IRVING, Texas, Dec. 11, 2025 (GLOBE NEWSWIRE) — Gainwell Applied sciences LLC, a number one innovator in healthcare know-how and Medicaid modernization, right this moment introduced its HMS SNAP Integrity resolution, designed to assist states strengthen Supplemental Diet Help Program (SNAP) accuracy, enhance program integrity, and unlock new efficiencies. By combining predictive analytics, clever information matching, and AI, the answer empowers companies to ship advantages extra reliably whereas safeguarding budgets.
With the passage of H.R. 1, states face new accountability requirements for SNAP cost accuracy. Whereas these adjustments introduce extra monetary duty, additionally they create a possibility for companies to modernize operations, scale back errors, and construct larger belief with the communities they serve:
- States that haven’t diminished error charges under 6% by FY2026 might be required to repay a portion of federal funding and implement Corrective Motion Plans.
- Starting in FY2028, states might be required to shoulder 5% to fifteen% of SNAP profit prices primarily based on their Fee Error Charge (PER).
- In FY2024 alone, SNAP cost errors averaged 10.93% nationally in accordance with the US Division of Agriculture, together with $9.3 billion in overpayments.
- Greater than 40 states have error charges above 6%—with greater than 20 above 10% and dealing with the best stage of monetary danger.
- Federal funding reductions might be measured primarily based on present fiscal 12 months efficiency, incentivizing states to maneuver rapidly to cut back error charges under the 6% threshold.
“States are beneath rising stress to enhance SNAP cost accuracy, and the stakes have by no means been increased,” stated Invoice Allison, Gainwell Chief Consumer Officer. “Our SNAP Integrity resolution delivers the intelligence, velocity and scalability companies want to guard funding, scale back administrative pressure, and restore public belief in important profit packages.”
The SNAP Integrity resolution from Gainwell leverages AI, predictive analytics, and built-in information administration to assist states proactively scale back error charges and enhance eligibility accuracy. Constructed on a long time of HMS expertise enhancing Medicaid integrity and saving state governments billions annually, the answer co-exists with states’ present programs and processes, whereas incrementally lowering the error charges.
Key advantages embody:
- Automated error prevention: Predictive AI fashions and machine studying flag high-risk instances early, stopping expensive errors earlier than they’re reportable.
- Streamlined interventions: A mixture of individuals, course of, and know-how interventions are deployed primarily based on predictive fashions.
- Built-in information administration: Sensible processing of large datasets ensures correct eligibility selections.
By embedding predictive AI fashions straight into case administration workflows, SNAP Integrity allows frontline staff to deal with nuanced instances whereas know-how handles routine verification and information validation. This method reduces overpayments, accelerates eligibility selections, and strengthens compliance with federal high quality management necessities.
With greater than 50 years of expertise supporting over 70 million Medicaid members nationwide, Gainwell Applied sciences brings unmatched scale and experience to its state companions. As companies put together for the way forward for SNAP, Gainwell stands prepared to assist them navigate change, modernize programs, and ship lasting influence for communities throughout the nation.
About Gainwell Applied sciences LLC
Gainwell Applied sciences is the trusted chief in digital and cloud-enabled options for well being and human companies packages. With over 50 years of confirmed experience, we assist modernize Medicaid and public well being packages with revolutionary options to enhance operational effectivity and improve supplier experiences, whereas safeguarding program integrity with HMS verification and cost-containment companies. Combining cutting-edge know-how with an unwavering dedication to service excellence, Gainwell delivers scalable, impactful options that advance public well being and create transformational outcomes. Study extra at gainwelltechnologies.com.
Media Contact
Cecile Fradkin, S&C PR for Gainwell, cfradkin@scprgroup.com.
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