Medicaid Enterprise Systems Conference (MESC 2025)

August 11-14, 2025

Milwaukee, WI

Reliability. Innovation. Delivered.
Trusted nationwide, focused on your goals.

Gainwell is heading to MESC 2025 with the solutions, insights, and partnerships to help states drive Medicaid modernization forward. Join us in Milwaukee for hands-on demos, thought-provoking sessions, and an unforgettable client experience as we explore smarter ways to improve performance and outcomes.

Plan Your Visit
Stop by our booth #223 to meet the team and learn how our modular, AI-powered solutions are designed to fit your roadmap, reduce complexity, and deliver results. From frictionless provider experiences to predictive insights and better spend control, see how we’re helping states modernize with confidence.

Engage in a Workshop
Step into a dynamic array of Innovative Workshops designed to empower Medicaid leaders, techies, and policy makers at MESC 2025. Whether you’re aiming to modernize operations, refine provider experiences, or harness the power of advanced analytics, these curated workshops offer expert strategies and collaborative discussions. Join us to explore the future of Medicaid transformation designed to drive meaningful change in your state.

August 12

Claims, clearer, simpler.

Role-based interfaces show real-time claims, encounters & financials
Automation removes clicks and hand-offs
Smart dashboards heighten transparency and audit readiness

Location: S103D | Time: 12:45 p.m. – 1:30 p.m. CT

Modernization without missing a beat.

Wrap-and-refactor keeps core processing online during upgrades
How modern portals enhances the value of proven engines
Real client examples show measurable user-experience gain

Location: S103C | Time: 12:45 p.m. – 1:30 p.m. CT

Your Playbook for Provider Modernization

Provider services implementation best practices
Phased modernization to overcome the challenge of budget and staff resource pressure
The value of Kaizen events for defining roadmap elements

Location: S103C | Time: 2:30 p.m. – 3:15 p.m. CT

August 13

Justice-involved Whole Health: Reentry. Reconnected. Restored.

Identify justice-involved individuals reentering the community using comprehensive, integrated data
Surface physical, behavioral, and social needs to inform targeted care strategies
Equip agencies and partners with tools that improve coordination, reduce recidivism, and measure program outcomes

Location: S103C | Time: 10:00 a.m. – 10:30 a.m. CT

Data to Decisions, Fast.

Integrate fragmented data sources to uncover the full picture of cost and care drivers
Advance toward future-proof analytics strategies that scale with evolving insights and reporting needs
Unlock actionable insights to drive innovation, efficiency, and improvement in health outcomes

Location: S103C | Time: 12:45 p.m. – 1:20 p.m. CT

Smarter pharmacy outcomes – at every step, in every model.

Evolving pharmacy benefit models and hot topics in PBM
Unify medical and pharmacy claims processing to maximize clinical and financial outcomes
Proactive management strategies leveraging insights, advanced analytics, and AI

Location: S103C | Time: 2:15 p.m. – 3:00 p.m. CT

Attend a Presentation
Hear directly from our clients and experts as they explore strategic modernization, upstream savings, and data-driven solutions in Medicaid.

August 12

Innovation Forum: From Pressure to Progress: Medicaid’s Modernization Moment
Location: S103C | Time: 10:00 a.m. – 10:45 a.m. CT
Description: The federal reconciliation law (H.R. 1, One Big Beautiful Bill Act) is reshaping the rules of engagement, introducing new challenges and opportunities for states to modernize their Medicaid programs. This session dives straight into what’s top of mind for you: navigating intensified fraud, waste, and abuse (FWA) controls, meeting stricter residency and work requirement mandates, and leveraging Recovery Audit Contractors (RACs) to ensure compliance and accountability.
This session isn’t about just keeping up, it’s about getting ahead. We’ll discuss how states can turn regulatory pressure into a launchpad for innovation, using modular, agile Medicaid IT systems to adapt faster, reduce risk, and unlock funding for advancements that improve care and program integrity.

Massachusetts Medicaid Management Information System (MMIS) – Trip to Modernization
Speakers:

Sheika Babin, Massachusetts
Renee Washington, Massachusetts
Mary Page, Gainwell Technologies

Location: S202ABC | Time: 1:40 p.m. – 2:30 p.m. CT
Description: In recognizing the critical need to modernize its legacy MMIS, Massachusetts launched a multi-year transformation project to migrate from an outdated infrastructure to a robust, AWS cloud-based environment. This ambitious journey involved updating system code to a Linux platform with the expert support of Gainwell Technologies and securely migrating and de-identifying data.
Key components of the project included: cloud migration, system migration, data strategy, robust testing, and business collaboration. Join us as we share our lessons learned, best practices, and strategies for modernizing Medicaid systems—highlighting the challenges and successes of building a resilient Medicaid enterprise.

August 13

Transform Coordination of Benefits (COB): Innovative Approaches to Moving COB/TPL Upstream for Maximum Savings
Speakers:

Michelle Adams, North Dakota
Leah Chapman, Gainwell Technologies
Seana Ferris, Gainwell Technologies

Location: Ballroom A | Time: 1:30 p.m. – 2:20 p.m. CT
Description: Traditional COB processes often take weeks to update, creating costly delays for high-need populations. This session explores how states are moving COB upstream across the cost continuum to reduce administrative burden and improve savings. Learn from North Dakota’s shift to a proactive model that delivered per-member savings of up to 25%, along with practical strategies and lessons learned.

August 14

Strategic Modernization: Enhancing Operational Excellence and Compliance in Medicaid
Speakers:

Nick Havens, Wisconsin
Parrish Steinbrecher, Colorado
Lisa Schilling, Gainwell Technologies

Location: Ballroom B | Time: 10:10 a.m. – 11:00 a.m. CT
Description: Wisconsin, Colorado, and Delaware will share how they are modernizing their Medicaid Enterprise Systems to improve efficiency, compliance, and member experience while aligning with CMS modularity principles. From integrated claims and encounter platform to enterprise integration strategy and optimizing legacy systems, this session highlights practical, scalable approaches that reduce cost, increase agility, and support better outcomes.

Industry Session: Unlock Medicaid’s Data Potential: Gainwell & Databricks Turn States’ Questions Into Answers
Speakers:

Charles Abraham, Gainwell Technologies
Jesse Bradford, Gainwell Technologies
Arif Abdul Kareem, Databricks
Andy Allison, Gainwell

Location: S101AB | Time: 9:00 a.m. – 9:50 p.m. CT
Description: States have more Medicaid data than ever but turning that data into insights remains a challenge. This session explores how Gainwell GeniusTM, built on Databricks’ Lakehouse architecture, helps states unify data, apply real-time analytics, and deploy AI to improve transparency, efficiency, and outcomes. Learn how agencies are moving from raw data to real impact using a secure, scalable platform.

Schedule a Demo
Get an inside look at the technologies shaping the next generation of Medicaid Enterprise Systems. Our team will be onsite to walk you through tools that simplify operations, improve analytics, and help you progress with confidence. Contact your account general manager to schedule.

Featured Solutions:

GainwellEnterprise™ – Claims, Encounters, and Financials; MMIS Modernization
GainwellProvider+™ – Screening, Enrollment, Credentialing, and Management
GainwellRx™ – Pharmacy Solutions
GainwellGenius™ – Data & Analytics
GainwellWhole Health™ – Population Health Management
GainwellConnect™ – Systems Integration & Interoperability
GainwellCX – Customer Experience Solutions
HMS – Payment Integrity