The Centers for Medicare and Medicaid Services (CMS) awarded Fleishman-Hillard, Ketchum, Ogilvy PR Worldwide, Porter Novelli and Weber Shandwick open-ended PR contracts for up to seven years.

All but Fleishman-Hillard were defending contracts initially inked with CMS in 2006. Nine agencies submitted proposals.

The award means the agencies can compete against one another for CMS communications tasks. The combined contracts have a budget cap of $400 million. 

Projects are expected to include educational campaigns for a range of audiences, including social media, print media, outdoor advertising, direct mail, and PSAs.