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How States Can Get More Value From Modularity

How States Can Get More Value From Modularity

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Colleen Ritchie: Improving Medicaid Customer Engagement with AI

Colleen Ritchie: Improving Medicaid Customer Engagement with AI

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National Association of Medicaid Directors (NAMD) 2026 Fall Conference

National Association of Medicaid Directors (NAMD) 2026 Fall Conference

October 21-23, 2026 | National Harbor, MD

Join Gainwell at the NAMD 2026 Fall Conference, where the hardest questions facing your program meet practical, data-driven answers. Trusted nationwide and focused on your mission, see how value-based care models and modern analytics turn member and provider insights into better outcomes for the people you serve—and discover what we can make possible for your state. What's on your agenda? Together, let’s explore solutions built around your state's needs. Visit the Gainwell booth to start the conversation.

Reducing Medicaid Total Cost of Care

Reducing Medicaid Total Cost of Care

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County Welfare Directors Association (CWDA) 2026 Annual Conference

County Welfare Directors Association (CWDA) 2026 Annual Conference

October 14-16, 2026 | Anaheim, CA

Gainwell is heading to the CWDA 2026 Annual Conference, and we're proud to help mark a remarkable milestone: 100 years of advancing California's human services system. Join us at this event, where leaders from all 58 county human services agencies, policymakers, and community partners will gather to shape the future of care for Californians. As a trusted partner to government agencies nationwide, we help Medicaid and public health programs make your mission possible with data-driven solutions that deliver real, measurable outcomes. Stop by our booth to see how we're turning complex challenges into better results for the people you serve. See you in Anaheim.

California Association of Health Plans (CAHP) 2026 Annual Conference

California Association of Health Plans (CAHP) 2026 Annual Conference

October 19-21, 2026 | Desert Springs, CA

HMS is proud to help celebrate a major milestone: the California Association of Health Plans' 40th anniversary. We're bringing our expertise to the CAHP 2026 Annual Conference, where more than 1,000 healthcare professionals gather to shape how the state's health plans adapt to new laws, take on expanded responsibilities, and plan for what's next. Trusted by health plans nationwide and focused on your mission, HMS is dedicated to making possible the outcomes that matter most to you—improving access, boosting efficiency, and managing costs so your plans can achieve their goals and deliver better results for the members you serve. Stop by our booth to see what we can make possible together.

Upstream Controls, Downstream Payoff: Inside NAMPI 2026 with Program Integrity Leaders 

Upstream Controls, Downstream Payoff: Inside NAMPI 2026 with Program Integrity Leaders 

Medicaid program integrity is moving upstream.  That shift came into sharp focus at NAMPI 2026 in Portland, where HMS and Gainwell presented to  state, federal, clinical, product, and market leaders for Upstream Controls, Downstream Payoff: The Power of Prepayment Review. The session explored how Medicaid agencies can stop more improper payments before dollars leave…

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CMS-0057-F: A Blueprint for Medicaid Modernization 

CMS-0057-F: A Blueprint for Medicaid Modernization 

The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) marks a critical turning point for health and human services. This new ruling is a catalyst for comprehensive Medicaid transformation. It establishes requirements for real-time, standardized data exchange, requiring Medicaid programs and their partners to modernize how healthcare data flows between payers, providers, and patients.  For…

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From Data Overload to Decisive Action 

From Data Overload to Decisive Action 

Inside MESC 2026 with Medicaid Leaders  Every Medicaid agency in the country is drowning in data and starving for decisions. That gap was exactly why we created our session for the recently held  Medicaid Enterprise Systems Conference in Portland, Oregon, Aug. 17-20: "From Data Overload to Decisive Action.” We brought together a former state Medicaid commissioner, a former CMS executive, and…

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