At Next Phase, we combine deep expertise with advanced technology to modernize legacy systems, transform digital experiences, and deliver data-driven solutions that empower federal healthcare agencies to operate more effectively.
Clinical Quality Analytics & Measures for Value Based Care
Next Phase drives improved patient outcomes. Our clinical informatics experts and quality measure specialists partner with CMS to advance measures that guide hundreds of thousands of providers toward healthier patients. Across HHS, we connect provider capabilities, care processes, and outcomes to enable value-based care while reducing administrative burdens.


Data Interoperability & Point of Service Information
Next Phase transforms how providers access patient information. By enabling real-time insights, we help improve the beneficiary experience across eligibility, enrollment, case management, and payment processes.
Federal Marketplace
Next Phase ensures seamless care through the Federal Marketplace. We track beneficiary enrollment across Medicaid, employer coverage, and Marketplace plans, verifying payments and enabling providers and health plans to deliver timely, accurate care.


Medicaid
Next Phase strengthens services for those who need them most. We accelerate data exchanges and provide CMS with tools to manage Medicaid and CHIP initiatives—including Quality Measure Reporting, SPAs, Waivers, and Demonstrations—helping federal and state partners stay aligned and responsive to the evolving needs of state programs.
Program Integrity
Next Phase safeguards access and prevents fraud across the healthcare journey. Our experts and engineers develop advanced FWA detection models, streamline case management workflows, provide self-service analytics and visualizations, and enable data access that powers the CMS Fraud War Room that protects patients, providers, and programs with precision and efficiency.


Public Health
Next Phase turns data into actionable impact. We support HHS in advancing public health initiatives and health research, providing insights and operational solutions that help agencies respond to emerging challenges, promote health equity, and improve the well-being of communities across the nation.

