AHIP Medicare, Medicaid, Duals & Commercial Markets Forum 2026 (MMDC26)

Newgen is excited to participate in the Medicare, Medicaid, Duals & Commercial Markets Forum 2026 as a Bronze sponsor, a premier event where over 1000 healthcare and government professionals gather to explore the future of healthcare policy, tackle emerging challenges, and showcase innovative solutions. The event will be held in Washington, DC from March 23 – 25, 2026.

Meet the Newgen Team at #Booth 503.

Turning CMS Mandates Into Enforceable Payer Infrastructure with NewgenONE

At AHIP MMDC26, Newgen demonstrates how health plans operationalize:

• CMS-0057-F (Interoperability & Prior Authorization)
• CMS-4205-F (MA & Part D Rule)
• CMS-2439-F (Medicaid Managed Care Access)
• IRA Part D Redesign
• Medicaid Unwinding Impacts

The 2026 Reality

Federal mandates now require:

• FHIR-based API implementation
• Prior authorization metric reporting
• Enforced grievance timeliness
• Network adequacy transparency
• Rebate and claims reporting integrity

Understanding policy is insufficient. Architecture determines compliance.

Operationalize federal mandates with NewgenONE

1. Enrollment Governance – Supports Medicaid unwinding oversight and SLA enforcement.
2. CAG Management – Aligned to CMS-4205-F grievance enforcement standards.
3. Provider Lifecycle Management – Supports CMS-2439-F network adequacy and transparency.
4. Claims Exception Management – Addresses IRA financial reconciliation and reporting exposure.
5. Interoperability Architecture – Implements CMS-0057-F Prior Authorization API within structured workflow governance.