The Centers for Medicare & Medicaid Services (CMS) want to modernize, but are being held back by a vestige of the 20th century–clunky, outdated technology platforms.

Systems integration and exploring new functionality are two major technological challenges for states pursuing their own health care initiatives, according to Jim Hardy, Deloitte Consulting’s Medicaid advisory services lead.

How well-prepared are states to handle a major cyberattack? That depends on whom you ask. A new joint survey by Deloitte and the National Association of State Chief Information Officers reveals a significant “confidence gap” exists in terms of how well CISOs versus state officials think security threats can be handled by their states.

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