KaiCare x Department of Veterans Affairs
Bridging Community Care and the Federal Electronic Health Record
KaiCare connects 100,000+ community providers to the VA's Federal EHR — creating a single continuous health record for every veteran, at every stage of their journey.
170
VA Medical Centers
$700B
CCN Next Gen Contract
100K+
Community Providers
9M+
Enrolled Veterans
Platform Capabilities
Seven Capability Modules for VA Community Care
A unified platform purpose-built to bridge the gap between community providers and the federal health record.
FHIR Gateway
Bidirectional FHIR R4 endpoint accepting data from any EMR — Epic, Cerner, athenahealth, or proprietary systems.
Provider Network Portal
Self-service enrollment for community practices with credentialing, contract management, and compliance tracking.
Referral Engine
Automated routing matching veterans to the right community provider based on specialty, location, and availability.
Claims Bridge
EDI 837/835 processing aligned with CCN Next Gen fee schedules and VA community care reimbursement rules.
Veteran Directory
Searchable provider directory for VA staff and veterans with real-time availability, ratings, and accepted programs.
Quality Dashboard
Real-time HEDIS/AHRQ metrics and HPP tracking across the entire community care network with drill-down analytics.
Federal EHR Connector
Direct integration with Oracle Health (Cerner Millennium) via joint HIE and CareQuality exchange framework.
All seven modules are production-ready on AWS infrastructure with HIPAA BAA coverage. Each module operates independently but shares a unified data layer for seamless veteran care coordination.
Architecture
How It Works: The EMR-Agnostic Bridge
One integration layer that connects any community EMR to the Federal Electronic Health Record.
Private Practice
Any EMR System
FHIR / HL7 / CDA
Standard Protocols
KaiCare Bridge
Normalize & Validate
Joint HIE
CareQuality Exchange
Federal EHR
Oracle Health (Cerner)
Ingest from Any EMR
Accepts FHIR R4, HL7 v2, C-CDA documents, and manual upload. Providers do not need to change their existing EMR or workflow — KaiCare adapts to them.
Normalize to Federal Standard
Every record is mapped to USCDI v3 data classes and validated against US Core FHIR profiles before transmission, ensuring data quality and compliance.
Push to Federal EHR
Normalized records flow to the VA Federal EHR via the joint HIE and CareQuality exchange framework — no faxing, no phone calls, no manual entry.
Pull Veteran Records Back
Bidirectional exchange means community providers receive relevant veteran health history, enabling informed clinical decisions at the point of care.
Competitive Analysis
Why KaiCare Wins
The only platform that combines EMR-agnostic integration, remote care programs, AI coordination, and federal-grade compliance in a single stack.
| Capability | KaiCare | Optum | TriWest | Oracle Health | Epic |
|---|---|---|---|---|---|
| EMR-Agnostic Integration | |||||
| HIPAA-Native Architecture | |||||
| RPM / CCM / RTM Built In | |||||
| AI Care Coordination | |||||
| Provider Network Management | |||||
| Referral Routing | |||||
| Claims Processing | |||||
| FedRAMP-Aligned (AWS) | |||||
| Startup Agility | |||||
| Full-Stack Platform | |||||
| Veteran Journey Coverage | |||||
| Total Capabilities | 11/11 | 4/11 | 3/11 | 4/11 | 3/11 |
Deployment Strategy
Implementation Roadmap
A phased approach synchronized with the VA's EHRM deployment waves, expanding from Michigan pilot to national coverage.
Michigan Pilot
5-10 practices in Detroit / Ann Arbor
- Onboard initial community provider cohort
- Deploy FHIR Gateway with bidirectional data exchange
- Establish RPM/CCM baseline metrics for veteran patients
- Validate claims bridge against CCN Next Gen fee schedules
Aligns with EHRM Wave 1 sites in VISN 10 (VA Ann Arbor)
Ohio / Indiana Expansion
50+ practices across OH, KY, IN
- Scale provider network across tri-state region
- Launch veteran-facing provider directory
- Integrate quality dashboard with HEDIS/AHRQ metrics
- Begin automated referral routing for community care
Aligns with EHRM Wave 2 expansion into VISN 10 and 15
Scale & Monetize
500+ practices, full claims bridge
- National provider enrollment self-service portal
- Full EDI 837/835 claims processing pipeline
- AI-powered care coordination across network
- Revenue model: per-transaction + SaaS licensing
Aligns with EHRM Waves 3-4 across Midwest and Southeast
National Rollout
10,000+ practices, 170 VA centers
- Coverage across all 170 VA Medical Centers
- Full CareQuality exchange with Federal EHR
- GovCloud deployment for FedRAMP authorization
- Comprehensive veteran journey coverage from discharge to community care
Full EHRM deployment alignment across all VISNs
Infrastructure
AWS-Native, GovCloud-Ready
Every service in the KaiCare stack runs on AWS with HIPAA BAA coverage and GovCloud availability.
Auth
AWS Cognito
GovCloud AvailableDatabase
Aurora PostgreSQL
GovCloud AvailableCompute
AWS App Runner
GovCloud AvailableStorage
S3 (KMS Encrypted)
GovCloud AvailableAI / LLM
AWS Bedrock (Claude)
GovCloud AvailableTelephony
Amazon Connect
GovCloud AvailableAmazon SES
GovCloud AvailableSMS
Amazon Pinpoint
GovCloud AvailableKaiCare's entire stack runs on AWS services available in GovCloud. Migration from commercial AWS to GovCloud is a configuration change, not an architecture change — enabling rapid FedRAMP alignment without rebuilding the platform.
Ready to Bridge the Gap?
Three steps to connect your community care network to the Federal Electronic Health Record.
Discovery Meeting
Align on technical requirements, pilot scope, and contract vehicle eligibility with your VA community care team.
Michigan Pilot Design
Co-design the initial deployment with 5-10 community practices in the Detroit / Ann Arbor corridor.
Technical Demonstration
Live demonstration of the FHIR Gateway, remote care infrastructure, and bidirectional Federal EHR exchange.
Contact us at info@kaicare.ai
Request a Demo