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Contract Tracker
The federal health IT contracts worth watching, with sourcing, timing signals, and practical implications.
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VA EHRM (Electronic Health Record Modernization)
Department of Veterans Affairs
VA's enterprise EHR modernization replacing VistA. Only 6 of 164 VA medical centers live as of March 2026 — 158 remain on legacy VistA. April 2026: 4 Michigan sites go live (Detroit, Saginaw, Ann Arbor, Battle Creek), followed by 9... ★ Full competitive note — Premium
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MHS GENESIS (DHMSM Bridge)
Defense Health Agency (DHA)
DoD enterprise EHR deployed at 3,200+ locations serving 9.5M beneficiaries and 205,000 providers. Deployment completed 2024. The sole-source bridge was justified by two factors: (1) documentation gaps — MHS GENESIS documentation lived inside Leidos's institutional knowledge, preventing competitive transition, and... ★ Full competitive note — Premium
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Federal Electronic Health Record Modernization (FEHRM)
DoD / VA Joint Program Office
Joint DoD-VA office coordinating EHR interoperability. Both agencies use the Oracle Health platform, but government ownership, data governance, and workflows differ. DoD completed MHS GENESIS deployment (2024). VA has 6 live sites with 13 planned for 2026 and ~145 remaining... ★ Full competitive note — Premium
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T4NG2 (VA IT Services)
Department of Veterans Affairs / VA TAC
VA's primary enterprise IT services vehicle — successor to T4NG ($22.3B, ~64% obligated). Awarded Oct 2023 to 30+ primes including 21 SDVOSBs. Task orders began March 2026 after one of the most contentious protest sagas in federal IT: 31 companies... ★ Full competitive note — Premium
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PEO DHMS CSO (Competitive Solutions Opening)
Defense Health Agency (DHA) / PEO DHMS
DHA's non-traditional acquisition pathway under OTA authority (10 U.S.C. § 4022). Active AOIs: 1b (AI/ML/NLP, proposals due July 1, 2026), 4 (Data Applications — canceled due to McKinsey task order dispute, but requirement remains valid). AOI 3 (Ambient Listening/DAX Copilot)... ★ Full competitive note — Premium
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VA Health Connect / IHT 2.0
Department of Veterans Affairs / VHA
VA's 24/7 virtual care, clinical triage, and tele-emergency program for veterans. IHT 2.0 is the underlying 100% SDVOSB set-aside IDIQ, awarded late 2025. VA Health Connect functions include nurse triage hotline, telehealth coordination, clinical triage and escalation, and tele-emergency for... ★ Full competitive note — Premium
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Enterprise Intelligence & Data Solutions (EIDS)
Defense Health Agency (DHA) / PEO DHMS
DHA's enterprise data and analytics program — not a single contract but a PMO administering multiple vehicles. Key accomplishment: Operation Helios migrated 1 petabyte of data (MDR + M2 legacy warehouses) into the MHS Information Platform (MIP) on AWS GovCloud... ★ Full competitive note — Premium
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DHA Enterprise Generative AI
Defense Health Agency (DHA)
First Impact Level 5 generative AI platform authorized for Protected Health Information in the Military Health System. Awarded Dec 2025. Ask Sage's IL5 ATO for GenAI covering PHI is extraordinarily difficult to obtain — establishing significant first-mover advantage in DHA... ★ Full competitive note — Premium
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CMS Rural Health Transformation
Centers for Medicare & Medicaid Services (CMS)
CMS $50B program strengthening rural healthcare infrastructure across all 50 states, awarded Dec 2025. Scope explicitly includes AI workflow modernization alongside telehealth, cybersecurity, and provider network development. The rural focus means telehealth-integrated AI tools for small/rural provider networks — a... ★ Full competitive note — Premium
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IHS Health IT Modernization (RPMS Replacement)
Indian Health Service (IHS) / HHS
Enterprise EHR replacing RPMS (Resource and Patient Management System) — IHS's legacy EHR built in-house since the 1980s, serving 2.6M American Indians and Alaska Natives across 575+ federally recognized tribes and 170+ facilities. GDIT awarded Nov 2023. Platform: Oracle Cerner... ★ Full competitive note — Premium
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JOMIS / OMEIS (Operational Medicine Systems)
Defense Health Agency (DHA) / PEO DHMS
Two related operational medicine IT systems: JOMIS (Joint Operational Medicine Information Systems) is the deployed/theater version of MHS GENESIS for disconnected, low-bandwidth military operations — installed on USNS Mercy, integrated with MedCOP for real-time force health tracking. OMEIS (Operational Medicine... ★ Full competitive note — Premium
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DHA Telehealth Programs
Defense Health Agency (DHA)
Two key DHA telehealth programs: (1) Amwell Converge platform ($180M task order with Leidos) replacing MHS Video Connect as the enterprise virtual health platform — supports synchronous video, async messaging, care coordination, and MHS GENESIS workflow integration. (2) MHS Global... ★ Full competitive note — Premium
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CMS Cloud Infrastructure (OCI)
Centers for Medicare & Medicaid Services (CMS)
CMS migrating mission-critical Medicare claims processing to Oracle Cloud Infrastructure on FedRAMP High. Announced Feb 2026. Combined with DoD MHS GENESIS (Oracle Health) and VA EHRM (Oracle Health), this creates a 3-agency Oracle ecosystem. Oracle's simultaneous investment in cloud datacenters... ★ Full competitive note — Premium
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CDM DEFEND (Health Data Cybersecurity)
CISA / DHS
Continuous Diagnostics and Mitigation DEFEND program. Protects health data and IT infrastructure across all HHS agencies including CMS, CDC, NIH, FDA. Implements zero trust architecture and continuous monitoring. Booz Allen also holds significant DHA analytics positions and is a credible... ★ Full competitive note — Premium
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TRICARE Managed Care Support - T-5 (MCS)
Defense Health Agency (DHA)
Managed healthcare delivery for 9.6M+ TRICARE beneficiaries. T-5 generation went live Jan 1, 2025, replacing T-2017 contracts. Dec 2025: DHA exercised Option Period Two — $7.34B for Humana, $719.4M for Evernorth pharmacy. This is managed healthcare contracting, not IT —... ★ Full competitive note — Premium
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TPharm5 (TRICARE Pharmacy)
Defense Health Agency (DHA)
TRICARE pharmacy benefit management. Express Scripts manages Rx benefits, claims, mail-order pharmacy, and retail network for all TRICARE beneficiaries. CY2026 option exercise: $719.4M.
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DHA Zero Trust 2.0 / GSP
Defense Health Agency (DHA)
FY2026 initiative consolidating expiring health IT infrastructure contracts under a Global Service Provider model with Zero Trust 2.0 architecture. Covers network ops, endpoint security, cloud infrastructure for the MHS. Part of the broader PAE restructuring under Hegseth's Nov 2025 Warfighting... ★ Full competitive note — Premium
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MPSM (Medicare Payment Systems Modernization)
Centers for Medicare & Medicaid Services (CMS)
Legacy Medicare claims system transformation. GDIT holds MPSM contracts; CMS CG&PM recompete is also a GDIT path. Multiple task orders for modernizing Part A, B, and D payment processing. Small businesses can access CMS analytics work through GDIT sub paths... ★ Full competitive note — Premium
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TEFCA / RCE (Health Information Exchange)
HHS ONC/ASTP
Trusted Exchange Framework and Common Agreement — foundational nationwide health information exchange mandated by 21st Century Cures Act. Sequoia Project operates as Recognized Coordinating Entity (RCE), enabling interoperability across DoD, VA, CMS, and all federal health systems. FEHRM interoperability requirements... ★ Full competitive note — Premium
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CDC DCIPHER (Disease Surveillance)
Centers for Disease Control and Prevention (CDC)
Palantir Foundry for disease surveillance, outbreak detection, and population health monitoring. Originally COVID-19, expanded to broader surveillance. Palantir also attempted DHA health IT entry through CSO framework but encountered government preference against proprietary platform approaches.
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SSA DCPS2 (Disability Claims Processing)
Social Security Administration (SSA)
Disability claims processing modernization with heavy health records integration. Processes medical evidence for disability determinations.
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NIH STRIDES (Cloud for Biomedical Data)
National Institutes of Health (NIH)
Discounted commercial cloud access for NIH-funded biomedical research, genomics processing, and AI/ML workloads.
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CDC DIBBs (Data Integration Building Blocks)
Centers for Disease Control and Prevention (CDC)
Modular data integration platform for state/local/tribal public health agencies. Standardizes disease reporting and lab results. Deploying to 30% of STLTs by 2026.
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Upcoming
Community Care Network Next Gen (CCN NG)
Department of Veterans Affairs
Next-generation VA community care IDIQ (36C10G26R0003) replacing current CCN regional contracts. Two new mechanisms enter that do not exist in current CCN: (1) value-based payments starting with lower-extremity joint replacement episodes, with at least three more VBP models added over... ★ Full competitive note — Premium
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Related Analysis
CCN Dental (36C10G26R0004)
Department of Veterans Affairs
Companion dental network management vehicle to the CCN Next Gen medical IDIQ. Separate procurement, same structural logic: multiple-award IDIQ for nationwide dental network coordination for veterans using community care. New vehicle — no standalone dental companion existed in prior CCN... ★ Full competitive note — Premium
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VA Ambient Scribe IDIQ (36C10B26R0006)
Department of Veterans Affairs
Five-year IDIQ for ambient AI documentation at VA. Funded through the FY2027 VA Medical Services account. Prior contract (36C10B26C0025) went to Rise8 and Thoughtworks at $4.9M; foreign influence concerns related to Thoughtworks were flagged and VA OIG was actively soliciting... ★ Full competitive note — Premium
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DHA Data Governance (WOSB Set-Aside)
Defense Health Agency (DHA)
Solicitation HT001126RE011 — WOSB set-aside for enterprise data governance using a VAULTIS-Guided Framework. Scope: comprehensive baseline data inventory, centralized metadata repository, Analysis of Alternatives for enterprise data catalog, and automated metadata harvesting tools. Performance period Jan 30, 2026 to Jan... ★ Full competitive note — Premium
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PEO DHMS Deployment Solutions (New IDIQ)
Defense Health Agency (DHA) / PEO DHMS
Solicitation HT003826RE001 — new Multiple-Award IDIQ for on-demand deployment of health IT solutions. Scope: site preparation, training, user adoption, and post-installation support for MHS GENESIS and OpMed product deployments. Evaluation includes two challenge scenarios (Federal EHR deployment and OpMed product... ★ Full competitive note — Premium
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VA Enterprise Imaging (NEIS + Multi-VISN PACS + Bi-Directional)
Department of Veterans Affairs
Three connected VA imaging modernization procurements: (1) NEIS — National Enterprise Imaging Solution (36C10X25Q0015, est. $300-500M, FY2027) replacing fragmented PACS/VNA across 170+ VA medical centers. (2) Multi-VISN PACS (36C10X24Q0024, est. $50-90M, Q3 2026) modernizing imaging across multiple Veterans Integrated Service... ★ Full competitive note — Premium
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HHS HOPSS - HHS One Professional Services Solutions
Department of Health and Human Services (HHS)
A $3.6B small business vehicle covering HHS-wide STEM and IT services — health data analytics, cybersecurity, and digital transformation for CMS, CDC, NIH, and FDA. If awarded, HOPSS provides direct vehicle access for HHS-wide work without needing to sub through... ★ Full competitive note — Premium
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HHS Cybersecurity and Data Management FY2026
Department of Health and Human Services (HHS)
HHS cybersecurity work flows through established vehicles (CDM DEFEND is Booz Allen at $1.2B). Watch for task orders on CIO-SP3 or OASIS+ with small business set-asides. Multiple solicitations expected across FY2026 covering zero trust, continuous monitoring, and health data protection... ★ Full competitive note — Premium
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HCDS - Health Care Delivery Solutions (MHS GENESIS Follow-On)
Defense Health Agency (DHA) / PEO DHMS
MAJOR UPDATE (March 31, 2026 Industry Day): DHA has abandoned the prime SI model. There will be no prime systems integrator. The program office retains decision authority and enforcement. A Technical Integration contract will perform traditional SI functions (architecture, engineering,... ★ Full competitive note — Premium
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Opportunity Radar
AI-scanned federal health IT opportunities with confidence estimates, updated daily
Scanning for opportunities...
Small Business Vehicle Opportunities
AI-predicted vehicle assignments for federal health IT opportunities, updated daily
Scanning vehicle opportunities...
How we source this data
Contract names, agencies, award dates, and ceiling values confirmed against SAM.gov, USASpending.gov, agency announcements, or congressional records. Each entry shows a "last verified" date.
Recompete timelines, contract ceilings without public disclosure, and opportunity confidence scores are estimates based on historical patterns and available signals. These are labeled as estimates wherever they appear.
Strategic implications, likely vehicle assignments, and competitive positioning are editorial analysis based on procurement patterns. These represent informed judgment, not confirmed facts.
Curated contract data is reviewed and updated regularly. Opportunity Radar and Vehicle Radar run automated daily scans. Always verify independently on SAM.gov or the relevant agency procurement portal before making business decisions.
Vehicle Radar
Which contract vehicles are seeing the most federal health IT activity. Based on recent task order postings and MMT contract tracker analysis. Assessment as of April 2026. For FY2027 budget signals, see the Capture Intelligence sheet.
| Vehicle | Agency | Activity | Trend | Why |
|---|---|---|---|---|
| CIO-SP3 | NIH/NITAAC | High | ▲ | Absorbing CIO-SP4 demand. Extended runway, no replacement vehicle. |
| OASIS+ | GSA | Increasing | ▲ | Health IT consulting and PMO work shifting here post-CIO-SP4. |
| T4NG / T4NG2 | VA TAC | High | ▶ | T4NG2 task orders beginning. Protests resolved. |
| MHS EITS | DHA | Steady | ▶ | Infrastructure renewals and cybersecurity upgrades ongoing. |
| GSA MAS | GSA | Moderate | ▶ | COTS health IT products. On-ramp for smaller firms. |
| SEWP VI | NASA | Increasing | ▲ | Picking up demand from CIO-SP4 void. IT products/services. |
Vehicle activity based on SAM.gov task order postings and MMT contract tracker data. Not a predictive model.
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