Medicaid Management

about 1 month ago

MESC 2023: Elevating Innovation for Better Outcomes

Get ready for MESC 2023 with insights from Gainwell CEO Mark Knickrehm on innovation driving the future of Medicaid.

Read Article

10 months ago

Modernizing Medicaid: Avoiding Pitfalls on the Journey to Modularity

Read Article

12 months ago

The Quest for Medicaid Modularity: What To Look for in a Systems Integration Platform

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.

Read Article

Provider Solutions - Provider Credentialing

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

Read Flipbook

Prior Authorization

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.

Read Flipbook

over 1 year ago

Claims, Encounters and Financials

Watch Video

over 1 year ago

How to Use Analytics for MCO Oversight

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.

Read Article

over 1 year ago

Provider Service Introduction

Watch Video

Provider Service

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.

Read Flipbook

Managed Care

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.

Read Flipbook

Business Process Services

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.

Read Flipbook

Claims, Encounters & Financials

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.

Read Flipbook