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Independent analysis of the policy, procurement, and platform decisions shaping federal health IT.
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What actually matters this month.
~$88.9B est. contract value; ~$700B statutory IDIQ ceiling; $56.2B FY2027 community care account (+17%). Value-based payments and utilization management enter the contract — neither exists in current CCN.
Competitive Federal EHR follow-on modernizing MHS GENESIS across 4,386 locations / 9.6M beneficiaries. Sole-source bridge to the incumbent, then open competition; scope spans integration, product management, help desk, deployment, end-user support.
$300M multiple-award IDIQ, 5-year, 6-9 expected primes; CONUS/OCONUS deployment including austere/limited-connectivity sites. CMMC Level 2, strict data-rights and OCI terms.
+21 more signals across DHA, DHA CDAO, PEO DHMS, ARPA-H, CMS, and compliance
Each includes action window and confidence label.
Trusted by operators, program leaders, and federal health decision-makers.
"Exceedingly well articulated. I truly appreciate you speaking to the budget and mindset. Thanks for putting it out there."
LTG Telita Crosland (Ret.) Former Director, Defense Health Agency"A brilliant article that describes the state not just of CMS, but SSA and several others. I feel like you just summed up my job."
Samara Richardson Former Senior Executive (SES), SSA"You summarize complex federal technology issues in such a clear, concise way. Please keep the articles coming!"
Karen Brazell, DSL, PMP Senior VA Innovation LeaderThis week's analysis.
The Scorecard DHA Already Publishes
Vice Adm. Darin Via's line that data is the Defense Health Agency's North Star got loose this week. The strategy underneath it is eight pages, signed in March, with the right principles and no dates. Each of its five lines of effort has been built somewhere with a number on the page, and the places where the same work failed are on the record too. This issue walks each line against both, and ends at the scorecard DHA has been publishing for a year without calling it one.
The Man Who Publishes His Plan
This week Matt Clark told his LinkedIn network he had accepted the job of Assistant Director for Research, Development, and Acquisition at the Defense Health Agency, and with it the title of Component Acquisition Executive, effective at the end of the month. In March 2019 he published, in Army acquisition media, the fiscal year in which a naloxone auto-injector still in prototype would clear the FDA. It cleared in that fiscal year. As of this week dha.mil still lists the seat as acting, and the buying machinery around it was rebuilt this spring.
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