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Who We Serve

Public Health

Powering Public Health Programs That Americans Depend On

Tria modernizes and operates the healthcare technology platforms that power Medicare, Medicaid, and innovation models. We strengthen the CMS and HHS systems that govern eligibility, payment integrity, and performance accountability through innovative, user-centered software solutions.

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Mission Context

Systems Built for Scale and Accountability

Public health programs operate at national scale and under tremendous scrutiny. Our teams are deeply embedded in CMS and other HHS agencies, enabling us to transform complex eligibility, claims, and provider data into actionable intelligence. Our deep mission understanding, combined with policy expertise and technical prowess, makes us the ideal mission partner to support fraud detection, provider risk scoring, attribution modeling, and real-time oversight.

100M+

beneficiaries supported

Enhancing systems that govern eligibility, enrollment, and care access

20+

Alternative Payment Models enabled

Supporting CMS innovation programs and value-based care initiatives

WHAT WE BUILD

Systems That Streamline Eligibility, Payment, and Performance

Eligibility and enrollment systems that determine access to care at national scale

Payment integrity and financial systems that ensure accurate, auditable reimbursement

Quality performance platforms that measure, score, and report outcomes

Data integration and API environments that connect fragmented systems

Operational support environments that sustain 24/7/365 program performance

Female doctor showing a tablet to an elderly woman sitting on an exam table in a medical office.

What Agencies Gain

Reliable Performance in Highly Visible Environments

Processing accuracy at national scale
01
Policy agility without disruption
02
Provider and beneficiary trust
03
Alignment with value-based care models
04

Proof Under Pressure

Core Mission Systems

Tria partners with public health agencies to modernize healthcare delivery, optimize revenue operations, and strengthen long-term sustainability. Through agile development, data-driven decision support, and modern digital platforms, we enhance beneficiary experiences and enable more efficient care across the nation.

Mission Systems in Operation

Delivering API-driven integrations and analytics supporting CMS CMMI Alternative Payment Models

Powering analytical models reviewing billions of eligibility transactions

Ensuring secure clinician scoring and performance-based reimbursement

Designing rules-based architecture and modeling for Medicaid fraud prevention

Delivering impactful enhancements through human-centered design and scaled agile framework (SAFe)

Supporting plan submission and benefit oversight for Medicare beneficiaries

Powering accountable care model participation, beneficiary attribution, and provider vetting.

Designing eligibility transaction platforms processing millions of verifications annually.

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