to provide consent for TIN validation to the Government as a part of the CCR registration
process.
(b)
(1) By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be
registered in the CCR database prior to award, during performance, and through final payment of any contract,
basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.
(2) The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation
DUNS or DUNS+4 followed by the DUNS or DUNS+4 number that identifies the offerors name and
address exactly as stated in the offer. The DUNS number will be used by the Contracting Officer to verify that
the offeror is registered in the CCR database.
(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.
(1) An offeror may obtain a DUNS number
(i) Via the internet at http://fedgov.dnb.com/webform or if the offeror does not have
internet access, it may call Dun and Bradstreet at 1-866-705-5711 if located within the
United States; or
(ii) If located outside the United States, by contacting the local Dun and Bradstreet office.
The offeror should indicate that it is an offeror for a U.S. Government contract when
contacting the local Dun and Bradstreet office.
(2) The offeror should be prepared to provide the following information:
(i) Company legal business name.
2
HHS Gruber 000883
(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.
(iii) Company physical street address, city, state and Zip Code.
(iv) Company mailing address, city, state and Zip Code (if separate from physical).
(v) Company telephone number.
(vi) Date the company was started.
(vii) Number of employees at your location.
(viii) Chief executive officer/key manager.
(ix) Line of business (industry).
(x) Company Headquarters name and address (reporting relationship within your entity).
(d) If the Offeror does not become registered in the CCR database in the time prescribed by the Contracting
Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.
(e) Processing time, which normally takes 48 hours, should be taken into consideration when registering.
Offerors who are not registered should consider applying for registration immediately upon receipt of this
solicitation.
(f) The Contractor is responsible for the accuracy and completeness of the data within the CCR database, and
for any liability resulting from the Governments reliance on inaccurate or incomplete data. To remain
registered in the CCR database after the initial registration, the Contractor is required to review and update on
an annual basis from the date of initial registration or subsequent updates its information in the CCR database to
ensure it is current, accurate and complete. Updating information in the CCR does not alter the terms and
conditions of this contract and is not a substitute for a properly executed contractual document.
(g)
(1)
(i) If a Contractor has legally changed its business name, doing business as name, or division name
(whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not
completed the necessary requirements regarding novation and change-of-name agreements in Subpart 42.12, the
Contractor shall provide the responsible Contracting Officer a minimum of one business days written
notification of its intention to:
(A) Change the name in the CCR database;
(B) Comply with the requirements of Subpart 42.12 of the FAR;
(C) Agree in writing to the timeline and procedures specified by the responsible Contracting Officer. The
Contractor must provide with the notification sufficient documentation to support the legally changed name.
(ii) If the Contractor fails to comply with the requirements of paragraph (g)(1)(i) of this clause, or fails to
perform the agreement at paragraph (g)(1)(i)(C) of this clause, and, in the absence of a properly executed
3
HHS Gruber 000884
novation or change-of-name agreement, the CCR information that shows the Contractor to be other than the
Contractor indicated in the contract will be considered to be incorrect information within the meaning of the
Suspension of Payment paragraph of the electronic funds transfer (EFT) clause of this contract.
(2) The Contractor shall not change the name or address for EFT payments or manual payments, as appropriate,
in the CCR record to reflect an assignee for the purpose of assignment of claims (see FAR Subpart 32.8,
Assignment of Claims). Assignees shall be separately registered in the CCR database. Information provided to
the Contractors CCR record that indicates payments, including those made by EFT, to an ultimate recipient
other than that Contractor will be considered to be incorrect information within the meaning of the Suspension
of payment paragraph of the EFT clause of this contract.
(h) Offerors and Contractors may obtain information on registration and annual confirmation requirements via
the Internet at http://www.ccr.gov or by calling 1-888-227-2423, or 269-961-5757.
Sincerely,
(301)443-7081; FAX: (301)443-8488 or (301)443-2761
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000885

From:
Sent:
To:
Subject:

Wednesday, February 25, 2009 10:02 AM
Clint sorry I missed you - please call back at 781-862-0112 before 10:30 if possible - thanks!
2
Jon
Dr. Gruber,
I left you a voice message and wanted to follow up with an email as your message indicated email as the best way to
reach you. Ive attached a draft statement of work for the proposed contract. I will need to post HHS intention to solicit
on a sole source basis on www.fbo.gov for 15 days as required by federal regulation. Until that 15 day period passes, I
cannot officially issue a solicitation.
When I can issue a solicitation I will send it to your email address unless you would rather receive it via fax or regular
mail. The solicitation will essentially be the attached statement of work, some basic instructions for submitting a quote,
and the government clauses and provisions.
Could you please give me a call at your convenience to go over a few things? I think it could help to make this process
more efficient.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
1
HHS Gruber 000886
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000887

From:
Sent:
To:
Cc:
Subject:

Tuesday, March 17, 2009 9:09 AM
Marie, Clint I am still stuck on the CCR front. I did everything I should do but my CCR registration remains "pending". I
have called multiple times but it is impossible to get through. Is there any other way you both might help me
with this?
thanks
jon Gruber
Dr. Gruber,
Im sorry not to have responded before, (b) (6)
Ive spoken with Clint
Druk and he is actively trying to get a response from the CCR HelpDesk so he can assist you in registering.

(301)443-7081; FAX: (301)443-8488 or (301)443-2761

Subject: Re: Proposed Contract to Provide Technical Assistance for Evaluating Options for National Healthcare Reform
I'm trying to get this done but there is a holdup with CCR. Aparently I am already registered there and have a
"TPIN" number, but they won't seem to send it to me. is there anyone there you can talk to? I ahve my DUNS
number, it is just this CCR step that is the hold up.
thanks
Jon Gruber
Dr. Gruber,
The Office of the Assistant Secretary for Planning and Evaluation, HHS has notified me of their intent to contract with your
to provide technical assistance for evaluating options for National Healthcare Reform. This requirement will be assigned
to Clint Druk, Contracting Officer. It is anticipated that the award will be made directly to you. All contractors doing
business with the Government must register in the Centeral Contractor Registry, therefore it is necessary that you obtain
a DUNS number and register in the Central Contractor Registry. We will also need your tax identification number or social
security number for the award.
1
HHS Gruber 000888
Below is the FAR clause 52.204-7 which further explains how to obtain a DUNS number and how to register in the CCR.
Central Contractor Registration (Apr 2008)

(a) Definitions. As used in this clause
Central Contractor Registration (CCR) database means the primary Government repository for Contractor
information required for the conduct of business with the Government.
Data Universal Numbering System (DUNS) number means the 9-digit number assigned by Dun and
Bradstreet, Inc. (D&B) to identify unique business entities.
Data Universal Numbering System+4 (DUNS+4) number means the DUNS number means the number
assigned by D&B plus a 4-character suffix that may be assigned by a business concern. (D&B has no affiliation
with this 4-character suffix.) This 4-character suffix may be assigned at the discretion of the business concern to
establish additional CCR records for identifying alternative Electronic Funds Transfer (EFT) accounts (see the
FAR at Subpart 32.11) for the same concern.
Registered in the CCR database means that
(1) The Contractor has entered all mandatory information, including the DUNS number or the DUNS+4
number, into the CCR database; and
(2) The Government has validated all mandatory data fields, to include validation of the Taxpayer Identification
Number (TIN) with the Internal Revenue Service (IRS), and has marked the record Active. The Contractor
will be required to provide consent for TIN validation to the Government as a part of the CCR registration
process.
(b)
(1) By submission of an offer, the offeror acknowledges the requirement that a prospective awardee shall be
registered in the CCR database prior to award, during performance, and through final payment of any contract,
basic agreement, basic ordering agreement, or blanket purchasing agreement resulting from this solicitation.
(2) The offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation
DUNS or DUNS+4 followed by the DUNS or DUNS+4 number that identifies the offerors name and
address exactly as stated in the offer. The DUNS number will be used by the Contracting Officer to verify that
the offeror is registered in the CCR database.
(c) If the offeror does not have a DUNS number, it should contact Dun and Bradstreet directly to obtain one.
(1) An offeror may obtain a DUNS number
(i) Via the internet at http://fedgov.dnb.com/webform or if the offeror does not have
internet access, it may call Dun and Bradstreet at 1-866-705-5711 if located within the
United States; or
HHS Gruber 000889
(ii) If located outside the United States, by contacting the local Dun and Bradstreet office.
The offeror should indicate that it is an offeror for a U.S. Government contract when
contacting the local Dun and Bradstreet office.
(2) The offeror should be prepared to provide the following information:
(i) Company legal business name.
(ii) Tradestyle, doing business, or other name by which your entity is commonly recognized.
(iii) Company physical street address, city, state and Zip Code.
(iv) Company mailing address, city, state and Zip Code (if separate from physical).
(v) Company telephone number.
(vi) Date the company was started.
(vii) Number of employees at your location.
(viii) Chief executive officer/key manager.
(ix) Line of business (industry).
(x) Company Headquarters name and address (reporting relationship within your entity).
(d) If the Offeror does not become registered in the CCR database in the time prescribed by the Contracting
Officer, the Contracting Officer will proceed to award to the next otherwise successful registered Offeror.
(e) Processing time, which normally takes 48 hours, should be taken into consideration when registering.
Offerors who are not registered should consider applying for registration immediately upon receipt of this
solicitation.
(f) The Contractor is responsible for the accuracy and completeness of the data within the CCR database, and
for any liability resulting from the Governments reliance on inaccurate or incomplete data. To remain
registered in the CCR database after the initial registration, the Contractor is required to review and update on
an annual basis from the date of initial registration or subsequent updates its information in the CCR database to
ensure it is current, accurate and complete. Updating information in the CCR does not alter the terms and
conditions of this contract and is not a substitute for a properly executed contractual document.
(g)
(1)
(i) If a Contractor has legally changed its business name, doing business as name, or division name
(whichever is shown on the contract), or has transferred the assets used in performing the contract, but has not
completed the necessary requirements regarding novation and change-of-name agreements in Subpart 42.12, the
Contractor shall provide the responsible Contracting Officer a minimum of one business days written
notification of its intention to:
(A) Change the name in the CCR database;
3
HHS Gruber 000890
(B) Comply with the requirements of Subpart 42.12 of the FAR;

(C) Agree in writing to the timeline and procedures specified by the responsible Contracting Officer. The
Contractor must provide with the notification sufficient documentation to support the legally changed name.
(ii) If the Contractor fails to comply with the requirements of paragraph (g)(1)(i) of this clause, or fails to
perform the agreement at paragraph (g)(1)(i)(C) of this clause, and, in the absence of a properly executed
novation or change-of-name agreement, the CCR information that shows the Contractor to be other than the
Contractor indicated in the contract will be considered to be incorrect information within the meaning of the
Suspension of Payment paragraph of the electronic funds transfer (EFT) clause of this contract.
(2) The Contractor shall not change the name or address for EFT payments or manual payments, as appropriate,
in the CCR record to reflect an assignee for the purpose of assignment of claims (see FAR Subpart 32.8,
Assignment of Claims). Assignees shall be separately registered in the CCR database. Information provided to
the Contractors CCR record that indicates payments, including those made by EFT, to an ultimate recipient
other than that Contractor will be considered to be incorrect information within the meaning of the Suspension
of payment paragraph of the EFT clause of this contract.
(h) Offerors and Contractors may obtain information on registration and annual confirmation requirements via
the Internet at http://www.ccr.gov or by calling 1-888-227-2423, or 269-961-5757.
Sincerely,
(301)443-7081; FAX: (301)443-8488 or (301)443-2761
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
4
HHS Gruber 000891

From:
Sent:
To:
Subject:

Monday, May 18, 2009 8:18 AM
Druk, Clint (PSC/SAS/DAM); Sunday, Marie (PSC/SAS)
RE: Purchase Requisition OS4809 - Contract for Dr. Gruber
yup. about a week ago--see the bottom of this email.

To: Cox, Donald R (HHS/ASPE); Sunday, Marie (PSC/SAS)
Subject: RE: Purchase Requisition OS4809 - Contract for Dr. Gruber
I think that is fine. Has that requisition gone through all of the iProcurement approvals yet?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Cc: Druk, Clint (PSC/SAS/DAM)
OK, let me know if this works...
From: Sunday, Marie (PSC/SAS)

Sent: Friday, May 15, 2009 4:44 PM
Don,
The attachments wont open for me. I think youll have to sent them another way. I have pulled the requisition from the
system and assigned to Clint, but he cant do anything until he has the attachments.
Marie
1
HHS Gruber 000892

From:
Sent:
To:
Cc:
Subject:
Attachments:

Monday, May 18, 2009 7:51 AM
JOFOC HP-09-015.doc; Jim Scanlon cover letter-hp-09-015.doc; Gruber SOW-Contract
II.doc; Gruber GCE-Contract II.xlsx; HP-09-015.wpd; PDJ-HP-09-015.doc

Don,
The attachments wont open for me. I think youll have to sent them another way. I have pulled the requisition from the
system and assigned to Clint, but he cant do anything until he has the attachments.
Marie

Subject: FW: Purchase Requisition OS4809 has been approved
From: Dunlap, Kendra (HHS/ASPE)

Sent: Thursday, May 07, 2009 8:03 AM
Subject: FW: Purchase Requisition OS4809 has been approved
FYI
From: UFMS Workflow Mailer [mailto:NoReplyTo@ufms.gov]

To: Dunlap, Kendra (HHS/ASPE)
Subject: FYI: Purchase Requisition OS4809 has been approved
From PINKNEY, NICOLE N (OS)

To DUNLAP, KENDRA M (OS)
Description HP-09-015 (continuation of Technical Assistance for

Evaluating Options for National Healthcare Reform)
1
HHS Gruber 000895
PROJECT DESCRIPTION AND JUSTIFICATION (PDJ)

1.
Project ID Number:
HP-09-015
2.
Project Title: Continuation of Technical Assistance in Evaluating Options for

3.
Secretarys Priority: Broaden Health Insurance
4.
Summary: This contract will provide the government with continued technical assistance
in examining the impacts of alternative health policy reforms on insurance coverage and costs to
the government. This analysis will be done in close consultation with the senior officials with the
Office of Health Reform. The results of these analyses will be fully described in a technical
memorandum that shall be produced at the end of the project.
5.
Task Order Monitor: Don Cox
6.
Proposed Contractor: Sole-source to Dr. Jonathon Gruber.
7.
Period of Performance: 8 months
8.
Estimated Costs
a.
Current year: $298,200
b.
Future years: $0
9.
Special Approvals and Clearances

a.
Privacy Act
b.
Paperwork Reduction Act
c.
Protection of Human Subjects
10.
Scope of Work Attached

a.
Schedule of deliverables attached
b.
Rights in data clause attached
c.
Specifications for the delivery of digital copies attached
d.
Independent government cost estimate attached
__________________________________________________
Initials
Dara Corrigan
Div Dir
Associate Deputy Assistant Secretary for Health Policy
________
date
HHS Gruber 000897
2. Nature and/or description of the action being approved.

a. Acquisition purpose and objectives. The purpose of this acquisition is
to provide technical assistance in examining the impacts of various
proposals for health system reform. This work will be done as part of
President Obamas health reform initiative, under the direction of the
Office of Health Reform.
b. Project background. One of the most important policy initiatives of
President Obama is increasing access to affordable health insurance for
all Americans. In general, this will be accomplished by building on the
existing health care system, using existing health care providers and
health insurance plans, and establishing an insurance exchange and a
public plan option. In order to expand coverage, some of the initiatives
that the Obama plan calls for include expanding eligibility for Medicaid
and SCHIP, creating a tax credit to small businesses to provide health
insurance, expanding community health centers, requiring larger
employers that do not offer coverage to make a meaningful contribution to
the cost of coverage, and mandating that all children be covered.
Each of these initiatives can take a number of forms and collectively they
will interactively impact the number of individuals with health insurance
coverage, the cost of this coverage, and access to health care services.
As such, it is important to obtain independent estimates on the impacts of
various specific initiative options. To this end, the Office of the Assistant
Secretary for Planning and Evaluation (ASPE) entered into a sole-source
contact with Jonathan Gruber, Ph.D. of MIT to use his proprietary microsimulation model to estimate the impacts of alternative initiative design
features (contract order number HHSP2332009181P, contract value of
$95,000, period of performance from 3/25/09 7/25/09). This current
proposed project is a follow-on project to the current sole-source contract.
This follow-on project is necessitated by ASPEs continued need to
examine alternative initiative specifications.
3. Description of the supplies or services required to meet the agencys
needs (including the estimated value).
a. Project title. Continuation of Technical Assistance for Evaluating
Options for National Healthcare Reform
b. Project description. This contract will provide the government with
continued technical assistance in examining the impacts of alternative
health policy reforms on insurance coverage and costs to the
government. Dr Gruber, through his subject matter expertise and
propriety micro-simulation model, is uniquely qualified to build on the
results of the prior contract and successfully provide the required analysis
required under this contract. This analysis will be done in close
consultation with the senior officials within ASPE, the Office of Health
Reform, and the Office of Management and Budget. The results of these
analyses will be fully described in a technical memorandum that shall be
produced at the end of the project.
HHS Gruber 000899
Requirement type.
Research & development (R&D)

R & D support services
Support services (non-R&D)
Supplies/equipment
Information technology (IT)
Construction
Architect-engineer (A & E) services
Design-build
Other (specify): ____________________
Type of action.
X New requirement
Follow-on
Other (specify): Continuation of work award using other than
full and open competition
Proposed contract/order type.
X Firm-fixed-price
Other fixed-price (specify, e.g., fixed-price award-fee, fixedprice incentive-fee): __________
Cost-plus-fixed-fee
Other cost reimbursement (specify, e.g., cost-plus-award-fee,
cost-plus-incentive-fee): ___________
Time and materials
Indefinite delivery (specify whether indefinite quantity,
definite quantity, or requirements): ___________
Other (specify): ___________
Completion Form Term form
Acquisition identification number. N/A
c. Total estimated dollar value and performance/delivery period.

Estimated dollar value is $298,200 and the performance period is 8
months.
4. Identification of the statutory authority permitting other than full and open
competition.
X This acquisition is conducted under the authority of 41 United

States Code (U.S.C.) 253(c)(1) as set forth in Federal Acquisition
Regulation (FAR) 6.302- 2.
This acquisition is conducted under the authority of section 4202

of the Clinger-Cohen Act of 1996.
HHS Gruber 000900
This acquisition is conducted under the authority of the Services

Acquisition Reform Act of 2003 (41 U.S.C. 428a).
5. Demonstration that the proposed contractor(s) unique qualifications or the
nature of the acquisition requires use of the authority cited.
a. Name and address of the proposed contractor(s).
Jonathan Gruber, Ph.D.
Associate Head
Tel: 617.253.8892
Fax: 617.253.1330
b. Nature of the acquisition and proposed unique qualifications of the
contractor(s). Jonathan Gruber, Ph.D. is in a unique position to provide
this analytic work to the government with over 15 years of experience in
matters concerning health care and health policy. He is a recognized
expert in health policy and health economics. In particular, Dr. Gruber
has published widely in the peer-reviewed academic and health policy
literature on the effects of changes in health benefit designs on the cost of
and enrollment in health insurance. In order to estimate these impacts,
Dr. Gruber has developed a proprietary statistically sophisticated microsimulation model that has the flexibility to ascertain the distribution of
changes health care spending and public and private sector health care
costs due to a large variety of changes in health insurance benefit design,
public program eligibility criteria, and tax policy. This model has been
used by Dr. Gruber in the past in assessing changes in tax policy for
employer-sponsored insurance, public program expansions, and other
health reform proposals. Further, Dr. Gruber is currently actively
engaged in providing similar services to ASPE and the Office of Health
Reform. While other contractors may have similar skill sets, Dr. Gruber,
due to his on-going advisory role to the Office of Health Reform, is the
most resource effective, cost and time effective, alternative to the
government.
Finally, one of the most important agenda items for President Obama is
increasing access to affordable health insurance for all Americans. As
such, it is imperative that specific well-developed legislative proposals be
put forth for Congressional consideration as rapidly as possible. The
Office of Health Reform was established shortly after the Presidents
inauguration for the purpose of fulfilling this objective. The technical
assistance to this office that will be provided by Dr. Gruber will greatly
facilitate their efforts to develop these proposals
HHS Gruber 000901
6. Description of the efforts made to ensure that offers are solicited from as
many potential sources as practicable. Indicate whether a FedBizOpps
notice was or will be publicized as required by FAR Subpart 5.2 and, if not,
which exception under FAR 5.202 applies. As part of the first sole-source
contract, a FedBizOpps notice was posted on February 25, 2009. No potential
alternative contractors responded to this notice. A similar FedBizOpps notice will
be posted as part of this second acquisition.
7. Determination by the Contracting Officer that the anticipated cost/price to
the Government will be fair and reasonable.
Price analysis will be conducted to ensure the price is fair and reasonable.
Additionally, the anticipated cost is based on an estimate which is informed by
the pricing in the current contract which was determined to be fair and
reasonable. Thus, the determination is made that the anticipated price to the
Government for the present acquisition will be fair and reasonable.
8. Description of the market research conducted (see FAR Part 10) and the
results, or a statement of the reasons market research was not conducted.
Apart from the FedBizOpps posting for the initial award mentioned in #6, no other
formal market research was conducted.
9. Any other facts supporting the use of other than full and open competition.
As noted above, ASPE and the Office of Health Reform are currently engaged in
developing detailed specifications for President Obamas health reform initiatives
and Dr. Gruber is providing critical assistance in this effort. The delays that
would be associated with opening up this acquisition to an open competition
would be highly disruptive to these efforts.
10. Listing of sources, if any, that expressed, in writing, an interest in the

acquisition. No other sources expressed an interest in the previous contract
solicitation and we have no reasonable expectation that interest would be
generated for this solicitation.
11. Statement of the actions, if any, the agency may take to remove or
overcome any barriers to competition before any subsequent acquisition
for the required supplies or services. At present, we do not anticipate making
future acquisitions for these services under a sole source basis. However, any
future requirements will include an appropriate level of market research or
publication of the requirement to identify additional sources that may exist.
12. Program office certification.
This is to certify that the portions of this justification that have been
developed by the undersigned program office personnel, including
supporting information and/or data verifying the Governments minimum
needs, schedule requirements and other rationale for other than full and
open competition, are accurate and complete.
HHS Gruber 000902
HHS Senior
Procurement
Executive
HHS Gruber 000905
DEPARTMENT OF HEALTH & HUMAN SERVICES
Office of the Secretary

Office of the Assistant Secretary
for Planning and Evaluation
Washington, D.C. 20201
TO:
James Scanlon
Acting Assistant Secretary for Planning and Evaluation
THROUGH: Cassandra Cisse

Office of Planning and Policy Support
FROM:
Dara Corrigan
Associate Deputy Assistant Secretary for Health Policy
SUBJECT:
Form 393 Approval for Contract on the Continuation of Technical Assistance for
Evaluating Options for National Healthcare Reform (REMIS # HP-09-015).
The attached procurement package will request that the PSC award a professional services
contract to Jonathan Gruber, Ph.D. to begin the work on providing technical assistance for
examining the impacts of alternative health policy reforms on insurance coverage and costs to
the government. The estimated cost for this contract is about $298,000.
I recommend that you sign the attached Form 393 and forward the procurement package to the
PSC for its implementation.
HHS Gruber 000906

Continuing Technical Assistance for Evaluating Options for Health Care Reform
REMIS: HP-09-15
1. DIRECT LABOR
Labor Category
Labor Hours
Rate ($s)
Research Assistant
total
Task 1
Task 2
Task 3.1
(mtgs)
(simulations)
(prog reports) (report)
Research Assistant
total
Total Labor Costs
Total
(b) (6)
Labor Costs
Task 3.2
(b) (6)
(b) (6)
$298,200.00
$298,200.00

A. ADP Services
$0.00
$0.00
C. Travel
$0.00
D. Data Acquisition
$0.00
Subtotal
$0.00
$0.00
Total ODC
$0.00
3. TOTAL COSTS
$298,200.00
HHS Gruber 000907
Statement of Work
Continuation of Technical Assistance for Evaluating Options
for National Healthcare Reform
(REMIS # HP-09-015)
Project Officer:
Donald.F. Cox
Room 447D.7
Washington DC 20201
Tel: 202.690.6597
Fax: 202.401.7321
Contractor:
Jonathan Gruber
Associate Head
Tel: 617.253.8892
Fax: 617.253.1330

Background
option. In order to expand coverage, some of the initiatives that the Obama plan calls
include expanding eligibility for Medicaid and SCHIP, creating a tax credit to small
larger employer that do not offer coverage to make a meaningful contribution to the cost
The purpose of this contract is to produce a technical memorandum on the estimated
changes in health insurance coverage and associated costs and impacts to the government
under alternative specifications of health system reform. The alternative specifications to
HHS Gruber 000908
be considered will be derived from the Presidents health reform proposal. This project
is a continuation of work that is currently underway.
Statement of Work
Task 1
Task 2

Based on the specifications developed in Task 1, the contractor shall develop estimates
on the change in the number of individuals with health insurance coverage (i.e., changes
in total coverage and the newly insured) and the costs to the government and the private
Task 3
Deliverables
Task 3.1
Monthly Progress Reports
The contractor shall provide a monthly progress report to the Project Officer indicating
key activities conducted, problems encountered, resolution of existing problems, funds
spent during that month, and cumulative funds expended. This report should also include
a brief discussion of upcoming activities for the next month.
Task 3.2
Technical Memoranda
The contractor shall prepare and submit a technical memorandum that fully describes the
proposal impact estimates, as well as indicating the strengths and limitations of this
HHS Gruber 000909
analysis. This memorandum shall cover the analyses performed over the duration of this
eight month project.
Task 3
Monthly Progress Report
Technical Memorandum
Quantity required
1
1
Due date
Monthly
8 months ADA*
HHS Gruber 000910

From:
Sent:
To:
Subject:

Monday, May 18, 2009 8:46 AM
Based on the interactions I've had lately with the good Dr., don't be surprised if he hand delivers a response to you within
an hour.....

As far as timelines go Ill get to it as quickly as I can. We are a bit buried right now though. We have to post the synopsis
for 15 days. After that, we can (barring no issues with the synopsis) issue the solicitation and we have to provide 30 days
for a response. However, that doesnt mean Dr. Gruber couldnt submit something earlier if he chose to and we could
then move forward. Ill make sure he is aware that he can take the full 30 or less than that if he chooses to. My suspicion
is that hell have something turned around in under a week.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488


Don,
1
HHS Gruber 000911

From:
Sent:
To:
Subject:
Attachments:
Joy, Patrick (PSC/SAS)

Engel, Martin (PSC/SAS); McMillin, Christopher M. (PSC/PSC/SAS/DAM); Druk, Clint
(PSC/SAS/DAM)
RE: Question
FW: Opt Out issue...; RE: CCR - UPDATE
Attached is an e-mail with a ticket number for this issue. I believe the last I was told verbally was
that it was the way the network was configured and it could not be changed. Something about the
way the DNS was configured. (see e-mail CCR-update). Hopefully the ticket number will help
ISMS identify the problem.
Patrick A. Joy
Procurement Analyst
Division of Quality Assurance
Program Support Center, SAS
5600 Fishers Lane, Rm 5C-18
Rockville, MD 20857
(301) 443-9265
Fax (301) 594-0736
In an effort to evaluate customer satisfaction, the staff of the PSC would appreciate your taking a few
moments to complete our Customer Comment Card by clicking on the link below. Your time and effort
in providing this valuable feedback pertaining to the products or services you received is greatly
appreciated.
<<Http://www.psc.gov/survey/Customer1/customer 1.htm>>
From: Engel, Martin (PSC/SAS)

Sent: Tuesday, March 24, 2009 9:37 AM
To: Joy, Patrick (PSC/SAS); McMillin, Christopher M. (PSC/PSC/SAS/DAM); Druk, Clint (PSC/SAS/DAM); Sunday, Marie
(PSC/SAS)
Subject: RE: Question
I'll be following up with ISMS today.
Martin Engel, PMP

Program Director, Federal Solutions Division
Tel 301.443.3971 | Cell (b) (6)
| Fax 301.480.1365
TechTeam Government Solutions
www.techteamgovt.com
HHS Gruber 000914
From: Joy, Patrick (PSC/SAS)

To: McMillin, Christopher M. (PSC/PSC/SAS/DAM); Druk, Clint (PSC/SAS/DAM); Sunday, Marie (PSC/SAS)
Cc: Engel, Martin (PSC/SAS)
Subject: Re: Question
I will find my old e-mails on this issue. If I remember properly it was an ITSC issue that they said could not be fixed.
Patrick A. Joy
Procurement Analyst
Rockville, MD 20857
(301) 443-9265
Fax (301) 594-0736
In an effort to evaluate customer satisfaction, the staff of the PSC would appreciate your taking a few moments to
complete our Customer Comment Card by clicking on the link below. Your time and effort in providing this valuable
feedback pertaining to the products or services you received is greatly appreciated.
<<Http://www.psc.gov/survey/Customer1/customer_1.htm>>
-------------------------Sent using BlackBerry
From: McMillin, Christopher M. (PSC/PSC/SAS/DAM)

To: Druk, Clint (PSC/SAS/DAM); Joy, Patrick (PSC/SAS); Sunday, Marie (PSC/SAS)
Cc: Engel, Martin (PSC/SAS)
Sent: Tue Mar 24 09:27:57 2009
Subject: RE: Question
Clint,
That is a really good question that I will try and get you more answers on. In the interim, the PRISM Help Desk has the
ability to research these vendors CCR registrations via the CCR Realtime interface on our legacy PRISM. All you have to
do is submit a ticket with us and we will take care of the rest.
There is also a UFMS working group that is trying to establish systematic rules in which this data comes over into the
UFMS vendor file from CCR (currently the vendors come from CCR but are not end dated or deactivated based off of
CCR). It remains to be seen how this will interface with PRISM and whether/when any of this interaction will be
implemented. I only wanted to mention it to show that groups are identifying the importance of vendor management in
this integrated environment and are working to improve it.
Martin and I will work with Maggie to follow up with ISMS to find out the status on our domain. I hope this answered your
question to some extent.
Christopher McMillin
Senior Systems Analyst - The PRISM Help Desk
Tel 301.443.7747 | Cell (b) (6)
| Fax 301.480.0143
HHS Gruber 000915

To: McMillin, Christopher M. (PSC/PSC/SAS/DAM); Joy, Patrick (PSC/SAS); Sunday, Marie (PSC/SAS)
Subject: Question
As of the July 30, 2008 release (4.08.2), CCR-registered vendors may elect not to display their registration in the
CCR/FedReg Public Search. Federal government users may still view all registrations from a .mil, .gov or .fed.us domain.
I seem to recall discussing this with someone at some point and there being some irritating issue with HHS IT and our
domain not being recognized as a government domain or something.
Anyway, it appears to not have been resolved and I would like to know how Im supposed to verify CCR registration
before I make an award?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 000916

From:
Sent:
To:
Subject:

Tuesday, September 09, 2008 4:40 PM
Joy, Patrick (PSC/SAS); PSC - SAS/DAM Federal Staff; Rizzolo, Gary (PSC); Jensen, Mike
(PSC); Gibney, James (PSC); Pacantara, Epe N. (PSC); Conner, Paula (PSC); Kearse Jr.,
Jehovah (PSC/SAS/DAM); Webb, Anthony (PSC)
RE: CCR - UPDATE
After investigation by ITSC, it appears that the configurations for our Domain Name Service
(DNS) does not allow CCR to see we are a .gov IP address. We are unclear on how long this
will take to correct.
In the meantime, if you search in CCR and do not see a vendor, please call the vendor to
confirm that they are registered in CCR. If the answer is yes, please put in a vendor request
through the PRISM helpdesk. This will get the vendor information in the system so you will be
able to look up the vendor information through the PSCAcquisitions website.
If you are unable to contact the vendor, you can place a request through the PRISM helpdesk
via incident or phone call, and they will look up the vendor information through PRISM.
We are sorry for any inconvenience this may cause.
Patrick A. Joy
Procurement Analyst
Rockville, MD 20857
(301) 443-9265
Fax (301) 594-0736
appreciated.
_____________________________________________
From:
Sent:
Thursday, August 28, 2008 2:02 PM
To:
PSC - SAS/DAM Federal Staff; Rizzolo, Gary (PSC); Jensen, Mike (PSC); Gibney, James (PSC); Pacantara, Epe N. (PSC); Conner,
Paula (PSC); Kearse Jr., Jehovah (PSC/SAS/DAM); Webb, Anthony (PSC)
Subject:
CCR
The latest upgrade to the CCR website allows vendors to restrict data access to Government
personnel. We have experienced problems based on this change. A specialist was unable to see
1
HHS Gruber 000917
the CCR entry for a vendor because CCR.gov was not reading her machine as part of a
Government domain.
If this happens to you, you need to call the ITSC help desk and explain to them that your IP
address is not showing as part of a Government domain. They should be able to correct the
problem.
Please contact me if you have any questions.
Patrick A. Joy
Procurement Analyst
Rockville, MD 20857
(301) 443-9265
Fax (301) 594-0736
appreciated.
HHS Gruber 000918

From:
Sent:
To:
Subject:
Harraf, Heather (PSC/)

Tuesday, September 02, 2008 12:11 PM
FW: Opt Out issue...
ThisiswhatCCRsentmeandITSCisworkingwiththeNetworkPeople.Iftheyaren'tdonebeforeIleavehereismy
ticketnumberincaseit'sacontinuousissue:30201330453.
Thankyou!
HeatherHarraf
ContractSpecialist
DivisionofAcquisitionManagement,SAS/PSC(301)4436851;FAX:(301)4438488or(301)4432761
Inanefforttoevaluatecustomersatisfaction,thestaffofthePSCwouldappreciateyourtakingafewmomentsto
completeourCustomerCommentCardbyclickingonthelinkbelow.Yourtimeandeffortinprovidingthisvaluable
feedbackpertainingtotheproductsorservicesyoureceivedisgreatlyappreciated.
OriginalMessage
From:Hawthorne,RussellC.(Contractor)[mailto:Russell.Hawthorne.CTR@BPN.GOV]
Sent:Tuesday,September02,200811:59AM
To:Harraf,Heather(PSC/)
Subject:OptOutissue...
Wehavehadsome.miland.govcustomerswhohavenotbeenabletoviewrecordsofvendorswhohaveoptedoutof
thepublicsearch.Thereasonforthisisthatthewebsitecannotdeterminewhatdomainyouarecomingfromand
identifyyouasagovernmentormilitaryuser.Thisisanissueatyourendandwillneedtoberesolvedbyasystem
administratorforyoursystem.
Toverifythatthereisanindeedanissuewithyourdomain(DNS),youcangotothiswebsitetogetascreenshotofyour
configuration
information:
http://www.dtic.mil/test<http://www.dtic.mil/test>
Ifyouneedadditionaltechnicalassistance,pleasecontacttheBPNWebmasteratwebmaster@bpn.gov.
HHS Gruber 000919

From:
Sent:
To:
Subject:
PSC PRISM
RE: Question
Clint,
ThereisnorecordinCCRwiththatDUNs#.
Thanks,
BryanSwartz
JuniorSystemsAnalystThePRISMHelpDeskTel301.443.7747|Cell(b) (6)
|Fax301.480.0143TechTeam
GovernmentSolutionswww.techteamgovt.com
OriginalMessage
From:Druk,Clint(PSC/SAS/DAM)
Sent:Tuesday,March24,20099:39AM
To:PSCPRISM
Subject:RE:Question
Duns829818975
IneedtoverifythisDUNshasanactiveCCRregistration.
ClintDruk
ContractingOfficer
U.S.DepartmentofHealthandHumanServices
PSC/SAS/DivisionofAcquisitionManagement
(P)3014430403
(F)3014438488
HHS Gruber 000920
________________________________
From:McMillin,ChristopherM.(PSC/PSC/SAS/DAM)
To:Druk,Clint(PSC/SAS/DAM);Joy,Patrick(PSC/SAS);Sunday,Marie(PSC/SAS)
Cc:Engel,Martin(PSC/SAS)
Subject:RE:Question
Clint,
ThatisareallygoodquestionthatIwilltryandgetyoumoreanswerson.Intheinterim,thePRISMHelpDeskhasthe
abilitytoresearchthesevendorsCCRregistrationsviatheCCRRealtimeinterfaceonourlegacyPRISM.Allyouhaveto
doissubmitaticketwithusandwewilltakecareoftherest.
ThereisalsoaUFMSworkinggroupthatistryingtoestablishsystematicrulesinwhichthisdatacomesoverintothe
UFMSvendorfilefromCCR(currentlythevendorscomefromCCRbutarenotenddatedordeactivatedbasedoffof
CCR).ItremainstobeseenhowthiswillinterfacewithPRISMandwhether/whenanyofthisinteractionwillbe
implemented.Ionlywantedtomentionittoshowthatgroupsareidentifyingtheimportanceofvendormanagementin
thisintegratedenvironmentandareworkingtoimproveit.
MartinandIwillworkwithMaggietofollowupwithISMStofindoutthestatusonourdomain.Ihopethisanswered
yourquestiontosomeextent.
ChristopherMcMillin
|Fax301.480.0143
SeniorSystemsAnalystThePRISMHelpDeskTel301.443.7747|Cell(b) (6)
TechTeamGovernmentSolutions
________________________________
HHS Gruber 000921
To:McMillin,ChristopherM.(PSC/PSC/SAS/DAM);Joy,Patrick(PSC/SAS);Sunday,Marie(PSC/SAS)
Subject:Question
AsoftheJuly30,2008release(4.08.2),CCRregisteredvendorsmayelectnottodisplaytheirregistrationinthe
CCR/FedRegPublicSearch.Federalgovernmentusersmaystillviewallregistrationsfroma.mil,.govor.fed.usdomain.
IseemtorecalldiscussingthiswithsomeoneatsomepointandtherebeingsomeirritatingissuewithHHSITandour
domainnotbeingrecognizedasagovernmentdomainorsomething.
Anyway,itappearstonothavebeenresolvedandIwouldliketoknowhowImsupposedtoverifyCCRregistration
beforeImakeanaward?
ClintDruk
ContractingOfficer
U.S.DepartmentofHealthandHumanServices
PSC/SAS/DivisionofAcquisitionManagement
(P)3014430403
(F)3014438488
HHS Gruber 000922
Novirusfoundinthisincomingmessage.
CheckedbyAVGwww.avg.com
Version:8.0.238/VirusDatabase:270.11.24/2018ReleaseDate:03/23/0906:52:00
HHS Gruber 000923

From:
Sent:
To:
Cc:
Subject:

Re: READ THIS FIRST PLEASE RE: RFP OS4809
no worries, Clint, I won't touch the email until 5:00!

I inadvertently sent the solicitation to you just now. I intended to have a draft of the email with the solicitation sent to
myself so I could release it when I got home as I leave in 10 minutes but I cant officially release it until 5 eastern time
(about an hour from now). I had put Dr. Gruber as the BCC so I could write his email address in the body of the email so
it was available to me when I went to put together the real email at home.
Anyway, I guess everyone has the solicitation now. Please do not view it until 5 p.m. eastern time. If there is a problem
Ill email you when I get home and request that you delete it. If you dont hear from me, you can assume it is permissible
to view the attachment and proceed with preparing a proposal.
I apologize for the confusion.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Cc: Druk, Clint (PSC/SAS/AMD/Acq/T6); Cox, Donald R (HHS/ASPE)
Subject: RFP OS4809
Dr. Gruber,

Thank you,
Clint Druk
Contracting Officer
1
HHS Gruber 000924

(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000925

From:
Sent:
To:
Subject:
Siegel, Bernard J (OIG/OAS) <Bernard.Siegel@oig.hhs.gov>

Re: Request File - Dr. Gruber Contract
Thanks. - really appreciate this.

Bernard Siegel
Sent from my Blackberry
(b) (6)
This e-mail may contain confidential and/or privileged information. If you are not the intended recipient (or have received
this e-mail in error) please notify the sender immediately and destroy this e-mail. Any unauthorized copying, disclosure or
distribution of the material in this e-mail is strictly forbidden.
From: Druk, Clint (PSC/SAS/DAM) <Clint.Druk@PSC.hhs.gov>

To: Siegel, Bernard J (OIG/OAS)
Sent: Wed Apr 14 17:12:46 2010
Subject: RE: Request File - Dr. Gruber Contract
Ok. Ill go up there tonight (if folks are there still) or tomorrow morning and have them pull the information in UFMS for
me.
Clint Druk
Branch Chief
Division of Acquisition Management - B
Program Support Center, Strategic Acquisition Service
W: 301-443-0403 | F: 301-443-8488
DAM Acquisition Deadlines: http://www.psc.gov/acquisitions/dam/acquisitions-deadlines.html
From: Siegel, Bernard J (OIG/OAS) [mailto:Bernard.Siegel@oig.hhs.gov]

CLINT:
Iappreciateyourquickresponse.
IwouldliketoreceivearesponsebyCOBtomorrowifpossible.
IfyoucanshowmethatthiscontractwaspaidinUFMSthatwouldbesufficient.
IwouldlookinUFMSmyselfbutInolongerhaveaccess.
Thefirstcontract(HHSN233200900181P)onlyhadaninvoicebutnomentionofpayment.
IfyouaregoingtogetthepaymentdatafromUFMS,Iwouldappreciateitforthiscontractaswell.
THANKS!
HHS Gruber 000926

Bernard J. Siegel
AATS Audit Manager
Office of Inspector General
Office of Audit Services, Region III
Public Ledger Building, Suite 316
150 South Independence Mall West
Philadelphia, PA 19106-3499
Phone: 215-861-4484
Cell: (b) (6)
Facsimile: 215-861-4541
This e-mail may contain confidential and/or privileged information.
If you are not the intended recipient (or have received this e-mail in error) please notify the sender immediately
and destroy this e-mail.
Any unauthorized copying, disclosure or distribution of the material in this e-mail is strictly forbidden.
Consider the environment before you print this e-mail message.
From: Druk, Clint (PSC/SAS/DAM) [mailto:Clint.Druk@PSC.hhs.gov]

Bernard,
I apologize. It wasnt submitted because the file does not have any invoice copies in it. I checked my electronic folder for
that contract number and didnt see any invoices as email attachments. I have called Trang Dinh in Division of Payment
Management to see if she can pull copies of any invoices that were paid or that they have available and forward them to
me. Ill also follow up with Don Cox since he would have done receiving in UFMS and should have copies.
How quickly do you need this? Ill try to get it as soon as possible but if I have a deadline in mind it may help me to push
others to get things quickly.
Clint Druk
Branch Chief
W: 301-443-0403 | F: 301-443-8488
From: bernard.siegel@oig.hhs.gov [mailto:bernard.siegel@oig.hhs.gov]

Subject: Request File - Dr. Gruber Contract
CLINT:
Please send me a copy of the invoice/payment for contract HHSP233-2009-4301EC. It wasn't submitted when you
provided me a copy of the contract file. You can send it through our server like before. Thanks. Bernard Siegel, OIG.
------------------------------------------------------bernard.siegel@oig.hhs.gov has requested a file from you.
2
HHS Gruber 000927
Please click on the link below to send files back:

https://transport.oig.hhs.gov/a/req/Ew7j6YBTnm08888
The request file is only valid for 7 day(s) or up to 10 transaction(s) only.
(If clicking the link in this message does not work, copy and paste the link into the address bar of your browser.)
Thank you for using HHS/OIG Delivery Server.
******* ATTENTION*******
Internet Explorer users:
This is a FIPS compliant box and will only negotiate communication using TLS and only supports browser version IE 7 or
later. IE 6 web browsers are not supported. If you are not able to browse the link, please enable TLS by going to Tools ->
Internet option and click on the Advance Tab. Scroll down the settings box and check TLS.
Java is needed in order to upload and download files. Java is required for large attachments and encryption. Java version
6 update 11 or later is recommended.
Click or copy the link to download the latest Java Version.
http://java.com/en/download/index.jsp.
Firefox user, TLS is enabled by default.
HHS Gruber 000928

From:
Sent:
To:
Subject:

bernard.siegel@oig.hhs.gov
Re: Request File - Dr. Gruber Contract
Bernard,
I believe this is the information you needed. I'm waiting to hear back from Don Cox, the COTR, on whether he has a copy
of the invoice under 4301EC as I do not have a copy nor did division of payment management.
File(s) will be available for download until 19 April 2010:
Attachment: HHSP233200900181P Invoices and payment info.pdf, 120.76 KB [Fingerprint:
91091974b3fe0a877bbe680e4b56b851]
Attachment: HHSP23320094301EC invoices and payment inf.pdf, 560.82 KB [Fingerprint:
68a56fa1dd4de566dd346f5df34b2b09]
You have received attachment link(s) within this email sent via HHS/OIG transport service. To retrieve the attachment(s),
please click on the link(s).
******* PLEASE READ FIRST*******
Accellion File Transfer
HHS Gruber 000929

From:
Sent:
To:
Subject:
Attachments:

FW: Gruber Synopsis Draft: Do you need to add anything?
gruber synopsis.doc
Clint, I did a little fiddling -- hopefully, this will be ok. Also, I'm glad to see that you are facile in one of my favorite
techniques (the use of block copy). You will be shocked to learn that some of the language in the JFOC has shown up for
previous solicitations.
Don

Sent: Wednesday, February 25, 2009 9:47 AM
Subject: Gruber Synopsis Draft: Do you need to add anything?
Can you give this a quick read and let me know if you want anything added or changed? Youll notice I did a great job of
completely plagiarizing your JOFOC.
We should get this posted today.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 000930
Description:
The Department of Health and Human Services (DHHS), Assistant Secretary for
Planning and Evaluation (ASPE), intends to negotiate with Jonathan Gruber, Ph.D. on a
sole sources basis for technical assistance in evaluating options for national healthcare
reform. The basis for restricting competition is the authority 13.106-1(b) because only
one source is reasonably available to satisfy agency requirements. The anticipated
contract period will be for one year.
ASPE requires technical assistance in examining the impacts of alternative health policy
reforms on insurance coverage and costs to the government. The information will
facilitate the Office of Health Reforms efforts to develop proposals to increase access to
affordable health insurance for all Americans.
Dr. Gruber is uniquely positioned to provide the analytic work ASPE requires based on
his experience and the fact that Dr. Gruber is a recognized expert in health policy in
economics including being widely published in peer-reviewed academic and health
policy literature on the effects of changes in health benefit designs on the cost of
enrollment in health insurance. Moreover, in order to estimate the impacts, Dr. Gruber
developed a proprietary statistically sophisticated micro-simulation model that has the
flexibility to ascertain the distribution of changes in health care spending and public and
private sector health care costs due to a large variety of changes in health insurance
benefit design, public program eligibility criteria, and tax policy. Finally, Dr. Grubers
ongoing advisory role with the Office of Health Reform (b) (5) positions him to meet
HHS requirements the most efficiently, which is a(b) (5) requirement in order for welldeveloped legislative proposals to be put forth for Congressional consideration as soon as
possible.
The purpose of this synopsis is to determine whether there may be other sources with the
necessary expertise and qualifications to perform the work described above. Any source
capable of performing the work should submit a statement of capabilities with
documentation supporting its ability to meet the Governments requirement as articulated
above. Any interested source, in order to meet HHS requirements will need to
demonstrate and address in their capability statement (1) A recognized expert in health
policy and economics with special expertise on the effects of changes in health benefit
desigsn on the cost of enrollment in health insurance (2) a proven micro-simulation
model with the flexibility to ascertain the distribution of changes in health care spending
and public and private sector health care costs due to a large variety of changes in health
iinsurance benefit design, public program eligibility criteria, and tax policy (3) the ability
to seamlessly and immediately begin working with ASPE and the Office of Health
Reform(b)
DON
l ? If
(5) W l
bl
ll
Cl
No solicitation document is available.
HHS Gruber 000931
Capability statements should be submitted by (I WILL INSERT EXACT DATE AND

TIME HERE) to the point of contact listed in this announcement. See note 22.
HHS Gruber 000932

From:
Sent:
To:
Subject:

Thursday, April 15, 2010 11:16 AM
RE: Request File - Dr. Gruber Contract
CLINT:
Thanksforyourpromptresponse.
Ireallydoappreciateit.
Bernie
From: clint.druk@psc.hhs.gov [mailto:clint.druk@psc.hhs.gov]

Subject: Re: Request File - Dr. Gruber Contract
Here is the actual invoice for 4301EC and related information.
File(s) will be available for download until 20 April 2010:
Attachment: HHSP23320094301EC invoice.pdf, 100.14 KB [Fingerprint: c00fa14da01a42955ccb1172aa121ae4]
You have received attachment link(s) within this email sent via HHS/OIG transport service. To retrieve the attachment(s),
please click on the link(s).
******* PLEASE READ FIRST*******
Accellion File Transfer
HHS Gruber 000933

From:
Sent:
To:
Subject:

RE: Request for Documentation Needed to Respond to a Congressional Inquiry
arg. I'm assuming that this is Gruber. lClint, I'll deal with this on Monday. We sent a package to ASL for a prior request a
while ago. I'll see if I can track it down. (b) (6)
Don

Cc: 'Siegel, Bernard J (OIG/OAS)'
Subject: FW: Request for Documentation Needed to Respond to a Congressional Inquiry
Importance: High
Don,
Please see below and the attached. I told Christie Goodman Id have you send me everything you had and then it all over
to OIG in a single package. They basically want everything. If you prefer, you can send what you have directly to Mr.
Siegel. I am not sure what documents you have other than emails and the contract deliverables.
Let me know how you want to proceed so we can coordinate as appropriate. I do note the July 2nd deadline.
Also, I will be out of the office (b)
(6)
Clint Druk
Branch Chief
W: 301-443-0403 | F: 301-443-8488

To: Goodman, Christie (PSC/SAS/OD); Snight, David (PSC/SAS/OD)
Subject: Request for Documentation Needed to Respond to a Congressional Inquiry
Importance: High
MS.GOODMAN:
PleasereviewtheattachedrequestfordocumentationrelatedtotwoPSCcontracts.
Ifyouhaveanyquestions,pleasecontactme.
Bernard J. Siegel
AATS Audit Manager
1
HHS Gruber 000934

Phone: 215-861-4484
Cell: (b) (6)
Facsimile: 215-861-4541
This email may contain confidential and/or privileged information.
If you are not the intended recipient (or have received this email in error) please notify the sender immediately
and destroy this email.
Any unauthorized copying, disclosure or distribution of the material in this email is strictly forbidden.
Consider the environment before you print this email message.
HHS Gruber 000935

From:
Sent:
To:
Subject:
Jonathan Gruber <gruberj@economics.mit.edu>

Thursday, June 18, 2009 9:08 AM
RE: Request for Revised Proposal under RFP OS4809
thanksClint!
OnThu,18Jun200908:55:430400,"Druk,Clint(PSC/SAS/AMD/Acq/T6)"
<Clint.Druk@PSC.hhs.gov>wrote:
>I'llforwardtotheevaluationteamfortheirinputandgetbackwith
>you.
>
>Thankyou,
>
>
>ClintDruk
>ContractingOfficer
>U.S.DepartmentofHealthandHumanServicesPSC/SAS/Divisionof
>AcquisitionManagement
>(P)3014430403
>(F)3014438488
>
>
>Inanefforttoevaluatecustomerservice,thestaffofPSCwould
>appreciateyourtakingafewmomentstocompleteourCustomerComment
>Cardbyclickingonthelinkbelow.Yourtimeandeffortinproviding
>thisvaluablefeedbackpertainingtoproductsandservicesyou
>receivedisgreatlyappreciated.
>
><Http://www.psc.gov/survey/Customer1/customer 1.htm>
>
>
>
>
>
>OriginalMessage
>From:JonathanGruber[mailto:gruberj@economics.mit.edu]
>Sent:Wednesday,June17,20095:42PM
>To:Druk,Clint(PSC/SAS/AMD/Acq/T6)
>Subject:Re:RequestforRevisedProposalunderRFPOS4809
>Importance:High
>
>hereistheattachment
>
>OnWed,17Jun200910:19:050400,"Druk,Clint(PSC/SAS/AMD/Acq/T6)"
><Clint.Druk@PSC.hhs.gov>wrote:
>>Dr.Gruber,
>>
1
HHS Gruber 000936
>>
>>
>>Yourproposalunderthesubjectsolicitationhasbeenevaluatedby
>ASPE,
>>theHHSOfficeofHealthReform,andmyself.Theconclusionisthe
>>firmfixedpriceyouproposeistoohighduetoanunnecessarilyhigh
>>estimatedlevelofeffortandexceedsavailablefundingforthis
>>requirement.
>>
>>
>>
>>Yourproposalisbasedonananticipated(b) (6) hoursofeffortfor
>>yourselfand(b) (6) hoursofeffortbyMr.Graves.Thegovernment
>>believestheworkcanbedonewithanappreciablylowerlevelof
>effort
>>primarilyfromMr.Graves.Wethinksomethingsimilarto(b) (6) hours
>for
>>yourselfand(b) (6) hoursbyMr.Gravesissufficienttocompletethe
>work
>>requiredbythestatementofwork.Thiswouldresultinafixed
>>priceofapproximately$298,000.00.
>>
>>
>>
>>Youareinvitedtosubmitafinalrevisedproposal.Additionally,
>feel
>>freetocallmeifyouwishtodiscussthisfurther.However,
>>knowingthefundingconstraintsweareoperatingwith,Iamextremely
>>doubtful
>a
>>contractcanbeawardedwhichwouldexceedtheaboveestimate.
>>
>>
>>
>>Pleaseletmeknowifyouwillbesubmittingafinalrevisedproposal
>>and,ifso,howmuchtimeyouwillneedtodoso.
>>
>>
>>
>>Thankyou,
>>
>>
>>
>>ClintDruk
>>
>>ContractingOfficer
>>
>>U.S.DepartmentofHealthandHumanServices
>>
>>PSC/SAS/DivisionofAcquisitionManagement
>>
>>(P)3014430403
2
HHS Gruber 000937
>>
>>(F)3014438488
>>
>>
>>
>>Inanefforttoevaluatecustomerservice,thestaffofPSCwould
>>appreciateyourtakingafewmomentstocompleteourCustomerComment
>>Cardbyclickingonthelinkbelow.Yourtimeandeffortin
>>providingthisvaluablefeedbackpertainingtoproductsandservices
>>you
>received
>>isgreatlyappreciated.
>>
>><Http://www.psc.gov/survey/Customer1/customer 1.htm>
>>
>>
>>
>>
>>
>>________________________________
>>
>>From:JonGruber[mailto:gruberj@economics.mit.edu]
>>Sent:Sunday,June07,20099:49PM
>>To:Druk,Clint(PSC/SAS/AMD/Acq/T6)
>>Subject:Re:RFPOS4809
>>
>>
>>
>>Clint
>>
>>thanksforturningthisaroundsoquickly.Ilookedatitafter
>Friday
>>at5andwasabletocraftaresponsethisweekend.Canyouplease
>>remindmeofwhatelseIneedtodobesidesemailngthistoyou?
>>
>>thanks
>>
>>JonGruber
>>
>>Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>>
>>Dr.Gruber,
>>
>>
>>
>>
>>
>>Pleasefindattachedthesubjectsolicitation.
>>
>>gruberj@economics.mit.edu
>>
>>
3
HHS Gruber 000938
>>
>>Thankyou,
>>
>>
>>
>>
>>
>>ClintDruk
>>
>>
>>
>>
>>(P)3014430403
>>
>>(F)3014438488
>>
>>
>>
>>providingthisvaluablefeedbackpertainingtoproductsandservices
>>you
>received
>>isgreatlyappreciated.
>>
>><Http://www.psc.gov/survey/Customer1/customer 1.htm>
JonathanGruber
50MemorialDrive,Room355
CambridgeMA02142
gruberj@mit.edu
phone:6172538892
HHS Gruber 000939

From:
Sent:
To:
Subject:

Wednesday, June 17, 2009 5:41 PM
Re: Request for Revised Proposal under RFP OS4809
Importance:
High
Clint
thankssomuchforyourthoughtfulresponse.Ihavereprioritiezedtheworkandanewbudgetisincludedinthe
attached.pleaseletmeknowifthismeetsyourapproval.
thanks
JOnGruber
OnWed,17Jun200910:19:050400,"Druk,Clint(PSC/SAS/AMD/Acq/T6)"
>Dr.Gruber,
>
>
>
>Yourproposalunderthesubjectsolicitationhasbeenevaluatedby
>ASPE,theHHSOfficeofHealthReform,andmyself.Theconclusionis
>thefirmfixedpriceyouproposeistoohighduetoanunnecessarily
>highestimatedlevelofeffortandexceedsavailablefundingforthis
>requirement.
>
>
>
>Yourproposalisbasedonananticipated(b) (6) hoursofeffortfor
>yourselfand(b) (6) hoursofeffortbyMr.Graves.Thegovernment
>believestheworkcanbedonewithanappreciablylowerlevelof
>effortprimarilyfromMr.Graves.Wethinksomethingsimilarto(b) (6)
>hoursforyourselfand(b) (6) hoursbyMr.Gravesissufficientto
>completetheworkrequiredbythestatementofwork.Thiswould
>resultinafixedpriceofapproximately$298,000.00.
>
>
>
>Youareinvitedtosubmitafinalrevisedproposal.Additionally,
>feelfreetocallmeifyouwishtodiscussthisfurther.However,
>knowingthefundingconstraintsweareoperatingwith,Iamextremely
>doubtfulacontractcanbeawardedwhichwouldexceedtheaboveestimate.
>
>
>
>Pleaseletmeknowifyouwillbesubmittingafinalrevisedproposal
1
HHS Gruber 000940
>and,ifso,howmuchtimeyouwillneedtodoso.
>
>
>
>Thankyou,
>
>
>
>ClintDruk
>
>ContractingOfficer
>
>U.S.DepartmentofHealthandHumanServices
>
>PSC/SAS/DivisionofAcquisitionManagement
>
>(P)3014430403
>
>(F)3014438488
>
>
>
>
>
>
>
>
>
>________________________________
>
>From:JonGruber[mailto:gruberj@economics.mit.edu]
>Sent:Sunday,June07,20099:49PM
>Subject:Re:RFPOS4809
>
>
>
>Clint
>
>thanksforturningthisaroundsoquickly.Ilookedatitafter
>Fridayat5andwasabletocraftaresponsethisweekend.Canyou
>pleaseremindmeofwhatelseIneedtodobesidesemailngthistoyou?
>
>thanks
>
>JonGruber
2
HHS Gruber 000941
>
>Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>
>Dr.Gruber,
>
>
>
>
>
>Pleasefindattachedthesubjectsolicitation.
>
>gruberj@economics.mit.edu
>
>
>
>Thankyou,
>
>
>
>
>
>ClintDruk
>
>ContractingOfficer
>
>
>
>(P)3014430403
>
>(F)3014438488
>
>
>
>
JonathanGruber
CambridgeMA02142
gruberj@mit.edu
phone:6172538892
HHS Gruber 000942

From:
Sent:
To:
Subject:

Wednesday, June 17, 2009 5:28 PM
that'sveryhelpful.thanksClint
JonGruber
OnWed,17Jun200916:47:220400,"Druk,Clint(PSC/SAS/AMD/Acq/T6)"
>Youcanproposehoweveryouseefitasfaraswhatisallowedis
>concerned.Withrespecttowhetherthatwouldbeacceptabletothe
>governmentI'llprovidewhatinformationIcanregardingthelabormix.
>
>1.Thegovernmentidentifiedyou,Dr.Gruber,asthesolesource.
>Thus,thereisanobviousinterestinyourexpertise.Iknowonother
>requirementsIhandlethatevaluatorsgenerallyhaveadistastefor
>seeingtheanchorinaproposalhavingtheirinvolvementreduced
>particularlyinasolesourceenvironment.Thatbeingsaid,youare
>bestpositionedtodeterminehowmuchinvolvementneedstocomefrom
>youtosuccessfullycompletetherequirementsofthestatementofwork.
>
>2.Considering#1,andtheearlierinformationthatwasprovided,it
>isreasonabletoassumethatthefurtheryoudeviatefromthelabor
>mixthegovernmentseesasappropriate,thegreatertheprobability
>theproposalwouldbedeterminedtobeunacceptable.
>
>I'veblindcc'dtherelevantgovernmentpersonnelandifIgetbetter
>inputfromtheevaluatorsI'llpassitalong.
>
>
>ClintDruk
>ContractingOfficer
>(P)3014430403
>(F)3014438488
>
>
>
><Http://www.psc.gov/survey/Customer1/customer_1.htm>
>
1
HHS Gruber 000943
>
>
>
>
>OriginalMessage
>From:JonathanGruber[mailto:gruberj@MIT.EDU]
>Sent:Wednesday,June17,20093:28PM
>Subject:Re:RequestforRevisedProposalunderRFPOS4809
>
>clint
>
>thanksforwriting.Iwillsubmitarevision.Onequstion,ifImay:
>withinthatfixedbudgetIwouldchooseadifferentallocationoftime
>betweenmyselfandJohngraves(moretimeforhim,lessforme,since
>alotoftheworkisprogrammingintensive).isthatallowed,within
>thesamebudget?
>
>thanks
>
>JonGruber
>
>Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>>
>>Dr.Gruber,
>>
>>
>>
>>Yourproposalunderthesubjectsolicitationhasbeenevaluatedby
>>ASPE,theHHSOfficeofHealthReform,andmyself.Theconclusionis
>>thefirmfixedpriceyouproposeistoohighduetoanunnecessarily
>>highestimatedlevelofeffortandexceedsavailablefundingforthis
>>requirement.
>>
>>
>>
>>Yourproposalisbasedonananticipated(b) (6) hoursofeffortfor
>>yourselfand(b) (6) hoursofeffortbyMr.Graves.Thegovernment
>>believestheworkcanbedonewithanappreciablylowerlevelof
>>effortprimarilyfromMr.Graves.Wethinksomethingsimilarto(b) (6)
>>hoursforyourselfand(b) (6) hoursbyMr.Gravesissufficientto
>>completetheworkrequiredbythestatementofwork.Thiswould
>>resultinafixedpriceofapproximately$298,000.00.
>>
>>
>>
>>Youareinvitedtosubmitafinalrevisedproposal.Additionally,
>>feelfreetocallmeifyouwishtodiscussthisfurther.However,
>>knowingthefundingconstraintsweareoperatingwith,Iamextremely
>>doubtfulacontractcanbeawardedwhichwouldexceedtheabove
>estimate.
>>
2
HHS Gruber 000944
>>
>>
>>Pleaseletmeknowifyouwillbesubmittingafinalrevisedproposal
>>and,ifso,howmuchtimeyouwillneedtodoso.
>>
>>
>>
>>Thankyou,
>>
>>
>>
>>**ClintDruk**
>>
>>
>>
>>
>>(P)3014430403
>>
>>(F)3014438488
>>
>>
>>
>>providing
>
>>thisvaluablefeedbackpertainingtoproductsandservicesyou
>>receivedisgreatlyappreciated.
>>
>>/_<Http://www.psc.gov/survey/Customer1/customer_1.htm
>><http://www.psc.gov/survey/Customer1/customer_1.htm>>_/
>>
>>
>>
>>
>>
>>
>
>
>>
>>*From:*JonGruber[mailto:gruberj@economics.mit.edu]
>>*Sent:*Sunday,June07,20099:49PM
>>*To:*Druk,Clint(PSC/SAS/AMD/Acq/T6)
>>*Subject:*Re:RFPOS4809
>>
>>
>>
>>Clint
3
HHS Gruber 000945
>>
>>thanksforturningthisaroundsoquickly.Ilookedatitafter
>>Fridayat5andwasabletocraftaresponsethisweekend.Canyou
>>pleaseremindmeofwhatelseIneedtodobesidesemailngthisto
>you?
>>
>>thanks
>>
>>JonGruber
>>
>>Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>>
>>Dr.Gruber,
>>
>>
>>
>>
>>
>>Pleasefindattachedthesubjectsolicitation.
>>
>>gruberj@economics.mit.edu<mailto:gruberj@economics.mit.edu>
>>
>>
>>
>>Thankyou,
>>
>>
>>
>>
>>
>>**ClintDruk**
>>
>>
>>
>>
>>(P)3014430403
>>
>>(F)3014438488
>>
>>
>>
>>providing
>
>>thisvaluablefeedbackpertainingtoproductsandservicesyou
>>receivedisgreatlyappreciated.
>>
4
HHS Gruber 000946
>>/_<Http://www.psc.gov/survey/Customer1/customer_1.htm
>><http://www.psc.gov/survey/Customer1/customer_1.htm>>_/
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>
>>JonathanGruber
>>ProfessorofEconomics
>>MITDepartmentofEconomics
>>50MemorialDrive,E52355
>>Cambridge,MA02142
>>phone:6172538892
>>fax:6172531330
>>email:gruberj@mit.edu<mailto:gruberj@mit.edu>
>>web:http://econwww.mit.edu/faculty/gruberj/
JonathanGruber
CambridgeMA02142
gruberj@mit.edu
phone:6172538892
HHS Gruber 000947

From:
Sent:
To:
Subject:

Thursday, June 18, 2009 10:14 AM
Clint -- I've reviewed this have found it to be technically acceptable. Please go ahead with the contract award. Thanks.
Don

Sent: Thu 6/18/2009 8:56 AM
Subject: FW: Request for Revised Proposal under RFP OS4809
Please find attached Dr. Gruber's revised proposal. I need an evaluation of the attached which addresses the labor mix, overall level of
effort, and whether it is technically acceptable or not.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
<Http://www.psc.gov/survey/Customer1/customer 1 htm>
-----Original Message----From: Jonathan Gruber [mailto:gruberj@economics.mit.edu]
Sent: Wednesday, June 17, 2009 5:42 PM
Subject: Re: Request for Revised Proposal under RFP OS4809
Importance: High
here is the attachment
On Wed, 17 Jun 2009 10:19:05 -0400, "Druk, Clint (PSC/SAS/AMD/Acq/T6)"
<Clint.Druk@PSC hhs.gov> wrote:
> Dr. Gruber,
>
>
>
> Your proposal under the subject solicitation has been evaluated by ASPE,
> the HHS Office of Health Reform, and myself. The conclusion is the
> firm-fixed price you propose is too high due to an unnecessarily high
1
HHS Gruber 000948
> estimated level of effort and exceeds available funding for this
> requirement.
>
>
>
> Your proposal is based on an anticipated (b) (6) hours of effort for
> yourself and (b) (6) hours of effort by Mr. Graves. The government
> believes the work can be done with an appreciably lower level of effort
> primarily from Mr. Graves. We think something similar to (b) (6) hours for
> yourself and (b) (6) hours by Mr. Graves is sufficient to complete the work
> required by the statement of work. This would result in a fixed price
> of approximately $298,000.00.
>
>
>
> You are invited to submit a final revised proposal. Additionally, feel
> free to call me if you wish to discuss this further. However, knowing
> the funding constraints we are operating with, I am extremely doubtful a
> contract can be awarded which would exceed the above estimate.
>
>
>
> Please let me know if you will be submitting a final revised proposal
> and, if so, how much time you will need to do so.
>
>
>
> Thank you,
>
>
>
> Clint Druk
>
> Contracting Officer
>
> U.S. Department of Health and Human Services
>
> PSC/SAS/Division of Acquisition Management
>
> (P) 301-443-0403
>
> (F) 301-443-8488
>
>
>
> In an effort to evaluate customer service, the staff of PSC would
> appreciate your taking a few moments to complete our Customer Comment
> Card by clicking on the link below. Your time and effort in providing
> this valuable feedback pertaining to products and services you received
> is greatly appreciated.
>
> <Http://www.psc.gov/survey/Customer1/customer 1 htm>
>
>
>
>
>
> ________________________________
>
> From: Jon Gruber [mailto:gruberj@economics mit.edu]
> Sent: Sunday, June 07, 2009 9:49 PM
2
HHS Gruber 000949
> To: Druk, Clint (PSC/SAS/AMD/Acq/T6)

> Subject: Re: RFP OS4809
>
>
>
> Clint >
> thanks for turning this around so quickly. I looked at it after Friday
> at 5 and was able to craft a response this weekend. Can you please
> remind me of what else I need to do besides emailng this to you?
>
> thanks
>
> Jon Gruber
>
> Druk, Clint (PSC/SAS/AMD/Acq/T6) wrote:
>
> Dr. Gruber,
>
>
>
>
>
> Please find attached the subject solicitation.
>
> gruberj@economics.mit.edu
>
>
>
> Thank you,
>
>
>
>
>
> Clint Druk
>
> Contracting Officer
>
> U.S. Department of Health and Human Services
>
> PSC/SAS/Division of Acquisition Management
>
> (P) 301-443-0403
>
> (F) 301-443-8488
>
>
>
> In an effort to evaluate customer service, the staff of PSC would
> appreciate your taking a few moments to complete our Customer Comment
> Card by clicking on the link below. Your time and effort in providing
> this valuable feedback pertaining to products and services you received
> is greatly appreciated.
>
> <Http://www.psc.gov/survey/Customer1/customer 1 htm>
-Jonathan Gruber
50 Memorial Drive, Room 355
3
HHS Gruber 000950
Cambridge MA 02142
gruberj@mit.edu
phone: 617-253-8892
HHS Gruber 000951

From:
Sent:
To:
Subject:
Pinkney, Nicole (HHS/ASAM)

Wednesday, September 09, 2009 3:40 PM
RE: Requisiton error
Thanks Clint.
I reviewed the Govnet-NG 313 report (see below), which is the report that we use to see if
commitments/obligations are in UFMS, and it is still showing an obligation of $297,600 (document
#P33094301EC) on CAN 19999MY.
I also checked Iprocurement and it is not showing an award for OS 14127, which is the requisition
with the correct CAN. However, it is showing an award for OS4809 in CAN 919999MY, the incorrect
CAN.
Thus, the reason why it looks to me like there is a problem. Looking at the Iprocurment system and
the report below, it is not clear that the change has been made. Is it possible for you to send me a
copy of the award document?
Thanks,
Nicole Pinkney
Budget Analyst
202 690-6797
HHS Gruber 000952

Sent: Wednesday, September 09, 2009 2:55 PM
To: Pinkney, Nicole (HHS/ASAM)
Subject: RE: Requisiton error
Nicole,
OS4809 had CAN 19999MY. The award used that.
OS14127 had CAN 1994689. Mod 1 deobligated the money from the base award (i.e. from CAN 19999MY) and obligated
money from OS14127.
Thus, Im unsure why there is a still a problem. The mod had to go through UFMS and you can clearly see it taking
money off the bad CAN and putting it on the good CAN. The mod had to go through UFMS as well.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
From: Pinkney, Nicole (HHS/ASAM)

Subject: Requisiton error
Hello Clint,
This e-mail is a follow up to the voicemail I left for you today. Requisition OS4809 was submitted
with the incorrect CAN. We then processed another requisition with the correct CAN (OS14127). I
checked UFMS and it shows OS4809 has been awarded to the incorrect CAN.
Please let me know what needs to be done to correct.
Thanks,
Nicole Pinkney
202 690-6797
HHS Gruber 000954

From:
Sent:
To:
Subject:
Attachments:

Wednesday, September 09, 2009 2:55 PM
Pinkney, Nicole (HHS/ASAM)
RE: Requisiton error
MOD 1 HHSP23320094301EC.pdf
Nicole,
OS4809 had CAN 19999MY. The award used that.
OS14127 had CAN 1994689. Mod 1 deobligated the money from the base award (i.e. from CAN 19999MY) and obligated
money from OS14127.
Thus, Im unsure why there is a still a problem. The mod had to go through UFMS and you can clearly see it taking
money off the bad CAN and putting it on the good CAN. The mod had to go through UFMS as well.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
From: Pinkney, Nicole (HHS/ASAM)

Subject: Requisiton error
Hello Clint,
This e-mail is a follow up to the voicemail I left for you today. Requisition OS4809 was submitted
with the incorrect CAN. We then processed another requisition with the correct CAN (OS14127). I
checked UFMS and it shows OS4809 has been awarded to the incorrect CAN.
Please let me know what needs to be done to correct.
Thanks,
Nicole Pinkney
202 690-6797
HHS Gruber 000955

From:
Sent:
To:
Subject:
Attachments:

FW: HHSP23320094301EC
invoice2.doc
Clint -- sorry, I thought that Jon had sent this to you as well. BTW, per direction of the Office of Health Reform, I
approoved payment of this on the 7th (UFMS receipt # 34076).
Don

Subject: Re: HHSP23320094301EC
oops, this is embarrassing, but I had the amount wrong. please use this one instead
Jon
Cox, Donald R (HHS/ASPE) wrote:
Jon -- sorry about the delay -- I've been given authority to approve payment. Please send me an invoice and we can wrap
this up. Thanks.
Don

Sent: Thursday, March 04, 2010 11:42 AM
super, thanks Don!

Jon
Jon -- sorry about the delay getting back to you -- I've been somewhat out-of-pocket for the last week. Anyway, I'll look
this over and let you know if it meets the needs for the final deliverable.
Don

HHS Gruber 000958
Don never heard back on this email from last week - can you please get back to me on this? thanks
Jon Gruber
Don as my contract is now up, I enclose my final progress report and technical memorandum. I hope that this is
sufficient to wrap up the contract. When do you think I might expect payment?
thanks
Jon Gruber
Hi Jon, when you have a chance please send me a progress report for months 5 & 6. Thanks.
Don

Sent: Thursday, October 22, 2009 10:00 PM
Cc: Cox, Donald R (HHS/ASPE)
Don Here is my report for months 3 & 4. thanks

Jon Gruber
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
2
HHS Gruber 000959
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000960

From:
Sent:
To:
Subject:
Attachments:

Sunday, June 07, 2009 9:49 PM
Re: RFP OS4809
aspe proposal 3.doc
thanks
Jon Gruber
Dr. Gruber,

Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
1
HHS Gruber 000962
Volume I: Technical Quote

Tasks 1 & 2
I will provide both policy consulting and microsimulation modeling results to
ASPE and other government agencies as requested. I will play two, integrated, roles.
First, I will provide feedback and advice on policy options for moving towards
universal health insurance coverage. I have been playing this role with the
Administration for several months and look forward to continuing it. Drawing on both
my years of experience as a health policy expert and my recent experience in
implementing the ambitious universal health insurance coverage plan in Massachusetts, I
have provided input on a number of key policy decisions, and will continue to do so as
the debate evolves. These decisions include:
How should an individual mandate be designed? What are the pros and cons of
exempting some individuals from a mandate? How can the tax code be used to
enforce a mandate?
What is the proper role for employers in an individual mandate world? What are
the pros and cons of financing health insurance expansion through a pay or play
mechanism? How should such a mechanism be designed relative to firm size and
payroll?
How should we evaluate the notion of affordability in the context of this
reform? What determines the affordability of a new government program for
different sub-populations? And how should subsidies be designed to hit
affordability targets?
How should insurance markets be reformed? What is the right set of rating
restrictions on insurance pricing? What is the role for a connector-like entity
that facilitates choice in the market; for example, should there be a monopoly
connector? What is the right level of choice to offer in a reformed market?
What should be the minimum benefits standard in a reformed market? Market
reforms and the individual mandate require specifying a minimum standard for
benefits. What are the tradeoffs in designing such standards?
How might we alter the existing tax subsidy to employer-provided health
insurance to finance health care reform? What are the tradeoffs with different
approaches to scaling back the tax exclusion?
What are the lessons for governance and administration from the Massachusetts
experience?
Second, I will continue to provide microsimulation modeling estimates of the

impact of alternative reform plans. Over the past decade I have developed a
microsimulation model which allows one to evaluate the impact of health insurance
policy proposals on the distribution of health insurance coverage in the U.S. and the
impacts on public and private budgets. I have used this model over the past several
months to help the Administration understand the implications of a number of alternative
HHS Gruber 000963
approaches to moving towards universal coverage. The need for such modeling becomes
paramount as we move towards crafting and evaluating a universal coverage bill.
Task 3
Task 3.1: Monthly Progress Reports
I will prepare monthly reports for ASPE detailing my progress on Tasks 1 and 2.
These reports will clearly lay out my effort for that month and the division of time
between Task 1 (policy advising) and Task 2 (modeling). Under Task 2 I will clearly
describe the modeling runs that were undertaken over the past month .
Task 3.2: Technical Memorandum
At the conclusion of this engagement, I will develop a detailed technical
memorandum which clearly lays out the range of estimates undertaken under this
contract, discusses lessons learned, and summarizes implications for future work in this
area.
Resource Information
This will be intensive engagement which will require a major commitment of my
time and of that of my research assistant. I anticipate that in each month of this
(b) (6)
engagement I will work
hours, and my research assistant will work
hours. No
other costs will be imposed on the government under this contract.
(b) (6)
My qualifications are referred to in the discussion above. I am a Professor of

Economics at MIT where I have been a leading researcher in the field of health
economics since the early 1990s. I am a long-time editor of the Journal of Health
Economics and in 2006 I received the inaugural medal from the American Society of
Health Economists for the best health economist in the nation age 40 and under. I helped
design the universal health insurance coverage reform in Massachusetts and am on the
board of the Commonwealth Connector which is charge of implementing that reform. I
have also advised numerous state and federal policy makers on health reform.
My Research Assistant for this project will be John Graves. John is a Ph.D.
student in Health Policy at Harvard University. Before that he was a research assistant at
the Urban Institutes Health Policy Center where he worked on health reform issues,
including modeling. John has worked with me for over one year and has extensive
experience with the modeling that will be required for this project.
References
HHS Gruber 000964
My references for this project are project officers who oversaw my modeling in
other related projects:
(b) (6)
Resumes
An abbreviated (four page) version of my resume is attached; the entire resume is
available at (b) (6)
John Graves resume is attached
as well.
HHS Gruber 000965

From:
Sent:
To:
Subject:

Tuesday, June 09, 2009 10:13 AM
Re: RFP OS4809
thank you!
Thats fine. Thank you.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Sent: Tuesday, June 09, 2009 10:02 AM
Subject: Re: RFP OS4809
thanks Clint. Is this good enough or do you need hard copy?

RFP Number: OS4809
Organization Name: Jonathan Gruber
TIN Number: (b) (6)
DUNS Number: 829818975
thanks
Jon Gruber
I need you to populate the following (the RFP number Id fill in but since it is a representation and certification you are
making you need to populate it so it is clear you intend the reps and certs to apply to this specific solicitation). Also, would
you agree to payment in full upon completion of the contract?
HHS Gruber 000967
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Sent: Sunday, June 07, 2009 9:49 PM
Subject: Re: RFP OS4809
thanks
Jon Gruber
Dr. Gruber,

2
HHS Gruber 000968
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000969

From:
Sent:
To:
Subject:

Wednesday, March 11, 2009 2:03 PM
Re: RFQ AES2009 (official solicitation release)
superb. Thanks Clint. Pleaes don't hesitate to be in touch if I can help. Email is always best!
Thank you. I should be in touch within the next day or two.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Sent: Wednesday, March 11, 2009 1:29 PM
Subject: Re: RFQ AES2009 (official solicitation release)
Thanks Clint. here is my submission. I look forward to hearing back from you
thanks
Jon gruber
Please find attached the subject request for quote and note the submission due date of March 13. You may submit your
quote to this email address.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
1
HHS Gruber 000970
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000971

From:
Sent:
To:
Subject:
Attachments:

Re: RFQ AES2009 (official solicitation release)
aspe proposal 1.doc; aspe resume.doc; graves resume.pdf
thanks
Jon gruber
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000972
John A. Graves
(b) (6)
Education
Harvard University, Ph.D. in Health Policy, 2006-Present
The University of the South, B.A., magna cum laude, majors in Economics and English Literature, 1999-2003
Employment
2007-Present
2003-Present
Summer 2002
Summer 2001
2000-2003
National Bureau of Economic Research (NBER)

and MIT (Cambridge, MA)
Research Assistant to Prof. Jonathan Gruber (2007-Present)
The Urban Institute, Health Policy Center (Washington, D.C.)
Research Consultant (2006-Present); Research Associate II (2006);
Research Assistant (2003-2005)
The American Enterprise Institute (AEI) (Washington, D.C.)
Economic Studies Intern
Saint John Ambulance (Pietermaritzburg, South Africa)
Public Policy Intern, Volunteer Medical Worker
Sewanee Emergency Medical Service (Sewanee, TN)
Student Director (2002-2003); Squad Captain (2001-2003);
Emergency Medical Technician (2000-2003); Assistant Instructor,
EMT-Basic, EMT-Intermediate, and CPR Courses (2001-2003)
Teaching Experience
Fall 2007
Advanced Quantitative Methodology, Prof. Dan Levy.

Harvard Kennedy School (Teaching Fellow)
Professional Affiliations
Member: AcademyHealth, Assoc. for Public Policy Analysis and Management (APPAM),
American Statistical Association (ASA)
Graduate Affiliate: Institute for Quantitative Social Science (Harvard Univ.)
HHS Gruber 000973
Academic Honors, Grants, and Awards

2006-2008
2003
2000-2003
2002
Agency For Health Care Research and Quality (AHRQ) Training Fellowship in
Health Services Research
Distinction and honors on oral and written comprehensive examinations in
Economics
Order of the Gownsmen (academic honor society)
Tonya Internship Grant in Economics
Presentations
Why Do People Lack Health Insurance and How Has That Been Changing Over Time? American
Public Health Association (APHA) Annual Research Meeting, Boston, MA, November 2006.
Multivariate Regression and the CPS: Controlling for Potential Biases. The Urban Institute
Modeling Group Meeting, Washington, D.C., June 2006.
New Strategies to Expand Insurance Coverage: Learning from New Yorks Health Reform Efforts.
Association for Public Policy Analysis and Management (APPAM) Annual Research Conference,
Washington, D.C., November 2005.
Publications
The Impacts of Managed Care on Disabled Medicaid Beneficiaries: A National Study with Teresa
Coughlin and Sharon K. Long. Inquiry 45 (4) Winter 2008/2009.
Assessing the Value of the NHIS for Studying Changes in State Coverage Policies: The Case
of New York, with Sharon K. Long and Stephen Zuckerman. Health Services Research, Special
Issue, November 2007.
An Early Look at 10 State HIFA Medicaid Waivers with Teresa Coughlin, Sharon K. Long,
and Alshadye Yemane, Health Affairs 25(3). May/June 2006, w204-w216.
Why do people lack health insurance? with Sharon K. Long, in Shifting Ground: Changes
in Employer Sponsored Insurance, Cover the Uninsured Week Research Report, May 2006.
What happens when public coverage is no longer available? with Sharon K. Long. Kaiser
Family Foundation Policy Brief #7449, January 2006.
Are adults benefiting from state coverage expansions? with Sharon K. Long and Stephen Zuckerman. Health Affairs 25(2) April 2006, w1-w16.
Case Study Report for Ten State HIFA Waiver Programs: Evaluation of the Development and
Early Implementation of Health Insurance Flexibility and Accountability Demonstration Initiative,
with Teresa A. Coughlin, Alshadye Yemane, and Sharon K. Long. Final report to the Centers for
Medicare and Medicaid Services, 2005.
HHS Gruber 000974
JONATHAN GRUBER
Education:
Ph.D. in Economics, Harvard University, 1992
B.S. in Economics, Massachusetts Institute of Technology, 1987
Positions:
Professor of Economics, MIT, 1997-present
Associate Head, MIT Department of Economics, 2006-2008
Deputy Assistant Secretary for Economic Policy, U.S. Treasury Department, 1997-1998
Castle Krob Associate Professor of Economics, MIT, 1995-1997
Assistant Professor of Economics, MIT, 1992-1995
Director, National Bureau of Economic Research's Program on Children, 1996-present
Research Associate, National Bureau of Economic Research, 1998-present
Faculty Research Fellow, National Bureau of Economic Research, 1992-1998
Margaret MacVicar Faculty Fellow, MIT, 2007
Gubernatorial Appointee to Board of Commonwealth Health Insurance Connector, 2006-present
Academic Advisory Committee, Center for American Progress 2004-present
Co-Editor, Journal of Public Economics, 2001-present
Associate Editor, Journal of Health Economics, 2001-present
Member, Congressional Budget Office Long Term Modeling Advisory Group, 2000-present
Member, NIH Center for Scientific Review Study Section on Social Sciences, 1998-2002
Co-Editor, Journal of Health Economics, 1998-2001
Associate Editor, Journal of Public Economics, 1997-2001
Fellowships and Honors:
Elected to the American Academy of Arts and Sciences, 2008
Named 19th Most Powerful Person in Health Care in the U.S., Modern Healthcare Magazine, 2006
Inaugural Medal for Best Health Economist Age Forty and Under, American Society of Health
Economists, 2006
Elected to the Institute of Medicine, 2004
Member of the National Academy of Social Insurance, 1996
1995 American Public Health Association Award for Outstanding Health Economics Paper of 1994
National Science Foundation Presidential Faculty Fellowship, 1995
Sloan Foundation Research Fellowship, 1995
MIT Undergraduate Economics Association Teaching Award, 1994
FIRST Award, National Institute of Aging, 1994
Harvard Chiles Fellowship, 1991
Sloan Foundation Dissertation Fellowship, 1990
National Science Foundation Scholarship, 1987
Phi Beta Kappa, 1987
HHS Gruber 000975
Selected Publications
The Case for a Two-Tier Health System, Pathways, Winter 2009, 10-13.
Incremental Universalism for the United States: The States Move First?, Journal of Economic
Perspectives, 22(4), Fall 2008, 51-68.
Covering the Uninsured in the United States, Journal of Economic Literature, 46(3), September 2008,
571-606.
Crowd-Out Ten Years Later: Have Recent Expansions of Public Insurance Crowded Out Private Health
Insurance?, Journal of Health Economics 27, March 2008, p. 201-217. (with Kosali Simon).
Massachusetts Health Care Reform: The View from One Year Out, Risk Management and Insurance
Review 11(1), Spring 2008, p. 51-63.
How Much Uncompensated Care to Doctors Provide?, Journal of Health Economics, 26, December
2007, p. 1151-1169 (with David Rodriguez).
Moral Hazard in Nursing Home Use, Journal of Health Economics, 26, 2007, 560-577 (with David
Grabowski).
The Massachusetts Health Care Revolution: A Local Start for Universal Coverage, Hastings Center
Report, 36(5), September-October 2006, 14-19.
Does Falling Smoking Lead to Rising Obesity?, Journal of Health Economics, 25(2), March 2006, 183197 (with Michael Frakes).
Subsidies to Employee Health Insurance Premiums and the Health Insurance Market, Journal of Health
Economics, 24(2), March 2005, 253-276. (with Ebonya Washington).
Public Insurance and Child Hospitalizations: Access and Efficiency Effects," Journal of Public
Economics, 89 (1), January 2005, 109-129 (with Leemore Dafny)
Tax Incidence When Individuals are Time Inconsistent: The Case of Cigarette Excise Taxes, Journal of
Public Economics, 88(9-10), August 2004, 1959-1988 (with Botond Koszegi).
How Elastic is the Firms Demand for Health Insurance?, Journal of Public Economics, 88(7), July
2004, p. 1273-1294 (with Michael Lettau).
Why Did Employee Health Insurance Contributions Rise?, Journal of Health Economics, 22(6),
November 2003, 1085-1104 (with Robin McKnight).
Estimating Price Elasticities When There is Smuggling: The Sensitivity of Smoking to Price in Canada,
Journal of Health Economics 22(5), September 2003, 821-842 (with Anindya Sen and Mark
Stabile).
Evaluating Alternative Approaches to Incremental Health Insurance Expansion: What is the Right
HHS Gruber 000976
Criterion?, American Economic Review, 93(2), May 2003, 271-276.

Smokings Internalities, Regulation, 25(4), Winter 2002-2003, 52-57.
Insuring Consumption Against Illness, American Economic Review, 92(1), March 2002, 51-70 (with
Paul Gertler).
The Economics of Tobacco Regulation, Health Affairs, 21(2), March/April 2002, 146-162.
"The Impact of the Tax System on Health Insurance Coverage, International Journal of Health Care
Finance and Economics, vol 1 (3/4), 2002, 293-304.
Is Addiction Rational? Theory and Evidence, Quarterly Journal of Economics, 116(4), November
2001, 1261-1303 (with Botond Koszegi).
Public Health Insurance and Medical Treatment: The Equalizing Impact of the Medicaid Expansions,
Journal of Public Economics, 82(1), October 2001,63-89 (with Janet Currie).
The Economic Impacts of the Tobacco Settlement, Journal of Policy Analysis and Management 21(1),
2001, 1-19 (with David Cutler, Raymond Hartman, Mary Beth Landrum, Joseph P. Newhouse,
and Merideth Rosenthal).
Tobacco at the Crossroads: The Past and Future of Smoking Regulation in the U.S., Journal of
Economic Perspectives, 15(2), Spring 2001, 193-212.
Youth Smoking in the 1990s: Why Did it Rise and What are the Long Run Implications?, American
Economic Review, 91(2), May 2001, p. 85-90.
Microsimulation Estimates of the Effects of Tax Subsidies for Health Insurance, National Tax Journal,
53(3), Part I, September 2000, 329-342.
Tax Subsidies for Health Insurance: Costs and Benefits, Health Affairs, 19(1), January/February 2000,
72-85 (with Larry Levitt).
Public Health Insurance and Private Savings, Journal of Political Economy, 107(6), December 1999,
1249-1274 (with Aaron Yelowitz).
Physician Fees and Procedure Intensity: The Case of Cesarean Delivery, Journal of Health Economics,
18(4), August 1999, 473-490 (with John Kim and Dina Mayzlin).
Employment Separation and Health Insurance Coverage, Journal of Public Economics, 66(3),
December 1997, 349-382(with Brigitte Madrian).
Physician Fee Policy and Medicaid Program Costs, Journal of Human Resources, 32(4), Fall 1997,
611-634 (with Kathleen Adams and Joseph Newhouse).
Policy Watch: Medicaid and Uninsured Women and Children, Journal of Economic Perspectives,
11(4), Fall 1997, 199-208.
HHS Gruber 000977
Medicaid and Private Insurance: Evidence and Policy Implications, Health Affairs, 16(1),
January/February 1997, 194-200 (with David Cutler).
Saving Babies: The Efficacy and Cost of Recent Expansions of Medicaid Eligibility for Pregnant
Women, Journal of Political Economy, 104(6), December 1996, 1263-1296 (with Janet Currie).
The Impact of Fundamental Tax Reform on Employer-Provided Health Insurance, The Insurance Tax
Review, 11(1), July 1996, 41-44 (with James Poterba).
Health Insurance Eligibility, Utilization of Medical Care, and Child Health, Quarterly Journal of
Economics, 111(2), May 1996, 431-466 (with Janet Currie)
Does Public Insurance Crowd Out Private Insurance?, Quarterly Journal of Economics, 111(2), May
1996, 391-430 (with David Cutler).
The Effect of Expanding the Medicaid Program on Public Insurance, Private Insurance, and
Redistribution, American Economic Review, 86(2), May 1996, 368-373 (with David Cutler).
Physician Financial Incentives and the Diffusion of Cesarean Section Delivery, RAND Journal of
Economics, 27(1), Spring 1996, 99-123 (with Maria Owings).
Health Insurance Availability and the Retirement Decision, American Economic Review, 85(4),
September 1995, 938-948 (with Brigitte Madrian).
Physician Payments and Infant Mortality: Evidence From Medicaid Fee Policy, American Economic
Review, 85(2), May 1995, 106-111 (with Janet Currie and Michael Fischer).
The Labor Market Effects of Introducing National Health Insurance: Evidence from Canada, Journal of
Business and Economics Statistics, 13(2), April 1995, 163-174 (with Maria
Hanratty).
State Mandated Benefits and Employer Provided Insurance, Journal of Public Economics, 55(3),
November 1994, 433-464.
Limited Insurance Portability and Job Mobility: The Effect of Public Policy on Job-Lock, Industrial
and Labor Relations Review, 48(1), October 1994, 86-102 (with Brigitte Madrian).
The Elasticity of Demand for Health Insurance: Evidence from the Self-Employed, Quarterly Journal
of Economics, 109(3), August 1994, 701-734 (with James Poterba).
The Effect of Competitive Pressure on Charity: Hospital Responses to Price Shopping in California,
Journal of Health Economics, 13(2), July 1994, 183-212.
The Incidence of Mandated Maternity Benefits, American Economic Review, 84(3), June 1994, 622641.
HHS Gruber 000978

Tasks 1 & 2
universal health insurance coverage. This will be based on both my years of experience
as a health policy expert and my recent experience in implementing the ambitious
universal health insurance coverage plan in Massachusetts. As a result of my
Massachusetts experience, I understand the key policy decisions that must be made to
design a universal coverage plan, and the tradeoffs in designing them. In particular, I can
assist with critical design questions such as:
enforce a mandate?
payroll?
experience?
Second, I will provide microsimulation modeling estimates of the impact of

alternative reform plans. Over the past decade I have developed a microsimulation model
which allows one to evaluate the impact of health insurance policy proposals on the
distribution of health insurance coverage in the U.S. and the impacts on public and
private budgets.
HHS Gruber 000979
The primary strength of my model is a careful consideration of the full range of

effects of health policy changes: I consider the effect of any insurance market
intervention on all individuals and firms. I do this in two steps. First, I translate any
policy change into its impact on the prices of the insurance options faced by individuals
and firms. Individuals typically have several options for their insurance coverage:
employer-based coverage; coverage purchased in the non-group market; public insurance
coverage (for low income groups); or no insurance. Their decisions on which of these
routes to follow will be a function of their eligibility for each route (e.g. are they eligible
for public insurance or offered employer-sponsored insurance) and the prices they face
for each route. The second step is to then model how individuals and firms react to those
price changes. I model these underlying behavioral reactions by drawing on the best
available evidence from health economics.
This approach follows that used by the Congressional Budget Office, the Joint
Tax Committee, and other government scoring organizations. Indeed, my estimates
should provide a reasonable benchmark for understanding where these other
organizations end up in scoring universal coverage legislation.
These two rolls are carefully integrated because it is impossible to address the key
policy questions without a good understanding of the financial and insurance implications
of different alternatives. For example, it is impossible to understand the tradeoff with
different levels of subsidy generosity without understanding how varying these levels
will affect the governments budget and the number of individuals with various forms of
insurance. By integrating the policy analysis with the supporting model estimates I can
provide the most useful support to ASPE and other agencies.
Task 3
I will prepare technical memoranda for ASPE which lay out the results of both
this analysis and the associated modeling. These memoranda will explain in detail the
pros and cons of the various policy alternatives under consideration, as well as a detailed
explanation of the modeling and the results of that modeling. These reports will be
delivered at 3 month intervals.
engagement I will work
hours, and my research assistant will work
hours. No
(b) (6)
(b) (6)

HHS Gruber 000980
References
(b) (6)
Resumes
as well.
HHS Gruber 000981
Volume II: Business Quote

This project will involve four quarterly deliverables that are based on intensive week-byweek work throughout the year. As noted above, I anticipate that I will work
hours/month on this project, and that John Graves will work
hours/month. This leads
to a total cost of (b) (6) /month, broken down as follows:
(b) (6)
(b) (6)
Monthly Costs:
Gruber:
Graves:
(b) (6)
(b) (6)
hours at (b) (6) /hour

Total
=
=
(b) (6)
These hourly rates represent what I have charged public entities and foundations in the
past for my modeling services, including work for the Delaware Health Care
Commission, Kaiser Family Foundation, the California Health Care Foundation, and the
Universal Health Care Foundation of Connecticut.
Given this breakdown, I anticipate that the quarterly cost of the project will be (b) (6)
and that the total cost over all four quarters will be $285,000. This will cover all the
work involved in the consultation and modeling, as well as the report at the end of the
quarter laying out the results of this work. Payments for (b) (6) would be made
quarterly upon receipt of that quarters report.
HHS Gruber 000982

From:
Sent:
To:
Cc:
Subject:

RE: RFQ AES2009 (official solicitation release)
Clint, OK -- we will review and get back to you.

Don

Cc: Sunday, Marie (PSC/SAS); Druk, Clint (PSC/SAS/DAM)
Subject: FW: RFQ AES2009 (official solicitation release)
Don,
Please find attached Dr. Grubers quote in response to the subject solicitation. I will need to know if it is technically
acceptable and if the labor mix and level of effort is realistic to meet the requirements of the statement of work.
Obviously, the firm fix price quoted is substantially higher. I want to give you some preliminary information on what that
may mean as I am sure youll be talking with others about this and the information could be useful to have up front.
(b) (5)
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

1
HHS Gruber 000983

Subject: Re: RFQ AES2009 (official solicitation release)
thanks
Jon gruber
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 000984

From:
Sent:
To:
Subject:
Attachments:

Friday, June 19, 2009 10:40 AM
Re: Signature and Review needed
aspe.jpg
Thankssomuch,Clint!Hereisthesignedcopy.Pleaseletmeknowifthisisinorder.
thanksforallyourhelpandenjoythetraining...
Jon
Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>Attachedistheanticipatedcontract.Ineedyoutoreviewandsignit.
>Ifyoucangetitreturnedtomeby2p.m.todayIshouldbeableto
>havethisawardedtoday.Ifnot,itmaytakeanadditional7business
>daysasIwillbeoutoftheofficenextweekfortrainingandon
>regularleave (b) (6)
>
>
>ClintDruk
>ContractingOfficer
>(P)3014430403
>(F)3014438488
>
>
>
JonathanGruber
Cambridge,MA02142
phone:6172538892
fax:6172531330
HHS Gruber 000985

From:
Sent:
To:
Cc:
Subject:
(b) (6)

Sunday, Marie (PSC/SAS/AMD/Acq/T6)
Re: Solicitation Number: OS4809
Mr. Druk,
That is right.
We are pioneer in Healthcare IT and EMR area. CAL would be appreciative of your passing on our capabilities
to your counterparts in DHHS/FDA/AHRQ and other agencies in Dept of Health. We would also like to be
considered for sole source award under Recovery Act. CAL believes that our niche qualification can expedite
the contracting process by saving Gov enormous amount of time and money.
Best regards,
(b) (6)
-----Original Message----From: Druk, Clint (PSC/SAS/AMD/Acq/T6) <Clint.Druk@PSC.hhs.gov>
To: (b) (6)
Cc: Sunday, Marie (PSC/SAS/AMD/Acq/T6) <Marie.Sunday@psc.hhs.gov>; Druk, Clint
(PSC/SAS/AMD/Acq/T6) <Clint.Druk@PSC.hhs.gov>
Sent: Tue, 26 May 2009 8:57 am
Subject: RE: Solicitation Number: OS4809
(b) (6)
I recommend that you contact Dr. Gruber if you are interested in working as his technical arm. I will forward the
information to you provided to the program office since that is where the requirements come from including any potential
future, similar requirements.
From your email, Im operating with the understanding that you are not interested in being considered for the subject
solicitation but are seeking to market yourself to the Government and to Dr. Gruber. If that is incorrect please clarify.
Thank you,
Clint Druk
Contracting Officer
=0 A
(P) 301-443-0403
(F) 301-443-8488
1
HHS Gruber 000987
From: (b) (6)

Subject: Solicitation Number: OS4809
Dear Mr. Druk,

This is to support Dr. Jonathan Gruber, effort and involvement for the referenced sol.'Technical Assistance in
Evaluating Options for National Healthcare Reform' We have no intention to obstruct your and Dr. Gruber
effort in this important area.
CAL just want to submitt our capabilities to your attention for additional work in this area and be a technical
arm to Dr. Gruber, per his requirement.
CAL believes that our product (b)
reform.
(4)
narrates our experience, capabilities and committed path for healthcare
I would like to20bring it to your attention, that you should consider awarding additional requirement related to
'Reinvestment act 2009 to CAL on sole source basis, as we are uniquely qualified to complete such
requirements and provide the best value to your agency. Not only CAL will save you time but enormous
amount of money as well to implement the goals of such procurrement. We have experience and ready made
tools to go with short notice to achieve the goals of your agency..
I shall be glad to send additional documentation and give briefing to your technical experts at your convenience.
Best regards,
(b) (6)
Gadget of the Year: Peek. Unlimited email on the go & no contracts.
Just Two? Get Easy to Make Recipes. Sign Up - Free Email Newsletter.
HHS Gruber 000988

From:
Sent:
To:
Cc:
Subject:
(b) (6)
Friday, May 29, 2009 12:09 PM

; Druk, Clint (PSC/SAS/AMD/Acq/T6)
Sunday, Marie (PSC/SAS/AMD/Acq/T6)
Re: Solicitation Number: OS4809
(b) (6)
Mr. Druk.
Thanks. I appreciate your help.
I want to bring the following from one of the DHHS - RFP to your attention;
Page 76, paragraph 2 states...
The Government is not able at this time to identify the specific quantity and type of work that will be conducted
under these contracts. Upon contract award, specific projects will be identified and funds provided based upon
the identified projects and the negotiated cost baseline. In accordance with the deliverables outlined in the
Statement of Work, the contractor will be required to submit a work plan and budget for each identified project.
Looks like DHHS staff is lost, in being specific.
CAL has 20 yrs of healthcare experience and 12 yrs direct with (b) (4) product (b) (4)
related to EMR/prevention/marketing and knowledge transfer area. CAL would like to help your agency in
defining the requirements, as we have extensive experience in product development, physicians behavior, and
implementation.
I therefore, would be further appreciative of your sending our capabilities to AHRQ Technical Experts and
contracting staff as well. I believe that CAL can reduce your procurement cycle, save time and money and bring
the best value to Gov in achieving president Obama's goal to reform our Healthcare System.
Best regards,
(b) (6)
-----Original Message----From: (b) (6)
To: Clint.Druk@PSC.hhs.gov
Cc: Marie.Sunday@psc.hhs.gov
Sent: Thu, 28 May 2009 1:55 pm
Subject: Re: Solicitation Number: OS4809
Mr. Druk,
That is right.
1
HHS Gruber 000989
We are pioneer in Healthcare IT and EMR area. CAL would be appreciative of your passing on our capabilities
to your counterparts in DHHS/FDA/AHRQ and other agencies in Dept of Health. We would also like to be
considered for sole source award under Recovery Act. CAL believes that our niche qualification can expedite
the contracting process by saving Gov enormous amount of time and money.
Best regards,
(b) (6)
-----Original Message----From: Druk, Clint (PSC/SAS/AMD/Acq/T6) <Clint.Druk@PSC.hhs.gov>
To: (b) (6)
Cc: Sunday, Marie (PSC/SAS/AMD/Acq/T6) <Marie.Sunday@psc.hhs.gov>; Druk, Clint
(PSC/SAS/AMD/Acq/T6) <Clint.Druk@PSC.hhs.gov>
Sent: Tue, 26 May 2009 8:57 am
Subject: RE: Solicitation Number: OS4809
(b) (6)
I recommend that you contact Dr. Gruber if you are interested in working as his technical arm. I will forward the
information to you provided to the program office since that is where the requirements come from including any potential
future, similar requirements.
From your email, Im operating with the understanding that you are not interested in being considered for the subject
solicitation but are seeking to market yourself to the Government and to Dr. Gruber. If that is incorrect please clarify.
Thank you,
Clint Druk
Contracting Officer
=0 A
(P) 301-443-0403
(F) 301-443-8488
From:
To: Druk, Clint (PSC/SAS /AMD/Acq/T6)
Subject: Solicitation Number: OS4809
(b) (6)
Dear Mr. Druk,

2
HHS Gruber 000990
CAL believes that our product (b)
reform.
(4)
I would like to20bring it to your attention, that you should consider awarding additional requirement related to
0A
Best regards,
(b) (6)
Just Two? Get Easy to Make Recipes. Sign Up - Free Email Newsletter.
HHS Gruber 000991

From:
Sent:
To:
Subject:

Monday, March 16, 2009 9:12 AM
RE: Some Good News
thanks. this gives us a little wiggle room.

Sent: Thursday, March 12, 2009 5:07 PM
Subject: Some Good News
Don,
I thought about this some more and discussed it with Marie. I had forgotten some recent changes. Let me clarify a few
things:
1. Acquisition Plan only required for $550k or above. Thus, if you dont expect the contract to exceed that amount
you dont need to do a formal, written acquisition plan. Im guessing if we are talking just another 6 months then
you wont need one.
2. We should only have to post the sole source for 15 days not 45. This was a change Id forgotten about.
I would GUESS that it could be done in about 20 to 30 days roughly (Im assuming good cooperation and no issues with
OSDBU etc.).
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 000992

From:
Sent:
To:
Subject:

Wednesday, January 27, 2010 12:57 PM
RE: Status of Jonathan Gruber contract?
Clint -- this one is going up the food chain. I'll give you a more definite response as soon as I hear.
Don

Sent: Wednesday, January 27, 2010 12:54 PM
Subject: FW: Status of Jonathan Gruber contract?
Don,
Given the totality of the circumstances, is there a particular way youd like me to respond? I dont know the substantive
answer to her question and, to the best of my knowledge, any documents produced by Dr. Gruber are not publicly
available. Should she be directed to submit a FOIA request?
Clint Druk
Supervisory Contract Specialist
(P) 301-443-0403
(F) 301-443-8488
From: Stephanie Aldrich [mailto:(b) (6)

Sent: Wednesday, January 27, 2010 10:00 AM
Subject: Status of Jonathan Gruber contract?
Hello Clint,
Im a health policy researcher interested in the status of the contract (described below) that ASPE awarded to Jonathan
Gruber on June 19, 2009:
ASPE requires a technical memorandum on the estimated changes in health insurance
coverage and associated costs and impacts to the government under alternative
specifications of health system reform. The requirement includes developing estimates of
various health reform proposals on health insurance coverage and cost. The alternative
specifications to be considered will be derived from the Presidents health reform
proposal. This project is a continuation of work that Dr. Gruber is currently providing for
ASPE.
1
HHS Gruber 000993
for a fuller description, see

https://www.fbo.gov/index?s=opportunity&mode=form&id=3032e84fe13f650770acee31c1372a1b&tab=core& cview=1&c
ck=1&au=&ck=
Can you give me an update on the contract whether any interim papers or research has been presented to ASPE, etc.? If
there are any such documents, can you tell me if they are publicly available? If so, I would be interested in reviewing
them.
Thank you,
Stephanie Aldrich
Stephanie Aldrich
Health Policy Analysis and Consulting
443 535 0010
(b) (6)
HHS Gruber 000994

From:
Sent:
To:
Subject:

RE: Techncially Acceptable
That's correct. There were a couple minor editorial errors, but nothing worth raising.

Subject: Techncially Acceptable
I am just confirming that you found Mr. Grubers quote, as revised, to be technically acceptable correct?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 000995

From:
Sent:
To:
Subject:

RE: thanks
OK, thanks. I'm out tomorrow -- so I hope you have a good Memorial Day weekend.
Don

Subject: thanks
Was talking to Marie but thanks for the heads up. Ill try to get a synopsis posted tomorrow so that 15 clock can start
ticking.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 000996

From:
Sent:
To:
Subject:

Re: timing
super,thanksfortheinfoClint!haveagreatweekend
Jon
Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>Theevaluatorsarestillevaluatingtheproposal.Idon'texpectto
>hearbackuntilnextweek.Giventhatafewofficesareinvolved
>behindthescenesinformationflowstomeviaASPEandIknowASPEis
>waitingtogetinputfromtheotheroffice.OnceIreceivethe
>evaluationwemayneedtohavediscussionsandgetarevisedproposal
>orwemaymoveforwardtoaward.Iwon'tknowuntilIreceivethe
>evaluationfindingsfromtheevaluators.
>
>
>ClintDruk
>ContractingOfficer
>(P)3014430403
>(F)3014438488
>
>
>
>
>
>
>
>
>OriginalMessage
>Sent:Friday,June12,20091:48PM
>Subject:timing
>
>Clint
>
>areyouallowedtotellmewhenImighthearbackonmyapplication
1
HHS Gruber 000997
>forthisnewcontract?thanks
>
>jon
>
>
JonathanGruber
Cambridge,MA02142
phone:6172538892
fax:6172531330
HHS Gruber 000998

From:
Sent:
To:
Subject:

Druk, Clint (PSC/SAS/DAM); 'Jon Gruber'
RE: TPN
Ignore that email. I just realized you already provided that info.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

To: 'Jon Gruber'
Subject: RE: TPN
What is your DUNs number?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: TPN
I'm not sure how reliable email will be - I never heard back from them - I did get through to a human when I
called the generic number so it might be worth a try ...
1
HHS Gruber 000999

Ill see if I can find anything out. I emailed them and will see if I can find some contact information other than the generic
info. they have posted that appears to be effectively worthless.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: TPN
good and bad news. The good news is that you appear to be right - using my Social (with dashes!) appears to
ahve gotten me into the system. The bad news is that, once in, they don't recognize my email address. I have
no idea why - I have never used any other email address. But I see no way around this without knowing the
email address they think they ahve for me.
could you please see if you can figure this out for me? I would be greatly indebted.
My DUNS is 124134870 and my social is (b)
(6)
thanks
Jon
Im still trying to get in touch with CCR but I believe the TPN is your Taxpayer ID Number. I recommend trying to register
using your TPN/TIN. If that doesnt work let me know. Ill continue to try to contact CCR and, even if it does work, Ill at
least urge them to call it a TIN like everyone else does.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001000
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001001

From:
Sent:
To:
Subject:
Turnbull, Scott (PSC)

Druk, Clint (PSC/SAS/DAM); PSC PRISM
RE: Vendor: GRUBER, JONATHAN
Clint- I have verified this record is now available in the PRISM tables. Let me know if anything else is needed
Scott
Scott Turnbull
Sr Associate
Clifton Gunderson LLP

5600 Fishers Lane, RM 16A-12
Rockville, MD 20857
301.443.5965 / FAX 301.443.1114
Mobile: (b) (6)
Scott.Turnbull@psc.hhs.gov
www.cliftoncpa.com
COUNT ON INSIGHT

To: PSC PRISM; Turnbull, Scott (PSC)
Subject: RE: Vendor: GRUBER, JONATHAN
Scott,
Is it possible to have this done immediately? The contract needs to be issued ASAP and it is a contract, albeit small in
dollar value, of key political importance. The contract is bringing on an MIT economics professor who has proprietary
models that the Obama administration needs to prepare their healthcare reform proposals for congress. While ASPE is
involved there is a large involvement with White House staff for his services and there is appreciable pressure to get him
working immediately.
Can Mr. Gruber be entered immediately?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001002
From: PSC PRISM

To: Turnbull, Scott (PSC)
Subject: Vendor: GRUBER, JONATHAN
Scott,
We need the following vendor pushed into PRISM as soon as possible.
GRUBER, JONATHAN
DUNS: 829818975
Active in CCR until 3/18/2010
Appreciate your help!
Thank you,
Keith Littlejohn
Systems Analyst - The PRISM Help Desk
Tel 301.443.7747 | Cell (b) (6)
| Fax 301.480.0143
HHS Gruber 001003

From:
Sent:
To:
Cc:
Subject:
Attachments:

'Siegel, Bernard J (OIG/OAS)'
FW: Request for Documentation Needed to Respond to a Congressional Inquiry
RequestForDocumentation.pdf
Importance:
High
Don,
Please see below and the attached. I told Christie Goodman Id have you send me everything you had and then it all over
to OIG in a single package. They basically want everything. If you prefer, you can send what you have directly to Mr.
Siegel. I am not sure what documents you have other than emails and the contract deliverables.
Let me know how you want to proceed so we can coordinate as appropriate. I do note the July 2nd deadline.
Also, I will be out of the office (b)
(6)
Clint Druk
Branch Chief
W: 301-443-0403 | F: 301-443-8488

To: Goodman, Christie (PSC/SAS/OD); Snight, David (PSC/SAS/OD)
Subject: Request for Documentation Needed to Respond to a Congressional Inquiry
Importance: High
MS.GOODMAN:
Bernard J. Siegel
AATS Audit Manager
Phone: 215-861-4484
Cell: (b) (6)
Facsimile: 215-861-4541
1
HHS Gruber 001004

HHS Gruber 001005

From:
Sent:
To:
Cc:
Subject:
Attachments:
Dougherty, Theodor (PSC/DFO)

Sripathi, Nageswara (PSC/DFO); Turnbull, Scott (PSC)
RE: Vendor: GRUBER, JONATHAN
Vendor Log - GRUBER.htm
SP- I pushed it Dont think it worked I attached the log
HHS Gruber 001007
Ted Dougherty
301-443-6432
Systems Accounting Branch
Division of Financial Operations, PSC
From: Sripathi, Nageswara (PSC/DFO)
To: Turnbull, Scott (PSC); Dougherty, Theodor (PSC/DFO)
2
HHS Gruber 001008
Cc: Druk, Clint (PSC/SAS/DAM); PSC PRISM

Ted,
Can you please run the OCI Vendor Load program for the vendor - GRUBER, JONATHAN 1106003.
Scott,
I dont see this DUNS in PRISM. I will check if the vendor made it after Ted runs it and let you know if it made it.
Thanks
SP
Nageswara Rao Sripathi
PSC Business Operations Support
Ph: (301) 443-5056 (W)
(b) (6)
From: Turnbull, Scott (PSC)
To: Druk, Clint (PSC/SAS/DAM); PSC PRISM
Cc: Sripathi, Nageswara (PSC/DFO)
SP,
Can you push the DUNS record below to PRISM. It is an urgent request from procurement. Please note that this vendor
has two different TINS and DUNS registered in the CCR with the same information. The other DUNS is 124134870. I
dont know if this will cause a problem with identifying this record in PRISM.
Thanks
Scott Turnbull
Sr Associate
Clifton Gunderson LLP

5600 Fishers Lane, RM 16A-12
Rockville, MD 20857
301.443.5965 / FAX 301.443.1114
Mobile: (b) (6)
Scott.Turnbull@psc.hhs.gov
www.cliftoncpa.com
COUNT ON INSIGHT

To: PSC PRISM; Turnbull, Scott (PSC)
Scott,
Is it possible to have this done immediately? The contract needs to be issued ASAP and it is a contract, albeit small in
dollar value, of key political importance. The contract is bringing on an MIT economics professor who has proprietary
models that the Obama administration needs to prepare their healthcare reform proposals for congress. While ASPE is
involved there is a large involvement with White House staff for his services and there is appreciable pressure to get him
working immediately.
Can Mr. Gruber be entered immediately?
HHS Gruber 001009
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
From: PSC PRISM

To: Turnbull, Scott (PSC)
Subject: Vendor: GRUBER, JONATHAN
Scott,
We need the following vendor pushed into PRISM as soon as possible.
GRUBER, JONATHAN
DUNS: 829818975
Active in CCR until 3/18/2010
Appreciate your help!
Thank you,
Keith Littlejohn
Systems Analyst - The PRISM Help Desk
Tel 301.443.7747 | Cell (b) (6)
| Fax 301.480.0143
HHS Gruber 001010

From:
Sent:
To:
Subject:

Friday, March 06, 2009 11:20 AM
Re:
Clint vis my previous mail - actually, the total might be higher as I think about the number of hours I need to put in so the qusetion is really whether the hourly rates will pass muster
Jon
Short answer: Official solicitation probably released the afternoon of 3/11. Quote received within a day or two of that
(depends on how fast you can get it put together with everything we would need). Evaluation probably same day or 1
day. Final wrap up/signatures etc. another day or same day. Given what this is for and the push to move on healthcare
reform this is something I plan on doing as quickly as possible within the regulations.
Longer explanation:
Right now there is a public announcement on www.fbo.gov (search for AES2009) or this direct link may
work: https://www.fbo.gov/index?s=opportunity&mode=form&id=239a1e94d4f22683c9cf64fd2ddcf9e0&tab=core& cview
=0
That is the synopsis of the requirement that we are required to post there for a minimum of 15 days. The purpose is to
increase transparency, help to ensure we arent inappropriately limiting competition, and to identify various small business
types that could be interested in the requirement.
Given the governments requirements and the sole source standard I made a determination that you were the only source
reasonably available to meet the governments requirements. However, I still have to post this and consider any
capability statements or other requests that come in e.g. other businesses that say, Hey Government, we could totally do
this work too and you should open this up for competition. As the announcement hasnt closed yet Im still not sure what,
if anything, I may receive as a result of the announcement. That is why I cant say you have or are going to have a
contract or not at this point.
Provided the announcement closes and effectively confirms the appropriateness of soliciting from you on a sole source
basis, Ill issue the official solicitation to you and set a due date. If you cant meet the due date set you would let me know
and we could arrange for something that is more manageable for you. Id then wait to get the quote, it would be
evaluated, and any final negotiations would occur and other things that would have to be addressed (e.g. CCR registration
completed) and then wed sign the contract and work could begin.
If you have questions after receiving the official solicitation just call me and we can discuss things so we increase the
odds that what is initially submitted as a quote is something we can move straight to award on. The main things that
would likely stall the process would be:
1. Not being registered in CCR.

2. Not having the representations and certifications completed at orca.bpn.gov
3. The quote failing to come with a sufficient price breakdown and/or support for the price for me to determine, as
Im required to by regulation, that the price is fair and reasonable (i.e. the bottom line overall fixed price you
quote). As this is almost entirely, if not entirely, labor hour driven Id expect to get something like: Deliverable
X: Clint Druk 10 hours x $5 per hour = $50 per hour. Deliverable X: Clint Druk 5 hours x$5 per hour = $25
etc. Any other costs (e.g. I dont know maybe paper or something a few reams at $10 a ream or
something): TOTAL FIXED PRICE: $85. The Project Officer would assess whether he feels the labor mix and
level of effort (in this case Im guessing there wouldnt be a mix other than yourself) is reasonable and appropriate
1
HHS Gruber 001011
to complete the requirements of the statement of work. Id then look at the hourly rate and need something to
determine if that is a fair and reasonable rate (e.g. documentation on a rate for the same or similar services
youve provided to the government or other entities perhaps or somehow Id need a copy of an invoice perhaps or
something at least). Id check to see if $10 for a ream of paper is a fair price in the market etc.
a. It is important to note that this is being issued in a fixed-price basis so whether you work
234810947831290 hours or 1 hour you still would receive the total firm fixed price that is agreed to
provided you complete the requirements of the statement of work (i.e. the risk of cost overruns or, more
accurately in this case, misjudging the amount of hours it will take lies on you rather than the
government).
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Sent: Friday, March 06, 2009 10:33 AM
Subject: Re:
Clint can you remind me please of the timing from here until the contract is signed?
thanks
Jon
Ive attached a draft solicitation. A final, official solicitation will be released in the near future.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
2
HHS Gruber 001012
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001013

From:
Sent:
To:
Cc:
Subject:

Goodman, Christie A (HHS/PSC); Snight, David (PSC/SAS/OD)
Recall: Request for Documentation Needed to Respond to a Congressional Inquiry
Expires:
Saturday, June 26, 2010 4:01 PM
Siegel,BernardJ(OIG/OAS)wouldliketorecallthemessage,"RequestforDocumentationNeededtoRespondtoa
CongressionalInquiry".
HHS Gruber 001014

From:
Sent:
To:
Subject:
Monday, February 01, 2010 3:22 PM
RECEIVED: Attachment HHSP233200900181P Gruber COMPLETE file.pdf
Return Receipt
Your attachment: HHSP233200900181P Gruber COMPLETE file.pdf
Was downloaded at: 01 February 2010 15:21:36
File size is: 5.96 MB
HHS Gruber 001015

From:
Sent:
To:
Subject:
RECEIVED: Attachment HHSP23320094301EC Gruber COMPLETE file.pdf
Return Receipt
Your attachment: HHSP23320094301EC Gruber COMPLETE file.pdf
Was downloaded at: 01 February 2010 15:22:19
File size is: 8.90 MB
HHS Gruber 001016

From:
Sent:
To:
Subject:
RECEIVED: Attachment HHSP23320094301EC invoice.pdf
Return Receipt
Your attachment: HHSP23320094301EC invoice.pdf
Was downloaded at: 15 April 2010 11:15:32
File size is: 100.14 KB
HHS Gruber 001017

From:
Sent:
To:
Subject:
RECEIVED: Attachment HHSP23320094301EC invoices and payment inf.pdf
Return Receipt
Your attachment: HHSP23320094301EC invoices and payment inf.pdf
Was downloaded at: 15 April 2010 08:08:46
File size is: 560.83 KB
HHS Gruber 001018

From:
Sent:
To:
Cc:
Subject:
Attachments:

Goodman, Christie (PSC/SAS/OD); Snight, David (PSC/SAS/OD)
Request for Documentation Needed to Respond to a Congressional Inquiry
RequestForDocumentation.pdf
Importance:
High
MS.GOODMAN:
Bernard J. Siegel
AATS Audit Manager
Phone: 215-861-4484
Cell: (b) (6)
Facsimile: 215-861-4541
HHS Gruber 001019

From:
Sent:
To:
Cc:
Subject:

Goodman, Christie (PSC/SAS/OD); Snight, David (PSC/SAS/OD)
Request for Documentation Needed to Respond to a Congressional Inquiry
Importance:
High
MS.GOODMAN:
Bernard J. Siegel
AATS Audit Manager
Phone: 215-861-4484
Cell: (b) (6)
Facsimile: 215-861-4541
HHS Gruber 001021

From:
Sent:
To:
Cc:
Subject:
Attachments:

Tuesday, May 19, 2009 2:32 PM
Allen, Anita (PSC/AOS)
Druk, Clint (PSC/SAS/DAM); Cox, Donald R (HHS/ASPE)
RFP OS4809 - HHS653 Approval Request
hhs 653 RFP OS4809.pdf; JOFOC HP-09-015.doc; Gruber GCE-Contract II.xlsx; Gruber
SOW-Contract II.doc
Anita,
I think the JOFOC and HHS 653 adequately explain things. If not, feel free to contact myself or Don Cox with ASPE (ccd)
above. We would like to get the synopsis posted as soon as possible but, as always, I recognize there are formal
timeframes that OSDBU and SBA have to review 653s. Thus, if it can be turned around quickly great and, if not, I fully
understand (do we ever send anything over that we arent requesting be reviewed yesterday?).
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001022
2. Nature and/or description of the action being approved.

a. Acquisition purpose and objectives. The purpose of this acquisition is
to provide technical assistance in examining the impacts of various
proposals for health system reform. This work will be done as part of
President Obamas health reform initiative, under the direction of the
Office of Health Reform.
b. Project background. One of the most important policy initiatives of
President Obama is increasing access to affordable health insurance for
all Americans. In general, this will be accomplished by building on the
existing health care system, using existing health care providers and
health insurance plans, and establishing an insurance exchange and a
public plan option. In order to expand coverage, some of the initiatives
that the Obama plan calls for include expanding eligibility for Medicaid
and SCHIP, creating a tax credit to small businesses to provide health
insurance, expanding community health centers, requiring larger
employers that do not offer coverage to make a meaningful contribution to
the cost of coverage, and mandating that all children be covered.
Each of these initiatives can take a number of forms and collectively they
will interactively impact the number of individuals with health insurance
coverage, the cost of this coverage, and access to health care services.
As such, it is important to obtain independent estimates on the impacts of
various specific initiative options. To this end, the Office of the Assistant
Secretary for Planning and Evaluation (ASPE) entered into a sole-source
contact with Jonathan Gruber, Ph.D. of MIT to use his proprietary microsimulation model to estimate the impacts of alternative initiative design
features (contract order number HHSP2332009181P, contract value of
$95,000, period of performance from 3/25/09 7/25/09). This current
proposed project is a follow-on project to the current sole-source contract.
This follow-on project is necessitated by ASPEs continued need to
examine alternative initiative specifications.
3. Description of the supplies or services required to meet the agencys
needs (including the estimated value).
a. Project title. Continuation of Technical Assistance for Evaluating
Options for National Healthcare Reform
b. Project description. This contract will provide the government with
continued technical assistance in examining the impacts of alternative
health policy reforms on insurance coverage and costs to the
government. Dr Gruber, through his subject matter expertise and
propriety micro-simulation model, is uniquely qualified to build on the
results of the prior contract and successfully provide the required analysis
required under this contract. This analysis will be done in close
consultation with the senior officials within ASPE, the Office of Health
Reform, and the Office of Management and Budget. The results of these
analyses will be fully described in a technical memorandum that shall be
produced at the end of the project.
HHS Gruber 001024
Requirement type.
Research & development (R&D)

R & D support services
Support services (non-R&D)
Supplies/equipment
Information technology (IT)
Construction
Architect-engineer (A & E) services
Design-build
Other (specify): ____________________
Type of action.
X New requirement
Follow-on
Other (specify): Continuation of work award using other than
full and open competition
Proposed contract/order type.
X Firm-fixed-price
Other fixed-price (specify, e.g., fixed-price award-fee, fixedprice incentive-fee): __________
Cost-plus-fixed-fee
Other cost reimbursement (specify, e.g., cost-plus-award-fee,
cost-plus-incentive-fee): ___________
Time and materials
Indefinite delivery (specify whether indefinite quantity,
definite quantity, or requirements): ___________
Other (specify): ___________
Completion Form Term form
Acquisition identification number. N/A
c. Total estimated dollar value and performance/delivery period.

Estimated dollar value is $298,200 and the performance period is 8
months.
4. Identification of the statutory authority permitting other than full and open
competition.
X This acquisition is conducted under the authority of 41 United

States Code (U.S.C.) 253(c)(1) as set forth in Federal Acquisition
Regulation (FAR) 6.302- 2.
This acquisition is conducted under the authority of section 4202

of the Clinger-Cohen Act of 1996.
HHS Gruber 001025

Associate Head
Tel: 617.253.8892
Fax: 617.253.1330
government.
HHS Gruber 001026
6. Description of the efforts made to ensure that offers are solicited from as
many potential sources as practicable. Indicate whether a FedBizOpps
notice was or will be publicized as required by FAR Subpart 5.2 and, if not,
which exception under FAR 5.202 applies. As part of the first sole-source
contract, a FedBizOpps notice was posted on February 25, 2009. No potential
alternative contractors responded to this notice. A similar FedBizOpps notice will
be posted as part of this second acquisition.
7. Determination by the Contracting Officer that the anticipated cost/price to
the Government will be fair and reasonable.
Price analysis will be conducted to ensure the price is fair and reasonable.
Additionally, the anticipated cost is based on an estimate which is informed by
the pricing in the current contract which was determined to be fair and
reasonable. Thus, the determination is made that the anticipated price to the
Government for the present acquisition will be fair and reasonable.
8. Description of the market research conducted (see FAR Part 10) and the
results, or a statement of the reasons market research was not conducted.
Apart from the FedBizOpps posting for the initial award mentioned in #6, no other
formal market research was conducted.
9. Any other facts supporting the use of other than full and open competition.
As noted above, ASPE and the Office of Health Reform are currently engaged in
developing detailed specifications for President Obamas health reform initiatives
and Dr. Gruber is providing critical assistance in this effort. The delays that
would be associated with opening up this acquisition to an open competition
would be highly disruptive to these efforts.
10. Listing of sources, if any, that expressed, in writing, an interest in the

acquisition. No other sources expressed an interest in the previous contract
solicitation and we have no reasonable expectation that interest would be
generated for this solicitation.
11. Statement of the actions, if any, the agency may take to remove or
overcome any barriers to competition before any subsequent acquisition
for the required supplies or services. At present, we do not anticipate making
future acquisitions for these services under a sole source basis. However, any
future requirements will include an appropriate level of market research or
publication of the requirement to identify additional sources that may exist.
12. Program office certification.
This is to certify that the portions of this justification that have been
developed by the undersigned program office personnel, including
supporting information and/or data verifying the Governments minimum
needs, schedule requirements and other rationale for other than full and
open competition, are accurate and complete.
HHS Gruber 001027
HHS Senior
Procurement
Executive
HHS Gruber 001030

Continuing Technical Assistance for Evaluating Options for Health Care Reform
REMIS: HP-09-15
1. DIRECT LABOR
Labor Category
Labor Hours
Rate ($s)
Research Assistant
total
Task 1
Task 2
Task 3.1
(mtgs)
(simulations)
(prog reports) (report)
Task 3.2
Total
(b) (6)
Labor Costs
Research Assistant
total
Total Labor Costs
(b) (6)
(b) (6)
$298,200.00
$298,200.00

A. ADP Services
$0.00
$0.00
C. Travel
$0.00
D. Data Acquisition
$0.00
Subtotal
$0.00
$0.00
Total ODC
$0.00
3. TOTAL COSTS
$298,200.00
HHS Gruber 001031
Statement of Work
Continuation of Technical Assistance for Evaluating Options
for National Healthcare Reform
(REMIS # HP-09-015)
Project Officer:
Donald.F. Cox
Room 447D.7
Washington DC 20201
Tel: 202.690.6597
Fax: 202.401.7321
Contractor:
Jonathan Gruber
Associate Head
Tel: 617.253.8892
Fax: 617.253.1330

Background
option. In order to expand coverage, some of the initiatives that the Obama plan calls
include expanding eligibility for Medicaid and SCHIP, creating a tax credit to small
larger employer that do not offer coverage to make a meaningful contribution to the cost
The purpose of this contract is to produce a technical memorandum on the estimated
changes in health insurance coverage and associated costs and impacts to the government
under alternative specifications of health system reform. The alternative specifications to
HHS Gruber 001032
be considered will be derived from the Presidents health reform proposal. This project
is a continuation of work that is currently underway.
Statement of Work
Task 1
Task 2

Based on the specifications developed in Task 1, the contractor shall develop estimates
on the change in the number of individuals with health insurance coverage (i.e., changes
in total coverage and the newly insured) and the costs to the government and the private
Task 3
Deliverables
Task 3.1
Monthly Progress Reports
The contractor shall provide a monthly progress report to the Project Officer indicating
key activities conducted, problems encountered, resolution of existing problems, funds
spent during that month, and cumulative funds expended. This report should also include
a brief discussion of upcoming activities for the next month.
Task 3.2
Technical Memoranda
The contractor shall prepare and submit a technical memorandum that fully describes the
proposal impact estimates, as well as indicating the strengths and limitations of this
HHS Gruber 001033
analysis. This memorandum shall cover the analyses performed over the duration of this
eight month project.
Task 3
Monthly Progress Report
Technical Memorandum
Quantity required
1
1
Due date
Monthly
8 months ADA*
HHS Gruber 001034

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Sent:
To:
Cc:
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Attachments:

Druk, Clint (PSC/SAS/AMD/Acq/T6); Cox, Donald R (HHS/ASPE)
RFP OS4809
RFP OS4809.pdf
Dr. Gruber,

Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
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HHS Gruber 001061
HHS Gruber 001062

From:
Sent:
To:
Cc:
Subject:
Attachments:

'Jon Gruber'
RFQ AES2009 (official solicitation release)
RFQ AES2009.pdf
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001063
RFQ AES2009
1 of 11
REQUEST FOR QUOTATION AES2009
1.
QUOTE INSTRUCTIONS
GENERAL
Your attention is directed to the requirements for technical and business quotes to be submitted in
accordance with the following instructions establishing the acceptable minimum requirements for the
content of quotes.
The quote shall be prepared and submitted in two volumes: Volume I - Technical Quote and Volume
II- Business Quote. Each of these volumes shall be separate and complete in itself so that evaluation
of one may be accomplished independently of evaluation of the other.
The RFQ does not commit the Government to pay any costs for preparation and submission of a
quote. In addition, the Contracting Officer is the only individual who can legally commit the
Government to the expenditure of public funds in connection with this proposed acquisition.
The quote shall be signed by an official authorized to bind the Offerors organization to perform.
Questions
Questions relating to this acquisition shall be submitted to Clint Druk via electronic mail at
clint.druk@psc.gov no later than 10:00 AM Eastern Time on March 12, 2009. All e-mail inquiries
shall have Question RFQ # AES2009 included in the subject line.
Submission Deadline
Your quote is due by March 13, 2009 at 2:00 p.m. eastern time and shall be submitted to
clint.druk@psc.gov.
2.
VOLUME I TECHNICAL QUOTE
The quote shall provide sufficient information to evaluate the technical approach and proposed
personnel to perform the work.
The technical quote shall discuss the proposed technical approach in sufficient detail to clearly and
concisely demonstrate that the quotor has an understanding of all requirements specified in the
Statement of Work.
The technical quote shall not contain price information; however, resource information such as data
concerning labor hours and categories, materials, subcontracts, etc., shall be contained in the technical
quote so that the quotors understanding of the detail and complexity of the requirements may be
evaluated.
The technical quote shall include a list of names and proposed duties of the professional personnel,
consultants, and key subcontractor employees assigned to the contract. Resumes are required to be
submitted for proposed personnel and shall, at a minimum, include information on education,
background, recent experience, certification(s), and specific scientific or technical accomplishments
and experience which relates to the requirements of this RFQ. Also, the technical quote shall
designate a responsible technical official who can commit the firm on technical issues and directions
with the current scope of work.
Qualifications and Resumes
HHS Gruber 001064
RFQ AES2009
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The quotor shall provide References, Qualifications, and Key Personnel Resumes that demonstrate
proven experience and capabilities required to successfully perform the activities outlined in the
Statement of Work. The following provides guidelines for submitting this information:
(1) References:
Offerors shall provide a minimum of three customer references/qualifications where the
required capabilities for this project have been demonstrated. Each reference should
include:
Client organization
Brief project description
Period of Performance
Description of services provided
Contract value
Point of contact (name and phone number)
(2) Resumes:
In addition to the requirements listed above, the Offerors shall include resumes for all
proposed staff members designated as key personnel. Resume format is left to the
discretion of Offerors, but individual resumes shall not exceed four pages in length.
Resumes for key personnel, including subcontracting personnel shall illustrate clearly the
following information:
2.
Project experience relevant to this RFQ

Description of project roles and responsibilities
Duration of any relevant project experience
Duration of project roles and responsibilities
Earned value techniques to be used on this project and techniques used on previous project
Volume II - Business Quote
This solicitation is requests a firm-fixed price quote. In order to evaluate the fairness and reasonability
of the firm-fixed price quoted a breakdown of that price shall be included and support for pricing
elements and rates used in calculating the firm-fixed price (e.g. since labor is the real cost driver for
this requirement a breakdown of the labor categories, rates, and hours along with support for the rates
used will need to be included).
Additionally, your business quote must include a payment plan tied to the deliverables schedule and
reflecting an amount equal to the value of the deliverable being invoiced for.
Vendors should submit their quotations on a firm-fixed price basis. Please express the price on a per
deliverable basis as well.
2.
PROJECT TITLE
Technical Assistance for Evaluating Options for National Healthcare Reform

3.
BACKGROUND:
One of the most important policy initiatives of President Obama is increasing access to affordable
health insurance for all Americans. In general this will be accomplished by building on the existing
health care system, using existing health care providers and health insurance plans, and establishing an
insurance exchange and a public plan option. In order to expand coverage, some of the initiatives
that the Presidents plan calls for include expanding eligibility for Medicaid and SCHIP, creating a tax
HHS Gruber 001065
credit to small businesses to provide health insurance, expanding community health centers,
2
RFQ AES2009
3 of 11
requiring larger employers that do not offer coverage to make a meaningful contribution to the cost of
coverage, and mandating that all children be covered.
The purpose of this contract is to produce a series of technical memoranda on the estimated changes
in health insurance coverage and associated costs and impacts to the government under alternative
specifications of health system reform. The alternative specifications to be considered will be derived
from the Presidents health reform proposal.
4.
Task 1
STATEMENT OF WORK
Consult with Senior Officials in the HHS Office of Health Reform and the Office of the Assistant
Secretary for Planning and Evaluation
The contractor shall consult with senior officials in the HHS Office of Health Reform and the Office
of the Assistant Secretary for Planning and Evaluation (ASPE) to develop detailed specifications of
alternative proposals to increase health insurance coverage. These alternatives may vary in terms of
the value of a tax subsidy, the change in eligibility for public insurance coverage, the specification of a
health insurance benefits package, or other elements that might affect the decision to obtain health
insurance coverage. These consultations shall be on-going throughout the course of the project. It is
anticipated that these discussions will be done via telephone and not necessitate the contractor to
incur any travel expenses.
Task 2
Develop Estimates of the Impacts of Various Health Reform Proposals on Health Insurance
Coverage and Cost.
Based on the specifications developed in Task 1, the contractor shall develop estimates of the change
in the number of individuals with health insurance coverage (i.e., changes in total coverage and the
newly insured) and the costs to the government and the private sector associated with these estimated
changes in coverage. These estimates shall be accomplished utilizing a simulation model that the
contractor has already developed for the purpose of developing such estimates. The results of these
simulations shall be presented to the HHS Office of Health Reform, ASPE and the Office of
Management and Budget, and subsequent refinements made on an as needed basis.
Task 3
Technical Memoranda
The contractor shall prepare and submit four technical memoranda that fully describe the proposal
impact estimates as well as indicating the strengths and limitations of this analysis. Each
memorandum shall cover the analyses performed over the proceeding three months of the project.
5.
DELIVERABLES SCHEDULE
Task 3
Quantity required
6.
Due date
5
5
5
5
3 months ADA*
6 months ADA
9 months ADA
12 months ADA
PERIOD OF PERFORMANCE
12 months after date of award.

7.
AUTHORITIES OF GOVERNMENT PERSONNEL
HHS Gruber 001066
RFQ AES2009
7.1.
CONTRACTING OFFICER
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The Contracting Officer is Clint Druk. All communications pertaining to contractual and/or
administrative matters under the contract should be addressed to the Contracting Officer.
Clint Druk
DHHS/PSC/SAS/DAM
5600 Fishers Lane
Rockville MD 20857
(301) 443-0403
(301) 443-8488
Clint.druk@psc.gov
7.2
CONTRACTING OFFICERS TECHNICAL REPRESENTATIVE (COTR)

To be determined at award.
COTR Appointment and Authority

(a) Performance of work under this contract must be subject to the technical direction of the
Project Officer identified above, or a representative designated in writing. The term technical
direction includes, without limitation, direction to the contractor that directs or redirects the
labor effort, shifts the work between work areas or locations, fills in details and otherwise
serves to ensure that tasks outlined in the work statement are accomplished satisfactorily.
(b) Technical direction must be within the scope of the specification(s)/work statement.
The Project Officer does not have authority to issue technical direction that:
(1) Constitutes a change of assignment or additional work outside the
specification(s)/statement of work;
(2) Constitutes a change as defined in the clause entitled Changes;
(3) In any manner causes an increase or decrease in the contract price, or the time required for
contract performance;
(4) Changes any of the terms, conditions, or specification(s)/work statement of the contract;
(5) Interferes with the contractor's right to perform under the terms and conditions of the
contract; or
(6) Directs, supervises or otherwise controls the actions of the contractor's employees.
(c) Technical direction may be oral or in writing. The Project Officer shall confirm oral
direction in writing within five work days, with a copy to the Contracting Officer.
(d) The contractor shall proceed promptly with performance resulting from the technical
direction issued by the Project Officer. If, in the opinion of the contractor, any direction of
the Project Officer, or his/her designee, falls within the limitations in (c), above, the contractor
HHS Gruber 001067
RFQ AES2009
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shall immediately notify the Contracting Officer no later than the beginning of the next
Government work day.
(e) Failure of the contractor and the Contracting Officer to agree that technical direction is
within the scope of the contract shall be subject to the terms of the clause entitled Disputes.
8.
CONTRACT TYPE
Firm-fixed price.
9.
PAYMENT SCHEDULE
TBD.
10.
INVOICE SUBMISSION
The Contractor shall submit an original invoice to the Contracting Officer at the address in Section
7.1. above.
Additionally, a copy of all invoices shall be sent via email to the following
1. The COTR identified in section 7.2 above.
2. PSC_Invoices@psc.hhs.gov
The invoice shall include the following information:
1. Contractors name and address;
2. Contract/Delivery Order/Task Order/Purchase Order number;
3. Description of services and the firm fixed price;
4. Invoice period; and
5. Taxpayer Identification Number (TIN) or Social Security Number and DUNS Number
a. IN ORDER TO VERIFY THAT WE ARE MAKING PAYMENT TO THE
CORRECT BANK ACCOUNT, WE REQUIRE THAT YOU REFERENCE THE
TIN, DUNS AND THE CORRECT BANKING INFORMATION (ABA) ON ALL
INVOICES. THIS WILL ENSURE PROPER PAYMENT.
11.
CLAUSES
12.1 Federal Acquisition Regulation Clauses (FAR)

52.252-2
Clauses Incorporated by Reference (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they
were given in full text. Upon request, the Contracting Officer will make their full text available. Also,
the full text of a clause may be accessed electronically at this/these address(es): www.acqnet.gov
52.204-7
52.219-6
52.233-3
52.233-4
52.243-1
52.244-6
52.213-4
Central Contractor Registration (APR 2008)

Notice of Total Small Business Set-Aside (JUNE 2003)
Protest After Award (AUG 1996)
Applicable Law for Breach of Contract Claim (OCT 2004)
Change Fixed-Price (AUG 1987)
Subcontracts for Commercial Items (FEB 2009)
Terms and Conditions Simplified Acquisitions (Other than Commercial Items)(Feb
2009)
HHS Gruber 001068
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6 of 11
12.2 Department of Health and Human Services Regulation Clauses (HHSAR)

HHSAR Clauses incorporated by reference:
352.270-6
Publications and Publicity (JAN 2006)
352.270-5
Key Personnel (JAN 2006)
The key personnel specified in this contract are considered to be essential to work performance. At
least 30 days prior to diverting any of the specified individuals to other programs or contracts (or as
soon as possible, if an individual must be replaced, for example, as a result of leaving the employ of
the Contractor), the Contractor shall notify the Contracting Officer and shall submit comprehensive
justification for the diversion or replacement request (including proposed substitutions for key
personnel) to permit evaluation by the Government of the impact on performance under this contract.
The Contractor shall not divert or otherwise replace any key personnel without the written consent of
the Contracting Officer. The Government may modify the contract to add or delete key personnel at
the request of the contractor or Government.
(to be identified at award)
12.
PROVISIONS
1. OFFEROR STATEMENTS
RFP Number:
______________________________________
Organization Name:
_______________________________________
TIN Number:
_______________________________________
DUNS Number:
_______________________________________
FAR 52.204-8 Annual Representations and Certifications (FEB 2009)

(a)
(1) The North American Industry classification System (NAICS) code for this acquisition is 541990
All other Professional, Scientific, and Technical Services.
(2) The small business size standard is $7 million.
(3) The small business size standard for a concern which submits an offer in its own name, other than
on a construction or service contract, but which proposes to furnish a product which it did not itself
manufacture, is 500 employees.
(b)
(1) If the clause at 52.204-7, Central Contractor Registration, is included in this solicitation, paragraph
(d) of this provision applies.
(2) If the clause at 52.204-7 is not included in this solicitation, and the offeror is currently registered in
CCR, and has completed the ORCA electronically, the offeror may choose to use paragraph (d) of this
provision instead of completing the corresponding individual representations and certification in the
solicitation. The offeror shall indicate which option applies by checking one of the following boxes:
[ ] (i) Paragraph (d) applies.
[ ] (ii) Paragraph (d) does not apply and the offeror has completed the individual representations and
certifications in the solicitation.
(c)
HHS Gruber 001069
RFQ AES2009
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(1) The following representations or certifications in ORCA are applicable to this solicitation as
indicated:
(i) 52.203-2, Certificate of Independent Price Determination. This provision applies to solicitations
when a firm-fixed-price contract or fixed-price contract with economic price adjustment is
contemplated, unless
(A) The acquisition is to be made under the simplified acquisition procedures in Part 13;
(B) The solicitation is a request for technical proposals under two-step sealed bidding procedures; or
(C) The solicitation is for utility services for which rates are set by law or regulation.
(ii) 52.203-11, Certification and Disclosure Regarding Payments to Influence Certain Federal
Transactions. This provision applies to solicitations expected to exceed $100,000.
(iii) 52.204-3, Taxpayer Identification. This provision applies to solicitations that do not include the
clause at 52.204-7, Central Contractor Registration.
(iv) 52.204-5, Women-Owned Business (Other Than Small Business). This provision applies to
solicitations that
(A) Are not set aside for small business concerns;
(B) Exceed the simplified acquisition threshold; and
(C) Are for contracts that will be performed in the United States or its outlying areas.
(v) 52.209-5, Certification Regarding Responsibility Matters. This provision applies to solicitations
where the contract value is expected to exceed the simplified acquisition threshold.
(vi) 52.214-14, Place of Performance--Sealed Bidding. This provision applies to invitations for bids
except those in which the place of performance is specified by the Government.
(vii) 52.215-6, Place of Performance. This provision applies to solicitations unless the place of
performance is specified by the Government.
(viii) 52.219-1, Small Business Program Representations (Basic & Alternate I). This provision applies
to solicitations when the contract will be performed in the United States or its outlying areas.
(A) The basic provision applies when the solicitations are issued by other than DoD, NASA, and the
Coast Guard.
(B) The provision with its Alternate I applies to solicitations issued by DoD, NASA, or the Coast
Guard.
(ix) 52.219-2, Equal Low Bids. This provision applies to solicitations when contracting by sealed
bidding and the contract will be performed in the United States or its outlying areas.
(x) 52.222-22, Previous Contracts and Compliance Reports. This provision applies to solicitations that
include the clause at 52.222-26, Equal Opportunity.
(xi) 52.222-25, Affirmative Action Compliance. This provision applies to solicitations, other than
those for construction, when the solicitation includes the clause at 52.222-26, Equal Opportunity.
(xii) 52.222-38, Compliance with Veterans' Employment Reporting Requirements. This provision
applies to solicitations when it is anticipated the contract award will exceed the simplified acquisition
threshold and the contract is not for acquisition of commercial items.
(xiii) 52.223-1, Biobased Product Certification. This provision applies to solicitations that require the
delivery or specify the use of USDA-designated items; or include the clause at 52.223-2, Affirmative
Procurement of Biobased Products Under Service and Construction Contracts.
(xiv) 52.223-4, Recovered Material Certification. This provision applies to solicitations that are for, or
specify the use of, EPA- designated items.
(xv) 52.225-2, Buy American Act Certificate. This provision applies to solicitations containing the
clause at 52.225-1.
(xvi) 52.225-4, Buy American Act--Free Trade Agreements--Israeli Trade Act Certificate. (Basic,
Alternate I, and Alternate II) This provision applies to solicitations containing the clause at 52.225- 3.
(A) If the acquisition value is less than $25,000, the basic provision applies.
(B) If the acquisition value is $25,000 or more but is less than $50,000, the provision with its Alternate
I applies.
(C) If the acquisition value is $50,000 or more but is less than $67,826, the provision with its Alternate
II applies.
HHS Gruber 001070
RFQ AES2009
8 of 11
(xvii) 52.225-6, Trade Agreements Certificate. This provision applies to solicitations containing the
clause at 52.225-5.
(xviii) 52.225-20, Prohibition on Conducting Restricted Business Operations in Sudan--Certification.
(xix) 52.226-2, Historically Black College or University and Minority Institution Representation. This
provision applies to
(A) Solicitations for research, studies, supplies, or services of the type normally acquired from higher
educational institutions; and
(B) For DoD, NASA, and Coast Guard acquisitions, solicitations that contain the clause at 52.219-23,
Notice of Price Evaluation Adjustment for Small Disadvantaged Business Concerns.
(2) The following certifications are applicable as indicated by the Contracting Officer:
[Contracting Officer check as appropriate.]
----(i) 52.219-19, Small Business Concern Representation for the Small Business Competitiveness
Demonstration Program.
------(ii) 52.219-21, Small Business Size Representation for Targeted Industry Categories Under the
Small Business Competitiveness Demonstration Program.
------(iii) 52.219-22, Small Disadvantaged Business Status.
------(A) Basic.
------(B) Alternate I.
------(iv) 52.222-18, Certification Regarding Knowledge of Child Labor for Listed End Products.
------(v) 52.222-48, Exemption from Application of the Service Contract Act to Contracts for
Maintenance, Calibration, or Repair of Certain Equipment Certification.
------(vi) 52.222-52 Exemption from Application of the Service Contract Act to Contracts for Certain
Services--Certification.
------(vii) 52.223-9, with its Alternate I, Estimate of Percentage of Recovered Material Content for
EPA-Designated Products (Alternate I only).
------(viii) 52.223-13, Certification of Toxic Chemical Release Reporting.
------(ix) 52.227-6, Royalty Information.
------ (A) Basic.
------ (B) Alternate I.
------(x) 52.227-15, Representation of Limited Rights Data and Restricted Computer Software.
(d) The offeror has completed the annual representations and certifications electronically via the
Online Representations and Certifications Application (ORCA) website at http://orca.bpn.gov . After
reviewing the ORCA database information, the offeror verifies by submission of the offer that the
representations and certifications currently posted electronically that apply to this solicitation as
indicated in paragraph (c) of this provision have been entered or updated within the last 12 months,
are current, accurate, complete, and applicable to this solicitation (including the business size standard
applicable to the NAICS code referenced for this solicitation), as of the date of this offer and are
incorporated in this offer by reference (see FAR 4.1201); except for the changes identified below
[offeror to insert changes, identifying change by clause number, title, date]. These amended representation(s)
and/or certification(s) are also incorporated in this offer and are current, accurate, and complete as of
the date of this offer.
FAR Clause
Title
Date
Change
Any changes provided by the offeror are applicable to this solicitation only, and do not result in an
update to the representations and certifications posted on ORCA.
HHS Gruber 001071

From:
Sent:
To:
Cc:
Subject:
Attachments:

'gruberj@economics.mit.edu'
Signature and Review needed
HHSP23320094301EC unsigned.pdf
Importance:
High
Attachedistheanticipatedcontract.Ineedyoutoreviewandsignit.Ifyoucangetitreturnedtomeby2p.m.todayI
shouldbeabletohavethisawardedtoday.Ifnot,itmaytakeanadditional7businessdaysasIwillbeoutoftheoffice
nextweekfortrainingandonregularleave(b) (6)
).
ClintDruk
ContractingOfficer
(P)3014430403
(F)3014438488
HHS Gruber 001072

From:
Sent:
To:
Subject:
Attachments:
(b) (6)
Friday, May 22, 2009 3:13 PM

Solicitation Number: OS4809
HealthcareReformOS4809.doc
Dear Mr. Druk,

CAL believes that our product(b)
reform.
(4)
I would like to bring it to your attention, that you should consider awarding additional requirement related to
Best regards,
(b) (6)
HHS Gruber 001073
PROPOSAL FOR:
Technical Assistance in Evaluating Options for National Healthcare

Reform
Capabilities
Submitted to:
Clint D Druk
Department of Health and Human Services
Office: Program Support Center
Location: Division of Acquisition Management
Submitted by:
Computer Aided Logistics Engineering, Inc. (CAL)
2020 W. McNab Road, Suite 125
Ft. Lauderdale, FL 33309
Phone: (954) 969-9002
POC: (b) (6)
Business Type;
Small Disadvantage Business (SDB)
DNB # 78-354-7177
TIN # 65-0159214
This proposal includes data that shall not be disclosed outside the Government and shall not be duplicated, used, or
disclosedin whole or in partfor any purpose other than to evaluate this proposal. If, however, a contract is awarded to this
offeror as a result ofor in connection with the submission of this data, the Government shall have the right to duplicate, use,
or disclose the data to the extent provided in the resulting contract. This restriction does not limit the Governments right to use
information contained in this data if it is obtained from another source without restriction. The data subject to this restriction are
contained in sheets
HHS Gruber 001074
DHHS-09
CAL
TABLE OF CONTENTS
0.0
Proposal Cover Sheet
1.0
Introduction - Summary
2.0
Technical Understanding
3.0
Past Performance Information
4.0
Resume (b) (6)
5/22/09
HHS Gruber 001075
DHHS-09
CAL
Section I. Introduction:
1.0
THE CONTRACT
Computer Aided logistics Engineering, Inc. (CAL) understands the requirement of
Technical Assistance in Evaluating Options for National Healthcare Reform. . CAL
believes that the nature of this contract narrates our experience, capabilities and
committed path for future growth.
CAL initiated its endeavor into healthcare with a proposal (comprehensive hospital
information system, Sol. 282-91-0062) to the Department of Health and Human
Services in 1992. The internet's universal acceptance and rapid worldwide growth
created a unique opportunity to spin off this program into the (b) (4)
Corporation
in1998, as our holding company to offer unparalleled services; both at a business-tobusiness level as well as a business-to-consumer level.
CAL is proposing (b) (4)
for SDB/women owned business
participation plan and a pioneer in the EMR and healthcare IT industry. (b) (4)
is a
new and exciting concept designed to facilitate on-time healthcare delivery, it is an
innovative approach in the delivery of services and the rapid flow of information.
Most processes in healthcare remain duplicative and paper-based, resulting in
wasted efforts, high labor costs and at times lead to delays in delivery of care.
stores biographical information, medical history, charts, scans and
laboratory test results in a EMR system. All of this is accomplished in real-time using
data entry and state-of-the-art imaging technology. CAL has successfully defined the
requirements to improve quality, reduce cost and bring the best value to patients,
physicians and payors. We established goals and implemented plans for (b) (4)
as
shown in the appendix. CAL's learning curve in this area is superior to similar
business bidding for this contract. CAL's key personnel have a wealth of experience
in implementing such contracts from day one.
(b) (4)
CAL has recognized that the healthcare industry, because of its size and extreme
dependence on information exchange, is particularly well suited to benefit from the
use of the internet. In addition, the company's in-depth knowledge in biomedical
engineering will complement application support areas of this contract so as to bring
the highest level of innovation by leveraging diversified biomedical techniques in
delivering best value to this contract.
CAL is very well positioned to help, consult and advise DHHS for SOW of this Sol.
We have researched and developed several tools that will help DHHS in shaping the
healthcare system of this country. We are also proposing some potential applications
for DHHS health IT program. Some of our expertise in public domain can also be
seen at our web site. (b) (4)
is a prototype model for this Sol, which can be easily,
expanded to establish and maintain a Technical Assistance in Evaluating Options for
1.1
5/22/09
ANTICIPATED BENEFIT TO DHS

3
HHS Gruber 001076
DHHS-09
CAL
CAL/(b) (4)
will bring some of the following to Support Technical Assistance in
Evaluating Options for National Healthcare Reform
PHR
DocPal
DDM
Connectivity Solution
(b) (4)
(b) (4)
(b) (4)
(b) (4)
Linkages between clinical practices and community-based/public health

interventions for prevention and care management.
Case management
Risk Management
Evidence-based preventive services (b) (4)
Chronic care management i.e.,
(b) (4)
Diabetes
Hypertension (b) (4)
Cancer
(b) (4)
(b) (4)
Patient taking charge of their health (b) (4)
Disease Management
(b) (4)
Healthy Living
(b) (4)
Promoting health behavior and choices
Knowledge transfer, and dissemination of tools
Alternate Medicine
Coaching and web tools to disseminate information
(b) (4)
(b) (4)
1.2
THE COMPANY
Computer Aided logistics Engineering, is a technological solution company was
incorporated in 1989 to provide full support engineering services.
CAL has been an IT healthcare leader since 1992 and a premier Think Tank in the
Southeastern United States in high-tech areas. It provides technical services in
5/22/09
HHS Gruber 001077
DHHS-09
CAL
Automation, Computers, and Biomedical Engineering. CAL has established a good

customer base, by successfully delivering projects for Fortune 100 companies in
robotics, automation, computers and biomedical engineering. In 1992,acquiring 8(a)
status has provided us an invaluable gateway to work for NASA and various
Government agencies. The Company is investing its prioritized resources on next
generation product development in healthcare IT and diabetes remedies.
CAL recognizes its success depends on delivering service that enhances the
performance of client organizations and adds tangible value Quality, Cost and
Convenience are significant asset that will be leveraged to deliver to DHHS.
1.3
QUALIFICATIONS:
CAL has a team of highly qualified individuals with in-depth research experience and
systems expertise who work with complex engineering systems. They possess multidisciplinary skills that enable us to deliver superior solutions in a technically
demanding environment. CAL provides integrated and validated SYSTEM
SOLUTIONS.
1.4
APPROACH
We employ a team approach that will provide DHHS with innovative products
facilitating, a rapid flow of information and the flexibility required to adapt to changing
needs. It combines the small company focused attention with experience and
management skills associated with larger corporations.
The strength of the CAL team lies in our ability to provide the substantive, technical
assistance, flexibility and ability to plan well and react to issues mandated by the
DHHS. Highlights of our approach:
1. Staff assignments based on matrix management principles and a collaborative spirit.
2.
Assignment of technical and program managers to provide direction and defined

roles and responsibilities to multidisciplinary team. If the scale of work warrants it,
this team included contracting officer
3. Either the program manager, or an assigned contract manager, serves as the singlepoint-of contact for the DHHS. This role ensures regular communications, such as
weekly reports with issue listings and corrective actions, with full transparency.
4. As required, the point of contact will meet with the project officer in DHHS facilities to
review and refine the project objectives and deliverables.
5. In order to support this proposal, CAL has proactively conducted a recruitment
program identifying superior talent. Such a talent pool exist awaiting project
initiation.
1.5
TRANSITION AND PROJECT PLANNING
5/22/09
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CAL
CAL will coordinate work with other contractors identified by DHHS in an orderly
manner. Any multi-contractor requirement or delivery issues will be resolved with
clear roles and responsibilities to facilitate DHHS responses.
1.6
COMMITMENT:
We are a company of dedicated professionals with a passion for advanced concept
development. We take pride of our tradition of teaming with our customers on
success.
2.0
Technical Understanding
Technical Assistance in Evaluating Options for National Healthcare Reform
Understanding of programs within DHHS and the diverse populations served by the
Department.
Conducting health services research that may involve both qualitative and
quantitative methodologies, and that may require preparation of requests for
approval from DHHS
Conducting large and complex needs assessments
Critically evaluating, synthesizing and organizing large volumes of information,

which may include assessing and rating evidence from studies that vary widely in
content and methodology
Conducting formal external evaluations of programs, tools, and materials
Providing direct technical assistance to large numbers of groups and individuals,

including: developing curricula; teaching; coaching; assisting with strategic planning;
troubleshooting; and organizational development activities, including consensus
building
Disseminating technical information to multiple audiences through multiple channels

(print, electronic, etc.).
technical assistance programs for a large number of federal grantees in a short

period of time and be able to provide
forms of group and individual technical assistance, including site visits and in-person
support, across the United States and in multiple locations simultaneously.
work intensively in any geographic area of the United States.
capacity to conduct multiple, simultaneous conferences across the country including,

but not limited to, activities such as developing curricula, providing faculty and staff,
arranging all logistics and providing technical assistance.
5/22/09
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CAL
Web-based tools, Web sites, collaborative portals and other multimedia products,
and who can create and manage large databases.
understand, privacy and security regulations. And HIPPA standards
who can work on site at DHHS for either limited or extended periods of time.
Web-based tool that catalogs the community-based interventions of 100 projects or

programs
conduct a needs assessment of the projects to identify common elements
provide technical assistance to 100 communities either in groups or individually.
Work Plan:
1
Provide portal Infrastructure Management and Website Design &Support. Develop and
co-ordinate programs that are effective at distributing information for researchers,
implementers and decision-makers.
Develop the latest tools and information resources in collaboration with the DHHS Office
of communications. Design, develop, operate and maintain the DHHS web sites using
their platform oracle or SQL
Usage of health information technology to improve the quality, safety, efficiency, and
effectiveness. Enhance, upgrade and customize the Web Center and integrate with
other needed software website products and tools to support users evolving needs and
to improve performance, system administration, search, navigation, collaboration and
usability.
Design and maintain the public face of the program interface and integrate Health and
Human Services (HHS) requirements in laws, policies, and directives for information
technology (IT), capital planning and investment, and Internet information management
and the security.
5. Provide Web sites to support multiple health care settings i.e. clinicians, systems, and
consumers to advance the field of health IT. Serve communities large or small as well as
urban, rural and frontier. Coordinate use of health IT data at the national, state and
regional levels to comply with all relevant NRC guidelines.
6. Serve as the link between the researchers and experts. Coordinate with the DHHS and
Domain 1, 2 and 3 contractors to insure efficient and effective website development
program is accomplished.
7. Track and monitor the log in and usage of website with search engines and appropriate
meta-tags for search functions.
5/22/09
HHS Gruber 001080
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CAL
8. Determine to assign appropriate staff onsite at DHHS to support the portal software
applications.
9. Maximizes security and data privacy for the NRC portal and website even in the event of
a catastrophic failure.
10.
Document the contingency plans, per traffic and demand. Perform testing and
backup/restore processes on monthly basis to insure that the hosting process and
report are on time.
11.
Maintain all source code, and documentation under configuration management.

Guidelines and Baselines shall be maintained for each deployed version of software.
12.
Perform assessments and evaluations of DHHS Health IT Portfolio activities

including reporting on DHHS Health IT Portfolio. Perform IT functions and document
the results to DHHS.
13.
Prepare monthly reports of the Web site and database for Anomalies or problems
with the systems hardware, software, or security.
14.
Maintain for inspection, documentation on requirements management, configuration

management, cost estimates, project reviews, and quality assurance activities
15
Monitor sites linking to the DHHS website on a monthly basis and include this
information along with the total number of visits referred in the monthly progress
report.
16.
Report Web site usage trends, including information such as security. Comply with
security guidelines that are in effect at the time of the award of this contract
17.
Provide interface to DHHS to insure that the Web sites and data storage
technological tools work effectively.
18.
Understand and implement the following;

o
A Tested Continuity of Operations Plan (COOP)
Computer Incident Response Capability (CIRC)
Access Controls containing
Annual Security Awareness Training requirement
PIA (Privacy Impact Analysis)
CCP (Change Control Procedures)
5/22/09
HHS Gruber 001081
DHHS-09
CAL
19.
Identify to the SO all known requirements of compliance to include reporting,

continuing Risk Analyses, Plan of Action and Milestones completion. Have a clear
understanding to the SO of the Risk Profile.
2.0
Understanding of Program Management functions.
1.
Coordinate and meet periodically with DHHS staff and Domain 1 Resource Center
Program Management contractors regarding project plan execution status,
deliverables, schedules, performance, earned value management metrics and
monthly results, and resolve the cross-Domain issues.
Discuss and obtain approval for a project work plan, including process, strategy,
resources and staff, time line for performing the work, deliverables, budget and
expense plan, strategy, format for the monthly progress report, and other contract
domain program management execution issues.
3.
Create monthly progress report for various domain activities to DHHS. Each monthly
report will;
4,
document and summarize the contractors progress toward completing project

milestones and tasks;
provide the status, accomplishments, expenditures, and a brief description of all

ongoing assigned tasks and efforts, and include details about problems encountered
and how they are being dealt with, as well as explanations for any tasks that are
behind schedule;
discuss and summarize all domain activities during the prior month;
describe anticipated challenges/problems, and describe a plan for future activities;
provide current and proposed expenditures relative to original schedule and budget;
update all tasks, resources, resource utilization by task, costs by resources and
tasks, timelines and milestones, earned-value-management (EVM) reports, and
other meaningful project management and expense information. Also, each monthly
report shall include a summary discussion, and descriptions of all consultant visits
and findings and all technical assistance provided.
conclude Task Orders about experience, accomplishments, assessment of
barriers/challenges encountered, and recommendations to the Agency on ways to
sustain and improve activities and process, capabilities and services. Include a
description of all on-going initiatives and projects for specific support requirements
for initiatives.
Conclusion:
5/22/09
HHS Gruber 001082
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CAL
All of the major three task as described in SOW will be collectively accomplished as has
been described this section and section II as well.
Generally both on-site and off-site task order will be a direct responsibility of project
leader. He will review and discuss the problem areas if any with DHHS/COTR. As per
our program management chart he will identify and recommend to program manager
about recruitment, training and crisis areas.
Total quality management and Just in time services for multiple delivery orders will be
executed by our pre-planned personnel listed in chart/statement of work. Individuals
specified in the chart will evaluate the task and will be directly responsible for prompt
action, and keep everyone associated with task informed.
CAL has conducted a pre-proposal recruitment program for this project. We have
identified several qualified individuals for back up and replacement if any. It is corporate
practice to keep low employee turnover by our principles of, 1 we respect our
employees, 2. We compensate our employees better than average market
compensation. Being a small company we are still able to maintain CAL as a small
family and eradicate the emotional distress among our employees if any. We recognize
their talent, and integrate their opinion in corporate policies. This enables to maintain
the highest level of employee and employers relationship and enhance the productivity.
The persons listed in the chart come from extensive industry experience, who has
implemented several key programs, and newly graduates abreast of changing
technology and methodology. Innovation with new technology is our motto to grow and
diversify - that is what CAL wants to bring to DHHS for this project.
CAL's liaison office for this contract will be directly located in the close vicinity of DHHS.
Crisis, if any related to planning, organizational, technical and training will be personally
attended by program manager/lead project leader in consultation with DHHS personnel.
That is how we shall manage the performance of multiple delivery order.
9.0
Management Approach:
2.0
Ours is a team approach to providing DHHS with the innovation, a rapid flow of
information and the flexibility required to adapt to changing needs from a small company
and experience and management skills from a larger corporation.
Our goals are to provide support to DHHS in a systematic and congenial manner; to
apply knowledge, experience, and creativity to the various tasks; to adapt to changing
needs with organization, and implement systems and procedures that will enhance our
capability to provide an outstanding report, efficiently and effectively. The strength of
CAL's team lies in our ability to provide both the substantive and technical assistance
required by DHHS. We address our approach to the work scope with following highlights:
5/22/09
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CAL
Relevant methodology, responsive, appropriate organization and management structure

that will reinforce quality performance.
Periodic meetings with project officer and PIC in DHHS facilities and to review and
possibly refine the project objectives and timetable, and to begin identifying the specific
problems and issues that will need to be addressed.
Develop a close relationship with contracting officers to enable our staff to anticipate and
respond to contract needs in a timely and efficient, and responsive manner.
In order to develop the expertise to respond to this solicitation, CAL undertook a
recruitment program to identify individuals who could aid us with the smooth transition
with individual technical segment of this contract and overall perspective of this contract.
We have attained the interest of some key and experienced individuals who have direct
experience with such project.
10.1
Key Persons:
(b) (6)
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CAL
(b) (6)
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CAL
(b) (6)
10.2
Resources:
CAL has adequate facilities, space and equipment, available for the accomplishment of
project objectives at Ft. Lauderdale office in FL. Additional resources will be procured
upon the award of specific task order.
Section III
Past Performance
COMPANY ORIGIN AND BACKGROUND:

Computer Aided Logistics Engineering, Inc, (CAL), a SBA certified for 8(a) program in
1993, possesses a wealth of experience, resources and capabilities in various
engineering and healthcare areas. CAL was formed in 1989 to provide research, design
and development services to high-tech organizations and government agencies. The
corporation has completed an impressive array of projects in its young history for
Motorola, IBM, and Coulter Electronics.
CAL has been a think tank of southeast United States in high-tech area. CAL has
completed key projects for IBM, Motorola, AT&T, Lucent and Coulter electronics in
robotics, automation, computers systems integration, healthcare IT and biomedical
engineering.
CORPORATE EXPERIENCE
5/22/09
13
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CAL
Computer Aided Logistics Engineering, Inc. understands the pressures placed upon
DHHS to obtain a competitive edge in order to meet your goals. We can assist you to
save time and
1.1
In this contract CAL is proposing to bring the innovation, flexibility and cost
effectiveness from a small firm, and experience & management skills from a larger
corporation. Our teaming/subcontracting arrangement with IBM Corporation, a leader in
proposed contracting area, will strengthen the very specialized aspects of this contract.
2.0
The healthcare IT experience that exists at CAL portrays a wide range of
successful efforts that have been applied to the problems of our clients and suggest the
capabilities that are there to be applied to the rapidly advancing technology. Industries
that have already used our services to meet their diverse objectives include:
3.0
Computer Aided Logistics Engineering, Inc. (CAL) is a high technology company
which specializes in systems, simulation, biomedical engineering, EMR, software
development and web design for Fortune Five Hundred Companies.
Incorporated in Florida in 1989
Certified by the Small Business Administration, 1993 for SDB8(a)

program
An established technological solution company
Core Business:
Biomedical Engineering
System design and integration
Engineering Contract Services
Electronic Medical Record
Computer Aided Training
CAD and Documentation
Software and Network Management
Factory and Doctor's Office Automation
Our Customers:
5/22/09
Motorola
14
HHS Gruber 001087
DHHS-09
CAL
Coulter Electronics
ITW MIMA
Schering Plough
AT&T
Safetran Systems Corporation
IBM
BF Aerospace
Lucent Technologies
Schering plough
NASA
Solectron
U.S. Navy NTSC
Air Force
Hewlett Packard
Phillips
Sony
Microsoft
Design and Developmental Projects Completed;
CAL's ability to adapt to a wide array of engineering problems for various

industries is documented by the following example of our experience:
Speech Compressor (DSP)
Home Defibrillator
Microcomputer based Respiratory control system
Turnkey systems for lab/factories
Robotics and automation
Statistical analysis and feasibility studies
5/22/09
15
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CAL
Catheter design and documentation
Transducer design and documentation
Hybrid circuit design for implantable devices
High voltage Analog circuits
Software development for scientific projects
CAD and Documentation
Technical Manuals and proposals
Systems integration
Research Studies Completed:

CAL has acquired extensive knowledge in following intra-discipline areas:
Somato Sensory Evoked potential (SSEP)
Cardio physiology for defibrillator
Neurophysiology
Speech Processing techniques
AIDS Diagnostics System
Human Performance Issues in automatic Target Recognition and Situation

Awareness Displays
Drug Screening Systems for Cancer Cells and AIDS virus
Effects of Impact acceleration on functioning of Naval Personnel

o
Physiological Response
Injury models for whole body indirect impact
Critical Humidity Detector and Warning Device
Control system for Artificial Pancreas
Space Science NeuroLab
5/22/09
Evaluation of Human Performance
Effect of flight stress on behavior and performance
16
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CAL
o
Higher cognitive functions, learning memory, and reasoning
Alertness, Sleep, circadian rythms, and performance
CNS activity, dynamic changes and correlates
Data acquisition for microcomputer based respiratory system
Development of invocation technologies for application of adaptive automation

technology to advanced aircraft cockpit
Human Performance feedback Network
PC based interactive simulation exercise and training
Online auditory data for artificial ear
Text recognition system for blinds using opto-couplers
Pre-op and post-op data collection and analysis for cerebellar palsy patients e.g.,
SSEP, EKG, EEG, Balance platform, muscle strength, and cognitive functions..
PRIMARY SERVICES:
It is consisted of both commercial and Government projects, to provide RDT&E, design,
CAD and related engineering services in Electrical, Automation, Computers, Automation,
Robotics, CAD, and Biomedical Engineering. The projects that has been completed
involved, systems integration, design & documentation of turn-key systems, software
development, simulation and analysis, feasibility studies, technical writing, and
contracting technical personnel at clients organization.
MAJOR ACCOMPLISHMENTS/PAST CONTRACTS:

Blue Cross Blue Shield Association:
Online Personal Health Record Services
Federal Employee Program(FEP)/(b) (4)

contract # FEP06-9809, to provide an
electronic Personal Health Record (PHR) to 4.6 million covered FEP Members,
Awarded on Dec 1, 2006
FEP is the largest carrier in the FEHBP with fifty-seven (57) percent market share;
providing insurance coverage to FEP Members throughout the United States and around
the world, and
Note: Per our contract with BCBSA, we had signed a contract We shall not use the
BLUE CROSS or BLUE SHIELD words, symbols, trademarks, service marks, or make
any reference to BCBSA or its Participating Plans in any manner, including press
releases.
5/22/09
17
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CAL
Past experience with US Army;

The principal of CAL was manager for technical operations for:
Miniaturized portable defibrillator program
Contract # DAMD17-85-C-5052
US Army Medical Research Acquisition Agency
Fort Detrick, Fredrick, MD
MOTOROLA: Design, development, documentation and technical manuals for turn-key
systems and other peripherals for robotics interface with automated factory, to
manufacture pagers.
MICROSOFT:
Database design and development,
LUCENT:
Automation, Process Design, Systems integration, Process

improvement. Data acquisition and analysis
AT&T
Process Design and Documentation
COULTER:
Design and documentation of products and projects related to

blood analyzer systems.
ITW MIMA:
Commutator design and documentation for packaging machinery.
Provided complete systems solution with - added depth, objectivity, clarity, efficiency,
and credibility for Home Defibrillator, Speech Compressor, Factory/lab/office automation,
SSEP data acquisition and analysis.
RESOURCES AND EQUIPMENT AVAILABLE:
(b) (4)
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CAL
(b) (4)
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CAL
(b) (4)
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CAL
(b) (4)
(b) (4)
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CAL
(b) (4)
5/22/09
22
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CAL
(b) (6)
(b) (6)
Corporate and Business Skills:
(b) (6)
Technical Proficiency:
(b) (6)
Clinical Proficiency:
(b) (6)
Accomplishments:
(b) (6)
Education:
(b) (6)
5/22/09
23
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DHHS-09
5/22/09
CAL
24
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From:
Sent:
To:
Cc:
Attachments:
Brown, Robert (PSC/SAS/DAM)

Friday, January 29, 2010 5:14 PM
Miller, Janet (PSC/SAS/DAM)
hhsp233200900181p .PDF
HHS Gruber 001098
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From:
Sent:
To:
Subject:
Attachments:
evmDelivery@NIH.gov
Tuesday, February 24, 2009 4:49 PM
Voice Message from 781-862-0112 on 2/24/2009 4:44:00 PM for 3014430403
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Voice Message from 781-862-0112 on 2/24/2009 4:44:00 PM

Attachment(s):
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Delete this message from my Voice Mailbox
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HHS Gruber 001105

From:
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Subject:
Attachments:
From
To
Sent
ID
UFMS Workflow Mailer <NoReplyTo@ufms.gov>

FYI: Blanket Purchase Agreement P33094301EC has been approved
Notification Detail.html
DRUK, CLINT (PSC)

DRUK, CLINT (PSC)
19-JUN-09 10:44:33
27134961
Blanket Purchase Agreement P33094301EC has been approved.

PO Amount: USD 297600.00
Supplier:
Supplier Site:
Description
HP-09-015 (continuation of Technical Assistance for Evaluating Options for National Healthcare Reform)
Preparer: DRUK, CLINT (PSC)
Note:
Purchase Order Lines
Line
Item
Rev.
Number
Item Description
FIRM FIXED PRICE: Continuation of Technical Assitance for Evaluating Options for National Healthcare Refo
Approval Sequence
Sequence
1
0
Who
Action
Date
Note
DRUK, CLINT (PSC) Approve 19-JUN-09

DRUK, CLINT (PSC) Submit 19-JUN-09
HHS Gruber 001106

From:
Sent:
To:
Subject:
Attachments:
From
To
Sent
ID

FYI: Blanket Release P33094301EC-9999 has been approved
DRUK, CLINT (PSC)

DRUK, CLINT (PSC)
19-JUN-09 10:47:46
27138970
Blanket Release P33094301EC-9999 has been approved.

Supplier:
Supplier Site:
Note:
Release Shipment Details

Shipment Item
Rev.
number Number
10001
Item Description
FIRM FIXED PRICE: Continuation of Technical Assitance for Evaluating Options for National Healthcare
Approval Sequence
Sequence
4
3
2
1
Who
Action
Date
Note
DRUK, CLINT (PSC) Approve 19-JUN-09

DRUK, CLINT (PSC) Reserve 19-JUN-09
DRUK, CLINT (PSC) Submit 19-JUN-09
DRUK, CLINT (PSC) Submit 19-JUN-09 A RELEASE FROM PRISM
HHS Gruber 001107

From:
Sent:
To:
Subject:
Attachments:
From
To
Sent
ID

Thursday, March 26, 2009 9:56 AM
FYI: Standard Purchase Order P330900181P has been approved
DRUK, CLINT (PSC)

DRUK, CLINT (PSC)
26-MAR-09 09:55:20
19303739
Standard Purchase Order P330900181P has been approved.

Supplier:
Supplier Site:
Description
HP-09-002 (Technical Assistance for Evaluation Options for National Healthcare Reform)
Note:
Purchase Order Lines
Line
Item
Rev.
Number
Item Description
PROFESSIONAL SERVICES: Technical Assistance for Evaluation Options for National Healthcare Reform. S
Approval Sequence
Sequence
3
2
1
0
Who
Action
Date
Note
DRUK, CLINT (PSC) Approve 26-MAR-09

DRUK, CLINT (PSC) Reserve 26-MAR-09
DRUK, CLINT (PSC) Submit 26-MAR-09
DRUK, CLINT (PSC) Submit 26-MAR-09 PRISM PO
HHS Gruber 001108

From:
Sent:
To:
Subject:
Attachments:
Ningcharoen, Siriluck (PSC/FMS-CTR)

GRUBER, JONATHAN PO P33094301EC
HHSP23320094301EC
Clint,
That was the right PO. I got it to come up now. It was in as BPA, and I need to check one of the boxes. I did not see the
invoice in our imaging system.
HHS Gruber 001109
JeanNingcharoen
CommercialPaymentSection
GeneralAccountingBranch
301-443-5963
301-480-5089(fax)
Siriluck.Ningcharoen@psc.hhs.gov
When you have few minutes could you please be so kind and fill the survey below.
I truly appreciate your help on this.
-----------------------------------------------------------------------------------In an effort to evaluate customer service, the staff of PSC would appreciate your taking a few moments to complete our Customer
psc.gov/survey/Customer1/customer_1.htm
LEGAL NOTICE
3
HHS Gruber 001111
O MB Memo rand um 07 - 1 6, S afe gu ard i n g A gai ns t and Re spo nd i ng to the B re ach o f Pe rs onally
Id e nti fi ab le Info rm ati o n
Ple ase do no t em ai l sensitive d o cume nts that con tain social se curity num be r.
We s u gge s t th at y o u fax s aid do cum e nts to (3 0 1) 480 - 50 8 9 Th ank y ou .
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From:
Sent:
To:
Subject:

Thursday, March 05, 2009 1:19 PM
gruber unusual and compelling
Obama tries to start conversation on health care

March 5, 2009 - 11:59am
President Barack Obama speaks as he hosts congressional committee chairmen, their Republican counterparts
and their spouses at a dinner in the East Room of the White House in Washington, Wednesday, March 4, 2009.
Obama will open the doors of the White House on Thursday to people with a wide range of views on how to fix
the world's costliest health care system, one that still leaves millions uninsured. (AP Photo/Charles Dharapak)
By RICARDO ALONSO-ZALDIVAR
Associated Press Writer
WASHINGTON (AP) - The nation can't afford to wait for the economy to recover before tackling out-ofcontrol medical costs, President Barack Obama is telling some of the most powerful players in the health care
reform debate.
"If we want to create jobs and rebuild our economy, then we must address the crushing cost of health care this
year, in this administration," Obama says in remarks prepared for delivery to a White House forum on the issue
Thursday. Excerpts were released by the White House.
"Making investments in reform now, investments that will dramatically lower costs, won't add to our budget
deficits in the long term _ rather, it is one of the best ways to reduce them," Obama said.
Obama has invited to the forum more than 120 people who hold a wide range of views on how to fix the world's
costliest health care system, one that still leaves an estimated 48 million people uninsured. Doctors, patients,
business owners, insurers and drug industry representatives were to gather in hopes of building support for big
changes. Republicans are invited, and they're expected to speak up.
"The president wants to engage with Congress in a transparent and bipartisan fashion," said Melody Barnes,
who heads White House domestic policy.
Barnes later added that the White House plans to hold other health care events in places around the country,
including rural areas, to get people involved in shaping the reform plan. She deferred to Obama in announcing
the details, which he was expected to do later in the day.
HHS Gruber 001131
Among the invitees are some who helped kill the Clinton administration's health care overhaul in the 1990s.
Everyone is supposed to be on his best behavior, but will that last?
"This is a different day," said Chip Kahn, a hospital lobbyist who opposed President Bill Clinton's plan and was
to attend Thursday's gathering. "I think among most of the stakeholders, everyone wants to see this work. There
is a tremendous feeling that it's time."
Now president of the Federation of American Hospitals, Kahn worked for the insurance industry in the Clinton
years.
The difference this time, Obama says, is that health care costs have become unsustainable, particularly in a
sinking economy. The U.S. spends $2.4 trillion a year on health care. Obama's goal is health coverage for
everyone.
Barnes said Obama is determined to pass health care legislation this year, and while he wants it to be bipartisan,
he will not be deterred by obstruction from interest groups or ideological partisans.
"The president will make clear this has to be a bipartisan effort," Barnes said. "As for people who are there to
set up hurdles, from his perspective that isn't tolerable. It's crucial to families, businesses and our nation's
budget that we address the issue of exploding costs."
Senate Republican leader Mitch McConnell of Kentucky released a letter to Obama, saying his party is ready to
work with the administration on health care, but warning that reforms should not lead to a government-run
system, and must balance coverage expansions with curbs on costs.
Barnes said Obama "walks into this conversation being pragmatic, being open. He knows that the American
people are hurting" and are seeing their premiums rise.
But Barnes, interviewed Thursday on NBC's"Today" show, also said that "we have to be transparent about it. ...
We will also hear the voices of the American people ... to make sure that health care reform gets before the
president for his signature before the end of the year."
In support of Obama's efforts, liberal activists have mobilized to keep the pressure on Congress to pass
legislation this year.
"It would be a mistake to dismiss this as a gabfest," Drew Altman, president of the Kaiser Family Foundation,
said about Obama's meeting. "It's an effort to keep the momentum going. The details are not going to be worked
in two or three hours at a White House summit."
There were concerns Wednesday about some of those details.
Senate Finance Committee Chairman Max Baucus, D-Mont., who will play a leading role in writing health care
legislation, raised questions about the proposed $634 billion "down payment" for expanded coverage that
Obama included in the 2010 budget he released last week.
___
On the Net:
White House: http://www.whitehouse.gov/agenda/health care/
2
HHS Gruber 001132
(Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast,
rewritten or redistributed.)
By RICARDO ALONSO-ZALDIVAR
Associated Press Writer
WASHINGTON (AP) - The nation can't afford to wait for the economy to recover before tackling out-ofcontrol medical costs, President Barack Obama is telling some of the most powerful players in the health care
reform debate.
"If we want to create jobs and rebuild our economy, then we must address the crushing cost of health care this
year, in this administration," Obama says in remarks prepared for delivery to a White House forum on the issue
Thursday. Excerpts were released by the White House.
"Making investments in reform now, investments that will dramatically lower costs, won't add to our budget
deficits in the long term _ rather, it is one of the best ways to reduce them," Obama said.
Obama has invited to the forum more than 120 people who hold a wide range of views on how to fix the world's
costliest health care system, one that still leaves an estimated 48 million people uninsured. Doctors, patients,
business owners, insurers and drug industry representatives were to gather in hopes of building support for big
changes. Republicans are invited, and they're expected to speak up.
"The president wants to engage with Congress in a transparent and bipartisan fashion," said Melody Barnes,
who heads White House domestic policy.
Barnes later added that the White House plans to hold other health care events in places around the country,
including rural areas, to get people involved in shaping the reform plan. She deferred to Obama in announcing
the details, which he was expected to do later in the day.
Among the invitees are some who helped kill the Clinton administration's health care overhaul in the 1990s.
Everyone is supposed to be on his best behavior, but will that last?
"This is a different day," said Chip Kahn, a hospital lobbyist who opposed President Bill Clinton's plan and was
to attend Thursday's gathering. "I think among most of the stakeholders, everyone wants to see this work. There
is a tremendous feeling that it's time."
Now president of the Federation of American Hospitals, Kahn worked for the insurance industry in the Clinton
years.
The difference this time, Obama says, is that health care costs have become unsustainable, particularly in a
sinking economy. The U.S. spends $2.4 trillion a year on health care. Obama's goal is health coverage for
everyone.
Barnes said Obama is determined to pass health care legislation this year, and while he wants it to be bipartisan,
he will not be deterred by obstruction from interest groups or ideological partisans.
"The president will make clear this has to be a bipartisan effort," Barnes said. "As for people who are there to
set up hurdles, from his perspective that isn't tolerable. It's crucial to families, businesses and our nation's
budget that we address the issue of exploding costs."
HHS Gruber 001133
Senate Republican leader Mitch McConnell of Kentucky released a letter to Obama, saying his party is ready to
work with the administration on health care, but warning that reforms should not lead to a government-run
system, and must balance coverage expansions with curbs on costs.
Barnes said Obama "walks into this conversation being pragmatic, being open. He knows that the American
people are hurting" and are seeing their premiums rise.
But Barnes, interviewed Thursday on NBC's"Today" show, also said that "we have to be transparent about it. ...
We will also hear the voices of the American people ... to make sure that health care reform gets before the
president for his signature before the end of the year."
In support of Obama's efforts, liberal activists have mobilized to keep the pressure on Congress to pass
legislation this year.
"It would be a mistake to dismiss this as a gabfest," Drew Altman, president of the Kaiser Family Foundation,
said about Obama's meeting. "It's an effort to keep the momentum going. The details are not going to be worked
in two or three hours at a White House summit."
There were concerns Wednesday about some of those details.
Senate Finance Committee Chairman Max Baucus, D-Mont., who will play a leading role in writing health care
legislation, raised questions about the proposed $634 billion "down payment" for expanded coverage that
Obama included in the 2010 budget he released last week.
___
On the Net:
White House: http://www.whitehouse.gov/agenda/health care/
(Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast,
rewritten or redistributed.)
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001134

From:
Sent:
To:
Subject:
Attachments:

Cox, Donald R (HHS/ASPE); Druk, Clint (PSC/SAS/AMD/Acq/T6); PSC PSC_Invoices
invoice for Purchase Order HHSP23320090018P
invoice1.doc
JonGruber
JonathanGruber
Cambridge,MA02142
phone:6172538892
fax:6172531330
HHS Gruber 001135

From:
Sent:
To:
Cc:
Subject:
Attachments:

Tuesday, May 19, 2009 4:46 PM
Allen, Anita (PSC/AOS)
Cox, Donald R (HHS/ASPE); Druk, Clint (PSC/SAS/DAM)
JOFOC RFP OS4809
JOFOC OS4809.pdf
Anita,
Here is a copy of the JOFOC with the appropriate level of approval (i.e. CO only is required as it is under $550k).
Don: Please make sure to get ASPE signatures and return those to me under 12. They arent required to move forward
in my opinion but I want ASPE to be certifying to the accuracy of the information that is in the JOFOC that I approved. I
wont post anything until I have that first. Anita has given me permission to begin moving forward on this once she has an
approved JOFOC but I wont do so until I have the ASPE signatures under 12 first.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001137

From:
Sent:
To:
Cc:
Subject:
Attachments:

Wednesday, August 12, 2009 11:53 AM
Robinson, Marian (HHS/ASPE)
Cox, Donald R (HHS/ASPE); 'Jon Gruber'
Mod 1 HHSP23320094301EC (requisition OS14127)
MOD 1 HHSP23320094301EC.pdf
Please find attached the subject modification. There was an internal HHS need to change the CAN (cost accounting
number). Thus, this administrative modification was executed to change the CAN. All funds from the old, inaccurate CAN
have been deobligated as a result of this modification.
Dr. Gruber You are provided a copy of the modification simply because you are a party to the contract. The change has
no impact on you and is administrative. If you have questions please call me.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001138

From:
Sent:
To:
Subject:
Pickett, Valerie
National Healthcare Reform Requirement
Clint I have a fax that is for your National Healthcare Reform Requirement. I didnt leave it on your desk because I do
not know the lock combination for your side of the hallway. Ill bring it by on Monday.
Val
Valerie C. Pickett
Chief, Acquisition Branch
5600 Fishers Lane
Voice: 301-443-8348
Fax: 301-443-3849
HHS Gruber 001141

From:
Sent:
To:
Subject:
Attachments:
(b) (6)
Tuesday, June 02, 2009 4:48 PM

OS4809 Teaming or subcontracting opportunities
(b) (6) h 2009 06 02.doc
Technical Assistance in Evaluating Options for National Healthcare Reform

Agency: Department of Health and Human Services
Office: Program Support Center
Location: Division of Acquisition Management
Parklawn Building Room 5-101
5600 Fishers Lane
Primary Point of Contact.:
Clint D Druk
clint.druk@psc.gov
Phone: 301-443-0403
Dear Mr. Druk,
I am writing to introduce myself and see if I could be of assistance. I understand this is planned to be
a sole source contract and I was wondering if there might be consideration given to subcontracting a
very small part out to a small minority disadvantaged business. As a subcontractor to Jonathan
Gruber, Ph.D., I can do data entry, word processing or any other task he would like to farm out that
would help him keep his focus on his core competencies. I have attached background information in
a MS Word 97-2003 format. If you do not have a need for my services at this time, please keep me
on your hot list as things may change.
The Executive Team manages the business vision, strategy and plans. As a portfolio, program and
project manager, I work with the Executive Team to develop the business requirements. I then
outline the enterprise-wide business case (as-is, could-be, and "to-be" requirements for people,
process, technology, budget, scope, timeline, deliverables), and align it with the business and
technology strategy and roadmap, growth plans and key initiatives to ensure programs and projects
are in sync.
I do not consider myself an IT program / project manager, though I have performed that role many
times. I am a business program / project manager. My value-add is the enterprise, not just the IT
silo. I align IT with business goals. I have managed IT and non-IT budgets up to $108 million, up to
115 resources, with 6 to 9 direct reports.
My philosophy is the needs of the business drive the business requirements for the silos (HR, legal,
1
HHS Gruber 001142
page 1 of 12
(b) (6)
(b) (6)
(b) (6)
(b) (6)
SUMMARY
(b) (6)
SUMMARY
(b) (6)
HHS Gruber 001144
page 2 of 12
(b) (6)
(b) (6)
(b) (6)
(b) (6)
EDUCATION
(b) (6)
CERTIFICATIONS
(b) (6)
PUBLICATIONS
(b) (6)
FORMER COMMITTEES
(b) (6)
PROFESSIONAL EXPERIENCE
(b) (6)
HHS Gruber 001145
(b) (6)
(b) (6)
(b) (6)
(b) (6)
(b) (6)
(b) (6)
(b) (6)
(b) (6)
(b) (6)
(b) (6)

From:
Sent:
To:
Subject:
donotreply@hcas.gov
PRISM Document Notification: For your reference: Award: HHSP23320094301EC
Award:HHSP23320094301EChasbeenapprovedbyinPRISM.
Description:HP09015(continuationofTechnicalAssistanceforEvaluatingOptionsforNationalHealthcareReform)
Owner:CLINTDRUK
Requisitioner:KENDRAMDUNLAP
Buyer:CLINTDRUK
ContractingOfficer:CLINTDRUK
ContractingOfficerRepresentative:DONALDFCOX
Site:PSCDAM
OriginatingOffice:HHS
IssuingOffice:DAM
AdminOffice:DAM
HHS Gruber 001156

From:
Sent:
To:
Cc:
Subject:
Attachments:

Sunday, Marie (PSC/SAS); Cox, Donald R (HHS/ASPE)
Re: [Fwd: CCR Confirmation DUNS 829818975]
aspe proposal 2.doc
sorry, didn't know you needed that. Here is a revised proposal. Thanks for all your help, Clint!
Jon Gruber
I can't award anything until I have an updated statement of work and a revised quote reflecting pricing for that updated statement of
work. I requested this last week I believe. I'm still going through emails so I may have missed it if you already sent it but, if not, I
basically need to know what is being cut out. Also, I may not be in until Monday (pending Marie's approval) and UFMS is down until
Sunday so I don't think I could process the order in our system until Monday.
-----Original Message----From: Jon Gruber [mailto:gruberj@economics mit.edu]
Sent: Wed 3/18/2009 11:39 AM
Cc: Druk, Clint (PSC/SAS/DAM); Cox, Donald R (HHS/ASPE)
Subject: Re: [Fwd: CCR Confirmation DUNS 829818975]
superb! thanks to both of you
Jon that is great. Clint will return (b) (6)
that time. Thanks for your patience and perseverance.
on Friday and will proceed to process your award at

(301)443-7081; FAX: (301)443-8488 or (301)443-2761
________________________________
From: Jon Gruber [mailto:gruberj@economics mit.edu]
Sent: Wednesday, March 18, 2009 11:28 AM
To: Sunday, Marie (PSC/SAS); Druk, Clint (PSC/SAS/DAM)
Subject: [Fwd: CCR Confirmation DUNS 829818975]
Yay! I am completely kosher now - I did all the stuff on the ORCA web site as well. And I think HHS has worked out the plan
for the contract. So please let me know how we cross the finish line on this!
thanks
Jon gruber
1
HHS Gruber 001157
-------- Original Message -------Subject:

CCR Confirmation DUNS 829818975
Date:
Wed, 18 Mar 2009 11:00:17 -0400
From:
CCRemail@bpn.gov
To:
gruberj@mit.edu
Dear CCR Registrant:

Congratulations! Your registration in the Central Contractor Registration (CCR) system has been accepted.
To view the status of your registration, or to obtain your CAGE Code, you may go to http://www.ccr.gov/ at any time and select
"Search CCR". Simply type in your DUNS number and select Search to view your Trading Partner Profile (TPP).
Please note that you are responsible for the maintenance and accuracy of your registration, and it must be renewed at least
annually. You will need to log in to your User Account with your User ID and password to update and renew your registration.
If you have questions, contact CCR at 1-888-227-2423. Dial 269-961-5757 for international calls.
Thank you,
The CCR Group
www.ccr.gov
CC-EWE
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
web: http://econ-www mit.edu/faculty/gruberj/
-2
HHS Gruber 001158
Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
web: http://econ-www mit.edu/faculty/gruberj/
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001159

Tasks 1 & 2
enforce a mandate?
payroll?
experience?

private budgets.
HHS Gruber 001160

Task 3
I will prepare a technical memorandum for ASPE which lay out the results of both
explanation of the modeling and the results of that modeling.
engagement I will work(b) (6) hours, and my research assistant will work
hours. No
(b) (6)

HHS Gruber 001161

References
(b) (6)
Resumes
as well.
HHS Gruber 001162

(b) (6)
(b) (6)
Monthly Costs:
Gruber:
Graves:
(b) (6)
(b) (6)

Total
=
=
(b) (6)
This project will last for four months, at a total cost of $95,000. This will cover all the
four month period laying out the results of this work. The payment for $95,000 would be
made quarterly upon receipt of that report.
HHS Gruber 001163
>
>
>OnceIgetthatIthinkwe'reset.
>
>
>
>ClintDruk
>
>ContractingOfficer
>
>
>
>(P)3014430403
>
>(F)3014438488
>
>
>
>
JonathanGruber
CambridgeMA02142
gruberj@mit.edu
phone:6172538892
HHS Gruber 001165

From:
Sent:
To:
Subject:

Re:
Clint this is super helpful. Thanks. Also, your idea about getting a new DUNS number was a great one! I've just
done that and should be able to register at CCR on monday.
A few followup questions:
1) Is this draft sufficiently close to the final that I would be safe working from it? I want to get started if you
are going to want a response on 3/12!
2) Can you give me a little guidance as to what would be considered "unreasonable", both in terms of hourly
rate & totals? In my contracts with state governments I bill my time at(b) (6) /hour and my research assistants at
(b) (6) /hour. I know that is high but unfortunately it is where things stand. This would imply an estimated total
(b) (6)
cost of abou (b) (6) for the year (I am assuming hours per week by myself and
hours/week for my
research assistant). is that going to work?
(b) (6)
thanks
Jon
Short answer: Official solicitation probably released the afternoon of 3/11. Quote received within a day or two of that
(depends on how fast you can get it put together with everything we would need). Evaluation probably same day or 1
day. Final wrap up/signatures etc. another day or same day. Given what this is for and the push to move on healthcare
reform this is something I plan on doing as quickly as possible within the regulations.
Longer explanation:
Right now there is a public announcement on www.fbo.gov (search for AES2009) or this direct link may
work: https://www.fbo.gov/index?s=opportunity&mode=form&id=239a1e94d4f22683c9cf64fd2ddcf9e0&tab=core& cview
=0
That is the synopsis of the requirement that we are required to post there for a minimum of 15 days. The purpose is to
increase transparency, help to ensure we arent inappropriately limiting competition, and to identify various small business
types that could be interested in the requirement.
Given the governments requirements and the sole source standard I made a determination that you were the only source
reasonably available to meet the governments requirements. However, I still have to post this and consider any
capability statements or other requests that come in e.g. other businesses that say, Hey Government, we could totally do
this work too and you should open this up for competition. As the announcement hasnt closed yet Im still not sure what,
if anything, I may receive as a result of the announcement. That is why I cant say you have or are going to have a
contract or not at this point.
Provided the announcement closes and effectively confirms the appropriateness of soliciting from you on a sole source
basis, Ill issue the official solicitation to you and set a due date. If you cant meet the due date set you would let me know
and we could arrange for something that is more manageable for you. Id then wait to get the quote, it would be
1
HHS Gruber 001166
evaluated, and any final negotiations would occur and other things that would have to be addressed (e.g. CCR registration
completed) and then wed sign the contract and work could begin.
If you have questions after receiving the official solicitation just call me and we can discuss things so we increase the
odds that what is initially submitted as a quote is something we can move straight to award on. The main things that
would likely stall the process would be:
1. Not being registered in CCR.

2. Not having the representations and certifications completed at orca.bpn.gov
3. The quote failing to come with a sufficient price breakdown and/or support for the price for me to determine, as
Im required to by regulation, that the price is fair and reasonable (i.e. the bottom line overall fixed price you
quote). As this is almost entirely, if not entirely, labor hour driven Id expect to get something like: Deliverable
X: Clint Druk 10 hours x $5 per hour = $50 per hour. Deliverable X: Clint Druk 5 hours x$5 per hour = $25
etc. Any other costs (e.g. I dont know maybe paper or something a few reams at $10 a ream or
something): TOTAL FIXED PRICE: $85. The Project Officer would assess whether he feels the labor mix and
level of effort (in this case Im guessing there wouldnt be a mix other than yourself) is reasonable and appropriate
to complete the requirements of the statement of work. Id then look at the hourly rate and need something to
determine if that is a fair and reasonable rate (e.g. documentation on a rate for the same or similar services
youve provided to the government or other entities perhaps or somehow Id need a copy of an invoice perhaps or
something at least). Id check to see if $10 for a ream of paper is a fair price in the market etc.
a. It is important to note that this is being issued in a fixed-price basis so whether you work
234810947831290 hours or 1 hour you still would receive the total firm fixed price that is agreed to
provided you complete the requirements of the statement of work (i.e. the risk of cost overruns or, more
accurately in this case, misjudging the amount of hours it will take lies on you rather than the
government).
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re:
Clint can you remind me please of the timing from here until the contract is signed?
thanks
Jon
2
HHS Gruber 001167
Ive attached a draft solicitation. A final, official solicitation will be released in the near future.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001168

From:
Sent:
To:
Subject:
Pickett, Valerie
Wednesday, February 25, 2009 6:25 PM
RE: 2 QUESTIONS
Clint Thank you for the email. We have a huge amount of requisitions coming in that usually do not have enough
information on them for us to figure out where they should be assigned. I have been trying to figure out what belongs to
whom. So, you have solved one problem for me. I have assigned this requisition to you. Please let me know if you have
any trouble accessing it.
Val

To: Pickett, Valerie
Subject: FW: 2 QUESTIONS
Valerie,
Marc (acting for Marie) suggested I email you for one of the questions I presented to him earlier today (see his comments
below). Basically, there is a requirement Im working on that has some political push associated with it and I am trying to
anticipate problems so it moves as smoothly as possible through the acquisition process. Don Cox with ASPE will be the
Project Officer and told me they have submitted an iProcurement requisition. However, nothing has filtered down to me
yet and Im not sure if Marie ever received anything. My concern is that well get ready to award and then have to waste
time pushing a requisition through.
The only information I have is the requisition would be for (b) (4) for Technical Assistance for Evaluating Options for
National Healthcare Reform (REMIS: No: HP-09-002) with the intended contractor being Jonathan Gruber (an MIT
professor). It would likely be from Don Cox and the funds available person would likely be Nicole Pinkney
(OSEO). Basically, Im repeating what is in the attachment to this email.
I know Marie may not be back from jury duty until the middle of next week depending on how that case plays out. I issued
the synopsis today but I dont know how long it takes a requisition to go through iProcurement (Im guessing longer than
shorter).
Does this ring a bell? Ive attached the information Marie provided me if it helps to identify the requirement Im referring
to. I guess I want to verify that we actually dont have an iProcurement requisition so I can tell ASPE they need to get
moving on it.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001169
From: Long, Marc (PSC/SAS)

Subject: RE: 2 QUESTIONS
Clint,
I'm not sure about the invoicing. I know I have not received any instructions. I would keep it the
same, but I think you have the ability to adjust accordingly. I just looked at my most recent
instructions and I still have one coming to me and 4 going to finance. My guess is that finance has
not approached this yet, but will once they keep receiving invoices that are unnecessary (if they
realize anything).
I just called the help desk and they said she has only one req to assign and she viewed it last week. I
think it would be fine to send Valerie and email telling her that you are looking for this particular req
and since it is unknown when Marie will return, please forward the req directly to you.
I do not know of anyone at CCR. Are his issues self inflicted?
Let me know if there is anything I can do.
Marc Long
(301)443-7086

To: Long, Marc (PSC/SAS)
Subject: 2 QUESTIONS
Im just trying to follow the chain of command and since Marie is out I believe Im supposed to contact you. I have the
following questions:
(b) (5)
2
HHS Gruber 001170
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001171

From:
Sent:
To:
Cc:
Subject:

Tuesday, March 17, 2009 2:32 PM
Re: A few things in order to award
super, thanks Don.

Jon, as much as I'd like it to be tomorrow, I think we have to wait for the contract to be in place first. Clint will be in contact
with you on this.
Don

Cc: Druk, Clint (PSC/SAS/DAM); Sunday, Marie (PSC/SAS)
Subject: Re: A few things in order to award
terrific! thanks Don. when can we start?

Jon, Clint
Assuming that you don't exceed the estimated monthly burn rate, 4 months will be fine.
Don

Cc: Cox, Donald R (HHS/ASPE); Sunday, Marie (PSC/SAS)
Subject: Re: A few things in order to award
thanks Clint. Spoke to CCR yesterday and they are still processing.
Don, given the rate at which this work will run, I would suggest we start with a four month contract, and then
revisit. Does that work?
thanks
Jon
HHS Gruber 001172
(b) (5)
I will be out of the office for several days and if something must be done on or before Thursday of next week please
discuss it with Marie Sunday (my supervisor).
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
2
HHS Gruber 001173
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001174

From:
Sent:
To:
Cc:
Subject:
Attachments:

COTR Appointment under HHSP23320094301EC
COTR Appoint letter HHSP23320094301.doc
Don,
I need you to review the attachment and submit a signed copy (at least for the signature back) to me.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001175
Program Support Center

Division of Acquisition Management, SAS
Room 5-101, Parklawn Building
5600 Fishers Lane
Rockville, MD 20857
To:
Donald Cox, Senior Health Economist

Office of the Assistant Secretary for Planning and Evaluation (ASPE)
From:
Clint Druk, Contracting Officer,

Program Support Center, Division of Acquisition Management
Subject:
Appointment of Contracting Officers Technical Representative (COTR) for

Contract Number HHSP23320094301EC
This memorandum appoints you as the Contracting Officers Technical Representative

(COTR) with respect to technical matters within the scope of the contractual instrument
referenced above. As such, you are authorized to act on behalf of this office in all
matters related to the monitoring and oversight of the technical and programmatic
aspects of the contract, subject to the limitations set forth in this appointment.
THIS APPOINTMENT SPECIFICALLY AUTHORIZES YOU TO PERFORM THE
FOLLOWING DUTIES:
Serve as the primary liaison between the contractor and the Contracting Officer1;
Ensure consistency among multiple COTRs under a single contract when

providing guidance to the contractor and evaluating the contractors performance;
Maintain a complete working file for the assigned contractual instrument;
Monitor and evaluate the contractors performance and make timely reports of
your findings to the Contracting Officer;
Complete interim and final evaluations of the contractors performance under the
instrument;
Provide the Contracting Officer with copies of all of your written correspondence
(including electronic communications) with the contractor;
Inform the Contracting Officer of substantive oral communications (e.g.,

telephone conversations) with the contractor and provide notes and/or
summaries of them as requested;
For the purposes of this appointment memorandum, the term Contracting Officer shall include the
Contract Specialist unless otherwise specifically indicated.
HHS Gruber 001176
Inspect and evaluate products (including reports and drafts) and services
delivered by the contractor, and make recommendations to the Contracting
Officer regarding their acceptability;
Review and approve/reject contractors invoices (fixed-price contracts) or

vouchers (cost-reimbursement type contracts);
Monitor the contractors use of key personnel and notify the Contracting Officer of
any changes in key personnel proposed by the contractor;
Review the qualifications of proposed subcontractors and the appropriateness of

subcontracting contract work, and make recommendations to the Contracting
Officer regarding consent to the placement of subcontracts;
Provide the contractor with, monitor the use of, and report on Governmentfurnished property;
Provide technical guidance to the contractor;
Promptly notify the Contracting Officer immediately of any:

Actual or potential contractor performance problems;
Action or inaction by HHS/OPDIV personnel that may affect the contractors
ability to perform; and
Inappropriate action on the part of HHS/OPDIV personnel with regard to the
contract (e.g., any action that creates a conflict of interest on the part of the
contractor or causes the contractor to perform inherently governmental
functions). The COTR should concurrently notify the program office of any
such action.
As requested by the Contracting Officer, provide him/her with technical

assistance on contract-related matters (e.g., disputes, settlements, litigation,
patent and copyright issues, final payment during closeout, etc.);
Provide timely reports on contractor performance to the Contracting Officer and

other interested parties; and
Ensure proper distribution of final products and other information resulting from
the contract.
2
HHS Gruber 001177
This appointment does not authorize you to take any action that requires a Contracting
Officers warrant, including:
Changing any of the contracts terms and conditions;
Directing the contractor to perform work or make deliveries not specifically

required under the contract;
Waiving or relaxing, in any way, the Governments rights with regard to the
Contractors compliance with the specifications, price, delivery or any other terms
or conditions of the contract; and,
Making any commitments or approving any actions that would create any
financial obligation on the part of the Government.
The period of this appointment shall be from the date of this memorandum until the
completion of the contract (including the submission of all required close-out
documentation to the Contracting Officer), unless otherwise revoked or canceled, in
writing, by the Contracting Officer. If the appointment is revoked for any reason before
completion of this contract, you shall turn over all contract-related information in your
possession, at the time of revocation, to the successor COTR or make other
dispositions as directed by the Contracting Officer. You may not transfer this
appointment or any authority provided by it to a successor COTR.
PLEASE SIGN AND RETURN THIS MEMORANDUM TO THE CONTRACTING
OFFICER, AND KEEP A COPY FOR YOUR OWN RECORDS.
BY MY SIGNATURE BELOW, I HEREBY ACKNOWLEDGE THAT I UNDERSTAND
AND AGREE TO THE TERMS AND CONDITIONS OF THIS APPOINTMENT.
__________________________________
__________________
COTR Signature
Date
3
HHS Gruber 001178

From:
Sent:
To:
Subject:

Re: Award: HHSP233200900181P
I am delighted to accept the contract! thanks for all your help, Clint
Jon
It is ironed out and you should have a copy of the contract. If you could confirm acceptance of the contract (i.e. purchase
order) I sent you it will be appreciated.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Sent: Thursday, March 26, 2009 8:19 PM
Subject: Re: Award: HHSP233200900181P
Clint Sorry, I was away. I take it that the earlier issues are ironed out? I shouldn't have checked that I'm not a small
business - I am! If we still need to talk please call me in the morning at 781-862-0112.
thanks
Jon
Please find attached the subject purchase order. Jonathan, you can accept by performance but I would appreciate it if
you would reply to this email with written acceptance of the attached order. Normally, Id get a bi-lateral signature but
given the urgency of getting this into place I chose to do it this way to expedite things a bit.
Thank you,
HHS Gruber 001179
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001180

From:
Sent:
To:
Subject:
Attachments:

Re: CCR
invoice3.doc
Clint here is a recent invoice for my work for the Universal Health Care Foundation of Connecticut. Relative to this
recent work, I have raised my rate by (b) (6) and lowered by research assistant rate by (b) (6) . This is due to both
the increased value of my time and my abilty to hire resaerch assistants more cost effectively.
Jon Gruber
Well, well see what they say as it is primarily their requirement and decision to make when it comes to possibly descoping the requirement. I do have questions about whether the labor mix and level of effort is where it should be but,
again, I need to see what ASPEs view is. I would like to know how recently those labor rates were used and do you have
a copy of an invoice to show actually billing those rates to one or more of those entities?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: CCR
super, thanks Clint. Once again, to the extent that you can work with them on this, to me the obvious solution is
just to sign for a shorter period of time.
thanks
Jon
HHS Gruber 001181
I believe it takes a day or so to show up and, once it does, I am guessing you can get into ORCA at that time. Im waiting
to hear back from the program office as there is obviously the major issue that will have to be address of price versus
available funding.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: CCR
i logged on using my account info - looks like it is "in process"....

Hmm, when I search CCR that doesnt bring anything up. Im assuming you received some sort of registration complete
notification from CCR? I was thinking it could be that they havent updated things (Ive done searches where I get odd
pending messages and such but it still pulls something up).
I was using this link to search: https://www.bpn.gov/CCRSearch/Search.aspx
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: CCR
it is
829818975
2
HHS Gruber 001182
hopefully you are right and it is just an update delay - thanks!

Jon
Im guessing it takes 24 to 48 hours for CCR to have your registration fully updated and complete. What is the new DUNS
number?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: CCR
ugh, now I can't seem to get onto ORCA. I registered with CCR but ORCA says my record doesn't exist for
CCR. Any thoughts on this?
This will only start to cause actual delays once we have received your quote and are ready to award. Ill have to make
sure the ORCA (https://orca.bpn.gov/) information has been completed and that you have an active CCR
registration. Otherwise, I cant award the contract because none of the exceptions to CCR registration would apply (at
least based on the information I have currently). Payments under contracts are made based on the information in the
CCR as well. The system we use to create the contracts also pulls vendor information from CCR to populate some of the
fields.
Thus, we basically have until March 12 roughly before this really becomes a roadblock. There is also the possibility
someone will want to be considered for the contract and respond to the synopsis that was posted here:
(https://www.fbo.gov/index?s=opportunity&mode=form&id=239a1e94d4f22683c9cf64fd2ddcf9e0&tab=core& cview=0)
If so, well have to consider what was submitted and make a determination on the most appropriate way to proceed in light
of the facts and the relevant laws and regulations regarding competition and socioeconomic policies to promote
businesses that fit into particular categories such as historically underutilized business zones or service disabled veteran
owned small businesses. Im not anticipating that but it remains a possibility (this is being procured as one of those no
bid contracts that have been getting so much attention in the news recently).
I mention that solely to make clear that no contract has been awarded yet and we are just planning based on the
assumption that there is only one source available (i.e. you) so we can get a contract in place as quickly as possible once
weve finished meeting publicizing requirements.
Clint Druk
Contracting Officer
3
HHS Gruber 001183

(P) 301-443-0403
(F) 301-443-8488

Sent: Friday, February 27, 2009 12:27 PM
Subject: Re: CCR
ok, thanks. I prefer to use gruberj@mit.edu so I just called them and re-updated. I think this is the problem hopefully once it is in the system they can email me my TPIN number. I'll try first thing next week.
But, jsut to be clear: by when do I have to resolve this before I am holding things up?
thanks
Jon
Everything on my end is moving forward as fast as it can i.e. we are waiting on the 15 day posting time. I have a rough
draft of the solicitation but I need to add the clauses and a few other details.
Unfortunately, I have no special access or anything that can really help with the DUNS and CCR issue other than to be
another body complaining. If I can get in touch with someone my hope is that I can, as Contracting Officer, get someone
to take the time to identify the problem.
If it is a DUNS email address issue cant you talk to the Dun and Bradstreet folks to update/change your email address (I
know it should be the same but basically to make sure it is accurate)? When I call for Customer Service: 800.234.3867 it
looks like option 2 allows you to update information.
I called D&B and the rep updated your email address to gruberj@economics.mit.edu and said it would take 24 to 48 hours
to process through their system. If that is NOT the email address that should be used call them and let them know what
one should be used so they can amend the update request. I assume that once that is properly updated youll be able to
go through the CCR process.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001184

Sent: Friday, February 27, 2009 11:39 AM
Subject: Re: CCR
the whole thing is a mess. Trying again, I think I was wrong before - I can't seem to find the right TPN. Then,
if I try enough times, I get to a window where I can put in my email address - but they say that email address
doesn't correspond to my DUNS number.
I would really appreciate your trying to resolve this for me. I am worreid that this contract will never get
done. Is the other contracting paperwork moving forward or is that on hold while we resolve this?
thanks
Jon Gruber
Have you had any luck yet? I still cant get in touch with anyone there but I will continue to try. Did you try to create a
new registration? If possible, could you write up for me exactly what you are doing and what error message you are
getting? I just want to make sure Im explaining everything as completely and clearly as possible to any CCR rep I may
be able to contact.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
5
HHS Gruber 001185
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
6
HHS Gruber 001186
fax: 617-253-1330
HHS Gruber 001187

From:
Sent:
To:
Cc:
Subject:

Re: CCR
if you can get help, great. if not, I can start over - it is free, just takes some time. Just let me know. thanks
Jon
Im working with some people here who may be able to help. The other possibility would be literally to start over
completely and get a brand new DUNS number etc. Im not sure what is involved and/or if there is a cost associated with
that but it may be something to consider.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: CCR
ugh, what a mess. They seem impossible to contact in any way. Is there anything that anyone over there can
do? I don't mean to throw this in your laps but I am simply at a loss...
thanks
Jon
The problem is I literally have no affiliation with CCR and being a Contracting Officer appears to hold no value to them at
all either. Basically, there isnt anything additional I can do other than trying to get in touch with someone but I think theyd
be tight lipped because of privacy concerns. I havent received a phone call even in response to my written inquiry in
which I expressed the important nature of the requirement and that I was the contracting officer. Since I dont have an in
depth understanding of the registration processes I cant even help isolate what the exact issue or issues are that are
interfering with registration.
1
HHS Gruber 001189
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: CCR
This CCR thing is a nightmare! I keep requesting them to send me my TPIN on line, but it never comes. They
must somehow have the wrong email for me. And it is literally impossible to get through to them by phone.
is there anything else that can be done on your end?
thanks
Jon
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
2
HHS Gruber 001190

Subject: Re: CCR
thanks
Jon Gruber
be able to contact.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
3
HHS Gruber 001191
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001192

From:
Sent:
To:
Cc:
Subject:
Attachments:

COTR APPT: Response required
COTR APPT HHSP233200900181P.doc; HHSP233200800181P COTR Instructions.doc
Don,
Can you sign and return the attached appointment memo please (COTR APPT HHSP233200900181P.doc)?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001193
Attachment - Instructions to Project Officer

Contract No: HHSP233200800181P Vendor: Jon Gruber
When performing your duties under this appointment, you must be aware of the need to
protect the Government's interests, and maintain an impartial, arms-length relationship
with the contractor. Avoid any action that places you in a real or apparent conflict-ofinterest position that may compromise the U.S. Department of Health and Human
Services position or impair public confidence in integrity or independence.
Part I Responsibilities
Your responsibilities include, but may not be limited to, the following functions:
1.
Managing and monitoring vendors performance under contracts, in coordination
with the Contracting Officer, from inception of the project to completion (final delivery)
interfacing with the contractor and the integrated project team, to ensure that cost,
schedule and performance requirements are met.
Monitoring Performance:
Ensure that the contractor complies with all of the requirements of the statement of work,
specifications, or performance work statement, and when requested by the contractor,
provide technical direction to the contractor's technical manager. This technical
assistance must be within the scope of the contract (e.g., interpreting specifications,
statement of work, performance work statement, etc.). When a difference of opinion
between you and the contractor occurs, notify the Contracting Officer or the contract
administrator/specialist immediately for resolution.
Ensure that the personnel being used by the contractor are of the same caliber that was
originally proposed by the contractor to the Government. The experienced personnel
contracted for and/or approved by the Government should not be replaced with the use of
personnel with less experience. However, you may not permit changes, substitutions, or
additions to personnel. Any decrease in or lack of performance shall be brought to the
attention of the Contracting Officer or contract administrator/specialist.
You will also be required to complete the attached "Evaluation of Contractor's
Performance Sheet" within 30 days after the contractor has met all terms and conditions
of the contract. Note: This form shall not be used for construction and architect-engineer
contracts (see (FAR) 48 CFR 36.604).
HHS Gruber 001194
Visits and Meetings with the Contractor:

As necessary, make arrangements with the contractor for periodic visits to the
contractor's facility to: (1) Evaluate the contractor's performance; (2) Evaluate changes in
the technical performance affecting personnel, the schedule, deliverables, and price or
costs; (3) Inspect and monitor the use of Government property, if applicable; and (4)
Ensure that contractor employees being charged to the contract are actually performing
the work under the contract. A trip report fully documenting all activities during the visit
must be written and a copy provided to the Contracting Officer within three working days
after the visit.
Document the file to record each meeting and telephone conversation with the contractor.
A daily log book is recommended which should reflect the date, time, name, and title of
individual(s) involved, the subject matter, and the details of the meeting or conversation.
Monitoring Costs:
Review and evaluate the contractor's progress in relation to the expenditures. When the
costs expended by the contractor are not commensurate with the contractor's progress,
bring this to the attention of the Contracting Officer or contract administrator/specialist
for immediate action.
Review the contractor's invoices/vouchers for reasonableness and applicability to the
contract and recommend to the Contracting Officer approval, conditional approval, or
disapproval for payment. The review must be completed within five days after receipt of
the invoice or voucher. If you cannot meet the required review time, advise the
Contracting Officer or contract administrator/specialist so that action can be taken to
ensure Government compliance with the Prompt Payment Act, thereby avoiding the
payment of interest penalties to the contractor.
2.
The overall management, control, coordination, and execution of assigned
projects under contracts and ensuring that the project is delivered on time, within budget,
with appropriate resources, and monitoring product quality. Developing requirements for
products/systems and services ensuring that they are in compliance with relevant statues,
regulations, and agency policies.
3. In coordination with the Contracting Officer, performing acquisition planning.
Within the acquisition plan, establishing project scope, criteria, schedules and
milestones, budgets/independent Government cost estimates, dependencies,
responsibilities of the participating parties, assumptions and risks, contingencies, and
performance measurement criteria. Participating on and/or leading technical proposal
evaluation teams.
4. Inspecting and accepting or rejecting work and materials.
HHS Gruber 001195
5. Ensuring compliance with all technical contract terms and conditions.

6. Interpreting specifications and drawings where interpretation does not involve contract
cost and time. Any disagreements with the contractor over interpretation of
specifications and drawings are to be immediately referred to the Contracting Officer.
7. Monitoring the delivery of Government-furnished property; establishing an inventory
list of the property, setting up control requirements; preparing site facilities, and
preparing an inspection report.
8. Preparing and recommending progress payments on a monthly basis as work
proceeds.
9. Stopping work if, in his/her opinion, there is a possibility of significant resource
damage or the contractor is commencing unauthorized or unsafe work.
10. Enforcing safety requirements. Preparing an agency approved completion report at
the conclusion of the contract work, if necessary. Completion reports must be forwarded
to the appropriate office.
11. Approving contractor's payroll records and forwarding to the Contracting Officer
weekly, or as directed by the Contracting Officer. Approving or disapproving technical
submittals.
12. Evaluating invoices, progress payment requests, and other requests for payment, and
recommending approval or disapproval to the CO.
13. Conducting "Labor Standards Interviews" in accordance with instructions from the
Contracting Officer. All known or suspected violations of the Labor Standards
Provisions shall be immediately reported to the Contracting Officer.
14. Verifying the return or disposition of Government property.
HHS Gruber 001196
The Project Officer shall not take the following actions, all of which remain the sole
responsibilities of the Contracting Officer:
1. Making any changes to the contract.
You cannot authorize the contractor to stop work, and you are not authorized to delete,
change, waive, or negotiate any of the technical requirements or other terms and
conditions of the contract. Should a change (monetary or otherwise) to the contract
become necessary, it must be made by a contract modification issued by the Contracting
Officer. When in doubt, contact the Contracting Officer or contract
administrator/specialist.
Any contract change requested by the contractor must be put in writing by the contractor
to the Contracting Officer for action; however, you should immediately advise the
Contracting Officer or contract administrator/specialist of the proposed change since it
may affect the contract price, cost, or delivery/performance schedule. When the proposed
change is received by the Contracting Officer, you will be required to provide the
Contracting Officer with a written analysis and rationale for the change and to evaluate
any costs associated with the change.
You must also recognize and report to the Contracting Officer any Government required
changes to the contract (e.g., items or work no longer required, changes in the
specifications, etc.).
2. Terminating the contract in part or in whole.
3. Administering or making decisions concerning any claims and disputes under
this contract.
4. Suspending work, except in the event of unsafe acts and conditions, that is likely to
result in accident or injury.
Close liaison will be maintained by the Project Officer, the Contracting Officer, and the
contractor. The Project Officer shall immediately notify the Contracting Officer of any
problems encountered, including but not limited to maintaining completion schedules.
The Project Officer shall provide a copy of all correspondence and memoranda of
conversations concerning this contract to the Contracting Officer.
So that the above may be a matter of record, you are requested to immediately
acknowledge receipt of this appointment by signing both copies, returning one copy and
retaining the original for your files.
HHS Gruber 001197
Part II
General and Administrative Information
You are the official Government representative for technical and administrative matters
under this contract. To prepare for these duties, we recommend you take the following
actions:
1. Read and make sure you understand the terms of the contract. Discuss any unclear
areas with the Contracting Officer. In particular, make sure you understand the
administrative procedures required for initiating actions under the contract, such as
issuance of delivery orders or exercise of contract options, including your responsibilities
for initiating additional requisitions.
2.Create and maintain a file to document your actions as Project Officer under this
contract.
The file should include:
Your copy of the contract, memorandum of appointment, and these instructions;
Copies of any relevant correspondence;
Record of any telephone conversations or other communications with the

contractor; and
Other records of the contractor's performance, such as reports of in-process

inspections, visits to the contractor's facility, and service reports. These items will
vary depending on the nature of the contract (for additional information, see #18
in this Appendix).
3. Review the contract schedule for deliveries, completion dates, option/renewal dates,
and any other report or data submission dates, and establish a log or tracking system to
make sure you are prepared and available for upcoming actions.
4. If the contract is expected to result in scientific publications, there is potential for
conflict of interest if the Project Officer who evaluates contractor funding and payment
requests is also listed as a co-author on any resultant publications. If applicable, discuss
any potential conflicts with the appropriate personnel (e.g., personnel officer) to ensure
no standard of conduct violation will occur.
5. Know the scope and limitations of your authority and use reasonable care in exercising
your authority.
6. Safeguard the contractor's confidential business and technical information.
Confidential information may include proposal pricing, technical documentation, or
personnel data. Do not release any information without first consulting the Contracting
Officer to determine if such release of information is permissible.
HHS Gruber 001198
7. Notify the Contracting Officer immediately of any matter related to this contract that
may need his or her action.
8. Furnish the Contracting Officer copies of all pertinent trip reports, conference reports,
and copies of all correspondence.
9. Certify that the contractor has satisfactorily completed the contract and the
Government has received and accepted all deliverable items.
10. After the contract is completed, you are required to write an evaluation of the
Contractors technical performance.
11. Notify the Contracting Officer whenever you become aware of events or changes,
whether permanent or temporary that will impair your ability to perform any of your
duties as Project Officer.
12. When necessary, due to distance or geographic dispersion of sites, you may designate
other employee(s) to perform inspections or monitor stated aspects of performance.
These individuals may act as your "eyes and ears" at the worksite, but may not be
delegated your authority to make decisions or to represent the Government in
communications with the contractor. You should instruct any such employees to
immediately refer to you any potentially controversial matters they encounter with the
contractor.
13. In accordance with Departmental and OPDIV procedures, coordinate and validate
that contractors staff are compliant with applicable IT security requirements, including
Homeland Security Presidential Directive (HSPD) 12.
14. Technical Liaison, Monitoring and Inspection:
a. Interpret Government drawings and specifications for the Contracting Officer and,
upon specific written authorization from the Contracting Officer, provide that
information to the contractor.
b. Coordinate site entry for contractor personnel and ensure that any Governmentfurnished property is available when required.
c. Review contractor requests for travel, overtime, equipment, or subcontracting not
approved by the Contracting Officer before award. Analyze the contractor's technical
and management reports.
d. Provide the Contracting Officer with technical recommendations on Government or
contractor-proposed changes, including assessments of their specific impact on the
contract and its cost or price. Upon request of the Contracting Officer, assist in
negotiating post-contract claims and termination adjustments.
HHS Gruber 001199
e. Observe the contractor at work to determine if performance complies with the

contract. This includes observation of the work system, methods, and execution.
f. Immediately notify the contractor and Contracting Officer of any potentially hazardous
working conditions. The contractor is always required to comply with Federal
Occupational Safety and Health Administration (OSHA) guidelines, as well as any state
or local requirements for workplace safety, even on a Federal facility.
g. Record and report to the Contracting Officer incidents of nonconforming work, delays,
or problems, including inadequacies, discrepancies, or questionable practices for
corrective action. In addition, you are required to submit a monthly report concerning
performance of services rendered under this contract. Advise the Contracting Officer of
the following situations:
Possible changes in contractor management or key personnel, including clauses, if

it affects security access to IT systems and/or Government facilities;
Potential labor disputes or workforce problems;
Disagreements with the contractor as to specification/Statement of Work

requirements or other potential disputes with the contractor, technical or
otherwise;
Lack of progress that may jeopardize the performance/delivery schedule; and
Hazardous working conditions, including contractor's planned corrective action.
h. If a potential dispute or delinquency arises, your communications with the contractor

must be limited to fact-finding and obtaining recommendations from the contractor on
efforts he/she proposes to achieve compliance with the specifications. Avoid any
discussions with the contractor concerning disputed matters to prevent later charges that
you agreed to or directed any changes in the contract terms.
i. Do not agree to any revised delivery or completion date or start date for services. Also,
be careful not to make any statements to the contractor that could arguably infer as an
authorized extension, such as indicating that you do not really need the item by the
specified date. If you "informally" waive or extend the original date and the contractor's
performance becomes even more delinquent, it may be impossible for the Department of
Health and Human Services to enforce contract terms or use the contract's remedies.
j. You are not empowered to award, agree to, or sign any contract (including delivery
orders) or contract modification, or in any way to obligate the payment of money by the
Government. You may not take any action, which may affect contract or delivery order
schedules, funds, or scope. The Contracting Officer shall make all contractual
agreements, commitments or modifications that involve price, quantity, quality, delivery
schedules or other terms and conditions of the contract. You may be personally liable for
unauthorized acts.
HHS Gruber 001200
k. If the Government is billed based on hours worked, monitor the contractors hours
expended (including overtime, if applicable), and determine whether the qualifications of
workers performing under the contract are commensurate with the qualification
requirements stated in the contract.
15. Inspection and Acceptance:
a. Inspect all deliverable items, services, or materials to determine satisfactory
compliance with the contract. Accept or recommend to the Contracting Officer rejection
of contract deliverables.
b. For off-the-shelf commercial items, inspection is usually limited to verification of:
Type and kind (Is this the item we ordered - correct size, color, model or part
number, if specified in the contract?);
The quantity delivered;
Any visible damage (including damage to packing materials for items subject to
internal damage from rough handling); and
Operability (Is it in working order?).
c. For services not involving deliverable end items, services are generally monitored and
accepted upon completion of work or at the end of the month.
d. You are usually entitled to seven (7) calendar days to inspect deliverable item(s). If
your item requires a detailed inspection of acceptance testing, the contract probably
provides a longer period. The contract will indicate if a longer acceptance period is
planned. Make sure you act promptly to perform your inspections or acceptance testing
within the allotted time. If you have doubts about the item's compliance with the
specification, do not accept it just because the acceptance period is running out. Be
advised, however, that delays in inspection may result in payment of interest penalties to
the contractor once the items are finally accepted.
e. Acceptance Test Procedures: If you provided or requested special acceptance testing
procedures during the solicitation phase of the procurement, they will be as specified in
the contract. Be sure you precisely follow the version of those procedures found in the
contract award document, not a previous or subsequently revised version. If you find the
acceptance test procedures need revision, ask the Contracting Officer to modify the
contract to incorporate the changes.
HHS Gruber 001201
f. Performance [Test] Period: Highly complex items (such as IT) typically are required to
perform successfully in the Government's working environment for a specified period
(usually 30 days) before the Government accepts the item. Language there will include
acceptable downtime percentages or mean time between failure standards, or other
factors to be used to determine when the equipment or software has satisfied the
performance [test] period requirements.
g. If the delivered items (equipment, photography, report, etc.) do not meet the contract's
inspection or acceptance requirements, immediately inform the Contracting Officer of
this fact.
16. Invoices and Payment:
Review contractor invoices for payment, and recommend approval or disapproval as
directed by the Contracting Officer. If this contract is subject to the Prompt Payment
Act, the Government must pay interest penalties if invoices are not paid on time. Interest
penalties will be paid out of your program funds.
a. Partial/Final Payments
Immediately upon acceptance of item(s)/services, certify the invoice. Record on the
invoice (1) The date goods were received (or services completed), and (2) The date
accepted.
All these dates are necessary in order for our finance office to compute the correct
payment due date. Payment is due 30 days from the "constructive" acceptance date
(seven days after receipt of goods, unless the contractor provides longer acceptance date)
or the actual acceptance date, whichever occurs first. If the invoice is not received until
after acceptance, payment is due 30 days after receipt of the invoice. If the invoice
receipt date is not recorded, the invoice issue date is used to compute the payment due
date.
b. Progress Payments
If progress payments are allowable under this contract, you are responsible for reviewing
the invoice to determine if the work is progressing under the contract in accordance with
the schedule. If you have any suspicion that the contract work is falling behind schedule
or that the billings are running ahead of the work you must notify the Contracting Officer
immediately. After you review and recommend approval of a progress voucher, the
Contracting Officer must also review it and certify it for payment.
HHS Gruber 001202
c. Interim Cost Vouchers

If this is a cost contract, the contractor is entitled to be reimbursed periodically for all
reasonable costs incurred in performing the contract. You should review such vouchers
to make sure charges are commensurate with observed performance. It is your
responsibility to question or accept direct charges such as labor, materials, travel, etc.
Alert the Contracting Officer if the billing includes material or equipment charges of
undelivered items due at the work site. The Contracting Officer is responsible for
verifying correctness of indirect rates, fringe benefits, and fees, if any. After you approve
the voucher, return it to the Contracting Officer who will also approve and forward the
voucher to the appropriate finance office.
17. Government Furnished Material, Equipment, Facilities (GFM):
a. You are not authorized to provide any Government-owned (or leased) equipment or
supplies or use of Government space to the contractor, other than those specifically listed
in the contract.
b. If a need arises to provide Government-furnished material (GFM) or facilities (other
than any items already listed in the contract), promptly advise the Contracting Officer so
that the contract can be modified to reflect this change in GFM and so any appropriate
adjustments to the contract can be negotiated with the contractor.
c. If the contract provides (or is modified to provide) for the Government to furnish
facilities, supplies or equipment for performance of work under the contract, it is your
responsibility to ensure that such items are provided at the times and places stated in the
contract, in satisfactory condition. You should keep a record of the date for received
items and obtain a receipt of acknowledgement from the vendor. This document serves
to protect both the Government (in event of a dispute with the contractor) and our
custodial and accountable property officers (in the event the property is lost or damaged
in the contractor's possession).
d. Do not furnish items of controlled property to a contractor without the knowledge and
consent of both the accountable and custodial property officers and ensure that the item is
listed in the contract. HHS property management procedures may hold employees who
improperly transfer controlled property liable for any loss or damage to such property.
The HHS Property Management Handbook contains procedures regarding designation of
property officers and requirements for maintenance of property records.
e. During performance of the contract, it is your responsibility to monitor the contractor's
use and care of any Government-furnished equipment or materials. If you believe the
contractor is using the item for unauthorized purposes or is not providing adequate
maintenance or security for the property, you have authority to bring your concerns to the
contractor's attention. If the contractor does not agree to remedy the problem, or
indicates that your requested action will delay or increase the cost of performance, refer
the matter to the Contracting Officer.
HHS Gruber 001203
f. If an item of controlled property is reported lost, stolen, or damaged by the contractor,

or becomes worn out through normal wear and tear, you must make sure the action is
reported to the Contracting Officer. You are also required to submit appropriate property
report forms in accordance with established Department property management
procedures.
g. You are responsible for receipt, inspection, and acceptance of any residual GFM
(including all items of controlled property) when the contractors work is completed.
After its return, inspect the GFM and report any deficiencies to the Contracting Officer.
Update controlled property records to reflect any additions, deletions, or changes to
controlled property items and/or designated property officers.
h. Keep copies of all contract-related correspondence, including reports, invoices, internal
memoranda, etc., for six (6) years after the final invoice is paid.
18. Contract File Content and Maintenance:
Establish and maintain an organized contract administration file to record all contractor
and Government actions pertaining to the contract. The Project Officers file is of
particular importance since the documentation of your interaction with the contractor
may be used in the event of litigation. In addition, an organized file facilitates an easy
transition from one Project Officer to another if reassignment becomes necessary. The
file(s) should be organized as follows:
(1) File 1 - The contract instrument (i.e., contract modifications, task orders, delivery
orders, and the contractor's proposals applicable to these documents).
(2) File 2 - The Project Officers delegation letter, and all correspondence between the
contractor and the Contracting Officer, filed in chronological order.
(3) File 3 - A copy of the contractor's invoices/vouchers and any correspondence
pertaining to the payments.
(4) File 4 - The Project Officers trip reports and written memoranda to the file on
telephone conversations or other meetings with the contractor.
(5) File 5 - A copy of the contractor's progress reports and other contract deliverables,
and all correspondence pertaining to these documents.
The size of the contract may not warrant a separate folder for each file. If less than five
folders are used, the sections must be tabbed to segregate each file.
HHS Gruber 001204
Program Support Center

Division of Acquisition Management, SAS
Room 5-101, Parklawn Building
5600 Fishers Lane
Rockville, MD 20857
To:
Donald Cox, [Title],

Assistant Secretary for Planning and Evaluation (ASPE)
From:
Clint Druk, Contracting Officer,

Division of Acquisition Management (DAM)
Subject:
Appointment of Contracting Officers Technical Representative (COTR) for

Contract Number HHSP233200900181P
This memorandum appoints you as the Contracting Officers Technical Representative

(COTR) with respect to technical matters within the scope of the contractual instrument
referenced above. As such, you are authorized to act on behalf of this office in all
matters related to the monitoring and oversight of the technical and programmatic
aspects of the contract, subject to the limitations set forth in this appointment.
THIS APPOINTMENT SPECIFICALLY AUTHORIZES YOU TO PERFORM THE
FOLLOWING DUTIES:
Serve as the primary liaison between the contractor and the Contracting Officer1;
Ensure consistency among multiple COTRs under a single contract when

providing guidance to the contractor and evaluating the contractors performance;
Maintain a complete working file for the assigned contractual instrument;
Monitor and evaluate the contractors performance and make timely reports of
your findings to the Contracting Officer;
Complete interim and final evaluations of the contractors performance under the
instrument;
Provide the Contracting Officer with copies of all of your written correspondence
(including electronic communications) with the contractor;
Inform the Contracting Officer of substantive oral communications (e.g.,

telephone conversations) with the contractor and provide notes and/or
summaries of them as requested;
For the purposes of this appointment memorandum, the term Contracting Officer shall include the
Contract Specialist unless otherwise specifically indicated.
HHS Gruber 001205
Inspect and evaluate products (including reports and drafts) and services
delivered by the contractor, and make recommendations to the Contracting
Officer regarding their acceptability;
Review and approve/reject contractors invoices (fixed-price contracts) or

vouchers (cost-reimbursement type contracts);
Monitor the contractors use of key personnel and notify the Contracting Officer of
any changes in key personnel proposed by the contractor;
Review the qualifications of proposed subcontractors and the appropriateness of

subcontracting contract work, and make recommendations to the Contracting
Officer regarding consent to the placement of subcontracts;
Provide the contractor with, monitor the use of, and report on Governmentfurnished property;
Provide technical guidance to the contractor;
Promptly notify the Contracting Officer immediately of any:

Actual or potential contractor performance problems;
Action or inaction by HHS/OPDIV personnel that may affect the contractors
ability to perform; and
Inappropriate action on the part of HHS/OPDIV personnel with regard to the
contract (e.g., any action that creates a conflict of interest on the part of the
contractor or causes the contractor to perform inherently governmental
functions). The COTR should concurrently notify the program office of any
such action.
As requested by the Contracting Officer, provide him/her with technical

assistance on contract-related matters (e.g., disputes, settlements, litigation,
patent and copyright issues, final payment during closeout, etc.);
Provide timely reports on contractor performance to the Contracting Officer and

other interested parties; and
Ensure proper distribution of final products and other information resulting from
the contract.
2
HHS Gruber 001206
This appointment does not authorize you to take any action that requires a Contracting
Officers warrant, including:
Changing any of the contracts terms and conditions;
Directing the contractor to perform work or make deliveries not specifically

required under the contract;
Waiving or relaxing, in any way, the Governments rights with regard to the
Contractors compliance with the specifications, price, delivery or any other terms
or conditions of the contract; and,
Making any commitments or approving any actions that would create any
financial obligation on the part of the Government.
The period of this appointment shall be from the date of this memorandum until the
completion of the contract (including the submission of all required close-out
documentation to the Contracting Officer), unless otherwise revoked or canceled, in
writing, by the Contracting Officer. PLEASE NOTE: The appointment shall be revoked
if FAC-COTR certification is not received by Clint Druk on or before July 31, 2009. If the
appointment is revoked for any reason before completion of this contract, you shall turn
over all contract-related information in your possession, at the time of revocation, to the
successor COTR or make other dispositions as directed by the Contracting Officer. You
may not transfer this appointment or any authority provided by it to a successor COTR.
PLEASE SIGN AND RETURN THIS MEMORANDUM TO THE CONTRACTING
OFFICER, AND KEEP A COPY FOR YOUR OWN RECORDS.
BY MY SIGNATURE BELOW, I HEREBY ACKNOWLEDGE THAT I UNDERSTAND
AND AGREE TO THE TERMS AND CONDITIONS OF THIS APPOINTMENT.
__________________________________
__________________
COTR Signature
Date
3
HHS Gruber 001207

From:
Sent:
To:
Subject:

Re: CCR
ok, thanks Clint

This will only start to cause actual delays once we have received your quote and are ready to award. Ill have to make
sure the ORCA (https://orca.bpn.gov/) information has been completed and that you have an active CCR
registration. Otherwise, I cant award the contract because none of the exceptions to CCR registration would apply (at
least based on the information I have currently). Payments under contracts are made based on the information in the
CCR as well. The system we use to create the contracts also pulls vendor information from CCR to populate some of the
fields.
Thus, we basically have until March 12 roughly before this really becomes a roadblock. There is also the possibility
someone will want to be considered for the contract and respond to the synopsis that was posted here:
(https://www.fbo.gov/index?s=opportunity&mode=form&id=239a1e94d4f22683c9cf64fd2ddcf9e0&tab=core& cview=0)
If so, well have to consider what was submitted and make a determination on the most appropriate way to proceed in light
of the facts and the relevant laws and regulations regarding competition and socioeconomic policies to promote
businesses that fit into particular categories such as historically underutilized business zones or service disabled veteran
owned small businesses. Im not anticipating that but it remains a possibility (this is being procured as one of those no
bid contracts that have been getting so much attention in the news recently).
I mention that solely to make clear that no contract has been awarded yet and we are just planning based on the
assumption that there is only one source available (i.e. you) so we can get a contract in place as quickly as possible once
weve finished meeting publicizing requirements.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Sent: Friday, February 27, 2009 12:27 PM
Subject: Re: CCR
ok, thanks. I prefer to use gruberj@mit.edu so I just called them and re-updated. I think this is the problem hopefully once it is in the system they can email me my TPIN number. I'll try first thing next week.
But, jsut to be clear: by when do I have to resolve this before I am holding things up?
1
HHS Gruber 001208
thanks
Jon
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Re: CCR
thanks
Jon Gruber
2
HHS Gruber 001209
be able to contact.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001210

From:
Sent:
To:
Subject:

RE: ccr
Thats a plan. Will we be able to get it through the system now that we are in HCAS?
M.

Subject: ccr
I think what I may do if utilize the exception (4) Contracts to support unusual or compelling needs (see 6.302-2); and note
in the file that ASPE needs him on board as soon as possible to get the health reform proposals going for the new
administration and that CCR registration will occur as soon as we can contact CCR and get the issue resolved or
something. It is compelling and urgent because we have no idea how long it could take to resolve the CCR issue e.g. a
few days to months as it is all dependent on getting in touch with the help desk etc.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001211

From:
Sent:
To:
Subject:
Attachments:

Re: CCR complete!
aspe proposal 1.doc; aspe resume.doc; graves resume.pdf
here you go, I hope this is complete. Please let me know if you need anything else. Thanks for all your help!
Jon
I'm not comfortable commenting on much until the posting closes (i.e.
things that could give someone an unfair competitive advantage). I
think the price quote breakdown is fine but I would want a grand total
price and I would need some support for those labor rates. I assume
we'll want a resume for Mr. Graves.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488


Subject: Re: CCR complete!
Clint How does the attached look? It would be great to know if I am on the
right track. I know the dollars are high but the honest truth is that
I'm not sure this will last more than two quarters - so it may be worth
writing a more modest time commitment to start.
thanks!
Jon
1
HHS Gruber 001212

What a huge relief.
I'm glad that was successful.
I intend on releasing the official solicitation tomorrow afternoon and

will request a quote to be submitted within 24 hours (assuming this
remains a sole source requirement once the posting closes). If that
timeline is too short let me know and we can change that to something
more amenable to you.
Also, makes sure to fill out your reps and certs at orca.bpn.gov and
include your DUNS/TIN in your quote.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

received

Subject: CCR complete!
Your suggestion to get a new DUNS number was brilliant! I am now all
set on CCR. Can you update me on the deadline for the application?
Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
2
HHS Gruber 001213
fax: 617-253-1330
HHS Gruber 001214
John A. Graves
(b) (6)
Education
Harvard University, Ph.D. in Health Policy, 2006-Present
The University of the South, B.A., magna cum laude, majors in Economics and English Literature, 1999-2003
Employment
2007-Present
2003-Present
Summer 2002
Summer 2001
2000-2003
National Bureau of Economic Research (NBER)

and MIT (Cambridge, MA)
Research Assistant to Prof. Jonathan Gruber (2007-Present)
The Urban Institute, Health Policy Center (Washington, D.C.)
Research Consultant (2006-Present); Research Associate II (2006);
Research Assistant (2003-2005)
The American Enterprise Institute (AEI) (Washington, D.C.)
Economic Studies Intern
Saint John Ambulance (Pietermaritzburg, South Africa)
Public Policy Intern, Volunteer Medical Worker
Sewanee Emergency Medical Service (Sewanee, TN)
Student Director (2002-2003); Squad Captain (2001-2003);
Emergency Medical Technician (2000-2003); Assistant Instructor,
EMT-Basic, EMT-Intermediate, and CPR Courses (2001-2003)
Teaching Experience
Fall 2007
Advanced Quantitative Methodology, Prof. Dan Levy.

Harvard Kennedy School (Teaching Fellow)
Professional Affiliations
Member: AcademyHealth, Assoc. for Public Policy Analysis and Management (APPAM),
American Statistical Association (ASA)
Graduate Affiliate: Institute for Quantitative Social Science (Harvard Univ.)
HHS Gruber 001215
Academic Honors, Grants, and Awards

2006-2008
2003
2000-2003
2002
Agency For Health Care Research and Quality (AHRQ) Training Fellowship in
Health Services Research
Distinction and honors on oral and written comprehensive examinations in
Economics
Order of the Gownsmen (academic honor society)
Tonya Internship Grant in Economics
Presentations
Why Do People Lack Health Insurance and How Has That Been Changing Over Time? American
Public Health Association (APHA) Annual Research Meeting, Boston, MA, November 2006.
Multivariate Regression and the CPS: Controlling for Potential Biases. The Urban Institute
Modeling Group Meeting, Washington, D.C., June 2006.
New Strategies to Expand Insurance Coverage: Learning from New Yorks Health Reform Efforts.
Association for Public Policy Analysis and Management (APPAM) Annual Research Conference,
Washington, D.C., November 2005.
Publications
The Impacts of Managed Care on Disabled Medicaid Beneficiaries: A National Study with Teresa
Coughlin and Sharon K. Long. Inquiry 45 (4) Winter 2008/2009.
Assessing the Value of the NHIS for Studying Changes in State Coverage Policies: The Case
of New York, with Sharon K. Long and Stephen Zuckerman. Health Services Research, Special
Issue, November 2007.
An Early Look at 10 State HIFA Medicaid Waivers with Teresa Coughlin, Sharon K. Long,
and Alshadye Yemane, Health Affairs 25(3). May/June 2006, w204-w216.
Why do people lack health insurance? with Sharon K. Long, in Shifting Ground: Changes
in Employer Sponsored Insurance, Cover the Uninsured Week Research Report, May 2006.
What happens when public coverage is no longer available? with Sharon K. Long. Kaiser
Family Foundation Policy Brief #7449, January 2006.
Are adults benefiting from state coverage expansions? with Sharon K. Long and Stephen Zuckerman. Health Affairs 25(2) April 2006, w1-w16.
Case Study Report for Ten State HIFA Waiver Programs: Evaluation of the Development and
Early Implementation of Health Insurance Flexibility and Accountability Demonstration Initiative,
with Teresa A. Coughlin, Alshadye Yemane, and Sharon K. Long. Final report to the Centers for
Medicare and Medicaid Services, 2005.
HHS Gruber 001216
JONATHAN GRUBER
Education:
Ph.D. in Economics, Harvard University, 1992
B.S. in Economics, Massachusetts Institute of Technology, 1987
Positions:
Professor of Economics, MIT, 1997-present
Associate Head, MIT Department of Economics, 2006-2008
Deputy Assistant Secretary for Economic Policy, U.S. Treasury Department, 1997-1998
Castle Krob Associate Professor of Economics, MIT, 1995-1997
Assistant Professor of Economics, MIT, 1992-1995
Director, National Bureau of Economic Research's Program on Children, 1996-present
Research Associate, National Bureau of Economic Research, 1998-present
Faculty Research Fellow, National Bureau of Economic Research, 1992-1998
Margaret MacVicar Faculty Fellow, MIT, 2007
Gubernatorial Appointee to Board of Commonwealth Health Insurance Connector, 2006-present
Academic Advisory Committee, Center for American Progress 2004-present
Co-Editor, Journal of Public Economics, 2001-present
Associate Editor, Journal of Health Economics, 2001-present
Member, Congressional Budget Office Long Term Modeling Advisory Group, 2000-present
Member, NIH Center for Scientific Review Study Section on Social Sciences, 1998-2002
Co-Editor, Journal of Health Economics, 1998-2001
Associate Editor, Journal of Public Economics, 1997-2001
Fellowships and Honors:
Elected to the American Academy of Arts and Sciences, 2008
Named 19th Most Powerful Person in Health Care in the U.S., Modern Healthcare Magazine, 2006
Inaugural Medal for Best Health Economist Age Forty and Under, American Society of Health
Economists, 2006
Elected to the Institute of Medicine, 2004
Member of the National Academy of Social Insurance, 1996
1995 American Public Health Association Award for Outstanding Health Economics Paper of 1994
National Science Foundation Presidential Faculty Fellowship, 1995
Sloan Foundation Research Fellowship, 1995
MIT Undergraduate Economics Association Teaching Award, 1994
FIRST Award, National Institute of Aging, 1994
Harvard Chiles Fellowship, 1991
Sloan Foundation Dissertation Fellowship, 1990
National Science Foundation Scholarship, 1987
Phi Beta Kappa, 1987
HHS Gruber 001217
Selected Publications
The Case for a Two-Tier Health System, Pathways, Winter 2009, 10-13.
Incremental Universalism for the United States: The States Move First?, Journal of Economic
Perspectives, 22(4), Fall 2008, 51-68.
Covering the Uninsured in the United States, Journal of Economic Literature, 46(3), September 2008,
571-606.
Crowd-Out Ten Years Later: Have Recent Expansions of Public Insurance Crowded Out Private Health
Insurance?, Journal of Health Economics 27, March 2008, p. 201-217. (with Kosali Simon).
Massachusetts Health Care Reform: The View from One Year Out, Risk Management and Insurance
Review 11(1), Spring 2008, p. 51-63.
How Much Uncompensated Care to Doctors Provide?, Journal of Health Economics, 26, December
2007, p. 1151-1169 (with David Rodriguez).
Moral Hazard in Nursing Home Use, Journal of Health Economics, 26, 2007, 560-577 (with David
Grabowski).
The Massachusetts Health Care Revolution: A Local Start for Universal Coverage, Hastings Center
Report, 36(5), September-October 2006, 14-19.
Does Falling Smoking Lead to Rising Obesity?, Journal of Health Economics, 25(2), March 2006, 183197 (with Michael Frakes).
Subsidies to Employee Health Insurance Premiums and the Health Insurance Market, Journal of Health
Economics, 24(2), March 2005, 253-276. (with Ebonya Washington).
Public Insurance and Child Hospitalizations: Access and Efficiency Effects," Journal of Public
Economics, 89 (1), January 2005, 109-129 (with Leemore Dafny)
Tax Incidence When Individuals are Time Inconsistent: The Case of Cigarette Excise Taxes, Journal of
Public Economics, 88(9-10), August 2004, 1959-1988 (with Botond Koszegi).
How Elastic is the Firms Demand for Health Insurance?, Journal of Public Economics, 88(7), July
2004, p. 1273-1294 (with Michael Lettau).
Why Did Employee Health Insurance Contributions Rise?, Journal of Health Economics, 22(6),
November 2003, 1085-1104 (with Robin McKnight).
Estimating Price Elasticities When There is Smuggling: The Sensitivity of Smoking to Price in Canada,
Journal of Health Economics 22(5), September 2003, 821-842 (with Anindya Sen and Mark
Stabile).
Evaluating Alternative Approaches to Incremental Health Insurance Expansion: What is the Right
HHS Gruber 001218
Criterion?, American Economic Review, 93(2), May 2003, 271-276.

Smokings Internalities, Regulation, 25(4), Winter 2002-2003, 52-57.
Insuring Consumption Against Illness, American Economic Review, 92(1), March 2002, 51-70 (with
Paul Gertler).
The Economics of Tobacco Regulation, Health Affairs, 21(2), March/April 2002, 146-162.
"The Impact of the Tax System on Health Insurance Coverage, International Journal of Health Care
Finance and Economics, vol 1 (3/4), 2002, 293-304.
Is Addiction Rational? Theory and Evidence, Quarterly Journal of Economics, 116(4), November
2001, 1261-1303 (with Botond Koszegi).
Public Health Insurance and Medical Treatment: The Equalizing Impact of the Medicaid Expansions,
Journal of Public Economics, 82(1), October 2001,63-89 (with Janet Currie).
The Economic Impacts of the Tobacco Settlement, Journal of Policy Analysis and Management 21(1),
2001, 1-19 (with David Cutler, Raymond Hartman, Mary Beth Landrum, Joseph P. Newhouse,
and Merideth Rosenthal).
Tobacco at the Crossroads: The Past and Future of Smoking Regulation in the U.S., Journal of
Economic Perspectives, 15(2), Spring 2001, 193-212.
Youth Smoking in the 1990s: Why Did it Rise and What are the Long Run Implications?, American
Economic Review, 91(2), May 2001, p. 85-90.
Microsimulation Estimates of the Effects of Tax Subsidies for Health Insurance, National Tax Journal,
53(3), Part I, September 2000, 329-342.
Tax Subsidies for Health Insurance: Costs and Benefits, Health Affairs, 19(1), January/February 2000,
72-85 (with Larry Levitt).
Public Health Insurance and Private Savings, Journal of Political Economy, 107(6), December 1999,
1249-1274 (with Aaron Yelowitz).
Physician Fees and Procedure Intensity: The Case of Cesarean Delivery, Journal of Health Economics,
18(4), August 1999, 473-490 (with John Kim and Dina Mayzlin).
Employment Separation and Health Insurance Coverage, Journal of Public Economics, 66(3),
December 1997, 349-382(with Brigitte Madrian).
Physician Fee Policy and Medicaid Program Costs, Journal of Human Resources, 32(4), Fall 1997,
611-634 (with Kathleen Adams and Joseph Newhouse).
Policy Watch: Medicaid and Uninsured Women and Children, Journal of Economic Perspectives,
11(4), Fall 1997, 199-208.
HHS Gruber 001219
Medicaid and Private Insurance: Evidence and Policy Implications, Health Affairs, 16(1),
January/February 1997, 194-200 (with David Cutler).
Saving Babies: The Efficacy and Cost of Recent Expansions of Medicaid Eligibility for Pregnant
Women, Journal of Political Economy, 104(6), December 1996, 1263-1296 (with Janet Currie).
The Impact of Fundamental Tax Reform on Employer-Provided Health Insurance, The Insurance Tax
Review, 11(1), July 1996, 41-44 (with James Poterba).
Health Insurance Eligibility, Utilization of Medical Care, and Child Health, Quarterly Journal of
Economics, 111(2), May 1996, 431-466 (with Janet Currie)
Does Public Insurance Crowd Out Private Insurance?, Quarterly Journal of Economics, 111(2), May
1996, 391-430 (with David Cutler).
The Effect of Expanding the Medicaid Program on Public Insurance, Private Insurance, and
Redistribution, American Economic Review, 86(2), May 1996, 368-373 (with David Cutler).
Physician Financial Incentives and the Diffusion of Cesarean Section Delivery, RAND Journal of
Economics, 27(1), Spring 1996, 99-123 (with Maria Owings).
Health Insurance Availability and the Retirement Decision, American Economic Review, 85(4),
September 1995, 938-948 (with Brigitte Madrian).
Physician Payments and Infant Mortality: Evidence From Medicaid Fee Policy, American Economic
Review, 85(2), May 1995, 106-111 (with Janet Currie and Michael Fischer).
The Labor Market Effects of Introducing National Health Insurance: Evidence from Canada, Journal of
Business and Economics Statistics, 13(2), April 1995, 163-174 (with Maria
Hanratty).
State Mandated Benefits and Employer Provided Insurance, Journal of Public Economics, 55(3),
November 1994, 433-464.
Limited Insurance Portability and Job Mobility: The Effect of Public Policy on Job-Lock, Industrial
and Labor Relations Review, 48(1), October 1994, 86-102 (with Brigitte Madrian).
The Elasticity of Demand for Health Insurance: Evidence from the Self-Employed, Quarterly Journal
of Economics, 109(3), August 1994, 701-734 (with James Poterba).
The Effect of Competitive Pressure on Charity: Hospital Responses to Price Shopping in California,
Journal of Health Economics, 13(2), July 1994, 183-212.
The Incidence of Mandated Maternity Benefits, American Economic Review, 84(3), June 1994, 622641.
HHS Gruber 001220

Tasks 1 & 2
enforce a mandate?
payroll?
experience?

private budgets.
HHS Gruber 001221

Task 3
I will prepare technical memoranda for ASPE which lay out the results of both
explanation of the modeling and the results of that modeling. These reports will be
delivered at 3 month intervals.
engagement I will work(b) (6) hours, and my research assistant will work
hours. No
(b) (6)

HHS Gruber 001222
References
(b) (6)
Resumes
as well.
HHS Gruber 001223

(b) (6)
(b) (6)
Monthly Costs:
Gruber:
Graves:
(b) (6)
(b) (6)

Total
=
=
(b) (6)
Given this breakdown, I anticipate that the quarterly cost of the project will be (b) (4)
and that the total cost over all four quarters will be $285,000. This will cover all the
quarter laying out the results of this work. Payments for (b) (4) would be made
quarterly upon receipt of that quarters report.
HHS Gruber 001224

From:
Sent:
To:
Subject:

Re: CCR complete!
ok, got it. thanks Clint. Can I just email you the revision (including resumes) or do I need to submit this in
some more formal way?
thanks
Jon Gruber
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488


thanks!
1
HHS Gruber 001225
Jon
What a huge relief.

Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

received

Jon
-Jonathan Gruber
2
HHS Gruber 001226
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001227

From:
Sent:
To:
Cc:
Subject:

Re: CCR complete!
yes,metoo!
thattimingsoundsfine.
I'lldothereps&certsalso.
thanks
jon
Druk,Clint(PSC/SAS/DAM)wrote:
>Whatahugerelief.I'mgladthatwassuccessful.
>
>Iintendonreleasingtheofficialsolicitationtomorrowafternoonand
>willrequestaquotetobesubmittedwithin24hours(assumingthis
>remainsasolesourcerequirementoncethepostingcloses).Ifthat
>timelineistooshortletmeknowandwecanchangethattosomething
>moreamenabletoyou.
>
>Also,makessuretofilloutyourrepsandcertsatorca.bpn.govand
>includeyourDUNS/TINinyourquote.
>
>ClintDruk
>ContractingOfficer
>(P)3014430403
>(F)3014438488
>
>
>
>
>
>
>
>
1
HHS Gruber 001228
>OriginalMessage
>Sent:Tuesday,March10,200912:01PM
>To:Druk,Clint(PSC/SAS/DAM)
>Subject:CCRcomplete!
>
>YoursuggestiontogetanewDUNSnumberwasbrilliant!Iamnowall
>setonCCR.Canyouupdatemeonthedeadlinefortheapplication?
>
>Jon
>
>
JonathanGruber
Cambridge,MA02142
phone:6172538892
fax:6172531330
HHS Gruber 001229

From:
Sent:
To:
Subject:

Wednesday, March 11, 2009 8:43 AM
Re: CCR complete!
oh, sorry. please let me know when ti is issued. thanks!

The solicitation has not yet been issued. Thus, I cant accept this. When it is released you can either prepare a new
quote or, if you wish, just let me know that you want this quote to be considered.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

here you go, I hope this is complete. Please let me know if you need anything else. Thanks for all your help!
Jon
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

1
HHS Gruber 001230


thanks!
Jon
What a huge relief.

Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

received
HHS Gruber 001231

Jon
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001232

From:
Sent:
To:
Subject:
PSC PRISM
RE: CCR Exceptions
Clint,
We'd need to fill out a form to have that vendor be added to UFMS and PRISM. After they are in PRISM, you'd be able to pick them
as normal, and make sure to choose one of the CCR exemptions. Everything else would be the same (approving, PFA, etc).
If you know you are going to award to them, fill out the vendor request form on the PSC Acquisitions site and make sure to pick one
of the CCR exemptions. We will then send it to UFMS and let you know when the vendor has been added to PRISM.
Hope this helps,
Tom
Tom Metzger
Systems Analyst The PRISM Help Desk
Tel 301.443.7747 | Cell (b) (6)
| Fax 301.480.0143

To: PSC PRISM
Subject: CCR Exceptions
How would I go about processing an award to a vendor that is not in CCR using the FAR exception to CCR
registration found at FAR 4.1102(a)(4)? I am anticipating a need to do this and need to know up front as it could
impact some of the acquisition decisions that need to be made. I assume it is possible to process this the
question is how?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
In an effort to evaluate customer service, the staff of PSC would appreciate your taking a few moments to complete our
Customer Comment Card by clicking on the link below. Your time and effort in providing this valuable feedback pertaining
to products and services you received is greatly appreciated.
HHS Gruber 001233

From:
Sent:
To:
Subject:

Thursday, May 21, 2009 9:17 AM
RE: contract
OK,I'llfaxoneovertoyou.
OriginalMessage
Sent:Thursday,May21,20099:16AM
To:Cox,DonaldR(HHS/ASPE)
Subject:RE:contract
Don,
Ihaveacopy.Idon'thaveacopythathassignaturesonitfromASPE.
ClintDruk
ContractingOfficer
(P)3014430403
(F)3014438488
OriginalMessage
To:Druk,Clint(PSC/SAS/AMD/Acq/T6)
Subject:RE:contract
ThanksClinttheJOFOCwassignedoffonweeksago.IwasundertheimpressionthatusreceivedacopyofIitalready
mybad.I'lltrackitdownhere.Areyouokwithmefaxingittoyou?
Don
OriginalMessage
1
HHS Gruber 001234
Subject:RE:contract
Noproblem.HaveyoubeenabletoobtainthesignaturesfortheJOFOCyet?
ClintDruk
ContractingOfficer
(P)3014430403
(F)3014438488
OriginalMessage
Sent:Wednesday,May20,20094:14PM
To:Druk,Clint(PSC/SAS/AMD/Acq/T6)
Subject:FW:contract
HiClint,couldyoupleasedomeafavorandletJonknowwhereweareinthecontractingprocess?
Don
OriginalMessage
Sent:Wednesday,May20,20094:11PM
Subject:Re:contract
Don
anynewsonthis?thanks
JonGruber
Cox,DonaldR(HHS/ASPE)wrote:
>IwillcheckwithPSCandgiveyouastatusupdate.
>
>OriginalMessage
>Sent:Friday,May15,20093:38PM
2
HHS Gruber 001235
>To:Cox,DonaldR(HHS/ASPE)
>Subject:contract
>
>Don
>
>anynewsonthenextcontract?
>
>thanks
>
>Jon
>
>
JonathanGruber
Cambridge,MA02142
phone:6172538892
fax:6172531330
HHS Gruber 001236

From:
Sent:
To:
Subject:

Monday, June 22, 2009 9:08 AM
RE: COTR Appointment under HHSP23320094301EC
Clint, I'll fax it to you in a little while.

Don

Subject: COTR Appointment under HHSP23320094301EC
Don,
I need you to review the attachment and submit a signed copy (at least for the signature back) to me.
Thank you,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001237

From:
Sent:
To:
Subject:

Friday, March 27, 2009 1:54 PM
RE: COTR APPT: Response required
ok, thanks.

Sent: Friday, March 27, 2009 1:48 PM
Subject: RE: COTR APPT: Response required
Interoffice is fine. You should have a copy of the contract via the email I sent to you and Dr. Gruber on 3/25 at 4:42 pm
titled Award: HHSP233200900181P. Ive attached an additional copy for your convenience.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Sent: Friday, March 27, 2009 1:43 PM
Subject: RE: COTR APPT: Response required
Clint -- I'll do it now. Is interoffice mail OK? Also, is Gruber officially under contract yet?
Don

Subject: COTR APPT: Response required
Don,
Can you sign and return the attached appointment memo please (COTR APPT HHSP233200900181P.doc)?
1
HHS Gruber 001238
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001239
_____________________________________________
From: Joy, Patrick (PSC/SAS/DQA)
Sent: Wednesday, January 13, 2010 1:58 PM
Cc: Edwards, Michellee (PSC/SAS/DQA)
Subject: Dr. Gruber - HHSP23320094301EC
Just an FYI. It appears that this was your award.

http://www.huffingtonpost.com/jane-hamsher/how-the-white-house-used b 421549.html
Patrick A. Joy
Procurement Analyst
Division of Quality Assurance
Rockville, MD 20857
(301) 443-9265
Fax (301) 594-0736
appreciated.
HHS Gruber 001241

From:
Sent:
To:
Subject:

Thursday, April 23, 2009 5:40 PM
RE: Draft JOFOC
I made a few tweaks. My main concern is the Type of Action which is New Requirement when throughout the JOFOC
the current award is discussed. If you dont want to call it a follow-on because that usually infers that the previous work
was competitive, at least check other and state that it is continuation of work awarded using other than full and open
competition. I also agree that this is not true R&D. It is Services (nonR&D).

(301)443-7081; FAX: (301)443-8488 or (301)443-2761

Subject: RE: Draft JOFOC
Don,
I went through it quickly and made some changes, added a few things, and inserted some comments. I think its pretty
solid how it is but when I review things I try to brainstorm and note everything I see even if it is as minor as a typo (I
realize this is a quick draft so please dont take offense at any comments or changes I made).
This looks to be estimated at about 290k TOTAL (base and any option years). Is that correct?
Marie, would you add anything?
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: Draft JOFOC
HHS Gruber 001242
Clint -- thank's for taking the time to review this. Note that I'm not sure if you or I should be doing item #7.
Don
HHS Gruber 001243

From:
Sent:
To:
Subject:

RE: Draft JOFOC
Clint, thanks for the review -- it was very helpful. I'll make the suggested changes and include it in the complete
package. This should be coming your way early/mid next week. BTW, the estimated contract is $298k for 8 months -- no
option years.
Don

Don,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

1
HHS Gruber 001244
Don
HHS Gruber 001245

From:
Sent:
To:
Cc:
Subject:
Attachments:

Cox, Donald R (HHS/ASPE); Sunday, Marie (PSC/SAS)
RE: Draft JOFOC
Clint Comments JOFOC HP-09-015.doc
Don,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Don
HHS Gruber 001246


Associate Head
Tel: 617.253.8892
Fax: 617.253.1330
government.
HHS Gruber 001250

From:
Sent:
To:
Cc:
Subject:

Tuesday, February 24, 2009 2:14 PM
Sunday, Marie (PSC/SAS); Druk, Clint (PSC/SAS/DAM)
Dr. Gruber
Don,
Marie forwarded me some preliminary information on this requirement that has been assigned to me. She is participating
in jury duty this week (possibly some of next) so I havent had a chance to discuss this with her since receiving the ICGE,
SOW, sole source justification and a other information.
This is estimated to fall under the simplified acquisition threshold. There are two things we are dealing with (1) the sole
source justification and (2) publicizing the solicitation requirements. For a part 13 acquisition (i.e. simplified acquisition)
the JOFOC standards dont apply. Rather, the standard is more nebulous and reads:
(b) Soliciting from a single source.
(1) For purchases not exceeding the simplified acquisition threshold, contracting officers may solicit from one source
if the contracting officer determines that the circumstances of the contract action deem only one source
reasonably available (e.g., urgency, exclusive licensing agreements, brand name, or industrial mobilization).
The information included in what Marie forwarded to me I believe sufficiently justifies soliciting directly from Dr.
Gruber. Normally, we would have to post the intent to sole source on FedBizOpps for 15 days. There is an exception if
unusual and compelling urgency precludes competition to the maximum extent practicable) and the Government would be
seriously injured if the agency complies. Part of the information you submitted indicates unusual and compelling urgency
may exist. However, if that is the case, we need to explain why it is compelling by articulating how the Government would
be seriously injured if we had to wait out the 15 day posting period. Otherwise, this must be posted for 15 days to
FedBizOps.
Finally, it looks like this will be a completion contract (as distinguished from a pure level of effort contract) and would be
done as a labor hour contract. Please clarify if the intent is to award a firm fixed price contract, labor hour contract, time
and materials contract, or cost reimbursable contract. T&M/Labor hour contracts are the least favorable given the risk the
Government incurs. However, the statement of work appears to be difficult to price with any degree of certainty given that
a lot of it will be further definitized as performance progresses. It appears to me a cost reimbursable or labor hour
contract type would be the best fit (Im guessing there will be some limited amount of ODCs so I would say time and
materials instead of labor hour).
In summary, I need the following from you:
1. Clarification on whether unusual and compelling urgency exists and, if so, further explanation as described above
to support that.
2. Your input as to the best contract type.

Ill probably have a few other questions later.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001255
HHS Gruber 001256

From:
Sent:
To:
Subject:

Friday, April 24, 2009 10:22 AM
Sunday, Marie (PSC/SAS); Druk, Clint (PSC/SAS/DAM)
RE: Draft JOFOC
Marie -- OK, thanks for the advise. I'll revise accordingly.
Don
Sent: Thu 4/23/2009 5:39 PM
To: Druk, Clint (PSC/SAS/DAM); Cox, Donald R (HHS/ASPE)
I made a few tweaks. My main concern is the Type of Action which is New Requirement when throughout the JOFOC
the current award is discussed. If you dont want to call it a follow-on because that usually infers that the previous work
was competitive, at least check other and state that it is continuation of work awarded using other than full and open
competition. I also agree that this is not true R&D. It is Services (nonR&D).

(301)443-7081; FAX: (301)443-8488 or (301)443-2761

Don,
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
1
HHS Gruber 001257

Don
HHS Gruber 001258

From:
Sent:
To:
Subject:

RE: File Request
CLINT:
IvedownloadedthefilesandwillletyouknowifIencounteranyproblems.
Thanks!
Bernard J. Siegel
AATS Audit Manager
Phone: 215-861-4484
Cell: (b) (6)
Facsimile: 215-861-4541

Cc: Pickett, Valerie (HHS/OS); Snight, David (HHS/PSC); Goodman, Christie A (HHS/PSC); Pippin, Maggie (HHS/PSC);
Miller, Janet (HHS/PSC)
Subject: RE: File Request
Bernard,
Both files you have requested have been sent via the secure server per your instructions. Please let me know if you need
anything further.
Thank you,
Clint Druk
(P) 301-443-0403
(F) 301-443-8488
1
HHS Gruber 001259
HHS Gruber 001260

From:
Sent:
To:
Subject:
Attachments:

RE: File Request
Accellion Setting Requirements.doc; Instructions To Send File(s) to HHS OIG via the
HHS OIG Delivery Server.pdf
CLINT:
Herearesomedocumentsthatexplainthedeliveryserverandhowtoovercomesomecommonproblems.
Iwillbesendingthelinkshortly.
Bernard J. Siegel
AATS Audit Manager
Phone: 215-861-4484
Cell: (b) (6)
Facsimile: 215-861-4541

Subject: File Request
Clint Druk
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001261
Accellion requirements:
enable Use TLS 1.0
enable Use SSL 2.0

enable Use SSL 3.0
Internet Explorer 7 or higher
Java 1.4 or higher (if you see a warning about Java version mismatch, check what IE is
looking at and what is actually running. Reinstall if necessary.)
HHS Gruber 001263

From:
Sent:
To:
Cc:
Subject:
Snight, David (PSC/SAS/OD)

Pickett, Valerie (PSC/SAS/DAM); Goodman, Christie (PSC/SAS/OD); Pippin, Maggie
(PSC/SAS/DQA); Miller, Janet (PSC/SAS/DAM)
RE: File Request
Thanks.

To: 'Siegel, Bernard J (OIG/OAS)'
Cc: Pickett, Valerie (PSC/SAS/DAM); Snight, David (PSC/SAS/OD); Goodman, Christie (PSC/SAS/OD); Pippin, Maggie
(PSC/SAS/DQA); Miller, Janet (PSC/SAS/DAM)
Subject: RE: File Request
Bernard,
Both files you have requested have been sent via the secure server per your instructions. Please let me know if you need
anything further.
Thank you,
Clint Druk
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001264

From:
Sent:
To:
Subject:

RE: FYI
OK, this has got to be an error on his part. Thanks for keeping me advised.

Subject: RE: FYI
One thing came up and Im trying to get in touch with Jon. For a simplified acquisition there is a mandatory set aside for
small business concerns. Given I didnt have CCR information etc. early on I assumed Jon was small under the NAICS
code (basically, he cant make more than $7m a year so I thought it was a pretty safe assumption). No problem until he
certified he was NOT small. Im guessing this is an error.
However, if it isnt I have to get OSDBU approval to award because Im awarding to a LARGE business
instead. Technically speaking, it is my determination to make and I could award whether they concur or not (I would be
shocked if they didnt).
So Im basically waiting to see if I can talk to Jon and see if it is something that isnt a problem and can just move. If he is
large, Im debating simply awarding and submitting the OSDBU form and if they dont concur then they dont but I really
think he didnt understand the reps and certs issue and that he is small.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488

Subject: RE: FYI
yahoo! I feel much better now.....BTW -- we have an internal deadline to get the application done in a couple of weeks, so
this should be resolved well before July.
HHS Gruber 001265

Subject: FYI
I was talking to one of our procurement analysts and it sounds like some agreement was reached where we dont need to
strictly comply with the new FAC-COTR appointment stuff (i.e. you are certified or no appointment) until 7/31/09.
Anyway, Im going to work on the order now and appoint you as COTR contingent upon being certified on or before
7/31. Ill send a copy of the order as soon as it is done.
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001266

From:
Sent:
To:
Subject:

RE: GRUBER, JONATHAN PO P33094301EC
No I did not have the invoice. Do you when it was submitted to us?
Jean Ningcharoen
301-443-5963
301-480-5089(fax)
LEGAL NOTICE
OMB Memorandum 07-16, Safeguarding Against and Responding to the Breach of Personally Identifiable Information
Please do not email sensitive documents that contain social security number.
We suggest that you fax said documents to (301)480-5089 Thank you.
To: Ningcharoen, Siriluck (PSC/FMS-CTR)
Subject: RE: GRUBER, JONATHAN PO P33094301EC
Can I get a copy of the invoices too please?
Clint Druk
Branch Chief
W: 301-443-0403 | F: 301-443-8488
From: Ningcharoen, Siriluck (PSC/FMS-CTR)

Subject: GRUBER, JONATHAN PO P33094301EC
Clint,
That was the right PO. I got it to come up now. It was in as BPA, and I need to check one of the boxes. I did not see the
invoice in our imaging system.
1
HHS Gruber 001267
JeanNingcharoen
CommercialPaymentSection
GeneralAccountingBranch
301-443-5963
301-480-5089(fax)
When you have few minutes could you please be so kind and fill the survey below.
I truly appreciate your help on this.
-----------------------------------------------------------------------------------In an effort to evaluate customer service, the staff of PSC would appreciate your taking a few moments to complete our Customer
psc.gov/survey/Customer1/customer_1.htm
LEGAL NOTICE
3
HHS Gruber 001269
O MB Memo rand um 07 - 1 6, S afe gu ard i n g A gai ns t and Re spo nd i ng to the B re ach o f Pe rs onally
Id e nti fi ab le Info rm ati o n
Ple ase do no t em ai l sensitive d o cume nts that con tain social se curity num be r.
We s u gge s t th at y o u fax s aid do cum e nts to (3 0 1) 480 - 50 8 9 Th ank y ou .
HHS Gruber 001270

From:
Sent:
To:
Cc:
Subject:
Snight, David (PSC/SAS/OD)

Goodman, Christie (PSC/SAS/OD); Pickett, Valerie (PSC/SAS/DAM)
RE: Gruber files to Maggie
Thanks.

To: Snight, David (PSC/SAS/OD)
Cc: Goodman, Christie (PSC/SAS/OD); Pickett, Valerie (PSC/SAS/DAM)
Subject: Gruber files to Maggie
The Gruber files were also sent to Maggie Pippin via separate email.
Clint Druk
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001271

From:
Sent:
To:
Subject:

RE: Heads up
Clint, thanks for the head's up. I'm going to have to get some guidance on his expectec price quote.
Don

Subject: Heads up
Don,
We should have a quote from Dr. Gruber on the 12th (posting closes tomorrow and we should be ok to negotiate on a
sole source basis so I planned on a 24 hour turnaround for a quote). He has given me some preliminary information and,
just so you are aware, you can expect the quote to come in almost triple the amount we estimated ($285k).
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001272

From:
Sent:
To:
Cc:
Subject:
Jonathan Gruber <gruberj@MIT.EDU>

Wednesday, May 19, 2010 1:35 PM
Ningcharoen, Siriluck (PSC/FMS-CTR); Cox, Donald R (HHS/ASPE)
Re: HHSP23320094301EC
super,thanksClint
Druk,Clint(PSC/SAS/DAM)wrote:
>Correctandnoneedtoapologize.Jean(Siriluk)hasrequesteditto
>beexpeditedsoitwillprobablybeaboutsevendays.
>
>OriginalMessage
>From:JonathanGruber[mailto:gruberj@MIT.EDU]
>Sent:Wednesday,May19,201010:53AM
>To:Druk,Clint(PSC/SAS/DAM)
>Cc:Ningcharoen,Siriluck(PSC/FMSCTR);Cox,DonaldR(HHS/ASPE)
>Subject:Re:HHSP23320094301EC
>
>ok,sorryIdidn'tprocessthiscorrectly.thanksformovingforward
>on
>
>this.So,tobe100%clera,thereisnothingleftformetodoat
>thispoint(butwait)?
>
>thanks
>
>jon
>
>Druk,Clint(PSC/SAS/DAM)wrote:
>
>>Thecontractrequiresyoutosendacopyoftheinvoicetofinanceas
>>wellviaemailandinhardcopyandthatisrequiredforareasoni.e.
>>sothatwecanmakepaymentasquicklyaspossible.Financehasa
>>
>copy
>
>>oftheinvoicenowandthisshouldbeprocessedfairlyquicklynow.
>>
>>OriginalMessage
>>From:JonGruber[mailto:gruberj@MIT.EDU]
>>Sent:Monday,May17,20102:02PM
>>To:Ningcharoen,Siriluck(PSC/FMSCTR)
>>Cc:Cox,DonaldR(HHS/ASPE);Druk,Clint(PSC/SAS/DAM)
>>Subject:Re:HHSP23320094301EC
>>
>>well,thatisdisappointingtosaytheleastIsentthisinvoiceto
>>Donsixweeksago....
1
HHS Gruber 001273
>>
>>JonGruber
>>
>>On5/17/20101:51PM,Ningcharoen,Siriluck(PSC/FMSCTR)wrote:
>>
>>
>>>HiMr.Gruber,
>>>
>>>Hasyousubmittheinvoicetothepaymentoffice?Wecouldnotfind
>>>
>it
>
>>>inourimagingsystem.
>>>
>>>**Jean***Ningcharoen*****
>>>
>>>**3014435963**
>>>
>>>*3014805089(fax)*
>>>
>>>*Siriluck.Ningcharoen@psc.hhs.gov
>>><mailto:Siriluck.Ningcharoen@psc.hhs.gov>*
>>>
>>>*From:*Druk,Clint(PSC/SAS/DAM)
>>>*Sent:*Monday,May17,201012:27PM
>>>*To:*Ningcharoen,Siriluck(PSC/FMSCTR)
>>>*Cc:*Cox,DonaldR(HHS/ASPE)
>>>*Subject:*FW:HHSP23320094301EC
>>>
>>>Jean,
>>>
>>>CanyouassistDonwiththisplease?
>>>
>>>*From:*Cox,DonaldR(HHS/ASPE)
>>>*Sent:*Mon5/17/20107:49AM
>>>*To:*Druk,Clint(PSC/SAS/DAM)
>>>*Subject:*FW:HHSP23320094301EC
>>>
>>>HiClintIhatetobotheryoubut,Iapprovedfinalpaymentfor
>>>Gruberon4/7/10(receipt#34076)andasthefollowingindicates,
>>>hehasn'treceivedityet.WhoshouldIcontactaboutthis?Thanks
>>>forhelpingout.
>>>
>>>Don
>>>
>>>OriginalMessage
>>>From:JonGruber[mailto:gruberj@MIT.EDU]
>>>Sent:Friday,May14,20109:13AM
>>>To:Cox,DonaldR(HHS/ASPE)
>>>Subject:Re:HHSP23320094301EC
>>>
>>>Don
2
HHS Gruber 001274
>>>
>>>itsbeenafewweeksandthepaymentstillhasn'tbeenmadewould
>>>
>>>
>>you
>>
>>
>>>mindcheckingonthisagain?thanks
>>>
>>>jonGruber
>>>
>>>On4/29/20102:28PM,Cox,DonaldR(HHS/ASPE)wrote:
>>>
>>>
>>>>Ohgreat.IapprovedthepaymentthefirstweekofApril.Ithink
>>>>there'sa30daypaymentrule.So,ifyoudon'tgetthe$'sina
>>>>
>>>>
>>week
>>
>>
>>>>orso,pleaseletmeknowandI'lllookintoit.Sorryaboutthat.
>>>>
>>>>Don
>>>>
>>>>OriginalMessage
>>>>From:JonGruber[mailto:gruberj@MIT.EDU]
>>>>Sent:Thursday,April29,20102:16PM
>>>>To:Cox,DonaldR(HHS/ASPE)
>>>>Subject:Re:HHSP23320094301EC
>>>>
>>>>Don
>>>>
>>>>asfarasIknowIahvenotyetbeenpaiddoyouknowwhenthat
>>>>
>>>>
>>will
>>
>>
>>>>happen?
>>>>
>>>>thanks
>>>>
>>>>JonGruber
>>>>
>>>>On3/31/201012:45PM,Cox,DonaldR(HHS/ASPE)wrote:
>>>>
>>>>
>>>>>JonsorryaboutthedelayI'vebeengivenauthorityto
>>>>>
>>>>>
>>approve
3
HHS Gruber 001275
>>
>>
>>>>>payment.Pleasesendmeaninvoiceandwecanwrapthisup.Thanks.
>>>>>Don
>>>>>
>>>>>
>>>>>
>>>>>
>>
>>
>>
>>>>>
>>>>>
>>>>>*From:*JonGruber[mailto:gruberj@economics.mit.edu]
>>>>>*Sent:*Thursday,March04,201011:42AM
>>>>>*To:*Cox,DonaldR(HHS/ASPE)
>>>>>*Subject:*Re:HHSP23320094301EC
>>>>>
>>>>>super,thanksDon!
>>>>>
>>>>>Jon
>>>>>
>>>>>Cox,DonaldR(HHS/ASPE)wrote:
>>>>>
>>>>>
>>>>>>JonsorryaboutthedelaygettingbacktoyouI'vebeen
>>>>>>somewhatoutofpocketforthelastweek.Anyway,I'lllookthis
>>>>>>over
>>>>>>
>>>>>>andletyouknowifitmeetstheneedsforthefinaldeliverable.
>>>>>>Don
>>>>>>
>>>>>>
>>>>>>
>>>>>>
>>
>>
>>
>>>>>>
>>>>>>
>>>>>>*From:*JonGruber[mailto:gruberj@economics.mit.edu]
>>>>>>*Sent:*Tuesday,March02,20109:53AM
>>>>>>*To:*Cox,DonaldR(HHS/ASPE)
>>>>>>*Subject:*Re:HHSP23320094301EC
>>>>>>
>>>>>>Don
>>>>>>
>>>>>>neverheardbackonthisemailfromlastweekcanyouplease
>>>>>>getbacktomeonthis?thanks
>>>>>>
>>>>>>JonGruber
>>>>>>
4
HHS Gruber 001276
>>>>>>Don
>>>>>>
>>>>>>asmycontractisnowup,Ienclosemyfinalprogressreportand
>>>>>>technicalmemorandum.Ihopethatthisissufficienttowrapup
>>>>>>
>>>>>>
>>the
>>
>>
>>>>>>contract.WhendoyouthinkImightexpectpayment?
>>>>>>
>>>>>>thanks
>>>>>>
>>>>>>JonGruber
>>>>>>
>>>>>>Cox,DonaldR(HHS/ASPE)wrote:
>>>>>>
>>>>>>
>>>>>>>HiJon,whenyouhaveachancepleasesendmeaprogressreport
>>>>>>>
>>>>>>>
>>for
>>
>>
>>>>>>>months5&6.Thanks.
>>>>>>>Don
>>>>>>>
>>>>>>>
>>>>>>>
>>>>>>>
>>
>>
>>
>>>>>>>
>>>>>>>
>>>>>>>*From:*JonGruber[mailto:gruberj@economics.mit.edu]
>>>>>>>*Sent:*Thursday,October22,200910:00PM
>>>>>>>*Cc:*Cox,DonaldR(HHS/ASPE)
>>>>>>>*Subject:*Re:HHSP23320094301EC
>>>>>>>
>>>>>>>Don
>>>>>>>
>>>>>>>Hereismyreportformonths3&4.thanks
>>>>>>>
>>>>>>>JonGruber
>>>>>>>
>>>>>>>Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>>>>>>>
>>>>>>>
>>>>>>>>Pleasefindthesubject,fullyexecuted,contractattached.
>>>>>>>>
>>>>>>>>**ClintDruk**
5
HHS Gruber 001277
>>>>>>>>
>>>>>>>>ContractingOfficer
>>>>>>>>
>>>>>>>>U.S.DepartmentofHealthandHumanServices
>>>>>>>>
>>>>>>>>PSC/SAS/DivisionofAcquisitionManagement
>>>>>>>>
>>>>>>>>(P)3014430403
>>>>>>>>
>>>>>>>>(F)3014438488
>>>>>>>>
>>>>>>>>Inanefforttoevaluatecustomerservice,thestaffofPSC
>>>>>>>>
>>>>>>>>
>>would
>>
>>
>>>>>>>>appreciateyourtakingafewmomentstocompleteourCustomer
>>>>>>>>CommentCardbyclickingonthelinkbelow.Yourtimeand
>>>>>>>>effortin
>>>>>>>>
>>>>>>>>providingthisvaluablefeedbackpertainingtoproductsand
>>>>>>>>servicesyoureceivedisgreatlyappreciated.
>>>>>>>>
>>>>>>>>/_<Http://www.psc.gov/survey/Customer1/customer_1.htm
>>>>>>>><http://www.psc.gov/survey/Customer1/customer_1.htm>>_/
>>>>>>>>
>>>>>>>>
>>>>>>>>
>>>>>>>
>>>>>>>JonathanGruber
>>>>>>>ProfessorofEconomics
>>>>>>>MITDepartmentofEconomics
>>>>>>>50MemorialDrive,E52355
>>>>>>>Cambridge,MA02142
>>>>>>>phone:6172538892
>>>>>>>fax:6172531330
>>>>>>>email:gruberj@mit.edu
>>>>>>>web:http://econwww.mit.edu/faculty/gruberj/
>>>>>>>
>>>>>>>
>>>>>>>
>>>>>>
>>>>>>JonathanGruber
>>>>>>ProfessorofEconomics
>>>>>>MITDepartmentofEconomics
>>>>>>50MemorialDrive,E52355
>>>>>>Cambridge,MA02142
>>>>>>phone:6172538892
>>>>>>fax:6172531330
>>>>>>email:gruberj@mit.edu
>>>>>>web:http://econwww.mit.edu/faculty/gruberj/
6
HHS Gruber 001278
>>>>>>
>>>>>>
>>>>>>
>>>>>
>>>>>JonathanGruber
>>>>>ProfessorofEconomics
>>>>>MITDepartmentofEconomics
>>>>>50MemorialDrive,E52355
>>>>>Cambridge,MA02142
>>>>>phone:6172538892
>>>>>fax:6172531330
>>>>>email:gruberj@mit.edu
>>>>>web:http://econwww.mit.edu/faculty/gruberj/
>>>>>
>>>>>
>>>>
>>>>JonathanGruber
>>>>ProfessorofEconomics
>>>>MITDepartmentofEconomics
>>>>50MemorialDrive,E52355
>>>>Cambridge,MA02142
>>>>phone:6172538892
>>>>fax:6172531330
>>>>email:gruberj@mit.edu
>>>>web:http://econwww.mit.edu/faculty/gruberj/
>>>>
>>>>
>>>>
>>>>
>>>
>>>JonathanGruber
>>>ProfessorofEconomics
>>>MITDepartmentofEconomics
>>>50MemorialDrive,E52355
>>>Cambridge,MA02142
>>>phone:6172538892
>>>fax:6172531330
>>>email:gruberj@mit.edu
>>>web:http://econwww.mit.edu/faculty/gruberj/
>>>
>>>
>>>
>>
>>
>
>
>
HHS Gruber 001279

From:
Sent:
To:
Cc:
Subject:
Attachments:

Wednesday, May 19, 2010 10:59 AM
Pollack, Randy (PSC/FMS/DFO/RC/DS)
Cox, Donald R (HHS/ASPE); Druk, Clint (PSC/SAS/DAM); 'Jon Gruber'
RE: HHSP23320094301EC
invoice 051509-021510.MDI
HiRandy,
Pleaseexpeditethisinvoiceapproval;theperiodofperformancewasfrom2009.E000500301Thankyou
JeanNingcharoen
3014435963
3014805089(fax)
OriginalMessage
Sent:Wednesday,May19,201010:52AM
To:'JonGruber';Ningcharoen,Siriluck(PSC/FMSCTR)
Cc:Cox,DonaldR(HHS/ASPE)
Subject:RE:HHSP23320094301EC
Thecontractrequiresyoutosendacopyoftheinvoicetofinanceaswellviaemailandinhardcopyandthatisrequired
forareasoni.e.sothatwecanmakepaymentasquicklyaspossible.Financehasacopyoftheinvoicenowandthis
shouldbeprocessedfairlyquicklynow.
OriginalMessage
From:JonGruber[mailto:gruberj@MIT.EDU]
Sent:Monday,May17,20102:02PM
To:Ningcharoen,Siriluck(PSC/FMSCTR)
Cc:Cox,DonaldR(HHS/ASPE);Druk,Clint(PSC/SAS/DAM)
Subject:Re:HHSP23320094301EC
well,thatisdisappointingtosaytheleastIsentthisinvoicetoDonsixweeksago....
JonGruber
On5/17/20101:51PM,Ningcharoen,Siriluck(PSC/FMSCTR)wrote:
>
>
>HiMr.Gruber,
>
>Hasyousubmittheinvoicetothepaymentoffice?Wecouldnotfindit
>inourimagingsystem.
>
>**Jean***Ningcharoen*****
>
>**3014435963**
>
1
HHS Gruber 001280
>*3014805089(fax)*
>
>*Siriluck.Ningcharoen@psc.hhs.gov
><mailto:Siriluck.Ningcharoen@psc.hhs.gov>*
>
>*From:*Druk,Clint(PSC/SAS/DAM)
>*Sent:*Monday,May17,201012:27PM
>*To:*Ningcharoen,Siriluck(PSC/FMSCTR)
>*Cc:*Cox,DonaldR(HHS/ASPE)
>*Subject:*FW:HHSP23320094301EC
>
>Jean,
>
>CanyouassistDonwiththisplease?
>
>*From:*Cox,DonaldR(HHS/ASPE)
>*Sent:*Mon5/17/20107:49AM
>*To:*Druk,Clint(PSC/SAS/DAM)
>*Subject:*FW:HHSP23320094301EC
>
>HiClintIhatetobotheryoubut,Iapprovedfinalpaymentfor
>Gruberon4/7/10(receipt#34076)andasthefollowingindicates,he
>hasn'treceivedityet.WhoshouldIcontactaboutthis?Thanksfor
>helpingout.
>
>Don
>
>OriginalMessage
>From:JonGruber[mailto:gruberj@MIT.EDU]
>Sent:Friday,May14,20109:13AM
>To:Cox,DonaldR(HHS/ASPE)
>Subject:Re:HHSP23320094301EC
>
>Don
>
>itsbeenafewweeksandthepaymentstillhasn'tbeenmadewould
>youmindcheckingonthisagain?thanks
>
>jonGruber
>
>On4/29/20102:28PM,Cox,DonaldR(HHS/ASPE)wrote:
>>Ohgreat.IapprovedthepaymentthefirstweekofApril.Ithink
>>there'sa30daypaymentrule.So,ifyoudon'tgetthe$'sinaweek
>>orso,pleaseletmeknowandI'lllookintoit.Sorryaboutthat.
>>
>>Don
>>
>>OriginalMessage
>>From:JonGruber[mailto:gruberj@MIT.EDU]
>>Sent:Thursday,April29,20102:16PM
>>To:Cox,DonaldR(HHS/ASPE)
>>Subject:Re:HHSP23320094301EC
2
HHS Gruber 001281
>>
>>Don
>>
>>asfarasIknowIahvenotyetbeenpaiddoyouknowwhenthat
>>willhappen?
>>
>>thanks
>>
>>JonGruber
>>
>>On3/31/201012:45PM,Cox,DonaldR(HHS/ASPE)wrote:
>>>JonsorryaboutthedelayI'vebeengivenauthorityto
>>>approvepayment.Pleasesendmeaninvoiceandwecanwrapthisup.Thanks.
>>>Don
>>>
>>>
>>>
>>>
>>>
>>>*From:*JonGruber[mailto:gruberj@economics.mit.edu]
>>>*Sent:*Thursday,March04,201011:42AM
>>>*To:*Cox,DonaldR(HHS/ASPE)
>>>*Subject:*Re:HHSP23320094301EC
>>>
>>>super,thanksDon!
>>>
>>>Jon
>>>
>>>Cox,DonaldR(HHS/ASPE)wrote:
>>>>JonsorryaboutthedelaygettingbacktoyouI'vebeen
>>>>somewhatoutofpocketforthelastweek.Anyway,I'lllookthis
>>>>over
>>
>>>>andletyouknowifitmeetstheneedsforthefinaldeliverable.
>>>>Don
>>>>
>>>>
>>>>
>>>>
>>>>
>>>>*From:*JonGruber[mailto:gruberj@economics.mit.edu]
>>>>*Sent:*Tuesday,March02,20109:53AM
>>>>*To:*Cox,DonaldR(HHS/ASPE)
>>>>*Subject:*Re:HHSP23320094301EC
>>>>
>>>>Don
>>>>
>>>>neverheardbackonthisemailfromlastweekcanyoupleaseget
>>>>backtomeonthis?thanks
>>>>
>>>>JonGruber
>>>>
3
HHS Gruber 001282
>>>>Don
>>>>
>>>>asmycontractisnowup,Ienclosemyfinalprogressreportand
>>>>technicalmemorandum.Ihopethatthisissufficienttowrapup
>>>>thecontract.WhendoyouthinkImightexpectpayment?
>>>>
>>>>thanks
>>>>
>>>>JonGruber
>>>>
>>>>Cox,DonaldR(HHS/ASPE)wrote:
>>>>>HiJon,whenyouhaveachancepleasesendmeaprogressreport
>>>>>formonths5&6.Thanks.
>>>>>Don
>>>>>
>>>>>
>>>>>
>>>>>
>>>>>
>>>>>*From:*JonGruber[mailto:gruberj@economics.mit.edu]
>>>>>*Sent:*Thursday,October22,200910:00PM
>>>>>*Cc:*Cox,DonaldR(HHS/ASPE)
>>>>>*Subject:*Re:HHSP23320094301EC
>>>>>
>>>>>Don
>>>>>
>>>>>Hereismyreportformonths3&4.thanks
>>>>>
>>>>>JonGruber
>>>>>
>>>>>Druk,Clint(PSC/SAS/AMD/Acq/T6)wrote:
>>>>>>
>>>>>>Pleasefindthesubject,fullyexecuted,contractattached.
>>>>>>
>>>>>>**ClintDruk**
>>>>>>
>>>>>>ContractingOfficer
>>>>>>
>>>>>>U.S.DepartmentofHealthandHumanServices
>>>>>>
>>>>>>PSC/SAS/DivisionofAcquisitionManagement
>>>>>>
>>>>>>(P)3014430403
>>>>>>
>>>>>>(F)3014438488
>>>>>>
>>>>>>Inanefforttoevaluatecustomerservice,thestaffofPSC
>>>>>>wouldappreciateyourtakingafewmomentstocompleteour
>>>>>>CustomerCommentCardbyclickingonthelinkbelow.Yourtime
>>>>>>andeffortin
>>
>>>>>>providingthisvaluablefeedbackpertainingtoproductsand
4
HHS Gruber 001283
>>>>>>servicesyoureceivedisgreatlyappreciated.
>>>>>>
>>>>>>/_<Http://www.psc.gov/survey/Customer1/customer_1.htm
>>>>>><http://www.psc.gov/survey/Customer1/customer_1.htm>>_/
>>>>>>
>>>>>
>>>>>
>>>>>JonathanGruber
>>>>>ProfessorofEconomics
>>>>>MITDepartmentofEconomics
>>>>>50MemorialDrive,E52355
>>>>>Cambridge,MA02142
>>>>>phone:6172538892
>>>>>fax:6172531330
>>>>>email:gruberj@mit.edu
>>>>>web:http://econwww.mit.edu/faculty/gruberj/
>>>>>
>>>>
>>>>
>>>>JonathanGruber
>>>>ProfessorofEconomics
>>>>MITDepartmentofEconomics
>>>>50MemorialDrive,E52355
>>>>Cambridge,MA02142
>>>>phone:6172538892
>>>>fax:6172531330
>>>>email:gruberj@mit.edu
>>>>web:http://econwww.mit.edu/faculty/gruberj/
>>>>
>>>
>>>
>>>JonathanGruber
>>>ProfessorofEconomics
>>>MITDepartmentofEconomics
>>>50MemorialDrive,E52355
>>>Cambridge,MA02142
>>>phone:6172538892
>>>fax:6172531330
>>>email:gruberj@mit.edu
>>>web:http://econwww.mit.edu/faculty/gruberj/
>>
>>
>>JonathanGruber
>>ProfessorofEconomics
>>MITDepartmentofEconomics
>>50MemorialDrive,E52355
>>Cambridge,MA02142
>>phone:6172538892
>>fax:6172531330
>>email:gruberj@mit.edu
>>web:http://econwww.mit.edu/faculty/gruberj/
>>
5
HHS Gruber 001284
>>
>
>
>JonathanGruber
>ProfessorofEconomics
>MITDepartmentofEconomics
>50MemorialDrive,E52355
>Cambridge,MA02142
>phone:6172538892
>fax:6172531330
>email:gruberj@mit.edu
>web:http://econwww.mit.edu/faculty/gruberj/
>
JonathanGruber
Cambridge,MA02142
phone:6172538892
fax:6172531330
HHS Gruber 001285

From:
Sent:
To:
Subject:

Re: HHSP23320094301EC
yay! thanks Clint

Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
-Jonathan Gruber
Cambridge, MA 02142
phone: 617-253-8892
fax: 617-253-1330
HHS Gruber 001286

From:
Sent:
To:
Subject:

Monday, June 22, 2009 7:48 AM
RE: HHSP23320094301EC
thanks Clint.

Sent: Friday, June 19, 2009 10:52 AM
To: 'gruberj@economics.mit.edu'; Cox, Donald R (HHS/ASPE)
Subject: HHSP23320094301EC
Importance: High
Clint Druk
Contracting Officer
(P) 301-443-0403
(F) 301-443-8488
HHS Gruber 001287

From:
Sent:
To:
Subject:

RE: invoice for Purchase Order HHSP23320090018P
ThanksClint.
OriginalMessage
Sent:Thursday,June11,20094:57PM
To:Wilhere,John(PSC/FMS/DFO/GA/CP);Higgs,Tawana(PSC/PSC\FMS\DFO)
Cc:Cox,DonaldR(HHS/ASPE);Druk,Clint(PSC/SAS/AMD/Acq/T6)
JohnandTawana,
WhatdoyouneedMr.Cox,theCOTR,todoinordertogettheattachedinvoiceapprovedandpaid?Hehasn'treceived
anythingfromFMSyet.
I'mconcernedaswearecurrentlyinnegotiationswiththissamevendoronanothercontractandanyfailuretopayina
timelymannercouldadverselyimpactthegovernmentinthosenegotiations.Itisimportantweareviewedasagood
businesspartner.
Pleaseadvise.
ClintDruk
ContractingOfficer
(P)3014430403
(F)3014438488
OriginalMessage
Sent:Thursday,May28,20099:05PM
To:Cox,DonaldR(HHS/ASPE);Druk,Clint(PSC/SAS/AMD/Acq/T6);PSCPSC_Invoices
Subject:invoiceforPurchaseOrderHHSP23320090018P
HHS Gruber 001288
JonGruber
JonathanGruber
Cambridge,MA02142
phone:6172538892
fax:6172531330
HHS Gruber 001289

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(b)(5) - del berative process

Meena Nice to talk to you.

(b)(5) - del berative process

I also attach the spreadsheet that underlies these calculations

HHS Gruber 000019

(b)(5) - deliberative process

Seshamani, Meena (HHS/ASPE) wrote:

HHS Gruber 000020

(b)(5) - deliberative process

Seshamani, Meena (HHS/ASPE) wrote:

HHS Gruber 000021

(b)(5) - deliberative process

Seshamani, Meena (HHS/IOS) wrote:

(b)(5) - del berative process

From: Jon Gruber [mailto:gruberj@economics.mit.edu]

Seshamani, Meena (HHS/IOS) wrote:

From: Jon Gruber [mailto:gruberj@economics.mit.edu]

Seshamani, Meena (HHS/IOS) wrote:

From: Jon Gruber [mailto:gruberj@economics.mit.edu]

Seshamani, Meena (HHS/IOS) wrote:

From: Jon Gruber <gruberj@economics.mit.edu>

To: Seshamani, Meena (HHS/IOS)

Hi Meena. I'm sure you are quite busy as well!

Seshamani, Meena (HHS/IOS) wrote:

Meena Seshamani, MD, PhD

HHS Gruber 000023

(b)(5) - deliberative process

(b)(5) - deliberative process

hope this is helpful

Furman, Jason L. wrote:

(b)(5) - deliberative process

Thanks for these.

(b)(5) - del berative process

From: Jon Gruber [mailto:gruberj@economics.mit.edu]

(b)(5) - deliberative process

Seshamani, Meena (HHS/IOS) wrote:

Thank you Jon!

Just to make sure I understand:

(b)(5) - deliberative process

From: Jon Gruber [mailto:gruberj@economics.mit.edu]

HHS Gruber 000026

(b)(5) - deliberative process

hope this is helpful

Furman, Jason L. wrote:

(b)(5) - deliberative process

HHS Gruber 000027

(b)(5) - del berative process