The Centers for Medicare & Medicaid Services is modernizing its IT infrastructure to improve efficiency, security and access for patients and providers. Since taking the role in May, Wade Zarriello, director of infrastructure and user services, has led efforts to consolidate platforms, optimize shared services and cut costs — exceeding CMS's fiscal year 2025 savings goal by $750 million.

Zarriello also discussed how the agency is implementing a zero trust cybersecurity framework and leveraging AI tools to strengthen data protection and operational reliability. He highlighted CMS's use of GSA OneGov agreements with AWS, Oracle and Salesforce to drive cost savings, improve platform consolidation and support hybrid cloud initiatives.