Modernizing Medicaid: Avoiding Pitfalls on the Journey to Modularity
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Medicaid Management
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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.
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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.
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Navigating the healthcare technology revolution: How states can prepare for the next generation of Medicaid Management systems
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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.
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Claims, Encounters and Financials
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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.
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Provider Service Introduction
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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.
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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.
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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.
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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.
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Three Potential – And Logical – Waves for Medicaid Modular Modernization
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Three Questions To Guide Your Journey to Modularity
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Practical Modernization White Paper
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Navigating Value-based Care in Medicaid
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Insights Into the Medicaid Managed Care Final Rule
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Five Dimensions of Change: Predictions for 2021
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