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Medicaid Modernization: Your Path May Vary

State Medicaid agencies are intensifying efforts to transform healthcare for their members. But while they all share that same mission, agencies are taking multiple technology modernization paths to get there. These paths are informed by the states’ policy priorities, health technology ecosystems and budgets. Some states are choosing to completely…

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Navigating Medicaid Modularity: A Phased Approach to Better Outcomes

We talk a lot about the need to modernize Medicaid systems, but why is it so important? To put it into perspective, consider the major airline snafu that took place during the recent holiday season, interrupting service for millions of travelers. The airline’s legacy system wasn’t equipped to handle the…

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Three people in a modern, techy office space talk to one another while sharing and looking at a tablet device with the Gainwell logo in the foreground

Modernization vs. Modularization: Understanding the Difference

Healthcare is changing rapidly, and technology is both propelling this transformation and struggling to keep up with it. Medicaid, and the healthcare safety net it provides to millions of Americans, sits at the same nexus of opportunity and challenge as the rest of the healthcare industry. Meeting the needs of…

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Two men collaborate side-by-side in front of a laptop at a table in a modern office exploring ways to modernize Medicaid.

Refactoring in Medicaid Modernization: What States Should Know

Medicaid modernization is a journey. At Gainwell Technologies, we know this journey well from helping states across the country create their modernization roadmaps. No two journeys are alike. They are shaped by existing systems, desired impacts and, of course, budgets. Modernization and the Power of “Re” A fundamental step in any…

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Medicaid Modernization: Aligning Business Strategy with Human Outcomes

Imagine embarking on a cross-country road trip without a destination in mind. You've got maps, snacks and a full tank of gas, but where are you going? Similarly, as states gear up to modernize Medicaid, jumping into creating a tech roadmap is like planning that trip without knowing the destination.…

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Data Integration Done Right: The Engine of Medicaid Transformation

Data Integration Done Right: The Engine of Medicaid Transformation

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We’re Building While Flying: 7 Things States are Talking About  

We’re Building While Flying: 7 Things States are Talking About  

Community Engagement (CE) is no longer a future conversation. At the recent State Healthcare IT Connect Summit CE Day, the tone from state leaders was direct and pragmatic: this is real, timelines are fixed, and execution starts now.  What stood out most wasn’t debate about policy. It was operational reality.  Here are the seven themes we heard consistently from state…

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Transforming Community Engagement Verification With AI 

Transforming Community Engagement Verification With AI 

Community Engagement (CE) verification requirements are quickly becoming one of the most complex and time‑sensitive verification challenges in Health and Human Services. Under the H.R. 1 Act, states must verify that Medicaid members complete 80 hours of qualifying activities (work, volunteering, job training, or education) each month to maintain coverage. The timelines are tight, the stakes are high, and the potential increase in administrative burden to…

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Gainwell Technologies Awarded Texas Department of Information Resources Contract to Accelerate Digital Modernization Across the State 

Gainwell Technologies Awarded Texas Department of Information Resources Contract to Accelerate Digital Modernization Across the State 

New Agreement Expands Access to Technology, Data and Modernization Services for Texas State Agencies and Public-Sector Organizations   IRVING, Texas – February 26, 2026 – Gainwell Technologies LLC, a leading innovator in healthcare technology and Medicaid modernization, today announced it has been awarded a contract by the Texas Department of Information Resources (DIR). The agreement enables Texas state agencies, local governments, public…

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