Case Study

Medicare Electronic Application Request Information System (MEARiS)


The Centers for Medicare & Medicaid Services (CMS)




The Technology Coding and Pricing Group (TCPG) and Hospital Ambulatory Policy Group (HAPG) within the Centers for Medicare and Medicaid Services (CMS) use the Medicare Electronic Application Request Information System (MEARiS) to collect, track, and process applications for hospital coding and payment.

MEARiS replaces a paper-based collection system, supporting greater communication and inter-team collaboration in addition cost savings for CMS, enhanced security, and streamlined deployment.


Applications converted from paper to web
Applications processed in a fiscal year
16 Months
from concept to delivery
Million Medicare beneficiaries served
1-3 Months
average time to design and develop new modules


Bringing an Outdated System into the Modern Age

The paper-based system for collecting applications resulted in extraneous paperwork, caused processing delays, required excessive manpower, and was expensive to maintain. Record maintenance, accessibility, sharing, and communication was limited to each record's physical existence, leading to increasing storage, upkeep, and manual handling staff costs. Reducing user burden on the technology vendors and teaching hospitals, industry partners, and CMS program staff was a high priority, as was integrating the application’s modules to allow all groups to work in tandem with one another.


Enabling Cross-Team Collaboration with a New Platform

Softrams proposed a shift from a paper-based collection system to a user-focused digital platform that supports application submission, communication, and revision side by side with CMS review and processing procedures. In addition, a serverless architecture enables a pay-per-use cost model for the hosted services which has led to further cost savings, enhanced security, simpler packaging, and easier deployment. We unified functionality across the 14 system modules using a multi-tenancy design, allowing for rapid, real-time data processing and exchange for its growing userbase. 

Screenshot of MEARis application
ACO-MS is the first system of its kind to use a Docker-based, containerized microservices architecture.


The scalable AWS Lambda-connected API gateway is used to support periodic workload peaks.
Amazon Simple Storage Service (S3), Amazon Relational Database Service (RDS), Amazon DynamoDB, and Amazon CloudWatch are employed for data management.
AWS Secrets Manager provides additional security.
AWS Simple Notification Service (SNS) and Amazon Simple Queue Service (SQS) enable notifications and other messaging.
AWS CodeBuild and AWS CodeDeploy allow for continuous integration and delivery.


Team HPT has put in every effort to make our customers successful and help CMS move towards realizing the mission behind Hospital Price Transparency initiative.

HPT Developer

Thank you again every single member that contributed to HPT Program.

HPT Developer

Sign up for our newsletter to join our impact-driven mission.

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.