Discover an innovative early intervention family portal that empowers caregivers of children with developmental delays. Track progress, access resources and communicate with ease. Learn more now.
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Gainwell Technologies uses cutting-edge tech to deliver future-ready fraud solutions. We combine innovation & experience to provide value beyond the margins of today's healthcare landscape.
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Gainwell Technologies is the leading provider of digital and cloud-enabled solutions to health and human services programs, supporting 56 million Medicaid beneficiaries.
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Our dynamic and forward-looking approach to developing Preferred Drug Lists can help you reduce overall pharmacy expenditures and provide the best clinical value.
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Our Pharmacy Point-of-Sale solution can help you control budget spend and administrative resource time while meeting federal and state requirements.
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Centralized provider credentialing gives states control over the credentialing process, allowing enrolled Medicaid providers to be credentialed only once, saving money and reducing abrasion.
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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 centralized, cloud-based platform gives you the power of master data management, business intelligence & transformational analytics offerings that range from basic to advanced predictive modeling.
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Gainwell's comprehensive eligibility verification solutions include dependent eligibility, pension beneficiary, point of enrollment, working spouse provision, residency & non-smoking verifications.
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Our residency verification solution prevents future erroneous payments through the identification of non-residents. Learn how.
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We're committed to helping you and your staff efficiently navigate the redetermination process - ensuring the vulnerable populations you serve maintain access to the care they need after the PHE.
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Our MCO Analytics solution helps organizations decipher meaningful data insights so they can make decisions that increase productivity and improve outcomes.
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Implementing an audit and quality management strategy can help you ease administrative burden and get ahead of the curve as the PHE comes to an end. Learn how we can help.
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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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