Gainwell Technologies, a Texas-based provider of digital and cloud-enabled health and human services program solutions, has added several strategic partners to its Rural Health Transformation Collaborative.

The nationwide initiative aims to stabilize rural hospitals, expand access to care and build long-term sustainability in underserved communities by connecting data, systems, and partners to interoperate and enable better coordination and decision-making across rural health ecosystems.

The collaborative brings together state agencies, health care providers and technology and community partners in a connected model that supports the Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation Program (RHTP). Gainwell serves as the data integrator and information broker, enabling collaboration among participants to support program design, funding, and outcomes reporting.

Now, four partners will add to the effort, including Abacus Insights, Certilytics, Databricks and Findhelp, expanding an initiative that could help Florida improve its rural health access and outcomes.

Abacus unifies clinical, consumer and third-party administrative and financial data into a secure HITRUST-certified data foundation. Its services enable states and Medicaid stakeholders to leverage better data and existing tools for care program design, reporting and program measurement.

Certilytics provides states with advanced, next-generation analytic intelligence to assess rural health and plan accordingly to improve outcomes. Using predictive insights into health risk factors, chronic disease progression and care gaps, the company helps states anticipate future needs to implement targeted programs and address provider and service gaps. Additionally, the company allows states to track the effectiveness and impacts of the new rural health programs.

Databricks’ data intelligence platform, delivered by Gainwell, uses diverse data sources such as clinical records, claims and social determinants of health into a single source, using advanced analytics and artificial intelligence to turn raw data into actionable insights.

And Findhelp supports social care coordination for more than 70% of Medicaid managed care plans, which reaches more than 91% of Medicaid beneficiaries nationwide. States, health systems and payers use its network to manage health referrals, track health outcomes and document volunteer and job-training activities for community engagement attestation.

“Rural hospitals are the lifeblood of their communities, yet too many are at risk,” said Kathy Bristow, Senior Vice President for Population Health Management at Gainwell. “By serving as the data hub and connector, and with the strength of our new partners, we’re helping states and providers not only survive, but thrive—creating a sustainable future for rural health care.”

By partnering with other companies, Gainwell will be able to simplify planning, align with CMS guidelines and enable outcome measurement.

“As the backbone of the Collaborative, Gainwell is ensuring that data becomes the catalyst for stronger networks, smarter policy, and healthier rural populations,” Bristow added. “When data drives decisions, rural hospitals and communities can thrive.”

The collaborative is working to equip rural hospitals with the technology and information to improve operations and maintain or establish financial resilience. Rather than delivering care or funding operations, Gainwell enables state agencies to use data insights to strengthen operations, model financial performance, and identify sustainability strategies.

Through the Gainwell Rural Health Transformation Collaborative, the company is building data infrastructure to drive measurable clinical and economic improvements—supporting initiatives that reduce maternal mortality, expand access to behavioral health, and improve chronic disease management —while empowering rural partners to act on insights.

Gainwell is a leader in digital and cloud-enabled health and human services program solutions. It has more than 50 years of experience modernizing Medicaid and public health programs through operational efficiency and enhanced provider experiences.

New abilities for Medicare to negotiate prescription prices mean certain drugs should be 50% to 70% cheaper for many Floridians in 2026.

That’s according to an analysis by AARP.

“That’s real relief for older adults who have been stretched to the breaking point by high drug prices for far too long,” said AARP Executive Vice President Nancy LeaMond in a media briefing.

The study looked specifically at how negotiated prices impact customers in five states with a high number of Medicare users: Florida, California, New York, Pennsylvania and Texas. Medicare has selected 25 drugs so far to start price negotiations.

The AARP study shows out-of-pocket costs for the first 10 Medicare-negotiated prescription drugs, which are used by 9 million Medicare seniors to treat diabetes, heart disease, autoimmune disorders and cancer, will drop by more than half for those on standalone Medicare Part D plans.

AARP attributes those savings to a law signed by former President Joe Biden in 2022 and backed by the AARP for years.

LeaMond said it’s especially valuable now, at a time when upward of 95% of Americans age 65 and older have at least one chronic condition, and close to 80% are dealing with two or more.

“The law now requires Medicare to identify high-cost drugs and negotiate lower prices on behalf of beneficiaries and the taxpayers who help fund the program,” she said.

“The law also stops price gouging by requiring rebates when companies raise prices faster than inflation. It caps insulin at $35 per month for people on Medicare, makes vaccines for things like shingles free, and limits what folks in Medicare drug plans pay out of pocket for their prescriptions. And today’s new AARP analysis shows that the 2022 law will continue to make a big impact, helping older Americans save money on their prescriptions.”

Medicare Part D currently provides prescription drug coverage for nearly 56 million Americans, according to Leigh Purvis, the AARP Public Policy Institute’s Prescription Drug Policy Principal and the author of the report.

“Rising drug prices have placed an immense burden on many of these enrollees, leading far too many to make difficult choices like not filling prescriptions or skipping doses to make ends meet,” Purvis told press. “This is particularly troubling for those on fixed incomes, where every dollar counts.”

But AARP cautioned that the policies could also draw reaction from pharmaceutical companies.

“Beware: big drug companies are spending millions to delay negotiation and keep prices sky high — while lining their own pockets,” LeaMond said. “As the voice for 125 million Americans age 50 and over, AARP will keep fighting any attempts to undermine Medicare’s ability to negotiate prescription drugs.”

In total, the change should provide a collective $1.5 billion in out-of-pocket costs to Medicare enrollees in 2026, based on figures available from the Centers for Medicare & Medicaid Services.

AARP has also supported state policies, like giving the ability to import cheaper drugs internationally. Florida in January 2024 received a long-sought approval to import certain prescription drugs, making it the first state to win such an approval.

Megan O’Reilly, AARP Vice President of Public Affairs, stressed that AARP supports importation efforts.

“We know there’s a number of states in different processes and discussions with the federal government,” she told Florida Politics. “As we talk about AARP support across the board for all the different levers that we think can have an impact on lowering drug prices and the costs that seniors pay, importation has been one of those issues we’ve been strongly advocating on.”

But Purvis cautioned that the process for such approvals is a lengthy one. Florida’s request to the federal government was pending for two years.

“Most of the states that have engaged in this still have not fully completed that process,” Purvis said. “But one really important criteria is that they have to be able to demonstrate savings, and so should a program be finally approved and implemented? The expectation is yes, they should see savings from having that program in place.”

The study came out as Congress debates health care reforms and the best way to address health care costs. The U.S. House on Wednesday passed a Republican-crafted plan that leadership said should reduce insurance premiums for most Americans, but which notably included no extension of pandemic-era tax credits tied to the Affordable Care Act insurance marketplace.

Will that change impact drug costs? AARP officials noted that the legislative package included a pharmacy benefit manager (PBM) policy. The senior advocacy organization has yet to take a public stance on that specific measure, but said it broadly supports reforms to the PBM system.

AARP has backed Senate language in a bipartisan health care proposal from U.S. Sens. Mike Crapo, an Idaho Republican, and Rob Wyden, an Oregon Democrat. LeoMand said the organization will ultimately support any proposal with proven opportunity to “bring relief and efficiencies to prescription drug pricing and make improvements in the drug supply chain.”

To help preserve rural Florida, Gov. Ron DeSantis announced a new round of state grants totaling $311 million to bolster infrastructure in some of Florida’s less populated areas.

“There’s a lot of flavors in Florida, but Miami is not for everybody,” DeSantis said at a news conference Thursday in Sebring. “Having the old Florida is important for our culture. It’s important for our economy, and ultimately I think it’s something that we have to preserve.”

Some of the projects getting state funding are from Senate President Ben Albritton’s district.

“It helps to have the President of the Florida Senate be from Wauchula and Hardee County,” DeSantis said. “Ben Albritton, he’s a good guy.”

Wauchula will get a $2.4 million grant “to support wastewater system repairs, rehabilitation and floodwater,” the Governor said, while Hardee County will receive $1.9 million to clean up the Peace River.

Other grants include $22 million to the city of Avon Park in Highlands County for the city’s sanitary sewer collection system and $3 million for the Sebring Airport Authority to demolish and replace the existing stormwater system and handle other infrastructure needs at the Sebring Regional Airport and Multimodal Logistics Center.

For the Avon City project, “I know people have been asking for that for a long time. So we delivered on that,” DeSantis said.

DeSanis also announced about $16 million in Citrus County for replacing the sanitary sewer system and nearly $6 million in Bradford County for road improvement projects. Jacksonville Electric Authority will get $20 million to redirect wastewater flows to JEA’s existing wastewater treatment facility.

“Some of this stuff, honestly, isn’t sexy, but it’s important,” DeSantis added.

Baker County’s Macclenny will get nearly $8 million to improve the Ohio Street Water Treatment Plant, as well as almost $5 million to the city of Palatka in Putnam County to enhance and expand its wastewater treatment plant, plus $14 million in the town of Arcadia in DeSoto County to widen the main stormwater channel.

DeSantis also said the state is giving $13.5 million in grants for 11 small rural infrastructure projects.

“I bring like $20 million to Miami, and it’s like not a big deal,” DeSantis said. “The money goes farther in some of the rural (areas) and so we’re happy to be able to be a champion for rural Florida.”

DeSantis, who has been pushing to repeal property taxes, is also facing criticism that his plan could disproportionately harm rural communities, according to a new study released this week by the Florida League of Cities.