Modernization paths may differ by state, but the successful ones share a common characteristic. Determine the best way forward with experience-based insights from Gainwell.
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Modernization and modularization often go hand in hand when talking about Medicaid system upgrades. This white paper draws the distinction and covers the benefits and considerations of each approach.
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Gainwell's Claims, Encounters and Financials solution enables Medicaid fee-for-service and managed care entities to accurately and efficiently process large volumes of claims, saving billions.
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States are embarking on diverse paths to evolve their health IT systems for the digital age. Gainwell's modernization roadmap outlines key considerations in defining and navigating the journey.
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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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Provider Solutions from Gainwell streamline the process of screening and enrolling Medicaid providers, equipping them to deliver high-quality healthcare services. Discover the features and benefits.
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Learn how programmatic analytics help illuminate complex connections between resources invested and outcomes achieved.
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Meet the people behind the technology that keeps our nation's Medicaid systems running. Customer Experience Chief Colleen Ritchie shares her vision for the future of Medicaid and Gainwell.
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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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As Medicaid shifts from monolithic to modular, a systems integration platform can help ensure a smooth transition. Here’s how to choose the right one.
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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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Our solution performs reviews of prior authorizations in near real-time, reducing administrative burden, minimizing provider abrasion & improving member satisfaction. See how we can help.
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How do states know that they are getting the ROI they expect from MCOs? The proper analytics can provide an excellent tool for gaining insight. Learn more from Gainwell's Dr. Gary Call.
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Our Provider Service module is an essential component of our Medicaid Management Solutions, a set of services for interoperability that combine automation, standardization, & process maturity.
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Our Managed Care Service helps MCOs be more proactive in everything from managing multiple MCOs to tracking clients as they transition across MCO plans to improving capitation processes.
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Ensure smooth delivery of Medicaid and Health and Human Services programs with our outcome-focused IT solutions. See how we can elevate your program today.
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Our wide-ranging set of cloud-based Medicaid Management services for interoperability ensure your state meets CMS requirements within budget. Learn how we support management, claims & payments today.
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