Current Problems with MCA Sedgwick and its Management of the WTC National Program
NPN: Home | 2022-2026
Since the Program’s inception in 2011, the Federal contract to run the National Provider Network (NPN) had been with Logistics Health Incorporated (LHI).
Logistics Health Incorporated had difficulties in delivering services across the country as documented in press reports but there were plans to improve service delivery, with better recruitment of providers, to establish brick and mortar locations in areas with high membership numbers, in addition to other steps to address the problems.
However, on November 23, 2021, the Centers for Disease Control (CDC) announced it had awarded the contract to run the Nationwide Provider Network to a new vendor, Managed Care Advisors (MCA)-Sedgwick (Sedgwick).
Since then, 911 Health Watch has documented the repeated failures of Sedgwick and its inability to effectively and consistently deliver services to the World Trade Center Health Programs over 40,000 9/11 responders and survivors’ members in the World Trade Center Health Program’s National Program.
You can see that on our webpage: Problems with MCA Sedgwick and its Management of the WTC National Program 2022 thru 2026.
In May of 2026, in a surprising development, the CDC contract office awarded another five-year contract to Managed Care Advisors – Sedgwick worth 86 million dollars to continue to administer health services for 9/11 responders and survivors enrolled in the WTC Health Program who reside outside the New York metropolitan area.
911 Health Watch wrote to Health and Human Services Sectary Robert Kennedy Jr. on May 22, 2026, urging that this decision be immediately reversed and the contract to Sedgwick be withdrawn.
Here are excerpts from that letter:
We are shocked that your Department has awarded a new $86 million contract to Managed Care Advisors/Sedgwick (Sedgwick) to administer health services to the over 40,000 9/11 responders and survivors enrolled in the WTC Health Program who reside outside the New York metropolitan area. For the past five years, Sedgwick has been the program contractor administering the WTC National Provider Network (NPN) after winning the contract in 2021 as the low bidder. From the time it assumed the NPN contract responsibilities, Sedgwick’s performance has been abysmal in every respect – from poor member services to inadequate numbers of qualified providers, to delayed payment for delivered health services. Even after Sedgwick was provided an additional 23 million dollars in funding for expanding provider networks, Sedgwick continued to perform poorly, failing to provide 9/11 responders and survivors the health care services they need and deserve.
Given the history of Sedgwick as the Administrator of the National Provider Network, this recent award is disturbing.
911 Health Watch has not received a response yet.
You can view the letter here, and its Attachment 1 and Attachment 2.
911 Health Watch is continuing to document the problems that Sedgwick continues to cause 911 responders and survivors and advocates for members when they are not receiving the care that they should.
Are you a WTC Health Program member having problems getting services from Sedgwick and the National Program?
If you are a 911 responder or survivor in the National Program getting services from Sedgwick and you experience any disruptions with your care, have concerns about your care and/or questions you can contact 911 Health Watch by going to our web respond portal and we will get back to you.
Here is our 911 Health Watch Contact Us Portal.
WTC Health Program Website on Nationwide Provider Network Transition
Nationwide Provider Network Transition Information (cdc.gov)
Letters
May 22, 2026, 911 Health Watch letter to HHS Secretary Robert Kennedy Jr.
News Articles about Sedgwick and its WTC Health Program Contract
Claritev Corporation Is Selected By General Dynamics Information Technology To Support CDC’s World Trade Center Health Program
Claritev Corporation | September 25, 2026
As part of GDIT’s team, Claritev will leverage its existing provider network to administer the Nationwide Provider Network (NPN), ensuring members across the country have access to available, high-quality healthcare.
J29 Selected by GDIT to Support World Trade Center Health Program Members Nationwide through CDC Third-Party Administrator (TPA) contract
J29 Inc. | September 11, 2026
The WTC Health Program TPA contract centralizes key administrative functions to improve efficiency and the member experience. As the TPA, GDIT is responsible for managing member enrollment, managing and expanding provider networks, administering medical benefits, and processing claims.
Good claims handling has become a competitive advantage
Insurance Business | July 11, 2026
When a claim is made, customers do not distinguish between the insurer, the broker or the third-party administrator. They judge the brand they bought from.
The World Trade Center Health Program Announces National Program Administrator (NPA) Award
World Trade Center Health Program | May 15, 2026
The World Trade Center (WTC) Health Program awarded the National Program Administrator (NPA) contract to Sedgwick Government Solutions, Inc. on May 12, 2026.
Sedgwick Government Solutions beats out 4 to win $87M CDC World Trade Center Health Program National Program Administrator (NPA) contract
OrangeSlices | May 15, 2026
This trusted partner for federal agencies across the U.S., helping them manage risk and claims with confidence, was awarded a 5-year contract by the Centers for Disease Control and Prevention (CDC) to serve as the National Program Administrator (NPA) for the World Trade Center Health Program.
News Articles About Other Problems with Sedgwick
Injured Fort Worth officer asks: What’s being done to fix workers’ comp?
Fort Worth Star-Telegram | October 4, 2026
In January, City Council Member Charles Lauersdorf wrote in a social media post that he was “declaring war on Sedgwick,” the company that manages workers’ compensation claims for Fort Worth employees.
Council Moves to Address Long-Standing Compensation Claims Following Water Tank Collapse
Back to Basics (Substack) | January 29, 2025
Since the catastrophic failure of the Snowy No. 1 Water Reservoir in January 2020, several homeowners have fought for compensation to address property damage, financial losses, and contamination concerns.
Revealed: Amazon touts high wages while ignoring issues in its warehouses
The Guardian | August 7, 2019
The company has responded to criticism over its working conditions by claiming it is an industry leader in compensation, but a Guardian investigation has revealed many workers take issue with this messaging, as serious workplace issues remain that they say are still not being addressed.