We know data analytics play an important role in healthcare. In the right hands and with the right tools and technologies, analytics provide valuable insights that can be used to solve many healthcare challenges. There are almost limitless possibilities for what analytics can do, and we know they have a…

Public health agencies face mounting pressure to protect communities from infectious diseases while managing increasingly complex healthcare delivery systems. Immunizations are a powerful tool in this effort; however, the effectiveness of these programs hinges on a critical foundation: accurate, comprehensive data. When immunization records are incomplete, siloed, or delayed, the…

Medicaid’s next chapter starts here! At the NAMD Fall 2025 Conference, we’re thrilled to connect with leaders like you who are shaping the future of Medicaid. Let’s talk about how you can move faster, spend smarter, and make a bigger impact. Visit the Gainwell booth to explore innovative solutions designed to help you achieve your goals and improve lives.

HMS is proud to participate in the NHCAA Annual Training Conference. HMS delivers trusted insights and analytics, innovative and adaptable fraud solutions, and enhanced efficiency to support organizations in combating healthcare fraud. Connect with HMS at our booth to explore the future of fraud prevention together.

Effectively addressing the complex health disparities in rural communities requires a strategic, evidence-based approach. While effective policy and program design lays the groundwork, insightful rural health analytics provide the intelligence needed to execute and refine state initiatives. The Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation Program (RHTP)…

IRVING, Texas, Oct. 28, 2025 (GLOBE NEWSWIRE) -- Gainwell Technologies today announced the launch of the HMS Community Engagement Verification (CEV) solution, a first-of-its-kind, independent platform that helps states ensure eligible Medicaid members maintain coverage while meeting federal community engagement requirements—without the complexity or cost of re-engineering existing eligibility systems.…

Individuals with severe mental illness (SMI) represent a critical and complex group within the Medicaid system. While they make up about 20% of Medicaid recipients, they account for nearly 50% of total healthcare spending. Despite this significant investment, their health outcomes are often poor, with life expectancies 10 to 20…

Fraud, waste, and abuse (FWA) in Medicaid pharmacy programs cost taxpayers billions of dollars every year. Finding and stopping FWA is tough because of the huge number of pharmacy claims and the "pay-and-chase" system, where claims are paid quickly and investigated later. State Medicaid teams face four major hurdles in…