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Medicare & Medicaid Services (CMS) want to modernize, but are being held back by a vestige of the 20th century–clunky, outdated technology platforms.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

The Centers for Medicare & Medicaid Services gave approximately $20 million to 11 organizations for the first year of a five-year training and education program on the Quality Payment Program. CMS intends to invest an additional $80 million over the last four years of the program.