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Contract Tracker
The federal health IT contracts worth watching, with sourcing, timing signals, and practical implications.
Contract Tracker shows public contract movement. Capture Intelligence (Premium) adds competitive analysis. MarketPulse delivers custom pursuit research on demand.
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Active
VA EHRM (Electronic Health Record Modernization)
Department of Veterans Affairs
VA's enterprise EHR modernization replacing VistA. Four Michigan sites went live April 11, 2026 (Detroit, Saginaw, Ann Arbor, Battle Creek) — the first wave of 13 sites planned for 2026 deployments (Ohio, Indiana, Kentucky, and Alaska to follow). Performance record... ★ 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. Worldwide deployment completed March 2024. Leidos bridge is a planned/reported ~$1.4B sole-source extension; competition is delayed to 2028 at the earliest. The reported sole-source bridge has been... ★ Full competitive note — Premium
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Federal Electronic Health Record Modernization (FEHRM)
DoD / VA Joint Program Office
FEHRM is the joint DoD-VA interoperability office — not a contract. Both agencies use the Oracle Health platform, but government ownership, data governance, and workflows differ. DoD completed MHS GENESIS deployment (March 2024). VA is in active deployment after the... ★ 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). Active / Awarded. SAM listed 30 original awards in October 2023, with the final roster reported at 33 after protest resolution (Taurian, Technatomy, Peregrin added via corrective... ★ Full competitive note — Premium
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VA Health Connect / IHT 2.0
Department of Veterans Affairs / VHA
VA/VHA Multiple-Award IDIQ — $14B / 10-year, 100% SDVOSB set-aside, 9 awardees, performance period August 2025 to August 2035. VA Health Connect functions include nurse triage hotline, telehealth coordination, clinical triage and escalation, and tele-emergency for veterans unable to reach... ★ Full competitive note — Premium
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Enterprise Intelligence & Data Solutions (EIDS)
Defense Health Agency (DHA) / PEO DHMS
EIDS is a PEO DHMS program / PMO — not a single contract — administering multiple vehicles. Scope spans the MIP (MHS Information Platform), the MHS Common Data Model, and data / AI / analytics / application hosting. Key accomplishment:... ★ Full competitive note — Premium
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DHA Enterprise Generative AI
Defense Health Agency (DHA)
Ask Sage announced (Dec. 8, 2025) an enterprise-wide generative AI agreement with DHA, claiming the first Impact Level 5 (IL5) GenAI offering authorized for Protected Health Information (PHI) in the Military Health System. The IL5 ATO for GenAI covering PHI... ★ Full competitive note — Premium
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CMS Rural Health Transformation
Centers for Medicare & Medicaid Services (CMS)
$50B CMS grant program (FY2026–FY2030) to states — not a contract. Strengthens rural healthcare infrastructure across all 50 states. Scope explicitly includes AI workflow modernization alongside telehealth, cybersecurity, and provider network development. Rural focus means telehealth-integrated AI tools for small/rural... ★ 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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MHS GENESIS-Theater + JOMIS (Operational Medicine Systems)
Defense Health Agency (DHA) / PEO DHMS
Per current PEO DHMS terminology, this program covers MHS GENESIS-Theater and JOMIS operational medicine systems — the deployed/theater version of MHS GENESIS for disconnected, low-bandwidth military operations. JOMIS is installed on USNS Mercy and integrated with MedCOP for real-time force... ★ Full competitive note — Premium
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DHA Telehealth Programs
Defense Health Agency (DHA)
Two key DHA telehealth programs. (1) Amwell Converge platform — Amwell/Leidos Digital First task order up to $180M over 22 months, replacing MHS Video Connect as the enterprise virtual health platform. Supports synchronous video, async messaging, care coordination, and MHS... ★ Full competitive note — Premium
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CMS Cloud Infrastructure (OCI)
Centers for Medicare & Medicaid Services (CMS)
Oracle announced (Feb. 11, 2026) that Oracle Cloud Infrastructure was selected to support select CMS workload migration on FedRAMP High infrastructure — part of CMS modernization. Combined with DoD MHS GENESIS (Oracle Health) and VA EHRM (Oracle Health), this would... ★ 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 HHS agencies including CMS, CDC, NIH, FDA. Implements zero trust architecture and continuous monitoring. Specific vendor and ceiling for the current health-data DEFEND prime is being verified... ★ 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 — not IT. T-5 generation went live January 1, 2025, replacing T-2017 contracts (Humana / TriWest regional transition). Dec 2025: DHA exercised Option Period Two — $7.34B for Humana, $719.4M for Evernorth pharmacy.... ★ Full competitive note — Premium
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TPharm5 (TRICARE Pharmacy)
Defense Health Agency (DHA)
TRICARE pharmacy benefit management. Express Scripts (Evernorth) holds HT940221C0007 with a reported award value of approximately $4.29B; specific option-year exercise dollar amounts require source verification before display. Express Scripts manages Rx benefits, claims, mail-order pharmacy, and retail network for all... ★ Full competitive note — Premium
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MPSM (Medicare Payment Systems Modernization)
Centers for Medicare & Medicaid Services (CMS)
Legacy Medicare claims system transformation — a CMS program (PMO), not a single contract. Multiple task orders for modernizing Part A, B, and D payment processing. Small businesses can access CMS analytics work through existing IDIQ paths or through the... ★ 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 the ONC Recognized Coordinating Entity (RCE), enabling interoperability across DoD, VA, CMS, and all federal health systems. FEHRM... ★ Full competitive note — Premium
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CDC DCIPHER (Disease Surveillance)
Centers for Disease Control and Prevention (CDC)
Palantir Foundry-based disease surveillance, outbreak detection, and population health monitoring for CDC. Originally COVID-19, expanded to broader surveillance. Coverage supported by FedScoop / Potomac reporting. Palantir also attempted DHA health IT entry through CSO framework but encountered government preference against... ★ Full competitive note — Premium
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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. Insufficient current evidence as a discrete federal health IT contract item — treat as Needs Source until specific SSA award/solicitation is verified.
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NIH STRIDES (Cloud for Biomedical Data)
National Institutes of Health (NIH)
Cloud platform tracking — NIH STRIDES Initiative provides discounted commercial cloud access for NIH-funded biomedical research, genomics processing, and AI/ML workloads. Specific vendor agreement values are not always public; treat as Cloud Program Watch until a discrete contract/vendor agreement is... ★ Full competitive note — Premium
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CDC DIBBs (Data Integration Building Blocks)
Centers for Disease Control and Prevention (CDC)
CDC Data Integration Building Blocks — modular data integration tools for state/local/tribal/territorial (STLT) public health agencies. Standardizes disease reporting and lab results. 2026 target: greater than 30% STLT adoption of at least one DIBBs product.
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Upcoming
Community Care Network Next Gen (CCN NG)
Department of Veterans Affairs
Next-generation VA community care MA-IDIQ (Solicitation 36C10G26R0003) for CCN Next Gen Medical, 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... ★ 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 COTS cloud AI ambient scribe at VA — enterprise IDIQ with April 2026 due date. Funded through the FY2027 VA Medical Services account. Prior contract (36C10B26C0025) went to Rise8 and Thoughtworks at $4.9M; foreign influence concerns related... ★ 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 — $300M Multiple-Award IDIQ for on-demand deployment of health IT solutions. One-year base + four option years. Scope: site preparation, training, change management, data migration, user adoption, and post-installation support for MHS GENESIS and OpMed product deployments. Evaluation... ★ 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. NEIS scope includes FedRAMP cloud storage, viewers, workflow, AI, DICOM/non-DICOM, and EHR integration. Currently in... ★ Full competitive note — Premium
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HHS HOPSS - HHS One Professional Services Solutions
Department of Health and Human Services (HHS)
Reported upcoming 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 would provide direct vehicle access for HHS-wide work without needing to sub... ★ Full competitive note — Premium
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HCDS - Health Care Delivery Solutions (MHS GENESIS Follow-On)
Defense Health Agency (DHA) / PEO DHMS
Industry day held March 31, 2026. Draft strategy separates work into distinct contract lanes: PMO support, product support, and services support — plus Technical Integration, Product Management, and Human-Centered Design (HCD) carve-outs. There will be no prime systems integrator. Authority... ★ Full competitive note — Premium
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FDA Sentinel 3.0
Department of Health and Human Services (HHS) / FDA
FDA Sentinel 3.0 (2026 updated market research) — reference 75F40126SSN00100. Scope: data broker services Tiers 1-6, GOCO platform Tier 7, and scientific support Tier 8. Sentinel is FDA's national electronic system for monitoring the safety of regulated medical products using... ★ Full competitive note — Premium
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VA Health Services DevSecOps
Department of Veterans Affairs / VA TAC
DA01 Health Services DevSecOps — new-contract Sources Sought (36C10B26Q0163). Scope: Agile health services applications across the lifecycle, ATO support, configuration management, UX, and sustainment.
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VA Data Center and Telecommunications Modernization
Department of Veterans Affairs / VA TAC
VA TAC Sources Sought 36C10B26Q0218 for infrastructure modernization — EOL replacement, standardization, and unified data center / telecommunications baseline supporting clinical and enterprise services.
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VA Supply Chain DevSecOps / HELM
Department of Veterans Affairs
Reported VA Supply Chain Management DevSecOps / HELM modernization — SCMDSO/HELM scope across DevSecOps, Zero Trust, cloud, data, and integration. Treat as Sources Sought reported until SAM.gov record is verified.
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CIO-CS Follow-On / The Store
NIH / GSA (watch)
NIH CIO-CS follow-on (a.k.a. 'The Store') Pre-RFP watch — reported ceiling ~$20B-$25B covering IT commodities, software, cloud, cyber, collaboration, and health IT. Multi-agency reach via the NIH/GSA assisted-acquisition pathway.
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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) — CSO/OTA pathway. SAM.gov shows the active CSO open until July 1, 2026. Active AOIs: 1b (AI/ML/NLP), 4 (Data Applications — canceled due to McKinsey task order dispute, but... ★ Full competitive note — Premium
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DHA Zero Trust 2.0 / GSP
Defense Health Agency (DHA)
Strategy watch — FY2026 initiative consolidating expiring health IT infrastructure contracts under a Global Service Provider model with Zero Trust 2.0 architecture. Strategy doc, not a discrete procurement at this stage. Covers network ops, endpoint security, cloud infrastructure for the... ★ 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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