The H.R. 1 Act fundamentally changed how SNAP accountability works. Before H.R. 1, when a state’s payment error rate crossed federal thresholds, the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) assessed a liability—but the model was largely corrective-action driven. States could be required to reinvest up to…

Program integrity goes beyond just fraud detection. Join HMS at NAMPI 2026 to explore the trends shaping the future of Medicaid program integrity. See how HMS helps Medicaid agencies verify eligibility, coordinate benefits, review claims, and protect program resources through a connected ecosystem of solutions designed to detect fraud, waste, and abuse and prevent improper payments.

Join Gainwell at MESC 2026 where we’ll showcase how states are connecting data, systems, and workflows to improve efficiency, strengthen program performance, and create a brighter path forward through smarter Medicaid operations. Visit our booth or listen in on one of our speaking sessions to hear how Gainwell solutions are making the Medicaid mission possible.

Immunization registries play an increasingly vital role in public health. Modernizing these systems can unlock new value for individuals and communities.

In the context of public health, one of the largest threats is vaccine-preventable diseases and the staggering administrative complexity required to keep communities safe. Immunization is often viewed as a straightforward clinical event. Yet, for state health officials and Medicaid directors, it is a massive logistical operation requiring precise data, updated policy…

Complex regulatory requirements and outdated systems force providers to spend an increasing share of time navigating documentation rather than delivering care. And, with new CMS requirements around provider revalidation, administrative burden is going to increase for providers and state agencies. This burden can lead to provider friction, a structural barrier that directly affects access, continuity, and network stability across state Medicaid programs.  …

Rural communities are the backbone of many states—but their health systems face persistent challenges.  As states advance their Rural Health Transformation Program (RHTP) strategies to improve access, outcomes, and sustainability, a clear barrier emerges. The primary problem is not a shortage of data or technology. It’s that rural health data,…