Magpie Health Analytics

Magpie Health Analytics is a small business focused on supporting federal healthcare agencies, specifically CMS and HHS-OIG, with data analytics, program integrity, and modernization services. The company operates as a subcontractor on federal contracts and holds a GSA MAS Schedule.

Their capabilities span three primary areas: risk adjustment modeling and audit support for Medicare programs, cloud-native data engineering using AWS and Snowflake infrastructure, and AI-enhanced tools for fraud detection and regulatory oversight. The team includes former government analysts, policy experts, and cloud engineers who work on encounter data validation, payment accuracy improvement, and legacy system modernization efforts.

As an SBA-registered small business with a GSA schedule, Magpie positions itself as a mission-focused partner for federal healthcare oversight work, particularly in Medicare Parts C and D, risk adjustment validation, and program integrity initiatives.

Magpie Health Analytics is suited for organizations that need deep expertise in CMS regulatory requirements and Medicare program operations. Their combination of policy knowledge, data engineering capabilities, and federal contracting experience makes them relevant for prime contractors or agencies working on complex oversight and modernization initiatives.

Expect a team familiar with federal healthcare data systems, compliance requirements, and the specific technical and policy challenges of Medicare program integrity work. Their focus on risk adjustment and encounter data analytics aligns with organizations working on payment accuracy and audit support projects.

Magpie Health Analytics operates exclusively in the federal healthcare space, supporting CMS and HHS-OIG with Medicare-specific programs. Their work centers on program integrity for Medicare Parts C and D, including risk adjustment model validation, encounter data analytics, and fraud detection.

They demonstrate healthcare compliance knowledge specific to federal programs, including familiarity with CMS innovation initiatives, the Medicare Advantage risk adjustment system, prescription drug data, fee-for-service claims, and the Medicare Administrative Contractor (MAC) program.

Federal agencies or prime contractors working on CMS modernization, Medicare program integrity, or risk adjustment initiatives. Organizations seeking subcontractors with GSA schedules who understand federal healthcare data systems, regulatory policy analysis, and can support RADV audits or payment error analysis projects.