For Medicaid agencies, improving care quality and containing costs requires a broader, deeper look into population health and network performance than what's been available. Explore the possibilities.
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Gainwell’s Ron Singh highlights two ways that Coordination of Benefits programs can use data and analytics to work smarter.
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Learn how programmatic analytics help illuminate complex connections between resources invested and outcomes achieved.
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State panelists and cost containment experts from Gainwell Technologies discuss best practices for implementing robust payment integrity programs.
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Gainwell's comprehensive, compliant and configurable Coordination of Benefits (COB) solution maximizes available coverage for consumers while preserving healthcare dollars for states and health plans.
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Get ready for MESC 2023 with insights from Gainwell CEO Mark Knickrehm on innovation driving the future of Medicaid.
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Clinical claim reviews identify claims that were billed or coded in error. Using AI can speed the process and improve algorithms for increased efficiency.
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An integrated care management platform ensures all stakeholders have the holistic view they need to deliver whole person care. Learn how to equip your care team to deliver positive outcomes.
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Gainwell's pre-payment solutions are comprehensive, compliant & configurable. See how we can help your organization minimize abrasion, alleviate administrative burden, and reduce claim spend.
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Our residency verification solution prevents future erroneous payments through the identification of non-residents. Learn how.
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Identify improper payments before a claim is paid, and avoid payment errors related to DRG coding and validation, readmissions, level of care, medical pharmacy and more.
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Our COB Pre-payment Solutions offer comprehensive, CMS-certified and configurable features to advance your data management. Reduce administrative burden and proactively avoid cost.
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Gainwell's COB On-demand Technology allows you to move your cost avoidance upstream. Learn how this feature pairs with our CAV Match and Delivery offering to help your organization avoid cost.
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Our Self-service Portal allows clients 24/7 access to a user interface where they can submit ad-hoc verification requests, returning verified results to the user within 48 hours. Learn more.
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Our Performance Analytics feature equips clients with transparency into the health of their TPL data by delivering metrics & reports, ensuring data-driven actions are taken for continuous improvement.
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Our CAV Match & Delivery offering identifies members' existing other coverage, so healthcare organizations can proactively avoid cost, reduce administrative burden & alleviate provider abrasion.
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Our call center representatives can verify COB information on the spot and provide near real-time results, ensuring providers can coordinate benefits effectively and members have access to care.
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Our COB Revalidation feature works seamlessly with a CAV deliverable to revalidate TPL segments every six months, ensuring a client's OHI files are as up-to-date as possible. Avoid cost proactively.
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