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National Association of Medicaid Directors

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Advancing Outcomes at the NAMD 2023 Fall Conference
Navigating the future of digital therapeutics: Considerations for Pharmacy Benefit Managers

Navigating the future of digital therapeutics: Considerations for Pharmacy Benefit Managers

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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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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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2 months ago
Medicaid Modernization: Your Path May Vary

Post MESC and pre-NAMD, Gainwell CEO Mark Knickrehm sheds light on new trends in Medicaid modernization

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3 months ago
Early FHIR Adoption: 6 Lessons Learned

Accelerate your interoperability journey with best practices from Gainwell. Subject matter experts Rajesh Sharma and Ignatius Cruz share insights at the 2023 Medicaid Enterprise Systems Conference.

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Demystifying healthcare data: Critical takeaways for unlocking the power of data-driven insights

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Fast Healthcare Interoperability Resources for State Agencies

Our FHIR solution helps states comply with the CURES Act & CMS final rule to improve patients' access to their medical data. See how our modular approach can make compliance easy for your state.

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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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Pre-payment Solutions - COB Performance Analytics for Government Programs

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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4 months ago
Provider Enrollment Screening

Gainwell's Provider Enrollment & Screening solution simplifies clinician enrollment, meets federal requirements and offers cost-saving features for Medicaid agencies.

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4 months ago
Provider Management

Streamline provider enrollment, relations and contracting with Gainwell’s integrated commercial-off-the-shelf module.

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Rebate Administration

Our Rebate Administration solution allows you to take a seamless approach to maximizing Medicaid Drug Rebate Program advantages. We help you maximize rebate collections & minimize dispute resolution.

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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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Pharmacy Solutions

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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.

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.

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Fraud Capture

Gainwell's cutting-edge technology identifies, addresses, and prevents fraud at all levels - provider, consumer, facility and pharmacy. Learn how our solution empowers government & commercial payers.

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4 months ago
Provider Portal

Gainwell’s self-service portal streamlines healthcare operations for providers and administrators, offering access to round-the-clock support.

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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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Whole Person Service

With Gainwell's Whole Person Service, you can overcome siloed systems, coordinate across agencies and remove barriers to care. Learn how we can help.

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Care Management - Mobile Care Management

Our Mobile Care Management offering brings care coordinators and interdisciplinary teams face-to-face with their patients in any setting, including areas with limited internet connectivity. Learn how.

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Gainwell Company Overview

Learn how Gainwell Technologies empower clients everyday through innovative, purpose-built technologies and solutions to deliver great health and human services outcomes.

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Care Management - Provider Portal

Reduce provider abrasion through auto-authorizations with Gainwell's Provider Portal.

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