We’re looking at the growing trend of “moving payment integrity to the left”— adopting pre-payment approaches to avoid improper payments, the need to rework claims on the back end, and recoup overpayments from providers. Gainwell’s Intelligent Review streamlines the process by leveraging machine learning, analytics, and historical clinical expertise to root out erroneous claims while bypassing medical record requests and reviews. 🤖📝 Learn more ➡️: https://hubs.ly/Q02YfGh-0 #PaymentIntegrity #HealthcareInnovation #MachineLearning #Analytics #PrePayment #HealthTech #IntelligentReview
About us
For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.
- Website
-
http://www.gainwelltechnologies.com
External link for Gainwell Technologies
- Industry
- IT Services and IT Consulting
- Company size
- 10,001+ employees
- Headquarters
- United States
- Type
- Privately Held
Locations
-
Primary
Get directions
United States, US
Employees at Gainwell Technologies
Updates
-
That’s a wrap on #NAMD2024! ✨ It’s been an incredible time connecting with Medicaid leaders, state partners, and industry experts! Thank you to everyone who stopped by our booth and joined the conversation. Together, we’re committed to driving positive change, enhancing health outcomes, and building a brighter future for Medicaid. 🌟💪 #Medicaid #Transformation #Healthcare #Innovation #TeamGainwell
-
-
This #VeteransDay, we salute the courage and dedication of those who have selflessly served our country. At Gainwell, we not only honor these sacrifices but are committed to creating a supportive community for veterans within our workforce. Our Veteran Employee Resource Group proudly collaborates with organizations such as the Sacramento Blue Star Moms, who support active service members. Recently, we hosted a Hiring Our Heroes event to assist veterans in transitioning to meaningful careers in healthcare. Join us in recognizing the impactful contributions of veterans at Gainwell and beyond. #GainwellVeterans #HonorAndRemember #TeamGainwell
-
-
Gainwell is built on more than 50 years of experience — and many of our client relationships are decades long. 🤝✨ We are proud of the partnerships we've built with state agencies, health plans, and MCOs to improve health outcomes across all 50 states, U.S. territories, and the District of Columbia. #Partnerships #Healthcare #Innovation #TrustedExperience #BetterHealthOutcomes #TeamGainwell
-
Could your technology be working harder for you? 🤖 Intelligent process automation is driving the shift from manual processes to more efficient, technology-enabled workflows. The result? More time for human engagement and less time on administrative tasks. 🙌 #Automation #HealthTech
This content isn’t available here
Access this content and more in the LinkedIn app
-
Are integrated eligibility systems approaching a breaking point? 🔎 Earlier this year, USDA Secretary Tom Vilsack issued a letter to U.S. governors — urging states to take steps to improve program efficiency. This white paper from Yasin Turkcan, Mason Mabry, and Mina Nemirow discusses key challenges and opportunities states now face. Explore: 🔄 Why it’s time to rethink integrated eligibility systems and processes 📊 Three pillars of integrated eligibility modernization 🛠️ Possible pathways to modernization — including point solutions that can quickly deliver value to integrated eligibility workers AND beneficiaries Access these insights and more: 🔗 https://hubs.ly/Q02WmFBG0 #IntegratedEligibility #Innovation #Modernization #PublicHealth
-
On this #FastFactFriday, we’re highlighting one way states can achieve higher efficiency and more effective FWA prevention — with modernized integrated eligibility systems. Against an overall improper payment rate of 8.58% 📉, eligibility decisions currently account for more than half (5.95%). But modernized systems could greatly improve compliance ✅ and cost-effectiveness 💰. As states explore options for integrated eligibility modernization, Gainwell is here to partner in the journey to greater health equity and better outcomes. 👉 https://hubs.ly/Q02WmFBG0 #HealthTech #FWA #Efficiency #HealthEquity
-
RIP Fraud, Waste, and Abuse! ⚰️ ☠️ At Gainwell, we're laying these healthcare nightmares to rest with our FraudCapture® platform. By using advanced technology, FraudCapture® helps identify, prevent, and manage fraud in real-time, keeping your healthcare dollars safe and sound. Maximize efficiency, stop fraud in its tracks, and bring peace of mind back to your health programs. #HappyHalloween #FWA #FraudPrevention #PaymentIntegrity
-
-
The productivity gains of AI have been well documented, and we’re experiencing these impacts across industries. But when does incremental value become transformative change? 🔄 Hear from several industry experts, including our own Sanjeev Kumar, in this CIO Online piece by Mary Pratt on the specific and exciting ways AI is transforming business today, and how Gainwell is harnessing its potential in health and human services: 📰🔗https://hubs.ly/Q02Wd17V0 #AI #PopulationHealthManagement
-
Gainwell is gearing up for the National Association of Medicaid Directors (NAMD) 2024 Fall Conference taking place November 11-13 in the nation’s capital. We’re looking forward to connecting with the community of Medicaid directors, state agency leaders, industry partners, and key stakeholders who make this vital program possible. At Gainwell, we’re focused on: ✨ Elevating the patient experience ✨ Boosting provider satisfaction ✨ Improving population health ✨ Reducing the cost of care Join us at our booth to discuss how we turn data into outcomes, support Medicaid transformation, and create seamless connections between people and services. 👉 https://hubs.ly/Q02WjRZL0 #PopulationHealth #MedicaidTransformation #NAMD2024 National Association of Medicaid Directors