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National Association of Medicaid Directors

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Advancing Outcomes at the NAMD 2023 Fall Conference
Pharmacy Solutions

Pharmacy Solutions

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

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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.

Read Flipbook
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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.

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

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

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