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Maximus Inc.
Company typePublic
NYSE: MMS
S&P 400 component
IndustryHealthcare, business services
Government contractor
Founded1975
HeadquartersTysons, Virginia
Areas served
Australia,
Canada,
Saudi Arabia,
South Korea,
United Arab Emirates,
United Kingdom,
United States [1]
Key people
RevenueIncrease $4.9 billion (2023)[1]
Number of employees
39,600 (2023)[1]
Websitemaximus.com

Maximus Inc. is an American government services company,[2] with global operations in countries including the United States, Australia, Canada, and the United Kingdom.[3] The company contracts with government agencies to provide services to manage and administer government-sponsored programs. Maximus provides administration and other services for Medicaid, Medicare, health care reform, welfare-to-work, and student loan servicing among other government programs. The company is based in Tysons, Virginia, has 39,600 employees and a reported annual revenue of $4.9 billion in fiscal year 2023.[4]

History

Maximus was founded in 1975 by David V. Mastran, initially operating as a consulting firm for the federal government, including information technology services.[5][6][7]

The history of Maximus follows the trajectory of significant government policy changes.

The government service reform policies in the 80’s and early 90’s of the Reagan administration and continued in the Bush and Clinton administrations, led to governments increased private-sector contracting for administration program functions operated under the control of government.[8] In 1988, Maximus was awarded its first contract for social welfare from Los Angeles County, and began shifting focus  towards business process outsourcing and providing state-based consulting services.[9]

Passage of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 under President Clinton granting states greater latitude in administering social welfare programs, and the Balanced Budget Amendment of 1997 amending certain eligibility, enrollment, and beneficiary protections in Medicaid further increased government use of public / private partnerships for the administration of certain program functions.[10]

In 1997, the company went public, trading on the New York Stock Exchange under the symbol MMS.[11]

The G.W. Bush Administration saw reauthorization and expansion of PRWORA, cementing the government’s use of private sector contracting of administrative functions associated with Federally funded, state administered, entitlement programs.[12]

In 2006,Richard Montoni, former chief financial officer for Maximus, was named CEO.[13] The next year, Maximus announced it was exploring sale,[14] but ultimately chose to divest several business lines instead.[15] On April 30, 2008, the organization sold its Security Solutions division.[16] On September 30, 2008, the company sold its Justice Solutions, Education Systems, and Asset Solutions divisions.[17] The company also completed the sale of its Enterprise resource planning (ERP) division in 2010.[18]

Passage in 2010 of the Patient Protection and Affordable Care Act (ACA) during the Obama Administration further expanded the use of private sector contracting of government administrative functions associated with the ACA, Medicaid, and Medicare, in conjunction with other human services related programs.[19]

In 2010, Maximus acquired DeltaWare, a developer of health administration management systems for the Canadian government health care market.[20] In 2012, the company acquired Denver-based Policy Studies Incorporated (PSI) for $67 million.[21] In 2013, Maximjus acquired UK-based Health Management Ltd.(HML).[22] On April 6, 2015, the company completed the $300 million acquisition of Falls-Church-based technology contractor, Acentia.[23] The deal added to the company's federal business by bringing on new customers and new contract vehicles. In 2018, Maximus acquired U.S. Federal citizen engagement center assets from another government contractor for $400 million in cash.[24]

In 2018, after twelve years as CEO, Richard Montoni announced his retirement and the company appointed President Bruce Caswell to the position of chief executive officer.[25] Maximus hired Dr. Arvenita Washington Cherry as Senior Director of DE&I in 2020 in an effort to bolster diversity and inclusion in its workforce.[26]

In September 2021, Maximus and Navient announced the two companies signed a definitive agreement [27] to transfer the loan servicing for U.S. Department of Education-owned student loan accounts from Navient to Maximus through a contract novation.[28] The Federal Student Aid (FSA) director Richard Cordray approved[29] the agreement in October 2021, which impacted 5.6 million student loan borrowers. Maximus created a new federal loan servicing unit, known as Aidvantage, and said in a statement, “This is a defining moment for student borrowers…it is imperative we get it right.”[30]

In 2021, Maximus acquired Attain and Veterans Evaluation Services (VES) for a combined total of $1.8 billion.[31]

In May 2022, Maximus relocated its headquarters to Tysons, Virginia and new office space that was reported to incorporate "many of the post-pandemic office designs that architects and companies are emphasizing."[32] In 2022 and 2023 Maximus workers were involved in actions to demonstrate against labor conditions and for improved pay,[33] following employee layoffs.[34]

Services

Health services

Maximus provides services for government health programs including Medicaid, the Children's Health Insurance Program (CHIP), Medicare and health insurance exchanges as required under the Affordable Care Act.[35] Maximus serves on the Enroll America advisory council.[36][37]

The company is the largest provider of administrative services for Medicaid and CHIP in the United States, serving more than 50% of the market.[38] In September 2012, the Illinois Department of Healthcare and Family Services awarded Maximus Health Services a two-year, $76.8 million contract to help the state with its Medicaid program.[39] That same month, Maximus announced a $23.5 million contract with the State of Oklahoma to operate a customer relationship management system for SoonerCare, the state's Medicaid program, and Insure Oklahoma, a program that provides employers with subsidies to help buy private market health insurance for their low- to moderate-income employees.[40]

Maximus is also the largest provider of privatized health insurance appeals to Medicare. In 2012 it expanded its growing Federal operations, bringing 500 local jobs to upstate New York and Pennsylvania, including more than 325 jobs in Pittsford, NY[41] and more than 125 jobs to Scranton, PA.[42]

The company offers services in the health insurance exchange marketplace and in July 2012, the Minnesota Department of Commerce awarded Maximus a two-year, $41 million contract to create the state's new health insurance exchange.[43] In February 2013, Connecticut awarded Maximus a $15 million contract to run the customer contact center operations for the state's health insurance exchange, Access Health CT.[44]

Maximus won a £500m government contract to decide whether disabled people are able to return to work after Atos abandoned their contract to perform assessments in 2014. Professor Michael O'Donnell, the former medical director of Atos now works as the medical director of Health Management Limited which is a subsidiary of Maximus.

COVID-19 Response

In March 2020, Maximus began working with government agencies in the United States at the federal, state, and local level to assist with the pandemic response.[45] This work initially included providing testing results and conducting contact tracing, in states such as Arizona[46] and Indiana.[47] In September 2020, Maximus announced the creation of Maximus Public Health to support “efforts to contain the spread of COVID-19 and toward the purchasing and distribution of vaccines."[48]

In 2021, Maximus shifted its focus to vaccine distribution. The company worked directly with states, like Colorado,[49] to provide information to residents and schedule vaccine appointments. In May 2021, the Center for Disease Control (CDC) announced it had selected Maximus to “support a national hotline program"[50] for vaccine distribution.

Human services

Maximus operates human services programs, including welfare-to-work (such as the Ticket to Work program),[51] child support enforcement, child care, child welfare, specialized consulting, K-12 special education software and higher education consulting.

In 2011, Maximus was recognized as the top performing provider for welfare-to-work services under the United Kingdom's Flexible New Deal programme, helping job seekers into long-term sustained employment.[52] Following the Flexible New Deal, the United Kingdom government unveiled a replacement program, called the Work Programme, that created welfare reform changes.[53] Maximus serves as a contractor in three regions under the UK's Work Programme initiative.[54] Its subsidiary, Centre for Health and Disability Assessments Ltd., runs Work Capability Assessments with a contract which began in 2014 and runs until July 2021.[55]

In 2012, the company launched its first welfare-to-work program in Canada[56] and expanded its Australia operations with a five-year contract to help people with disabilities find employment.[57]

Maximus also provides services for child support programs. In 2009, the company won a five-year contract to collect and enforce child-support collections in Shelby County, Tennessee.[58] Maximus launched Project NOW (Negotiating Outstanding Warrants), an initiative that collected more than $35,000 to help nearly 100 parents in Shelby County get back on track after missing child support payments.[59]

IT Modernization

The Maximus work with government agencies at the state, federal, and international level has evolved into more broad IT modernization work,[60] focused on implementing emerging technologies and helping agencies transition to cloud-based platforms. This includes work with Securities and Exchange Commission (SEC) to modernize[61] a filing and storage system that houses information on companies and work with the Internal Revenue Service (IRS) to improve the agency's technology infrastructure[62] and support content in the cloud.

Student loan servicing

Maximus AidVantage provides servicing for approximately 13 million student loan debtors.[63]

Awards and recognitions

Gartner selected Maximus as the winner of its 2011 Business Process Management (BPM) Program of the Year.[64] The same year, Gartner recognized Maximus for business performance management.[65]

In 2015, Maximus was recognized as one of the Top Companies to work in the Washington, D.C. area by the Washington Post.[66] In 2017, Fortune Magazine named Maximus to its annual World's Most Admired Companies list.[67] Military Times honored Maximus as a Top Employer for veterans in 2020[68] and Forbes named Maximus to its 2021 list of America's Best Employers for Diversity.[69]

Sponsorships and charity

Corporate giving

In 2010, Maximus and other Northern Virginia companies digitized mislabeled and unaccounted-for graves, on a pro bono basis, and upgraded a paper record-keeping system for Arlington National Cemetery.[70]

In 2011, Maximus helped fund No Kid Hungry Texas,[71] to reduce childhood hunger through existing nutrition plans.[72]

Maximus provided financial support to the National Hispanic Health Foundation (NHHF) scholarship program for health services students[73] and to the Urban League of Middle Tennessee in 2012.[74]

The Maximus Foundation

The Maximus Foundation is a non-profit 501(c)(3) charitable organization incorporated in the Commonwealth of Virginia. Funding is provided by charitable gifts from Maximus employees and supplemented by grants from the company. The foundation contributes to programs helping disadvantaged individuals achieve self-sufficiency, particularly programs serving children.[75] The Chairman of the Foundation is president and General Manager of Maximus Federal Services, John Boyer.[76]

In 2009, the Maternity and Early Childhood Foundation used a grant from the Maximus Foundation to upgrade aging computer equipment and build its capacity to promote quality services and provide required reports to New York State.[77] In 2011, EMQ FamiliesFirst, a California-based non-profit agency that helps children in crisis and their families, received a grant from the Maximus Foundation.[78] In 2012, the South Bronx Overall Economic Development Corporation (SoBRO) used grant money from the Maximus Foundation to start the Greenhouse Roof Operation (GRO), a program to teach disadvantaged youth vocational skills through the construction and operation of a hydroponic farm.[79] That same year, the Maximus Foundation awarded over $100,000 in grants for Washington D.C non-profit organizations benefitting children.[80]

In 2015, the Foundation announced that it distributed approximately $390,000 in grants to 121 nonprofit organizations in 22 states.[81] Grantees included CASA of Los Angeles and the Community Health Centers of Burlington.

In 2013, the Maximus Foundation contributed $29,000 to Nepal Earthquake Relief through Project HOPE[82] and in 2015, provided back-to-school supplies to 2,000 low-income children in Austin, Texas, such as socks and a brand-new backpack with school supplies.[83]

The Maximus Foundation helped fund the work of four high school students at Thomas Jefferson High School for Science and Technology in Alexandria, Virginia, to develop Atheia, a new technology[84] to assist those with vision problems.

Lawsuits for fraud, data privacy breaches, and poor performance

November 1997- The Hartford Courant reported that Maximus "gets minimal results" when it was hired by the State of Connecticut to manage a child care program for recipients of welfare.[85] According to the Record-Journal, Maximus "hired too few people, installed an inadequate phone system and fell weeks or months behind in making payments to day care providers."[86] The Connecticut Department of Social Services (DSS) asked Maximus to meet improvement goals and by December, DSS Commissioner Joyce A. Thomas noted improvements on several fronts commenting, "The good news for Connecticut's child care providers and the families we all serve is that the situation is rapidly improving. Maximus has come a long way, and we are confident that current efforts are paving the way to long-term improvements."[87]

December 1998- The Sarasota Herald Tribune reported that the State of Florida had paid Maximus $4.5 Million for a Child Support Recovery contract. Maximus was only able to collect $162,000. "On average taxpayers paid Maximus $25 for every 3 cents collected."[88]

1999 - Then-mayor of New York, Rudy Giuliani held his first meetings in May 1999 introducing the city's welfare reform programs which would require adult welfare recipients to either work or train for work. Mid-June was set as the deadline for the competition for the contracts. However, the Giuliani administration began to consult with Maximus executives on how the company could "reshape, consolidate and run" the programs, as early as January 1999. Starting in January, Maximus was awarded contracts worth $500 million, which represented the "largest share" to assess and train as many as 200,000 welfare recipients and to provide job placement. New York city's comptroller said that this gave Maximus an "unfair advantage".[89]

October 2000- Six state lawmakers in Wisconsin called for the termination of Maximus' W-2 contract, saying the firm has "broken faith with the state and poor people the agency serves in Milwaukee County."[90]

June 2001- The Milwaukee Journal Sentinel reported that two Maximus employees filed discrimination complaints against the company. The employees stated that Maximus is so lacking in diversity that the companies minority employees referred to it as "White Castle".[91]

2004 In 2004, British Columbia became the first province in Canada to outsource a large quantity of its health administration services—which included Medical Services Plan and PharmaCare—to the private sector, when BC Health signed the ten-year $324-million contract with Maximus.[92] A campaign was launched in the province to protect private and personal health information. Concerns included the risk of disclosure of confidential date accessed under the Homeland Security Act.[93]

July 2007- Maximus settled a lawsuit brought against it by the United States government for involvement in falsifying Medicaid claims for $30.5 million.[94]

October 2010- The Los Angeles Times reported that 146 medical workers, including doctors, nurses and pharmacists were allowed to keep working despite failing drug tests. Maximus was awarded a $2.5 Million a year contract to run California's confidential "diversion programs". Maximus contracted the work out to a subcontractor who in turn subcontracted the work to another company. The drug testing company was using the wrong standard of drug test from December 2009 to August 2010, resulting in medical workers who tested positive for drugs to continue working.[95]

June 2011- Boston-based Fox25 news uncovered that a wanted fugitive by the name of Maureen Simonetti was working for Maximus as a manager on the MassHealth project and had access to the personal information of individuals who use MassHealth for their healthcare. Simonetti's attorney said his client disclosed pleading no contest to grand theft on her application to work at Maximus in 2005. However, the required Massachusetts background check, known as a CORI, did not uncover Simonetti's grand theft case in Florida, which is an out of state criminal record. Maximus stated that it had "no reason to believe that anyone's personal information was used inappropriately" and terminated Simonetti.[96]

September 2011- Maximus Inc. was sued by U.S. Equal Employment Opportunity Commission (EEOC) for disability discrimination for failure to promote a female employee because it regarded her as disabled.[97] Maximus settled the lawsuit in August 2012.[98]

June 2012- Through an internal privacy audit, Maximus discovered that a worker in Canada illegally viewed personal health records of 43 Canadians. The worker involved was immediately suspended and later fired.[99]

January 2013- A Maximus employee, Marilyn Beltran, based in Boston MA was indicted for allegedly stealing more than $490,000 from the Massachusetts Medicaid program. The theft had occurred over a period of nine years.[100]

February 2013 In his February 2013 report, the British Columbia auditor general said that Maximus 10-year contract with BC Health lacked adequate monitoring and had not brought the "expected benefits" it had promised.[92] Major deadlines were not met and no penalties were laid. Desktop and laptops were not replaced as often as agreed upon. Even after almost a decade, privacy issues had not been dealt with adequately. BC Health relies solely on the company to self-report breaches. Subcontractors were not given security audits. As well, auditing does not “provide assurance that data access and storage are limited to Canada and that the data can be segregated from the service provider’s parent companies.”[101]: 17 [93]

April 2021 An investigation by NPR and The Marshall Project found that many U.S. states were involved in the following practice, using Maximus as enabler and facilitator:

"Social Security pays benefits to children who have significant disabilities, when their parents are disabled, or if a parent has died. When the check goes to a minor, someone is designated as the representative payee, trusted to use that money in the best interest of the child. States routinely take that money to cover the cost of foster care, even though there are already state and federal sources to pay for it and even though other impoverished children and youth who don't get Social Security checks aren't responsible for paying for their foster care."[102]

Maximus was found to be among the consulting companies that were hired by states—including Alaska, California, Florida, Illinois, Iowa, Nebraska, New York, Maryland, and South Carolina—to locate foster children eligible to receive disability and other checks from Social Security and register them, for the sole purpose of generating revenue for the states.[103] Even after these foster children aged out of the foster care program, they were not able to get the Social Security funds to which they were entitled. Law professor Daniel L. Hatcher criticized the practice in his book The Poverty Industry.[104]

March 2022 A report by the Student Borrower Protection Center and the Communications Workers of America noted consumer complaints filed against Aidvantage in relation to federal student loans, and accused Maximus, its parent company, of mismanagement.[105]

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  102. ^ Arriaga, Alexandria (22 July 2022). "Decades after foster care, she learned she was owed benefits. Where did the money go?". www.npr.org. National Public Radio. Retrieved 10 October 2023.
  103. ^ Shapiro, Joseph (April 28, 2021). Morning Edition: Consultants Help States Find And Keep Money That Should Go To Foster Kids (Radio broadcast). NPR.
  104. ^ Hatcher, Daniel L. (2016-06-21). The Poverty Industry: The Exploitation of America's Most Vulnerable Citizens. NYU Press. ISBN 978-1-4798-6311-2.
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