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FEEDING OFF THE PENTAGON -- How did William Winkenwerder,
a former Pentagon health official, win an $800
million DoD
contract for his healthcare firm? That's what
government watchdogs want to know.

(graphic by Mignon Khargie / Salon)
For more about William Winkenwerder, use the VA
Watchdog search engine...click here...
http://www.yourva
benefits.org/sessearch.php?q=winkenwerder&op=and
For more about QTC, the company owned by former
VA Secretary Anthony Principi and employer of VA Secretary nominee Dr.
James Peake, use the VA Watchdog search engine...click here...
http://www.yourvabenefits.org/sessearch.php?q=qtc&op=and
For more investigative pieces by Mark Benjamin,
use the VA Watchdog search engine...click here...
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yourvabenefits.org/sessearch.php?q=mark+benjamin&op=ph
Today's story here...
http://www.salon.com/news/feature/2007/12/04/va_contract/
Story below:
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-------------------------
Feeding off the Pentagon
How did a former Bush official win an $800
million Department of Defense contract for his healthcare firm? That's
what government watchdogs want to know.
By Mark Benjamin
In April 2007, William Winkenwerder Jr. retired from his position as
assistant secretary for health affairs at the Department of Defense, where
he had been in charge of all military healthcare. On June 1, he went to
work for a Wisconsin-based private contractor named Logistics Health Inc.,
which hired him to serve on its board of directors and "advise and counsel
LHI on business development," according to a company press release. It was
a hire that seems to have paid quick dividends.
On June 13, 2007, the Department of Defense began accepting bids for a
contract to give soldiers medical and dental exams before they head off to
war. Logistics Health was among the companies bidding on the contract,
which was worth hundreds of millions of dollars over four years. Before he
left the DOD, in addition to running military healthcare, Winkenwerder had
also been in charge of the office that wrote the contract.
On Sept. 25, Logistics Health won the contract despite bidding $800
million, meaning it was not the low bidder. At least one other company bid
$100 million less.
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After objections by competing companies, the
contract has now been "stayed," or put on hold, while the Government
Accountability Office, the investigative arm of Congress, evaluates those
complaints. At least one firm alleging unfair bidding practices has also
asked congressional watchdog Rep. Henry Waxman, D-Calif., to investigate.
But the contract may still be awarded to Logistics Health; the GAO will
issue a decision by Jan. 14. The contract, which at one time was also
going to benefit a second firm with its own revolving door to the federal
government, exemplifies the culture of cronyism in privatized military
healthcare. Military healthcare is a lucrative wartime bazaar for private
contractors that is largely free of oversight -- and of Halliburton- or
Blackwater-size headlines.
You might remember William Winkenwerder from earlier this year. While
still at the Pentagon and responsible for military healthcare, he
expressed shock at reports in the Washington Post on neglect of
outpatients at Walter Reed Army Medical Center, even though Salon had
reported the same neglect two years earlier. "This news caught me -- as it
did many other people -- completely by surprise," he said at a Feb. 21
press conference.
On paper, the process of awarding the contract for soldiers' medical and
dental exams was handled through the U.S. Army Medical Research
Acquisition Activity, a contracting shop at Fort Detrick in Frederick, Md.
Winkenwerder didn't control that office when he was at the Pentagon.
But as assistant secretary of defense for healthcare, Winkenwerder was
also director of a DOD office called TRICARE Management Activity. When the
government contracts out for services, the details of the services it
wants from a bidder are contained in a document called the "statement of
work." In the case of the medical and dental exam contract, the "statement
of work" was not written at Fort Detrick, where it belonged officially,
but by Winkenwerder's office, TRICARE Management Activity. "We are just
the contracting office," explained Christopher Sherman, a civilian
official at Fort Detrick. "That contract is managed by the TRICARE
Management Activity ... We have them put together the statements of work
and the solicitations." Sherman said Winkenwerder's office had been
preparing the contract since late 2006.
Dina Rasor, author of "Betraying Our Troops: The Destructive Results of
Privatizing War," said it was likely that Winkenwerder's office configured
the statement of work in such a way that a contract would be awarded to a
favored company over its competitors. Though she had not reviewed the
statement of work in question, Rasor said manipulating these documents is
a common abuse in government contracting. "They take something unique
about the company and they put that in the statement of work or [add]
requirements that the other companies [can't meet]," said Rasor. "It is
the kind of thing that is hard to put your finger on. These people have
become very sophisticated at doing this."
The competing companies that protested the Logistics Health deal have
taken note of Winkenwerder's role. "I think it is a conflict scenario,"
said Charles Roché, chairman of United States Military Dental Service
Corp. He expressed the alleged conflict of interest in a rhetorical
question. "You end up being employed by the very people that you are
helping put together the deal for?"
Roché and other contractors have also seized on what they say is an
additional anomaly with the contract. When Logistics Health put together
its bid, it partnered with other firms, including QTC Management Inc.,
another contractor that is the largest private provider of
government-outsourced disability examination services in the country. The
company has raked in hundreds of millions through contracts with the
Department of Veterans Affairs. Anthony Principi, the former secretary of
the VA, is chairman of the board. And President Bush recently nominated
QTC Management chief operating officer James Peake to be the next VA
secretary. (Peake was also the former Army surgeon general through 2004.)
His confirmation hearing is slated for Dec. 5.
The details of the proposal that Logistics Health submitted to the Defense
Department are not public. It is known that QTC Management was supposed to
be a partner in the deal; competitors like Roché believe QTC Management
was supposed to be a significant partner, since it employs more than 600
clinical associates to perform the sort of medical exams the contract
would require. This fall, investors from Logistics Health and QTC
Management were even in merger talks.
But on Sept. 10, just days before the contract was awarded, QTC suddenly
withdrew from the Logistics bid and pulled the plug on merger talks, both
for reasons unknown.
In a telephone interview, Principi, the QTC chairman, would not say why
his company suddenly cut off relations with Logistics Health mere days
before the $800 million contract was awarded. "It was just a business
decision that was made," Principi said. "QTC decided not to have anything
to do with LHI."
But more important, other contractors say the Defense Department was aware
of the falling out. And that means that right before Logistics Health won
the contract, the company lost what was probably a significant partner --
a partner whose potential contribution DOD must have evaluated when
considering which bidder was most qualified to get the contract.
Other contractors were flabbergasted that Logistics Health was still
awarded that $800 million contract, despite QTC's exit just days earlier.
"That's like saying I made a deal with you and this is what you are
supposed to do, and I am going to sign this deal," explained Roché. "But
... the very people that were part of the deal are no longer present on
your side of the desk. So how can you tell me you are able to make a deal
when half of your business fell apart?"
Roché's protest was dismissed by the GAO on technical grounds. But another
company, Comprehensive Health Services, has also objected to the award of
the massive contract. The GAO will decide the merits of the protest by
Jan. 14.
And Roché has also appealed to Congress for help. "At the time the
contract was awarded, LHI had lost its partner in the bid," Roché recently
wrote Henry Waxman, the pugnacious California Democrat who has subpoena
power as chairman of the House Committee on Oversight and Government
Reform. "The offering made to the government was substantively altered by
the withdrawal of a key partner in the bid."
Waxman's staff did not return a call from Salon seeking comment. But on
Nov. 8, Waxman wrote Roché saying his investigative staff would review
information passed along by Roché.
In a statement to Salon, Diana Henry, the Logistics Health corporate
communications manager, said, "Logistics Health Incorporated (LHI) has
established a reputation as an outstanding company with a track record of
superior service to its customers." She added that the company "conducts
all of its business activities in a highly ethical and professional
manner." She did not respond to questions about Winkenwerder.
In an Oct. 26 Los Angeles Times article, Winkenwerder was quoted as saying
that he had nothing to do with the procurement process, had not talked to
Logistics Health about working there until after he left the government in
April, and had not lobbied the government for the contract after leaving
the Pentagon. The Los Angeles Times article contained the first report
that other companies had protested the contract, and that one losing bid
from another firm was for $100 million less than the Logistics Health
proposal.
Interestingly, prior to this award Logistics Health had already had a
contract to perform medical and dental exams on guard and reserve
soldiers, which ended in 2006. But that contract was administered through
the Department of Health and Human Services, a major client that has paid
the company more than $185 million since 2000, according to data available
through the nonprofit group OMB Watch. Logistics Health's president is
Tommy Thompson, the former secretary of that department, who joined the
company in March 2005 two months after leaving DHHS.
In September 2006, the government announced that the responsibility for
the contract would be transferred from DHHS to the Department of Defense.
Winkenwerder joined Logistics Health in June 2007, two months after
leaving the DOD, and in September the company won the new contract from
the DOD for performing medical and dental exams.
-------------------------
Larry Scott --
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