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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.
Centralized provider credentialing gives states control over the credentialing process, allowing enrolled Medicaid providers to be credentialed only once, saving money and reducing abrasion.
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.
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.
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.
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.
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.
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.