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We believe that government services can be simple, effective, and accessible to all.

Nava is a public benefit corporation working with government agencies to improve their digital services.

Learn about our core values.

Our work

We’re a team of engineers, designers, and product builders that were brought in to help fix HealthCare.gov in the winter of 2013. Today, we’re working with the Department of Veterans Affairs and Medicare as well as continuing our work on HealthCare.gov. We’re now the first public benefit corporation to be a prime contractor, and we’re expanding our efforts to help other state and federal agencies modernize their services. There’s a lot to do, and we’re just getting started.

Enrolling millions of people on HealthCare.gov

Since the launch of HealthCare.gov, over 23 million people have enrolled in health insurance through the federal and state exchanges, and America now has its lowest uninsured rate ever. The ecosystem is complex – from insurance companies to call centers to other government contractors – but we work with the Centers for Medicare & Medicaid Services to run core flows and pieces of infrastructure on HealthCare.gov.

We redesigned HealthCare.gov’s application process, enrolling people at a 50% higher rate than the legacy application. We also built the Scalable Login System (SLS), which replaced the legacy identity management system that cost $250 million to build. Together with CMS, we’re able to save tens of millions of dollars while simultaneously launching modern systems with orders of magnitude better performance. Recently, we migrated MyMedicare.gov off of its own legacy identity system, and are now managing over 63 million user accounts across MyMedicare.gov and HealthCare.gov.

Man and child

Additional reading

The Billion User Load Test

Modernizing Veterans Affairs appeals processing for speed and transparency

There are 4.5 million Veterans currently receiving disability benefits, and a backlog of almost half a million appeals waiting to be resolved. The backlog is growing, and each appeal takes on average five years to resolve – an exhausting stretch of time filled with twists and turns, often without a clear end in sight for the Veteran.

We’re working with the Digital Services at the Veterans Affairs (DSVA) to research, build, and deploy services and tools for the various regional office workers, attorneys, judges, and other Board and VBA users that handle appeals. We’re also building functionality to help Veterans have more visibility into the appeals process.

We’re working across various pieces of the appeals process, from the appeal intake process to building document viewing and annotating to help attorneys make decisions. These all aim to simplify, automate, and streamline parts of the appeals process, and we’re already working with the Board of Veterans Affairs towards policy changes and removing a decades old form that is not needed anymore for most appeals.

Woman in uniform, sitting with a service dog.

Architecting the future of Medicare payments infrastructure

Medicare is run on a fee-for-service payment model — meaning providers are paid for the services rendered versus the quality of care provided. To address this issue, we have partnered with Medicare to work on streamlining a program that will facilitate a payments system based exclusively on positive patient outcomes. By incentivizing the quality of care provided versus the number of services, the effect is twofold: the quality of care goes up and the cost of care goes down, because the financial incentive to provide extraneous services is removed.

We are leading the architecture for this work, which will streamline three legacy systems and is at the core of a more cost-effective and outcomes-focused Medicare. Our universally accessible API will be used by providers, registries, and electronic health record companies who will submit the performance data of over half a million clinicians. This system will make the data more efficiently trackable, reports quicker to produce, and performance-based payments sustainable at scale. We are also releasing pieces as open source as we work.

Man with his arm around an older woman

Towards a more human-centered safety net

Our social safety net is composed of over 80 programs created for people to have access to healthy food, medical care and the resources to live dignified, productive lives. Over $700 billion dollars are spent each year to support these programs, but the experience often isn’t streamlined or easy for residents to navigate. The cost of this complexity is borne both by the states, who spend hundreds of millions of dollars to keep up with a shifting policy and technology landscape, and the people, who spend long hours trying to understand a system that often feels like it’s designed to keep them out.

We’ve partnered with CMS and Code for America in a public-private partnership to research and build new human-centered approaches to benefits programs. We’ve already begun field research and prototyping, and are selecting a small cohort of pilot states to help people on the ground.

Read more about the Benefits Partnership

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