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H.R. 1 Changed the Rules. SNAP Administrators Need a Different Approach

H.R. 1 Changed the Rules. SNAP Administrators Need a Different Approach

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…

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Greater agility with modern MES modules

Greater agility with modern MES modules

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AI-Enabled Clinical Claim Reviews: Improving Accuracy, Speed, and Trust 

AI-Enabled Clinical Claim Reviews: Improving Accuracy, Speed, and Trust 

Artificial intelligence (AI) is designed to make life better for humans, but many worry it will have the opposite effect. For example, a recent article by Pew Research cites that six-in-ten Americans say they would like more control over how AI is used. It’s an understandable reaction given the depictions…

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Expert Roundtable: Expanding Care Access by Enhancing the Provider Experience

Expert Roundtable: Expanding Care Access by Enhancing the Provider Experience

Provider burden isn’t just an administrative challenge—it’s a direct threat to access to care. As provider frustration grows and networks tighten, states face rising pressure to respond quickly while navigating new federal requirements, budget constraints, and increasing political scrutiny. In this exclusive, virtual roundtable conversation, state leaders, provider executives, and…

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2026 State Healthcare IT Connect Summit

2026 State Healthcare IT Connect Summit

February 23-26, 2026 | New Orleans, LA

Join Gainwell at the 2026 State Healthcare IT Connect Summit, where we will explore innovative solutions for Medicaid modernization. Visit the Gainwell booth to explore real-world demos. Attend our breakout sessions to hear how data is driving verification initiatives.

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Interoperability in 2026: A Roadmap for State Agencies

Interoperability in 2026: A Roadmap for State Agencies 

The landscape of health information exchange is rapidly evolving. Landmark federal mandates, expanding adherence requirements, and new infrastructure opportunities are reshaping how state Medicaid agencies exchange information with providers, health plans, and other government partners. As we move further into 2026, interoperability is no longer a future-state aspiration—it is an…

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What States Need from Medicaid Technology Partners in 2026

What States Need from Medicaid Technology Partners in 2026

An Outlook on Rewriting the Vendor Playbook Change is the only constant in Medicaid. And right now, it’s at an inflection point. As federal requirements shift under H.R. 1, modernization is critical for Medicaid sustainability. States have long relied on technology partners to help drive modernization. But the stakes are…

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RHTP Awards Are Here. Do You Have a Data Plan to Match?

RHTP Awards Are Here. Do You Have a Data Plan to Match?

On December 29, the Centers for Medicare and Medicaid Services (CMS) announced the Rural Health Transformation Program (RHTP) awards, requiring an immediate call to action. For each state, the work begins now. Effectively using these funds to address complex health disparities in rural communities requires more than just policy; it demands a…

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