By Ryan Bosch, MD, FACP, Chief Health & Informatics Officer As state Medicaid agencies adopt modular, specialized systems to meet Centers for Medicare and Medicaid Services (CMS) requirements, they gain flexibility but lose a single, unified view of their data. Each module stores and organizes data in its own way, which makes it efficient for generating reports from that specific system, but harder to combine and use data across systems. Meaningful data-to-action insights, especially in population health and value-based care, only emerge when data from multiple modules and external systems is brought together in a shared, structured format. When data is integrated in this way, it enables broader analysis, deeper insights, and more coordinated action. Acentra Health, an AWS Advanced Partner, serves numerous state Medicaid programs, federal agencies, and commercial clients. We address the multi-system data analysis challenge through our Unified Data Platform (UDP) built upon a unique cloud-based data foundation designed to support scalable, cross-domain analytics while preserving operational flexibility. A Unified Operational Data Store Foundation Model Managing a Medicaid program’s performance requires both operational awareness and a longitudinal perspective. Leaders must use data to answer questions like: Is eligibility determination accurate and occurring within required timeframes? Are prior authorizations correct, and are they being managed efficiently? Are claims processing smoothly or encountering delays? Are providers legitimate, and are they being paid accurately, and on time? Acentra Health’s UDP, powered by our own proprietary data model and the AWS secure cloud infrastructure, is designed to help answer these questions, supporting timely reporting, service line benchmarking, and predictive analytics for Medicaid programs. Our Whole Person, Whole Population (WP2) Data Model Acentra Health's UDP goes well beyond legacy data warehouse aggregation. With t