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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
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Karen Brazell, DSL, PMP Senior VA Innovation LeaderThis week's analysis.
The Floor at Winston-Salem
In May 2012 VA's Inspector General walked the sixth floor of the Winston-Salem regional office and found 37,000 veterans' claims folders stacked on top of the file cabinets, the floor bowing under them. That fiscal year the average claim took 378 days. Last Tuesday VA reported three million claims completed this year at an average of about 76. The folder on that floor and the number in that release are the same object thirteen years apart, and what happened in between was built from parts any agency can buy, in an order the Department of War, Social Security, and the military disability system can copy.
A Question From the Floor
On September 15, in the telehealth and patient portal session of the Federal Electronic Health Record Modernization office's annual summit, a participant asked what the two departments are doing about DoD Instruction 6040.48, the 2018 policy that says the Military Health System will give every beneficiary a personal health record the patient controls. The panel answered that the portal is a different thing. The same session then called the portal a digital front door, a phrase DoW used in its own 2024 solicitation for one. This issue reads the instruction that says which of those is true, follows what the departments built and unbuilt in the eight years since, and ends with the two people the portal serves least: a sergeant who leaves in November and a fifteen-year-old who cannot log in at all.
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