Government Contracts
Coordinated Healthcare Solutions for Public Sector Populations
Hospitals Without Walls™ works with government agencies and qualified public-sector partners to develop accountable healthcare programs across hospitals, facilities, homes, virtual environments, and community settings.
Our model is designed to support access, continuity, quality, patient safety, health equity, responsible resource utilization, and measurable public value.
Serving the public interest
Healthcare Programs Built Around Accountability
Government healthcare programs serve populations with diverse clinical, functional, geographic, economic, cultural, and social needs.
Public-sector programs may be responsible for:
Hospitals Without Walls™ seeks to help public agencies coordinate appropriate services around the whole person while maintaining procurement integrity, regulatory compliance, fiscal accountability, and measurable performance.
- Older adults
- People with disabilities
- Medicare and Medicaid beneficiaries
- Veterans
- Military members and families
- Rural populations
- Tribal communities
- People with serious mental illness
- People experiencing homelessness
- Justice involved populations
- Children and families
- Public employees
- Uninsured and underinsured populations
- People affected by disasters or public health emergencies
- Other defined populations
Government entities we may support
Federal, State, Local, Tribal, and Territorial Partnerships
Potential contracting organizations may include:
- Federal departments and agencies
- State governments
- State Medicaid agencies
- State public health departments
- County governments
- Municipal governments
- Tribal governments
- Tribal health organizations
- United States territories
- Public hospitals and health systems
- Public health districts
- Military healthcare organizations
- Veterans healthcare organizations
- Correctional healthcare agencies
- Public universities
- Public employee health programs
- Housing and social service agencies
- Emergency management agencies
- Government prime contractors
- Government authorized subcontractors
- Other public entities
Every opportunity remains subject to the contracting entity's legal authority, procurement procedures, funding, required approvals, and formal award process.
Government healthcare capabilities
Programs Designed Around Defined Public Needs
Depending on the solicitation, contract, geography, and available professional resources, potential capabilities may include:
Comprehensive geriatric care
Chronic disease management
Frailty and functional decline support
Hospitalization-prevention initiatives
Readmission reduction support
Transitional care
Palliative care coordination
Mobile physician services
Mobile nursing and clinical support
Telehealth and virtual care
Remote patient monitoring
Care coordination
Population health management
Behavioral and PsychoSpiritual health
Caregiver and family support
Medication management support
Home and community based coordination
Rural and underserved area access
Community resource navigation
Quality and patient safety programs
Clinical and financial outcome measurement
Healthcare workforce support
Public health education
Research and program evaluation
Technology enabled healthcare coordination
Specific capabilities must be verified for each opportunity and may require qualified subcontractors, professional credentialing, government approval, or additional infrastructure.
The government healthcare challenge
Multiple Programs May Serve the Same Person Without Operating as One System
Publicly supported patients may receive services from:
- Government agencies
- Managed care organizations
- Public hospitals
- Private hospitals
- Primary care practices
- Medical specialists
- Behavioral health systems
- Pharmacies
- Home health agencies
- Skilled nursing facilities
- Housing programs
- Transportation services
- Nutrition programs
- Disability services
- Community organizations
- Family caregivers
When responsibilities are fragmented, patients may experience:
- Repeated assessments
- Conflicting instructions
- Uncoordinated medications
- Delayed follow up
- Duplicated services
- Missed eligibility opportunities
- Difficulty navigating benefits
- Unresolved social barriers
- Preventable deterioration
- Repeated emergency utilization
- Poor transitions between programs
- Loss of continuity
Hospitals Without Walls™ is designed to provide a coordination framework that connects authorized participants around a defined plan.
Our public sector approach
One Population. Defined Responsibilities. Measurable Results.
A government program may be structured to:
- 1
Define the eligible population
- 2
Identify clinical and operational objectives
- 3
Establish authorized data sources
- 4
Determine access and equity barriers
- 5
Define services and responsible participants
- 6
Establish enrollment and consent procedures
- 7
Coordinate approved services
- 8
Create communication and escalation pathways
- 9
Monitor quality and safety
- 10
Measure utilization and financial performance
- 11
Report results to the contracting agency
- 12
Identify and correct deficiencies
- 13
Protect continuity at contract completion or transition
The final design must comply with the solicitation, contract, applicable law, and agency specific requirements.
Comprehensive geriatric programs
Supporting Older Adults Across Public Systems
Government agencies serving older adults may require an integrated response to:
A comprehensive geriatric program may combine clinical assessment, functional evaluation, medication review, caregiver support, home safety evaluation, telehealth, mobile services, community resources, and longitudinal coordination.
- Multiple chronic conditions
- Frailty
- Falls
- Functional decline
- Cognitive impairment
- Polypharmacy
- Social isolation
- Nutrition needs
- Housing instability
- Transportation barriers
- Caregiver burden
- Recurrent hospitalization
- Long term care risk
- Palliative care needs
Chronic disease and high risk population programs
Moving From Episodic Response to Longitudinal Support
Potential programs may address:
- Heart failure
- Hypertension
- Diabetes
- Chronic obstructive pulmonary disease
- Chronic kidney disease
- Cardiovascular disease
- Neurologic disease
- Dementia
- Chronic wounds
- Multiple chronic conditions
- Serious or progressive illness
Services may include:
- Risk identification
- Assessment
- Care planning
- Monitoring
- Patient education
- Medication review
- Primary and specialty-care coordination
- Functional support
- Mobile and virtual care
- Caregiver education
- Escalation of changes in condition
- Outcome reporting
Program intensity should be based on actionable patient need not diagnosis or historical cost alone.
Transitional care
Strengthening Movement Between Public and Private Care Settings
Transitions may occur between:
- Hospitals and homes
- Hospitals and skilled nursing facilities
- Correctional settings and communities
- Military and civilian healthcare
- Veterans and community provider networks
- Emergency shelters and permanent housing
- Institutional and home based care
- Pediatric and adult systems
- Behavioral and physical healthcare
- Public and private insurance programs
A transitional care contract may include:
- Pre transition planning
- Timely follow up
- Medication reconciliation
- Appointment coordination
- Equipment and supply review
- Patient and caregiver education
- Provider communication
- Benefit navigation
- Community resource connection
- Escalation of unresolved needs
Not every hospitalization or readmission is preventable. Necessary emergency and inpatient care must never be delayed to achieve a utilization target.
Mobile, rural, and underserved-area access
Reaching People Who Face Geographic and Functional Barriers
Government programs may use mobile and virtual delivery to support people affected by:
- Rural geography
- Transportation shortages
- Disability
- Frailty
- Homebound status
- Provider shortages
- Facility closures
- Limited specialty access
- Digital barriers
- Severe caregiver limitations
Potential components may include:
- Mobile clinical visits
- Telehealth
- Remote monitoring
- Community based access points
- Specialist consultation
- Mobile diagnostics coordination
- Caregiver education
- Transportation coordination
- Local provider partnerships
Mobile and virtual care must be implemented within applicable professional, technical, privacy, accessibility, and emergency response requirements.
Behavioral and PsychoSpiritual health
Supporting Mental, Emotional, Social, and Spiritual Needs
Public-sector populations may experience:
- Depression
- Anxiety
- Trauma
- Grief
- Social isolation
- Serious mental illness
- Substance use concerns
- Caregiver distress
- Spiritual or existential suffering
Depending on the authorized scope, a program may coordinate qualified behavioral health, social-work, peer-support, chaplaincy, community, and other appropriate services.
All services must respect patient consent, culture, beliefs, civil rights, professional standards, and the right to decline spiritual or PsychoSpiritual participation.
Palliative and serious-illness care
Quality of Life, Symptom Support, and Informed Decision Making
A government program may support people living with serious illness through:
- Symptom assessment
- Palliative care referral
- Goals of care communication
- Advance care planning
- Family support
- Caregiver education
- Coordination across providers
- Behavioral and spiritual support
- Hospice education when clinically appropriate
Palliative care may accompany disease directed treatment and is not limited to hospice.
Programs must not pressure patients to decline appropriate treatment or elect hospice for financial reasons.
Home and community-based coordination
Connecting Healthcare With the Conditions of Daily Life
Health may be affected by:
- Housing
- Food access
- Transportation
- Personal safety
- Utilities
- Social isolation
- Disability access
- Language
- Digital connectivity
- Caregiver availability
- Environmental hazards
Hospitals Without Walls™ may help connect authorized healthcare activities with qualified community organizations and government programs.
A healthcare contractor cannot independently guarantee housing, food, transportation, benefits, or other public resources. Eligibility and availability remain subject to the responsible program.
Public health and emergency programs
Scalable Coordination Subject to Government Authorization
Potential public health initiatives may include:
- Community education
- High risk population outreach
- Chronic disease prevention
- Vaccination coordination
- Emergency preparedness
- Post disaster health monitoring
- Continuity of care support
- Mobile health deployment
- Telehealth access
- Caregiver education
- Community resource coordination
Emergency or disaster response services require specific authorization, command integration, staffing, training, logistics, communications, safety procedures, and government coordination.
Hospitals Without Walls™ should not be represented as an emergency response agency unless formally contracted and equipped for that role.
Government procurement pathways
Multiple Routes to a Public-Sector Relationship
Potential pathways may include:
- Request for Information
- An agency may seek industry information before defining a procurement.
- Sources-Sought Notice
- An agency may assess the availability and capability of potential contractors.
- Request for Proposal
- Offerors may be evaluated according to technical, management, past-performance, and price or cost criteria established in the solicitation.
- Request for Quotation
- An agency may request pricing and related information for defined services or products.
- Invitation for Bid
- An agency may use sealed bidding when the applicable procurement conditions are met.
- Broad Agency or Program Announcement
- Certain agencies may request research, innovation, or program concepts under an authorized process.
- Prime Contract
- Hospitals Without Walls™ may pursue an opportunity directly when qualified, registered, responsible, and capable of meeting the requirements.
- Subcontract
- Hospitals Without Walls™ may participate under a qualified government prime contractor.
- Teaming or Joint Response
- Qualified organizations may combine complementary capabilities under a written arrangement consistent with procurement and competition requirements.
- Cooperative Agreement or Grant
- Some public initiatives may be funded through federal assistance rather than procurement. Grants and cooperative agreements are legally distinct from contracts and must be pursued through the applicable funding process.
No website inquiry replaces the official submission required by the government solicitation.
Federal contracting
Registration, Responsibility, and Solicitation Compliance
SAM gov is the federal government's system for entity registration and public contract opportunities.
An organization seeking to bid directly on federal awards generally requires an active SAM.gov entity registration and receives a Unique Entity ID through that registration process.
Federal opportunities may require:
- Active SAM gov registration
- Unique Entity ID
- Applicable representations and certifications
- North American Industry Classification System codes
- Responsibility determination
- Exclusion review
- Financial capacity
- Relevant experience
- Technical capability
- Qualified personnel
- Accounting controls
- Insurance
- Security compliance
- Subcontracting information
- Labor law compliance
- Past performance information
- Agency specific qualifications
Hospitals Without Walls™ will represent its registrations, certifications, qualifications, experience, and capabilities accurately for each opportunity.
No certification or status will be claimed unless it is current, applicable, and verifiable.
State and local government contracting
Requirements Differ by Jurisdiction
State, county, municipal, tribal, and territorial opportunities may require:
- Vendor registration
- State or local tax documentation
- Business licenses
- Secretary of State registration
- Professional licenses
- Insurance
- Background screening
- Equal employment certifications
- Nondiscrimination assurances
- Prevailing wage compliance
- Conflict of interest disclosures
- Lobbying disclosures
- Data security requirements
- Accessibility compliance
- Local preference documentation
- Public records compliance
- Agency specific certifications
The applicable solicitation and procurement authority control.
Tribal government and tribal health partnerships
Respect for Sovereignty, Culture, and Community Priorities
Potential tribal partnerships should be developed with respect for:
- Tribal sovereignty
- Government to government relationships
- Tribal procurement authority
- Community leadership
- Cultural practices
- Language
- Geographic realities
- Data governance
- Tribal health priorities
- Applicable federal program requirements
No tribal community should be treated as interchangeable with another. Program design must be informed by the specific community and authorized representatives.
Prime and subcontractor relationships
Clear Responsibility Throughout the Contracting Chain
Hospitals Without Walls™ may serve as:
- A prime contractor
- A subcontractor
- A teaming partner
- A specialty service provider
- A care coordination partner
- A technology enabled healthcare partner
A prime or subcontract agreement should define:
- Scope of work
- Deliverables
- Performance standards
- Flow down clauses
- Data rights
- Intellectual property
- Staffing
- Security
- Privacy
- Reporting
- Invoicing
- Audit
- Records retention
- Subcontracting restrictions
- Insurance
- Indemnification
- Termination
- Government rights
- Transition obligations
The Federal Acquisition Regulation defines subcontractors broadly to include firms, suppliers, vendors, and consultants furnishing services or supplies for a prime contract or another subcontract.
Clinical quality and patient safety
Government Performance Begins With Safe Care
Quality oversight may include:
- Professional licensure verification
- Credentialing
- Exclusion screening
- Scope of practice controls
- Evidence based protocols
- Patient identification procedures
- Medication safety
- Infection prevention
- Emergency escalation
- Incident reporting
- Clinical documentation
- Grievance procedures
- Peer or professional review
- Corrective action processes
- Outcome monitoring
- Continuous quality improvement
A government utilization or cost target must never override clinical necessity or patient safety.
Program integrity
Protecting Public Funds
Hospitals Without Walls™ does not permit:
- False claims
- False statements
- Billing for services not performed
- Duplicate billing
- Upcoding
- Unsupported documentation
- Improper inducements
- Payment for referrals
- Conflicts of interest that are not disclosed and addressed
- Misrepresentation of credentials
- Misuse of government property
- Unauthorized subcontracting
- Mischarging of labor or expenses
- Falsification of performance data
- Retaliation against protected reporting
- Bribery, gratuities, or kickbacks
Government funds must be billed, documented, allocated, and reported according to the applicable award and law.
Privacy, confidentiality, and data rights
Government Data Requires Contract-Specific Protection
A public-sector contract may involve:
- Protected health information
- Personally identifiable information
- Federal contract information
- Controlled unclassified information
- Government-furnished information
- Proprietary information
- Sensitive but unclassified information
- Research data
- Claims or eligibility data
- Public-health data
The parties must identify:
- Data ownership
- Permitted use
- Government data rights
- Access controls
- Transmission standards
- Encryption
- Storage location
- Records retention
- Incident reporting
- Subcontractor access
- Data return or destruction
- Freedom of Information Act or public record implications
- Applicable privacy and security clauses
If protected health information is handled for a covered entity, a compliant business associate agreement or other legally sufficient arrangement may be required.
Cybersecurity
Security Obligations Must Be Designed Into the Contract
Cybersecurity requirements may include:
- Risk assessment
- System security documentation
- Identity and access management
- Multifactor authentication
- Encryption
- Logging and monitoring
- Vulnerability management
- Incident response
- Workforce training
- Configuration management
- Business continuity
- Backup and recovery
- Subcontractor controls
- Government reporting
- Independent assessment
- Supply chain security
Department of Defense contracts may include specialized Defense Federal Acquisition Regulation Supplement requirements for covered contractor information systems and covered defense information.
No contractor should assume that ordinary commercial security practices automatically satisfy government requirements.
Civil rights, nondiscrimination, and accessibility
Public Programs Must Be Reachable by the People They Serve
A government healthcare program may require compliance concerning:
- Race
- Color
- National origin
- Disability
- Age
- Sex
- Religion
- Language access
- Digital accessibility
- Program accessibility
- Effective communication
- Other protected classifications
Program design may include:
- Interpreter services
- Translated materials
- Auxiliary aids
- Accessible digital content
- Alternative communication methods
- Disability accommodations
- Geographic-access strategies
- Nondiscriminatory eligibility and outreach
Specific requirements depend on the funding source, agency, jurisdiction, and program.
Healthcare workforce requirements
Qualified Personnel With Verifiable Authority
Government contracts may require:
- Active professional licenses
- Credentialing
- Privileging
- Education verification
- Experience verification
- Background screening
- Drug testing
- Immunization or health screening
- Exclusion and debarment screening
- Security clearances
- Citizenship or work authorization conditions
- Training
- Competency assessment
- Continuing education
- Supervision
- Staff replacement procedures
No individual may perform a function outside that individual's lawful and contractually authorized role.
Performance measurement
Public Value Must Be Demonstrated
Depending on the contract, performance measures may include:
| Domain | Illustrative Measures |
|---|---|
| Access |
|
| Clinical quality |
|
| Functional outcomes |
|
| Transitions |
|
| Utilization |
|
| Experience |
|
| Equity |
|
| Operations |
|
| Financial |
|
| Compliance |
|
Measures must use contractually defined specifications, data sources, exclusions, denominators, reporting periods, and validation procedures.
Government reporting
Transparent Documentation and Review
Required reporting may include:
- Program enrollment
- Service activity
- Staffing
- Deliverables
- Quality measures
- Utilization
- Financial performance
- Invoices
- Subcontractor activity
- Security incidents
- Privacy incidents
- Patient safety events
- Complaints and grievances
- Corrective action plans
- Risk registers
- Government property
- Contract modifications
- Closeout documentation
Reports must be accurate, timely, traceable, and supported by source documentation.
Contract administration
Managing the Award After Selection
A government contract requires ongoing administration—not merely successful proposal submission.
Contract administration may include:
- Kickoff meeting
- Final implementation plan
- Contracting officer communications
- Contracting officer's representative coordination
- Deliverable tracking
- Staffing verification
- Performance reviews
- Invoice review
- Change control
- Risk management
- Subcontractor oversight
- Quality assurance
- Security and privacy reporting
- Corrective action
- Records retention
- Option year planning
- Contract closeout
Only authorized government officials may direct or approve contractual changes.
Business continuity
Public Services Must Be Prepared for Disruption
A continuity plan may address:
- Staff shortages
- Technology outages
- Cyber incidents
- Natural disasters
- Public health emergencies
- Transportation disruption
- Supply interruption
- Communication failure
- Facility closure
- Subcontractor failure
- Data unavailability
The plan should identify essential functions, recovery priorities, alternative communication, backup resources, escalation procedures, and government notification.
Government opportunity form
Submit a Procurement or Partnership Opportunity
Important submission instructions
Do not use the government-opportunity form to submit:
- Classified information
- Controlled unclassified information
- Protected health information
- Patient identifying information
- Personal identity-verification information
- Passwords
- Access credentials
- Export controlled information
- Procurement sensitive information that you are not authorized to disclose
- Proprietary information belonging to another party
Submission through this website does not constitute an official proposal or satisfy a government deadline unless the solicitation expressly authorizes that method.
Our government contracting commitment
Accuracy Before Award. Accountability After Award.
Hospitals Without Walls™ is committed to:
- Representing capabilities accurately
- Following official procurement instructions
- Disclosing conflicts of interest
- Protecting competition integrity
- Using qualified personnel
- Maintaining required licenses and insurance
- Protecting government and patient information
- Billing only for authorized and documented work
- Monitoring subcontractors
- Reporting performance honestly
- Identifying risks and deficiencies promptly
- Implementing corrective action
- Protecting patient rights
- Measuring outcomes
- Supporting responsible stewardship of public funds
Bring us your public healthcare challenge
Work With Hospitals Without Walls™
Hospitals Without Walls™ welcomes discussions with authorized government representatives, public agencies, and qualified government contractors seeking coordinated healthcare solutions.
Important information
Hospitals Without Walls™ does not claim eligibility, registration, certification, socioeconomic status, security authorization, past performance, or professional capability unless current and verifiable for the specific procurement.
Website submission does not create a contract, guarantee eligibility, satisfy an official submission requirement, or obligate a government entity to consider or award an opportunity.
All government work remains subject to funding, procurement authority, competition requirements, responsibility determination, formal award, and applicable law.
Authoritative government contracting resources
- SAM.gov — Entity Registration and Unique Entity ID
- SAM.gov — Federal Contract Opportunities
- Acquisition.gov — Federal Acquisition Regulation
- Acquisition.gov — FAR Part 3: Improper Business Practices and Conflicts of Interest
- Acquisition.gov — FAR Part 42: Contract Administration
- Acquisition.gov — HHS Acquisition Regulation
- HHS — Contracts and Government Procurement
- SBA — Getting Started With Government Contracting
- HHS — Business Associate Contract Provisions