Advancing CMS Mission Priorities Through Innovation and Partnership
The CMS Industry Forum 2026, hosted at the CMS Headquarters Auditorium in Woodlawn, MD, brings together CMS leadership, program officials and industry partners to discuss upcoming acquisition priorities and forecasted opportunities for the year ahead. With briefings from CMS components, insights into procurement trends and dedicated time to connect with agency experts, the Forum serves as a critical touchpoint for organizations supporting the mission of CMS.
As a proud sponsor, RELI Group is committed to elevating conversations around modernization, program integrity and data-driven solutions that strengthen CMS operations and the experience of beneficiaries nationwide. Our work across CMS demonstrates our dedication to secure, innovative and mission-focused partnerships — all aligned to advancing the agency’s goals
Meet Our Attending Experts
Get to know the RELI Group leaders attending the CMS Industry Forum!
Douglas Kelly
Chief Strategy Officer
Ken Hofgesang
VP of Health
Pam Geitz
VP of Health Programs
Juanita Wilson
Client Relationship Executive
Use Cases
Explore real-world examples of how RELI Group helps CMS work smarter, respond faster and serve the public more effectively.
Making Every Claim Count: How CMS Ensures Accuracy in Medicare Reviews
To detect fraud and ensure fair payments, CMS needed a trusted partner for reviewing thousands of complex medical claims each month, backed by expert clinical judgment and airtight processes. Millions of Medicare and Medicaid claims are processed annually – and not all of them are paid accurately. The Centers for Medicare & Medicaid Services (CMS), through its Center for Program Integrity, needed a way to independently validate whether its contractors were reviewing claims accurately, in accordance with coverage rules, coding guidelines and payment policies.
How CMS Measures What Matters in Medicare Part C
When CMS needed to report Medicare Part C payment accuracy to Congress, it turned to a process built on precision, expertise and insight. Every year, the Centers for Medicare & Medicaid Services (CMS) must report how accurately it pays out Medicare Part C benefits – a requirement under the Payment Integrity Information Act of 2019. The goal: to detect and reduce improper payments due to fraud, waste and abuse.
When Accuracy Drives Dollars: Inside CMS’ Medicare Advantage Audit Program
To protect Medicare Advantage payments, CMS turned to a trusted team of coders and clinicians to get the details right. The Medicare Advantage program pays health plans based on the health status of its enrollees, using a risk-adjusted model to calculate appropriate reimbursements. But that system is only as accurate as the diagnosis data it's built on. Inaccuracies can lead to overpayments, underpayments, or missed indicators of fraud, waste and abuse.
Where Marketplace Data Lives: Powering CMS Decisions with One Central System
To make informed health policy decisions, CMS needed a secure, integrated data platform with real-time analytics – and a partner who could keep it all running smoothly. Every policy, payment and oversight decision in the healthcare Marketplace relies on timely, accurate data. But that data comes from dozens of systems, across multiple sources, in ever-growing volumes. The Centers for Medicare & Medicaid (CMS) needed a centralized platform to house, manage and analyze that information securely. The challenge? That platform had to be modern, scalable, compliant with stringent federal security frameworks, and accessible to users with varying needs across CMS, partner agencies, and contractors.
Keeping Value-Based Care Accountable: How CMS Monitors Risk and Compliance
With over 200,000 providers in alternative payment models, CMS needed a smarter way to spot risk early and ensure Medicare dollars were spent the right way. The Center for Medicare & Medicaid’s (CMS’) Innovation Center (CMMI) is driving major changes in how healthcare is paid for – shifting away from fee-for-service toward value-based models that reward outcomes over volume. But with innovation comes complexity. Over 250 alternative payment model (APM) entities, more than 2,000 primary care practices, and 200,000+ providers participate across models like ACO REACH, Primary Care First, Kidney Care Choices and ESRD Treatment Choices.
Featured Insights & Downloads
Discover our latest perspectives, case studies and thought leadership on topics shaping the future of CMS and federal healthcare.
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Our Solutions
Explore how RELI Group is supporting CMS and other federal agencies through secure, data-driven, mission-focused solutions.
Program Integrity
Safeguarding federal programs through advanced analytics, compliance strategies and fraud prevention to ensure transparency and accountability.
Digital Transformation
Modernizing systems and services with user-centered design, emerging technologies and scalable infrastructure to improve service delivery and responsiveness.
Intelligence & Informatics
Turning complex data into actionable insight with predictive modeling, integrated data management and analytics that drive smarter decisions.
Operational Efficiency
Enhancing government performance by streamlining operations, optimizing resource allocation and enabling more agile, cost-effective service models.
Connect with RELI Group on the Future of Federal Healthcare
We welcome opportunities to meet with attendees before, during or after the Industry Forum. Let’s discuss how RELI’s modernization expertise, data-driven solutions and mission-aligned capabilities can support CMS in achieving its 2026 objectives.
See RELI In Action
Discover how RELI Group supports and improves the health, safety, and security of the American public through innovative, mission-focused solutions for our federal, state and local partners.