Neil Hoosier and Associates

Name

Neil Hoosier and Associates

Legal name

Neil Hoosier and Associates, Inc.

Website

https://nhassociates.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

51–100 employees

Ownership category

akta.pro rank

Headquarters

HQ city

Owings Mills

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Federal Government Healthcare Consulting Contracts: NHA generates revenue primarily through federal government contracts with CMS, providing program management, SDLC integration, program integrity, audit and compliance, and training services. Major contracts include MSPIC (Medicare Secondary Payer Integration Contractor), E&O (Evaluation & Oversight), PI ORC (Program Integrity Operational Review Contractor), and MDX/PULSE programs. Revenue is earned through multi-year contract awards including 5-year contract periods.
2. State Government Contracts: NHA has expanded to serve state government clients including Maryland Health Benefit Exchange, providing technical writing and policy/procedure services. This represents NHA's first state contract award.
3. Private Sector Healthcare Services: NHA delivers solutions to private-sector clients including insurers, healthcare organizations, and Medicare program contractors. Training programs have served thousands of insurers nationwide on federal mandatory reporting requirements.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels4 records

Core offering

Neil Hoosier and Associates (NHA) is a federal healthcare management consulting firm that delivers program management, SDLC integration, program integrity, audit and compliance oversight, and training/outreach/education services primarily to the Centers for Medicare and Medicaid Services (CMS) and state healthcare agencies. The company operates as prime contractor on key CMS vehicles such as the Medicare Secondary Payer Integration Contractor (MSPIC) and Evaluation & Oversight (E&O) contract, supporting systems including BCRS, MDX, and PULSE.

Product overview

Neil Hoosier and Associates (NHA) is a federal healthcare management consulting firm offering professional services rather than a software product company. NHA's portfolio consists of five integrated service lines (Program & Project Management, SDLC Integration & Support, Program Integrity, Audit & Compliance Oversight, and Training/Outreach/Education) delivered through multiple CMS government contracts. Key products include MSPIC (the Medicare Secondary Payer Integration Contractor contract), E&O (Evaluation & Oversight contractor role), and support for CMS applications MDX (Data Exchange Portal) and PULSE (Production Performance Monitoring System). NHA also led development of the Benefits Coordination and Recovery System (BCRS). The company operates at CMMI Level 3 maturity and serves both federal agencies and private-sector clients.

Differentiator

Problem solved

Functional benefit

Products and services

• Program and Project Management Services
• SDLC Integration and Support Services
• Program Integrity Services
• Audit and Compliance Oversight Services
• Training, Outreach and Education Services
• Medicare Secondary Payer Integration Contractor (MSPIC)
• Evaluation & Oversight (E&O) Contractor
• MDX and PULSE Application Support
• Benefits Coordination and Recovery System (BCRS) Development

Quantifiable outcome

• $9.811 billion in MSP savings in FY 2024 – an increase of $277 million over FY 2023
• +5 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability6 records

Feature4 records

Partnerships

Eight partnerships are on record, tiered core and minor.

• WestatcoreStrategic or Co-development Partner · 20 November 2025NHA is part of the Westat team supporting CMS Innovation Center's Wasteful and Inappropriate Service Reduction (WISeR) Model. The partnership aims to reduce wasteful and low-value services in 6 states using AI and machine learning. Westat leads the initiative with NHA, Palmetto GBA, NCQA, and Schatz Publishing Group providing expert guidance on performance measurement, payment calculations, monitoring, technical assistance, and analytic support.
• Palmetto GBAminorStrategic or Co-development Partner · 20 November 2025Part of the Westat team supporting the WISeR Model for CMS. Palmetto GBA provides additional healthcare expertise for the initiative focused on reducing wasteful services.
• National Committee for Quality Assurance (NCQA)minorStrategic or Co-development Partner · 20 November 2025Part of the Westat team supporting the WISeR Model for CMS. NCQA contributes expertise in quality assurance and performance measurement.
• Schatz Publishing GroupminorStrategic or Co-development Partner · 20 November 2025Part of the Westat team supporting the WISeR Model for CMS. Contributes publishing and documentation expertise for the initiative.
• Myers and StaufferminorImplementation/ SI/ Consulting Partner · 18 April 2018NHA served as subcontractor to Myers and Stauffer on the CRARAAE (Cost Report Audit Risk Assessment Accuracy and Education) contract. NHA provided instructional design and education delivery, developing ongoing Medicare cost report audit and reimbursement training for CMS and MACs.
• SoftDev, Inc.minorChannel Partner/ Reseller/ Distributor · 24 June 2016NHA partnered with SoftDev, Inc. as part of their team in the Small Business Pool for CMS SPARC IDIQ award. NHA serves as subcontractor providing CMS healthcare program expertise within the SoftDev team structure.
• Accenture, PLCminorChannel Partner/ Reseller/ Distributor · 24 June 2016NHA partnered with Accenture as part of their team in the Unrestricted Pool for CMS SPARC IDIQ award. NHA provides healthcare consulting expertise as subcontractor within the Accenture team.
• FEI SystemscoreStrategic or Co-development Partner · 26 May 2016NHA and FEI Systems formed a joint venture (formerly FEI-NHA, LLC, now operating as FEI-NHA) to pursue federal IT contracts. The JV has submitted proposals for CIO-SP3 GWAC and was awarded 8(a) STARS III contract. The partnership combines NHA's CMS healthcare expertise with FEI Systems' IT capabilities for federal healthcare IT opportunities.

Scale indicators8 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• Guidehouse: Guidehouse (spun from PwC's federal practice) is a management and technology consulting firm with a strong federal health segment serving CMS, HHS, and state Medicaid agencies. Comparable service mix but at significantly larger scale than NHA.
• Booz Allen Hamilton: Booz Allen is a large federal professional services firm with a substantial CMS/HHS practice spanning program integrity, health analytics, and IT modernization. Overlaps with NHA on Medicare-related work but at vastly greater scale and capability breadth.
• MAXIMUS: MAXIMUS is a large public federal services firm with significant Medicaid and CMS exposure (eligibility, enrollment, program integrity). Comparable on customer base and program integrity offerings but materially larger and more diversified than NHA.
• Deloitte Federal (Deloitte Consulting LLP): Deloitte's Federal practice serves CMS, HHS, and other federal health agencies across program management, IT modernization, and analytics. Comparable on service portfolio and customer overlap but at substantially larger scale and broader capability depth.

Direct peers

• Abt Associates: Abt is a federal health research and consulting firm supporting CMS on program integrity, evaluation, and policy. Comparable size and mission alignment with NHA on CMS research, evaluation, and program integrity work.
• Cognosante (now DMI): Cognosante (acquired by DMI) is a federal healthcare IT and consulting firm with deep CMS focus on Medicare/Medicaid modernization. Most directly comparable peer given similar size, customer base, and contract vehicle footprint (CIO-SP3, SPARC).
• Westat: Westat is a federal research/consulting firm and current NHA partner on the WISeR Model. Directly comparable on CMS contract work, federal health program evaluation, and the employee scale band (1,000+ to several thousand).
• Mathematica Policy Research: Mathematica is a nonpartisan federal health research and evaluation firm with deep CMS and HHS work. Comparable on customer base, evaluation/oversight services (akin to NHA's E&O role), and mission orientation toward federal health programs.
• ICF International: ICF is a publicly-traded federal consulting firm with a sizable health practice serving CMS, HHS, and state agencies. Comparable on customer overlap (CMS, Medicare/Medicaid) and on the mix of program management, IT modernization, and analytics services.
• Manatt Health: Manatt Health is a healthcare consulting practice within Manatt, Phelps & Phillips, providing policy, regulatory, and program integrity advisory to federal and state health agencies. Comparable on healthcare consulting for CMS/Medicaid and on the audit/oversight service line.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/nhaoutreach
• LinkedInlinkedin.com/company/neil-hoosier-and-associates

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Neil Hoosier and Associates