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Health Tech Nerds Radio
Episode 10

The state of the Medicaid tech stack and readiness for upcoming eligibility changes | Nikita Singareddy (Fortuna Health) and Luke Farrell (Better Government Lab)

Feb 17, 2026
29:50
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Episode Description

On January 29th, CMS announced that Medicaid Technology Companies had pledged $600 million in savings to support the implementation of community engagement requirements from H.R. 1 and other improvements to the Medicaid tech stack.

To discuss the current state of the Medicaid tech stack, how preparations for the January 1st 2027 implementation of community engagement requirements and twice yearly redeterminations is going, and alternatives to the Deloitte-Equifax “means-testing industrial complex” we’re joined by:

  • Nikita Singareddy , CEO of Fortuna Health
  • Luke Farrell, former USDS lead for benefits during the PHE unwinding, author of The Means-Testing Industrial Complex and Fellow at the University of Michigan’s Better Government Lab.

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