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Gainwell at MESC 2025 Reliability. Innovation. Delivered.


Event Overview
Experience the fusion of reliability and innovation with Gainwell at MESC 2025, taking place from August 11-14 in Milwaukee.
We deliver unmatched insights and solutions as Medicaid leaders convene to explore what’s next in enterprise systems. Join us for engaging forums, hands-on demos, and meaningful discussions on the innovations driving Medicaid technology forward.

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Forum & Workshops

Gainwell’s live workshops offer a deep dive into topic-specific innovations reshaping Medicaid technology. Each session features real-world case studies, new platform capabilities, and interactive discussions with subject matter experts.

Gainwell Innovation Forum

August 12 10:00 – 10:45 a.m. Room: S103C
Reduce risk. Increase velocity.
• Fraud, Waste, and Abuse (Residency Verification, Work Requirement, RAC) • Accelerating modernization and time to value  • Smarter modularity for seamless modernization  • Executing on the promise of AI


Claims, Encounters, and Financials
Innovation Workshop

August 12 12:45 - 1:30 p.m. (lunch provided) Room: S103D
Claims. Clearer. Simpler.
• Role-based interfaces show real-time claims, encounters, and financials • Automation removes clicks and hand-offs  • Smart dashboards heighten transparency and audit readiness

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MMIS Modernization Innovation Workshop

August 12 12:45 - 1:30 p.m. (lunch provided) Room: S103C
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

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Provider Solutions Innovation Workshop

August 12 2:30 - 3:15 p.m. Room: S103C
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

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Whole Health Innovation Workshop

August 13 10:00 - 10:30 a.m. Room: S103C
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

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Data & Analytics
Innovation Workshop

August 13 12:45 - 1:20 p.m. Room: S103C
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

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Pharmacy Innovation Workshop

August 13 2:15 - 3:00 p.m. Room: S103C
Smarter pharmacy outcomes—at every step, in every model.
• Unify medical and pharmacy claims processing to maximize clinical and financial outcomes. • Turn visibility into action with stronger oversight and sharper MCO accountability • Transforming evolving pharmacy models with advanced analytics • Act on predictive insight to head off fraud waste and abuse

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MESC 2025 Demos

South Hall (S103A, 103B, 103C, 103D) Connect with your AGM to schedule a demo time.

Gainwell Enterprise™ MMIS Modernization


• Bespoke modernization approach based on best practices
• Modular component replacement
• Aligned with unique agency goals and...

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Gainwell Enterprise™ Claims, Encounters & Financials


• Modular MES modernization with seamless integration
• AI self correcting, lights out claims processing
• Proven innovation dr...

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Gainwell Genius™ 


• Integrate fragmented data sources to uncover the full picture of cost and care drivers 
• Advance toward future-proof strategies that scale with ...

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Gainwell Provider+​


• Elevate experiences. Strengthen network. Achieve outcomes.
• Accelerate and de-risk modernization investments with proven, scalable implementations

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Gainwell Provider Flex And Modernization


• Streamline provider interactions for better experiences
• Deliver measurable impact with greater efficiency
• Build scalable ...

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Gainwell Whole Health™ 


• Enable coordinated care with a unified member view
• Turn data into action with a purpose-built medicaid platform
• Accelerat...

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Gainwell Rx™ 


• Deliver Medicaid pharmacy value with transparent, modular program design
• Align clinical and pharmacy data to optimize outcomes and reduce cost drive...

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Gainwell Connect™ Interoperability 


• Simplify CMS-0057-F and modular complexity with scalable, connected systems that deliver insights
• Resolve the modular mess with a cloud-agnostic pla...

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Gainwell Connect™ System Integration 


• Modernize integration with a cloud platform that boosts data quality and efficiency
• Streamline operations with seamless data flow, better workflows,...

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Gainwell Customer Experience


• Frictionless experiences for providers and members
• Best-in-class customer experiences
• State-of-the-art technology and pro...

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Gainwell Speaker Sessions

Gainwell thought leaders will be featured in three high-impact breakout tracks throughout the week:

Massachusetts Medicaid MMIS: Trip to Modernization

Exploring transition strategies and state-level modernization.


August 12 1:40 – 2:30 p.m.
Presenters: 

Transform Coordination of Benefits (COB): Innovative Approaches for TPL Optimization

Moving COB/TPL upstream to drive measurable savings.


 August 13 1:30 – 2:20 p.m.
Presenters:

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Strategic Modernization: Enhancing Operational Excellence and Compliance in Medicaid

Best practices for scalable innovation and regulatory alignment.


 August 14 10:10 – 11:00 a.m.
Presenters:<...

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Medicaid leaders are facing a pivotal moment. 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.

Gainwell Innovation Forum:
From Pressure to Progress—Medicaid’s Modernization Moment


Tuesday, August 12 | 10:00 a.m. – 10:45 a.m., S103C
Join leaders from Gainwell Technologies and Health Management Associates (HMA) for a forward-thinking discussion on aligning strategy, technology, and policy to turn today’s challenges into tomorrow’s opportunities.

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Unlock Medicaid’s Data Potential: Gainwell & Databricks Turn States’ Questions into Answers


 Thursday, August 14 | 9:00 – 9:50 a.m.
Presented by Gainwell and Databricks, this session explores how Medicaid programs can harness their full data ecosystem to drive real-time insights, predictive analytics, and AI applications.

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Moderator: Charles Abraham, Director of Data & Analytics, Gainwell Technologies
Speakers: Jesse Bradford, SVP Data & Analytics, Gainwell Technologies Arif Abdul Kareem, VP SLED Solution Architecture, Databricks Andy Allison, Lead SLED Solutions Architecture, Gainwell
Topics include: • Real-world use cases from Medicaid agencies • The Gainwell Genius platform built on Databricks' lakehouse • Integrating disparate systems and deploying advanced models

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Premier Client Reception
Monday, August 11 | 6:30 p.m. – 9:30 p.m. The MECCA Sports Bar & Grill + Beer Garden
Dubbed the “must-attend event of MESC,” this evening features two levels of entertainment, skyline views, and an outdoor beer garden.
What to Expect: • Specialty cocktails, regional cuisine • Live music and immersive networking

Out with the old, in with the new. The new is quicker, and it’s easier too.

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Booth Schedule

Visit Gainwell at booth #223 in the Exhibit Hall.

Monday, Aug. 11

4:30 p.m. - 6:30 p.m.

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Tuesday, Aug. 12

7:00 a.m. - 6:00 p.m.

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Wednesday, Aug. 13

7:00 a.m. - 4:00 p.m.

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Thursday, Aug. 14

7:00 a.m. - 10:00 a.m.

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All the services you need,  in one place

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Gainwell brings unmatched insight to Medicaid transformation:
• Our experience drives bold, outcome-based innovation
• We lead with AI, cloud, and data-first strategies
• We deliver "Every Product, Everywhere" — tailored to mission-critical needs

Out with the old, in with the new. The new is quicker, and it’s easier too.

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