CGI Federal Health and Social Services

Medicare.gov, MyMedicare.gov and CMS.gov collectively enable the Centers for Medicare & Medicaid Services (CMS) to help citizens make informed and personalized healthcare decisions. CGI’s work has helped turn static sites into portals that act as the healthcare gateway for 100 million Americans. The Provider Enrollment, Chain and Ownership System (PECOS), Medicare’s provider and supplier enrollment system, safeguards the Medicare trust fund and expenditures and provides controls to maintain data integrity.

The Open Payments national physician transparency program fulfills Section 6002 of the Affordable Care Act. CGI built and supports the Open Payments system which allows citizens to gain insight into financial transactions between providers and pharmaceutical, biologic and medical device manufacturers. As of the Open Payments FY20 Annual Report to Congress, Open Payments has published 76.25 million records, representing $53 billion in payments, ownership and investment interest..

The Promoting Interoperability (formerly EHR Incentive) program registration and attestation system has generated more than $30 billion in Medicare and Medicaid EHR incentive payments for eligible providers to date.

CGI works with the Federal Health Architecture (FHA) and strategic partners to develop the U.S. government’s most widely adopted open source gateway for the secure exchange of health information. Known as CONNECT, this transport gateway enables a patient’s health record to follow his or her journey throughout the healthcare system. Learn more about CGI and federal health data exchange.

CGI designed the CONNECT Empowering Opioid Exchange pilot program for HHS to identify potential misuse of prescription drugs by linking federally managed patient records with state prescription data records.