Medicaid is built on a shared federal-state commitment to stewardship, ensuring that public funds support legitimate providers delivering care to those who depend on the program. Last week, the Centers for Medicare & Medicaid Services (CMS) issued a federal directive to every state Medicaid agency: provider revalidation must become more rigorous, more frequent, and more…

State Medicaid programs are facing increasing pressure to expand access to care while managing costs. New federal initiatives, including the Rural Health Transformation Program, are accelerating efforts to modernize infrastructure and improve how members interact with the system In this environment, member engagement is no longer optional. To improve access…

Final Rule Issued March 20, 2026 Medicaid programs are under increasing pressure to modernize information exchange to reduce administrative burden, improve provider experience, and ensure beneficiaries can access care. The CMS-0053-F administrative simplification final rule advances this goal by establishing a national standard for electronic claims attachments, requiring payers to…

Are you going to SALGBA? We are and look forward to seeing you there. HMS, a leading provider of payment integrity and cost containment solutions, will be onsite to showcase solutions that reduce inefficiencies, stop fraud before it starts, and lower avoidable costs without compromising care. Join us at SALGBA to discover how smarter, data‑driven solutions can help protect plan value and make a real difference for the communities you serve.

Administrative burden is a strong predictor of whether providers stay in Medicaid  States that modernize enrollment systems report 50% higher satisfaction and more stable provider networks  IRVING, Texas – April 14, 2026 – Gainwell Technologies LLC, a leading innovator in healthcare technology and Medicaid modernization, today released new national research revealing that administrative burden is one…