In this special edition...

Tim is joined by Tally, Sandra Warner, and Sam Hopkins for a recap of the Medicaid Enterprise Systems Conference.

After a week on the conference floor in Portland, the team brings Tim up to speed on what they heard from Medicaid leaders, federal partners, vendors, and public servants working through the next wave of Medicaid technology modernization.

The conversation gives listeners a practical look at the themes shaping the Medicaid enterprise space, from data readiness and procurement to AI, governance, change management, and the importance of keeping people at the center of transformation.

Throughout the episode, one theme keeps resurfacing: successful technology work starts with a clear mission. Before jumping into tools or solutions, organizations need to understand the problem, align around the people they serve, and build the foundation needed for meaningful, sustainable change.

Topics Covered

Medicaid Enterprise Systems Conference recap
Medicaid technology modernization
Why strategy should come before technology
State Medicaid agency differences and shared challenges
Procurement and financial stewardship
Data maturity, data cleansing, and reliable data foundations
AI governance and responsible implementation
Human-in-the-loop AI
Change management and workforce development
Vendor alignment around a shared mission
AI use cases for Medicaid agencies
IVR and AI-assisted call center routing
AI as a second set of eyes for data review
Supporting smaller or shrinking workforces with AI
Quantum computing as a future readiness topic

Resources

Events and Resources Mentioned

Medicaid Enterprise Systems Conference 2026
MESC 2026 Event Page
Mind Over Machines at MESC 2026
Using AI to Ensure Vendor Harmony with RFPs

Organizations Mentioned

Mind Over Machines
Medicaid Enterprise Systems Conference
Centers for Medicare & Medicaid Services
Medicaid.gov
Oregon Convention Center
Powell’s Books
TennCare
Oak Ridge National Laboratory

Tools and Technologies Mentioned

ChatGPT
Claude
Microsoft Copilot
ElevenLabs
Twilio
Interactive Voice Response, or IVR
AI agents
Voice-to-text
Data governance
AI governance
Quantum computing

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