HHS Technology Group
HHS Technology Group is a cloud-based, AI-powered healthcare IT software company that provides modular Medicaid Management Information Systems (MMIS) modernization solutions—including provider enrollment, credentialing, third-party liability recovery, and data analytics—to U.S. state and federal health agencies, healthcare payers, providers, and research institutions.
- Company typePrivate
- Founded2018
- HeadquartersFort Lauderdale, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What HHS Technology Group does
HHS Technology Group, LLC (HTG) is a cloud-based, AI-powered healthcare IT software company founded in 2017 and headquartered in Fort Lauderdale, Florida, with additional offices in Sacramento, Helena, and Cheyenne. The company builds modular Medicaid Management Information Systems (MMIS) modernization software for state and federal government health agencies, organized around five core products: Discover your Provider (DyP) for AI-driven provider enrollment, credentialing, and verification; Verify your Entity (VyE) for entity credentialing; Recover your Liability (RyL) for ML-based third-party liability recovery; HTG FHIR for HL7-compliant interoperability; and Discover your Data (DyD) for AI-powered healthcare analytics. In 2024 HTG launched ConstellationAI, combining the DyD platform with a generative AI assistant called Galileo for healthcare digital asset exploration and decision support. The company's primary customers are U.S. state Medicaid agencies (Wyoming Department of Health and Florida Agency for Health Care Administration are flagship deployments), with secondary segments including healthcare payers, providers, pharmaceutical organizations, nonprofit foundations (notably the National Kidney Foundation's KidneyCARE Study), and academic research institutions connected through the COVID-19 Research Database consortium.
HTG monetizes through multi-year SaaS licensing of its modular platform, supplemented by implementation and professional services for system migration from legacy MMIS estates. Distribution is direct enterprise field sales to state agencies and federal health entities, augmented by the NASPO ValuePoint cooperative purchasing vehicle—which certifies HTG as one of only six approved MMIS provider services vendors—and a channel partnership with Noridian Healthcare Solutions that bundles HTG software with Noridian's administrative services. The company is privately held and appears to be backed by institutional investors, with a leadership mandate installed in 2022–2023 to transform HTG from a healthcare solutions business into a technology-led, AI-driven platform.
The company carries a rigorous compliance posture—SOC 1, SOC 2 Type I, SOC 2 Type II, HL7 FHIR, NCQA Certified Verification Organization, and NASPO ValuePoint—and operates a substantial data asset via the COVID-19 Research Database (85 billion HIPAA-compliant patient-level records, 300+ million individuals, 100+ contributing data sources) that underpins its analytics and research offerings. Performance outcomes reported on production deployments include reducing Medicaid provider enrollment time from over one month to under five days (under 12 hours for clean enrollments in Wyoming). Headcount is reported at 51–100 employees, consistent with an early-scale-up enterprise software firm rather than a mature vendor.
HHS Technology Group firmographics
Firmographics- Name
- HHS Technology Group
- Legal name
- HHS Technology Group, LLC
- Website
- https://hhstechgroup.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- HHS Technology Group is a cloud-based, AI-powered healthcare IT software company that provides modular Medicaid Management Information Systems (MMIS) modernization solutions—including provider enrollment, credentialing, third-party liability recovery, and data analytics—to U.S. state and federal health agencies, healthcare payers, providers, and research institutions.
- Ownership category
- akta.pro rank
HHS Technology Group industry classification
Industry- Product category
- Healthcare IT Software (Medicaid Management Information Systems)
- NAICS
- Computer Systems Design and Related Services (5415), Computer Systems Design and Related Services (54151), Custom Computer Programming Services (541511)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373)
- akta.pro primary industry
- Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
- akta.pro secondary industries
- Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE) (HLACABAA), HIE Platforms & Network Services (Community/Regional/National) (HLACABAB), Health Information Exchange & Public Health Data Integration (HLAJAJAD), Care Management & Coordination Platforms (case/disease management workflows) (HLACAHAD)
Keywords
Where HHS Technology Group is headquartered
LocationHeadquarters
- HQ city
- Fort Lauderdale
- HQ country
- United States
- HQ region
- North America
Offices4 records
Markets served
HHS Technology Group business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Infrastructure, Marketing or Sales
Revenue model
- SaaS/Software Licensing: HHS Tech Group generates revenue through cloud-based SaaS platform licensing to government agencies and healthcare organizations. Solutions are modular, allowing agencies to deploy single modules or full platforms.
- Implementation and Support Services: Professional services for system implementation, migration from legacy systems, and ongoing technical support for Medicaid modernization projects.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Multi-year contract | Modular MMIS solutions available for government agencies |
Go-to-market motion1 record
Distribution channels3 records
Marketing channels6 records
HHS Technology Group product offering
Product offeringCore offering
HHS Technology Group builds and licenses modular, cloud-based, AI-powered SaaS platforms for Medicaid Management Information Systems (MMIS) modernization and healthcare data analytics. Its offerings include provider enrollment and credentialing (DyP), entity verification (VyE), third-party liability recovery (RyL), a data analytics and interoperability platform (DyD), an HL7 FHIR-compliant interoperability layer, and the ConstellationAI generative-AI innovation featuring the Galileo assistant. Solutions are sold to state and federal Medicaid agencies, healthcare payers, providers, pharmaceutical organizations, and nonprofit research institutions.
Product overview
HHS Technology Group (HTG) offers a modular, cloud-based healthcare IT platform with AI-powered solutions for government agencies and healthcare payers. The core platform consists of Discover your Data (DyD) for AI-powered analytics and MMIS solutions including Discover your Provider (DyP) for provider management, Verify your Entity (VyE) for credentialing, Recover your Liability (RyL) for TPL recovery, and HTG FHIR for interoperability. ConstellationAI represents the company's AI innovation initiative combining advanced AI with the DyD platform through an AI assistant called Galileo.
Differentiator
Problem solved
Functional benefit
Brands
- Discover your Provider (DyP): AI-powered, cloud-based provider management solution for Medicaid provider enrollment, credentialing, and verification.
- Verify your Entity (VyE)
- Recover your Liability (RyL)
- HTG FHIR
- Discover your Data (DyD)
- ConstellationAI
Products and services
- Discover your Provider (DyP) AI-powered, cloud-based provider management solution for Medicaid provider enrollment, credentialing, and verification that streamlines onboarding from months to days with automated workflows and full CMS compliance. Built for state Medicaid agencies and other government healthcare programs.
- Verify your Entity (VyE) AI-powered credentialing and entity verification solution for MMIS modernization that accelerates provider onboarding, ensures data integrity, and automates manual verification workflows for government healthcare agencies.
- Recover your Liability (RyL) AI-powered third-party liability (TPL) recovery solution that protects Medicaid dollars from pre-payment cost avoidance to post-payment recovery using machine learning algorithms; built for Medicaid agencies.
- Discover your Data (DyD) AI-powered data analytics platform that ingests, harmonizes, and analyzes disparate healthcare data, enabling real-time fraud detection, predictive analytics, and secure interoperability across Medicaid, CMS, and third-party sources for healthcare organizations and government agencies.
- HTG FHIR Server Healthcare interoperability solution providing FHIR-compliant data exchange, API management, and Provider Directory APIs, fully compliant with HL7 FHIR standards and designed to connect Medicaid, Medicare, and private insurer data sources.
- ConstellationAI HTG innovation that combines the DyD analytics platform with advanced artificial intelligence, featuring Galileo, an AI-driven assistant that guides users through analytics and decision-making, and enables digital asset exploration and connection to healthcare data.
Quantifiable outcome
- Provider enrollment time reduced from over one month to under five days (average under 12 hours)
- +3 more outcomes
Companies that use HHS Technology Group
Customer profileNamed customers16 records
Segments6 records
Ideal customer profiles4 records
HHS Technology Group technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
AI capability7 records
Feature6 records
HHS Technology Group partnerships and signals
Strategic signalPartnerships
Six partnerships are on record, tiered core.
- National Kidney FoundationcoreNKF partnered with HTG to launch the KidneyCARE (Community Access to Research Equity) Study, a nationwide longitudinal patient registry. HTG's Discover your Data (DyD) platform serves as the foundation of the patient registry alongside Datavant and Mathematica as subcontractors. The registry includes privacy-preserving record linkage and AI-driven analytics.
- DatavantcorePartnership to combat chronic kidney disease and long-term COVID-19 using real-time data analysis. HTG's DyD platform powers the COVID-19 Research Database while Datavant provides health data connectivity services. The collaboration enables novel public-health insights by delivering real-world data to stakeholders throughout the healthcare continuum.
- Noridian Healthcare SolutionscoreNoridian partners with HTG to modernize solutions for states' Medicaid programs. The collaboration combines Noridian's administrative services with HTG's technology software to develop transformative solutions for provider management and third-party liability services, helping lower costs and increase efficiencies for government healthcare companies.
- MathematicacoreMathematica and HTG partnered to produce new applications for the COVID-19 Research Database, helping commercial healthcare and life sciences organizations solve public health issues. Mathematica provides advanced analytics and advisory capabilities while HTG provides the data platform infrastructure. Together they developed the database leveraging AWS infrastructure.
- COVID-19 Research Database ConsortiumcoreHTG partnered with the COVID-19 Research Database consortium to scale an Open Research Database for public health researchers. The consortium includes major companies: Change Healthcare, Datavant, Health Care Cost Institute, Healthjump, Medidata, Mirador Analytics, Munich Re Life US, Office Ally, PointClickCare, SAS, StataCorp, Snowflake, and Veradigm. The database is the largest non-commercial dataset in the US with over 85 billion records.
- Amazon Web Services (AWS)coreAWS serves as the infrastructure partner for the COVID-19 Research Database. Mathematica is an Advanced Tier Services Partner in the AWS Partner Network. The AWS infrastructure enables faster development and deployment, improved reliability, and allows researchers to work from anywhere using any device.
Scale indicators8 records
Recent moves6 records
Expansion highlights6 records
HHS Technology Group competitors and assessment
Company assessmentBroad incumbents
- Maximus: Maximus is a major government services and health IT vendor operating Medicaid eligibility, enrollment, and program integrity contracts across many states. It is a comparable public-sector healthcare IT and services incumbent.
- Optum (UnitedHealth Group): Optum operates one of the largest healthcare analytics and government services platforms, including state Medicaid data and interoperability offerings. It competes with HTG across payer-provider data exchange and Medicaid analytics at much greater scale.
- Health Catalyst: Health Catalyst is a healthcare analytics and outcomes platform serving health systems, payers, and government agencies. It overlaps with HTG's DyD analytics platform and ConstellationAI on data-driven decision support.
- ICF International: ICF provides health IT modernization, analytics, and program integrity services to HHS, CMS, and state Medicaid agencies. It competes with HTG in federal and state health data and analytics engagements.
- DXC Technology: DXC delivers large-scale government IT services including healthcare and Medicaid modernization programs for state and federal agencies. It overlaps with HTG on MMIS and government healthcare IT delivery.
Direct peers
- Gainwell Technologies: Gainwell is the largest dedicated MMIS and Medicaid technology vendor in the US, serving most state Medicaid programs with provider management, claims, and analytics. HTG's CTO previously led senior technology roles at Gainwell, underscoring direct product and customer overlap.
- Edifecs: Edifecs is a healthcare data interoperability and payer-provider exchange platform vendor with strong FHIR and X12 capabilities. It directly overlaps with HTG's HTG FHIR and Payer-Provider data exchange modules.
- Redox: Redox is a healthcare API and interoperability platform purpose-built on FHIR, enabling EHR, payer, and provider data exchange. It competes with HTG's interoperability layer for healthcare integration use cases.
Emerging players
- 1upHealth: 1upHealth is a FHIR-native cloud platform for payer and provider data exchange and value-based care analytics. It is a smaller, emerging competitor in the same FHIR interoperability and analytics category as HTG.
Others
- Datavant: Datavant is a healthcare data connectivity and de-identification partner that co-builds the COVID-19 Research Database and KidneyCARE registry with HTG. It is an ecosystem/partner adjacency rather than a direct competitor.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
HHS Technology Group social profiles
Digital presenceHHS Technology Group compliance and trust
Trust signalCompliance6 records
HHS Technology Group financial estimates
Financial estimateRevenue estimate
Valuation estimate
HHS Technology Group leadership team
Management profileNumber of profiles
Profiles6 records
HHS Technology Group funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HHS Technology Group M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about HHS Technology Group
What does HHS Technology Group do?
HHS Technology Group builds and licenses modular, cloud-based, AI-powered SaaS platforms for Medicaid Management Information Systems (MMIS) modernization and healthcare data analytics. Its offerings include provider enrollment and credentialing (DyP), entity verification (VyE), third-party liability recovery (RyL), a data analytics and interoperability platform (DyD), an HL7 FHIR-compliant interoperability layer, and the ConstellationAI generative-AI innovation featuring the Galileo assistant. Solutions are sold to state and federal Medicaid agencies, healthcare payers, providers, pharmaceutical organizations, and nonprofit research institutions.
Is HHS Technology Group a public or private company?
HHS Technology Group is a private company. It is classified as private equity controlled and is currently operating.
When was HHS Technology Group founded?
HHS Technology Group was founded in 2018. It employs 51 to 100 people.
Where is HHS Technology Group based?
HHS Technology Group is headquartered in Fort Lauderdale, United States, in the North America region.
How does HHS Technology Group make money?
Two revenue lines are on record. SaaS/Software Licensing is the primary driver. The others are implementation and Support Services.
Who are HHS Technology Group's main competitors?
Broad incumbents on record are Maximus, Optum (UnitedHealth Group), Health Catalyst, ICF International and DXC Technology. Direct peers are Gainwell Technologies, Edifecs and Redox. 1upHealth is listed as an emerging player. Datavant is listed as an others.
Does HHS Technology Group have an API?
No public API is recorded for HHS Technology Group.
What industry is HHS Technology Group in?
HHS Technology Group's product category is Healthcare IT Software (Medicaid Management Information Systems). Its primary akta.pro industry code is HLACABAK, Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment), with a secondary code of HLACABAA, Interoperability Standards, Profiles & Implementation (HL7/FHIR/IHE). Its NAICS code is 5415 and its SIC code is 7372.