SAM.gov RFI Comment Analysis POC
The SAM.gov RFI Comment Analysis POC solves the problem that CMS procurement staff currently must manually review and score vendor responses to Requests for Information (RFI) post…
Plan Justification Tool
(Marketplace) Identify trends/patterns within plan certification justification templates, containing free-form text data through use of natural language processing (NLP) and class…
TIC URL Automation
(Marketplace) Issuers applying for QHP (Qualified Health Plan) certification, including issuers offering off-Exchange SADPs (stand alone dental plans), must submit a Transparency…
Rx Data Integrity Review
The current process for conducting the Rx Data Integrity review is time intensive and requires reviewers to manually review online formularies in a condensed timeline. The purpos…
RA and RADV Predictive Modeling and Methodology Evaluation
(Marketplace) Risk adjustment data validation (RADV) is the audit of HHS-operated Risk Adjustment (RA). KPMG, the main RADV contractor, seeks to conduct predictive modeling and…
RADV Medical Record Review
(Marketplace) RADV entails the review of enrollees' medical records to determine if diagnoses submitted to CCIIO for purposes of calculating RA transfers actually exist. This medi…
Issuer Expansion/Market Entry Prediction
CCIIO FO conducts targeted outreach to issuers likely to enter the markets or expand to other states
SBC Content Review
(Marketplace) The SBC Content Review identifies cost-sharing discrepancies between the Plans and Benefits Template and SBC Form. If there are discrepancies in the numerical values…
MFT UI Chatbot
Hub/MFT team manually supports operations related to onboarding, Q/A, file tracking and technical inquiries. ? Monthly Average of inquiries: ? ~800 Email inquires ? ~40 Jira/SN…
MLMS Upgrade MILA from CARLA to Druid
New chatbot proposed by CMS MLMS team will be integrated into the existing MLMS application. It aims to improve user experience, designed to maintain or boost deflection rates, an…
Interoperability URL Review Automation
Enable the team to save time and man hours, cost savings
C3PO: CMS Comprehensive Cybersecurity and Privacy Optimization
Reduce the burden of reviewing lengthy OMB, NIST and HHS policy documents, quicker review of SORN and PIAs
Integrated Data Repository (IDR) Customer Analytic Environment (CAE)
Provides an AI/ML environment connected to the IDR that enables CAE customers to focus on their AI use cases and business outcomes, without the burden of setting up or maintaining…
IDR Support Bot
The IDR Support Bot is an AI-powered chatbot that makes it easier for CMS users to get the IDR information they need, when they need it. It answers questions about IDR terminology…
Eligibility & Enrollment Medicare Online (ELMO) Chatbot
Assist Medicare caseworkers in navigating a fairly complex application
Production Operations Anomaly Analysis
Identify potential production issues proactively and refer for human analysis
Case Management Tool Case Creation & Automation
Automate and optimize manual case creation for incoming documents/requests and simplify manual tasks
Process Large Amount of Submitted Docket Comments
Deduplication of public comments, and generating draft sentiment analysis and grouping of comments
Data Extraction from IND Safety Reports using OCR/AI Technologies
Manual extraction of data from IND safety reports is labor-intensive and time-consuming for regulatory staff.
AI-Generated Data Processing and Visualization Code Development
Manual coding for data processing and visualization creates barriers to AI adoption, requires specialized expertise not available across all teams, and limits agency ability to ma…
AI-Enhanced High-Dimensional Matrix Dataset Trend and Correlation Analysis
High-dimensional datasets present analytical challenges that exceed traditional statistical methods' capabilities, limits the ability to extract meaningful insights from complex r…
Filer Evaluation prioritization using risk-based decision Machine Learning approach
The FDA's Office of Information Operations (OIO) has an opportunity to enhance its evaluation capabilities across over 4,000 filers in the current FDA inventory by implementing a…
Electronic translational services for regulatory documents for articles offered for import
FDA' Office of Information Operations (OIO) seeks to implement automated translation capabilities for foreign language documents essential to import operations. By integrating tra…
Knowledge Navigator
The objective is to develop an AI model that can answer detailed and complex questions about the key programmatic document, Application and Program Guidance (APG), that is issued…