Federal Healthcare Policy Alignment

The MAHA Constellation

Make America Healthy Again
Trump Administration Healthcare Policy Alignment

President Trump's healthcare agenda is creating something this country has never seen — a system where every American owns their health data, accesses real pricing, and controls their care. InPursuit Health is the technology backbone that delivers it.

180M+
Americans Served
$2T+
Annual Spending
4
Federal Agencies
"For the first time, federal healthcare policy is aligned around a single vision: put the patient in control. The MAHA Constellation is creating the largest consumer healthcare opportunity in American history — and InPursuit is the technology that makes it real." InPursuit Health — Delivering Value to Every American
President Trump announces TrumpRx President Trump with healthcare leadership team President Trump and Secretary Kennedy President Trump with Secretary Hegseth

The Opportunity of a Generation

For the first time in history, every American can own their
health — and we are InPursuit
of delivering it.

President Trump's Great American Healthcare Plan and the MAHA agenda are creating something this country has never seen: a healthcare system that puts the individual first. Real drug pricing transparency. Consumer-directed insurance. Patient-owned data. Wellness rewarded, not just sickness treated.

These policies are unlocking an enormous opportunity — not for insurance companies or hospital conglomerates — but for the people. Mothers managing their family's health. Veterans navigating between VA and civilian care. Rural Americans who've never had a specialist within 100 miles. The 150 million Medicare and Medicaid beneficiaries who deserve more than a paper form and a 1-800 number.

What's been missing is the technology to deliver on the promise. A platform that can connect every data source, work with every system, and put a unified, intelligent health experience in every American's hands. That's exactly what TETRA was built to do — and why InPursuit Health exists.

"We're not building technology for technology's sake. We're building the bridge between what this Administration has made possible and what every American deserves — complete ownership and access to their healthcare journey."
Patient-Owned Data Drug Price Transparency Consumer-Directed Care AI-Powered Wellness Rural Health Access Veteran Care Continuity Chronic Disease Prevention Real-Time Health Insights Patient-Owned Data Drug Price Transparency Consumer-Directed Care AI-Powered Wellness Rural Health Access Veteran Care Continuity Chronic Disease Prevention Real-Time Health Insights

The MAHA Constellation at a Glance

Four Agencies. One Platform.

TETRA is the only technology solution that can simultaneously support all four agencies' MAHA-aligned initiatives through a single, interoperable, AI-powered platform.

HHS
330M
$1.7T Total Budget
MAHA Commission, FDA deregulation, ARPA-H ADVOCATE, chronic disease prevention, Great American Recovery Initiative
CMS
150M+
$1.5T Medicare/Medicaid
Health IT Ecosystem, ACCESS Model, MAHA ELEVATE, BALANCE, TrumpRX, Rural Health Transformation
VA
9M
$350B Total Budget
$4.8B EHR modernization, Federal EHR deployment, seamless DoD-VA care transition
DoD
9.6M
$64B MHS Budget
Care reattraction mandate, MHS GENESIS, warfighter readiness, TRICARE satisfaction

The Technology Backbone

How TETRA Powers the
MAHA Constellation

America's healthcare data is trapped in incompatible systems. TETRA is the federally-validated data fabric that unifies it all — turning fragmented information into a single, intelligent platform that every agency can build on.

Epic, Cerner, VistA
EHR Systems
MHS GENESIS
DoD Health Records
Wearables & IoT
Oura, Apple, Devices
Labs & Pharmacy
Clinical Data Feeds
Claims & Billing
CMS / Payer Systems
TrumpRX API
MFN Drug Pricing
Data In
Value Out
TETRA
AI-Enabled Data Fabric Platform
Real-Time Data Fusion
Adaptive Interoperability
AI Clinical Intelligence
Zero-Trust Security
FHIR / TEFCA Native
Modular Open Architecture
1.8M+
Transactions / Hour
95%
Interoperability Rate
<1%
Downtime
140M+
CMS Beneficiary Access
HHS / MAHA
Wellness & Prevention
CMS Apps
150M+ Beneficiaries
VA Modernization
Veteran Patient Layer
DoD Readiness
MHS GENESIS Layer
AI Oversight
ARPA-H ADVOCATE
Patient Engagement
Consumer Wellness Apps
DoD / VA
Battle-tested in federal healthcare's most demanding environments
Beat IBM
Outperformed IBM, SAP, Oracle & InterSystems head-to-head
CMS ✓
Health Tech Ecosystem approval — all 3 patient-facing app categories
Veteran-Built
Largest enterprise technology platform built by American small business

Department of Health & Human Services

Leading the MAHA Transformation

Under Secretary Robert F. Kennedy Jr., HHS is leading the MAHA transformation with a focus on addressing root causes of chronic disease, reducing pharmaceutical dependency, and empowering Americans to take control of their health through nutrition, lifestyle, and preventive care.

President Trump and Secretary Kennedy lead MAHA
MAHA Commission

Chronic Disease Prevention Coordination

Secretary Kennedy established a MAHA Commission to coordinate chronic disease prevention across all HHS agencies — eliminating ultra-processed foods from federal nutrition programs, reducing environmental toxins, and promoting lifestyle-based interventions.

InPursuit Alignment

TETRA's gamified wellness marketplace directly supports MAHA Commission goals by incentivizing healthy behaviors, tracking nutrition and exercise, and integrating with wearables to provide real-time health feedback.

Revenue Opportunity: $50–100M
FDA — January 2026

Digital Health Deregulation

The FDA announced eased regulation of digital health products, wearables, and AI-enabled devices at CES 2026. Clinical decision support software is now exempt from FDA regulation. Wellness devices have broader leeway for heart rate, blood pressure, and glucose readings.

InPursuit Alignment

This deregulation accelerates InPursuit's ability to deploy AI-powered health recommendations and integrate with consumer wearables without lengthy FDA approval processes.

Impact: Faster Time-to-Market
ARPA-H — $100M+ Program

ADVOCATE Program

ARPA-H launched ADVOCATE (Agentic AI-EnableD CardioVascular CAre TransfOrmation) to develop patient-facing agentic AI for cardiovascular care — addressing 200,000+ preventable deaths annually. Three technical areas: patient-facing AI (TA1), supervisory AI (TA2), and scalable integration (TA3).

InPursuit Alignment

TETRA's AI assistant architecture directly maps to ADVOCATE requirements. Existing conversational AI, wearable integration, and care coordination capabilities position us as a prime contractor or partner.

Revenue Opportunity: $10–50M
Recovery — $100M Investment

Great American Recovery Initiative

A $100M investment for addiction treatment, homelessness, and public safety. Includes the STREETS Initiative, $10M Assisted Outpatient Treatment program, and addition of MOUD as Title IV-E prevention services. Co-chaired by Secretary Kennedy and Senior Advisor Kathryn Burgum.

InPursuit Alignment

TETRA supports addiction recovery through medication adherence tracking, telehealth integration for counseling, and care coordination between treatment providers, social services, and housing programs.

Revenue Opportunity: $5–20M

Centers for Medicare & Medicaid Services

The Engine of Healthcare Transformation

CMS administers healthcare coverage for over 150 million Americans through Medicare and Medicaid. Under the Trump administration, CMS is launching an unprecedented array of technology-enabled, patient-centered initiatives that align perfectly with InPursuit's capabilities.

President Trump with healthcare leadership
Cornerstone — July 2025

CMS Health IT Ecosystem

The cornerstone of InPursuit's strategy. CMS created the first Medicare/Medicaid patient-facing app marketplace. InPursuit is the only vendor positioned to deliver all three categories: Kill the Clipboard, Conversational AI Assistants, and Diabetes & Obesity Management.

InPursuit Alignment

TETRA delivers all three app categories through a single integrated platform — a unique market position providing access to 150M+ beneficiaries.

Revenue Opportunity: $30–390M (Year 1–3)
TrumpRX — Feb 2026

Most-Favored-Nation Drug Pricing

TrumpRX.gov launched February 5, 2026 with GoodRx API integration, displaying real-time MFN pricing for 40+ medications. Key pricing includes Ozempic at $350 (vs $1,000 list), Wegovy at $350 (vs $1,350), and Zepbound at $346 (vs $1,086).

InPursuit Alignment

TETRA integrates the TrumpRX API directly into the patient app, displaying real-time MFN pricing and linking to manufacturer portals — a key differentiator in the CMS app marketplace.

Impact: Key Differentiator
ACCESS Model — July 2026

Advancing Chronic Care

A 10-year voluntary model with Outcome-Aligned Payments for tech-enabled chronic care. Covers 67% of Medicare FFS beneficiaries across four clinical tracks: eCKM, CKM, MSK, and Behavioral Health. Applications due March 20, 2026.

InPursuit Alignment

TETRA's chronic disease management capabilities, FHIR-based data exchange, and outcomes tracking directly support ACCESS Model requirements as the technology backbone for participating organizations.

Revenue Opportunity: $50–100M
ELEVATE — September 2026

MAHA ELEVATE Model

The first CMS model focused on proactive, holistic, patient-centered functional/lifestyle medicine. Approximately $100M in 3-year cooperative agreements for up to 30 proposals. Focus: nutrition, physical activity, sleep, stress management, and social connections.

InPursuit Alignment

TETRA's wellness marketplace was built for exactly this — gamified lifestyle interventions, wearable integration, nutrition tracking, and rewards for healthy behaviors.

Revenue Opportunity: $20–50M
BALANCE — May 2026

GLP-1 Lifestyle Support

CMS negotiates GLP-1 drug pricing with manufacturers on behalf of states and Medicare Part D plans. Medicaid launch May 2026; Part D launch January 2027. Includes mandatory lifestyle support programs alongside medication.

InPursuit Alignment

TETRA provides the required lifestyle support programs — nutrition tracking, exercise gamification, and behavioral coaching that accompany GLP-1 prescriptions.

Revenue Opportunity: $10–30M
Rural — $50B Program

Rural Health Transformation

$50B over 5 years distributed to all 50 states. 50% distributed equally; 50% based on rurality, health metrics, and MAHA policy adoption. States must adopt tech-enabled care, nutrition programs, and chronic disease prevention.

InPursuit Alignment

TETRA's 5G-enabled telehealth capabilities and rapid deployment (weeks vs quarters) make it ideal for rural health transformation where traditional infrastructure is limited.

Revenue Opportunity: $25–75M

Department of Veterans Affairs

Honoring Those Who Served

The VA serves 9 million veterans through 170 medical centers and over 1,000 outpatient facilities. Under Secretary Doug Collins, the VA is pursuing aggressive modernization with a focus on EHR integration, seamless DoD-VA care transitions, and improved veteran experience.

President Trump honoring our veterans
$4.8B Investment — FY2026

Healthcare Modernization

The largest single-year Non-Recurring Maintenance investment in VA history, including $1 billion specifically for EHR maintenance and modernization.

InPursuit Alignment

TETRA's proven federal deployment capability and EHR integration expertise positions us as a prime vendor for VA modernization initiatives.

Revenue Opportunity: $25–75M
Federal EHR — 170 Sites

EHR Deployment Acceleration

The VA is resuming EHR deployments at 13 sites in 2026, with full deployment to 170 sites by 2031. The Oracle-Cerner system requires significant integration support for patient-facing applications. Lifecycle cost: $37B+.

InPursuit Alignment

TETRA serves as the patient-facing layer on top of the Federal EHR — providing veterans mobile access, scheduling, medication management, and care coordination the Oracle-Cerner system lacks.

Revenue Opportunity: $10–30M per wave
Seamless Transition

DoD-VA Care Continuity

The Federal EHR aims to give veterans seamless transition from DoD to VA care. However, the patient experience layer remains underdeveloped, and veterans report frustration with care coordination.

InPursuit Alignment

TETRA already operates in the DoD environment. We provide the unified patient experience layer that follows service members from active duty through veteran status.

Revenue Opportunity: $15–50M
Community Care

Community Care Streamlining

The VA purchases over 35% of care from private sector providers. Veterans need better tools to navigate between VA and community providers, track authorizations, and coordinate care.

InPursuit Alignment

TETRA's interoperability capabilities bridge VA and community care providers, giving veterans a single view of their health data regardless of where care was delivered.

Revenue Opportunity: $5–20M

Department of Defense

Warfighter Readiness & Optimal Human Performance

The Military Health System serves 9.6 million beneficiaries through 46 hospitals, 570 clinics, and the TRICARE program. The FY2026 MHS budget is $64 billion — 7.5% of total DoD spending. When lives depend on split-second decisions, commanders need absolute certainty that their people are operating at peak cognitive and physical readiness.

President Trump with Secretary of Defense Hegseth
Warfighter Edge

Optimal Human Performance

Mission success depends on the cognitive and physical readiness of every operator in the field. Sleep quality, stress response, hydration, cognitive load, heart rate variability — these aren't wellness metrics. They're operational intelligence. Commanders need real-time visibility into the readiness of their most valuable assets: their people.

InPursuit Alignment

TETRA integrates with any wearable device — Oura Ring, Garmin, WHOOP, Apple Watch, Polar, tactical-grade biosensors — fusing biometric data streams (HRV, sleep architecture, cognitive performance markers, physical strain) into a single operational readiness dashboard. Unit commanders see real-time force health status. Medics see early warning signs before they become casualties. Decision-makers know their best assets are in the field when it matters most.

Revenue Opportunity: $20–50M
7% Mandate — Dec 2026

Care Reattraction Mandate

DoD is mandated to reattract at least 7% of available care from the private sector back to MTFs by December 31, 2026. Currently, the MHS purchases over 65% of care from civilian providers — driving costs and fragmenting data from the warfighter's health record.

InPursuit Alignment

TETRA helps MTFs compete with civilian providers by offering a superior patient experience — easy scheduling, telehealth access, care coordination, and rewards for engagement. When service members can access better care on-base with a consumer-grade digital experience, they stay in the system.

Revenue Opportunity: $10–30M
MHS GENESIS

Patient Portal + Readiness Layer

MHS GENESIS (DoD's Oracle-Cerner EHR) includes a patient portal, but user satisfaction remains below civilian benchmarks. The system tracks clinical encounters — but not the continuous biometric and performance data that defines operational readiness between visits.

InPursuit Alignment

TETRA serves as an enhanced patient-facing layer integrating with MHS GENESIS, providing the consumer-grade experience beneficiaries expect while adding continuous performance monitoring. Wearable data, cognitive assessments, and readiness scores flow alongside clinical records — giving both the warfighter and the medical system a complete picture.

Revenue Opportunity: $15–40M

Consolidated Revenue Opportunity

Total MAHA Constellation

No other vendor can simultaneously address the needs of HHS, CMS, VA, and DoD with a single interoperable platform.

HHS

$65–170M

ARPA-H, MAHA Commission

CMS

$135–645M

Health IT Ecosystem (3 Apps)

VA

$55–175M

Federal EHR, Modernization

DoD

$45–120M

MHS GENESIS, Reattraction

3-Year Total Revenue Potential

$300M — $1.1B

Multi-Agency Federal Healthcare Transformation

Competitive Advantage

Why InPursuit Wins

01

Only Vendor — All 3 CMS Apps

The only vendor delivering all three CMS patient-facing app categories through a single integrated platform.

02

Proven Federal Deployment

DoD validation where we outperformed IBM, SAP, Oracle, and InterSystems in head-to-head evaluation.

03

Single Platform, Four Agencies

One interoperable platform simultaneously serving HHS, CMS, VA, and DoD — no competitor can match this.

04

Former HHS CIO Leadership

Jose Arietta, former HHS Chief Information Officer, on our leadership team providing unmatched federal insight.

05

TEFCA & FHIR Native

Built from the ground up on TEFCA-compliant, FHIR-based interoperability standards — not retrofitted.

06

Rapid Deployment

Weeks versus competitors' quarters. Speed-to-value that federal agencies demand in the MAHA timeline.