2025 is off to a great start! Next Phase to support the Health and Human Services in fighting healthcare fraud.

Beating out 3 bidders, Next Phase Solutions and Services, Inc. (Next Phase) is pleased to announce the contract award for the Master Data Management (MDM) system at the Health and Human Services. Under this contract, Next Phase provides accurate data to be used in fighting fraud, waste and abuse in HHS programs. This award marks the beginning of our seventh year of service to HHS for this program and offers new opportunities to further innovate and modernize data products used to fight fraud in federal and state healthcare programs.

Impact that Matters

This contract enables HHS program integrity contractors (UPICS, MEDICS, RACS, etc.), the Department of Defense (DoD), Department of Justice (DoJ), Federal Bureau of Investigation (FBI), Drug Enforcement Agency (DEA), U.S. Attorney’s Office, 92 private health care payment companies, all 50 State Attorney General and Law Enforcement Offices, 41 state/local jurisdictions, and 20+ healthcare associations, to have accurate provider data necessary to stop fraudulent payments. In 2023 alone, the data provided under this contract was used by these organizations and law enforcement partners to save Medicare an estimated $14.9 billion and produced a return on investment (ROI) of $8.3 to 1.   In FY 2023, federal and state collaborative program integrity efforts for Medicaid and CHIP resulted in estimated federal share savings of $2.3 billion (Report to Congress, Fiscal Year 2023 Annual Report on The Medicare and Medicaid Integrity Program).   

Next Phase will continue its exceptionally rated support of enterprise MDM by performing the following scope of work: Agile Transformation Services, Human-Centered Design Operations & Maintenance, Cloud Services Configuration, Design, Development, & Maintenance, DevSecOps, MDM Design & Development, ensuring Data Privacy & Security: Prioritizing data privacy and compliance with the highest security standards to protect sensitive information.

This contract award underscores our expertise and dedication in delivering cutting-edge solutions in fraud prevention, data management, cloud services, and cybersecurity. We are excited to collaborate closely with HHS and our partners to drive greater operational efficiency and data integrity, ultimately empowering HHS to fight fraud and deliver better services to millions of beneficiaries.

Stay tuned for more updates as we embark on this transformative journey to reshape the HHS data management landscape through greater adoption of AI solutions to fight fraud!

About Next Phase and Team

Founded in 2011, Next Phase Solutions and Services, Inc., and 8(a)/WOSB, has emerged as a dynamic force in the industry, renowned for its ability to understand complex business challenges and deliver innovative solutions that surpass expectations. The company’s Healthcare Practice specializes in IT Cloud modernization, Agile-built digital services, data and analytics, and generative AI, fostering enduring relationships with clients to anticipate their needs and drive mission success. For more information about our capabilities, visit here

Media Contact: 

Karen Rosenbauer, Chief Growth Officer, Next Phase | KRosenbauer@npss-inc.com

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