The Future of
Federal Healthcare

From Centers for Medicare and Medicaid Services to Veterans Affairs, Commence combines trusted expertise with smarter data for federal agencies. We simplify the complex, strengthen compliance, and lead the shift toward a more connected, efficient era of federal care.

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Trusted Results for
Federal Health Missions

Every benefit delivered, every claim resolved—it all adds up to better outcomes for veterans and their families. At Commence, we use data and insight to make care more connected, more responsive, and more human.

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Faster Claims
Processing

AI-powered automation reduces backlog and accelerates decision-making—cutting VA claims from 40+ days to just 12 days.

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Stronger Patient
Advocacy

24/7 support ensures veterans, and their families get answers when they need them most—delivering benefits with clarity, empathy, and follow-through.

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Regulatory
Compliance

We help agencies stay ahead of federal requirements—ensuring programs meet evolving standards for care, accuracy, and accountability.

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Seamless Data
Interoperability

Commence connects VA, DoD, and civilian systems to power smarter care coordination and more informed decisions across every point of care.

Contract Vehicles

We make procurement easy. Learn how Commence supports fast, compliant acquisition for agencies of all sizes.

Leadership Guiding the Future of Federal Care

Chief Mission Officer

Chief Growth Officer

Senior Vice President

CMS Practic Lead
Paul Brubaker

Paul Brubaker

Chief Mission Officer

Paul Brubaker helps align emerging technologies with the mission priorities of federal health and government agencies. With decades of leadership across both government and industry, he brings deep expertise in digital transformation, technology modernization, and public sector innovation. 

Paul has held senior leadership roles across multiple federal departments, including Defense, Energy, Transportation, and Veterans Affairs. He was confirmed by the United States Senate as the second Administrator of the Research and Innovative Technology Administration at the U.S. Department of Transportation and played a key role in shaping the landmark Clinger-Cohen Act, which established the Chief Information Officer role across the federal government. 

In the private sector, Paul has led innovation and growth across major technology and government services firms, including executive leadership roles at Cisco Systems and SI International. He has also served as CEO of several government technology companies, guiding strategic expansion and successful acquisitions. Paul’s work has been recognized with numerous honors, including the Department of Defense Medal for Distinguished Public Service and two Federal 100 awards. 

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Ian Checcio

Chief Growth Officer

Ian Checcio serves as Chief Growth Officer at Commence, leading the company’s commercial growth strategy and bringing its solutions to the organizations that need them most. With more than two decades at DOMA and now Commence, he has grown from early operational roles into leadership across sales, business development, and growth—bringing a perspective grounded in both delivery and results.

Ian believes long-term success is built on trust—clients stay, teams excel, and impact happens when relationships come first. His leadership style is situational, adapting to meet people where they are while maintaining a consistent focus on accountability and performance. To him, “Greater Data for the Greater Good” means the work goes beyond the transaction—ensuring data drives real decisions and real outcomes.

Headshot Lance Coss

Lance Coss

Senior Vice President

With over 30 years of leadership in healthcare administration, Lance Coss brings deep expertise in Medicare programs, quality improvement, and regulatory excellence. As Executive Director at Commence, he oversees national QIO operations, helping shape healthcare programs that protect patients and drive lasting improvements.   

Lance is passionate about mentorship, equality, and building systems that support both operational success and human-centered care. For Lance, “Greater Data for the Greater Good” means turning insights into action and ensuring data always serves people first. His one-word summary? Empowerer. Because when people are trusted to lead, great things follow. 

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Sherly Binu

CMS Practic Lead

Sherly Binu brings over 20 years of clinical, operational, and strategic expertise to her role as CMS Practice Lead at Commence, where she oversees the organization’s public health portfolio. A seasoned leader in value-based care and federal healthcare contracting, Sherly is responsible for guiding innovation, ensuring program success, and driving growth across CMS-aligned initiatives.  

With a background spanning Johns Hopkins, UMMS, and multiple CMS centers, Sherly combines clinical expertise with a deep understanding of healthcare systems and policy. She’s passionate about improving care delivery, advancing health equity, and building systems that empower patients and providers alike.  

Sherly leads with empathy, clarity, and collaboration. A connector at heart, she brings people, ideas, and resources together, building high-performing teams, promoting cross-functional collaboration, and aligning strategy with purpose.  

To Sherly, “Greater Data for the Greater Good” is about delivering insights that improve care, protect patients, and drive equity. It’s a commitment to making sure the solutions we build are not only technically sound, but truly meaningful to the people and programs they support. 

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