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Provider Solutions

Flexible pathways. Simplified provider management. Improved Medicaid outcomes.

A smiling doctor in a white coat holds a stethoscope up to the heart of a pre-teen girl patient who is smiling as her mother in a green shirt smiles in the background.

Flexible modernization. Proven efficiency.

Reduce provider service complexity, ensure CMS compliance, and significantly improve provider experiences with Gainwell Provider Solutions. Our flexible offerings let you simplify Medicaid provider management through two paths, either incremental enhancements through Gainwell Provider Flex or a comprehensive Gainwell Provider+ system replacement.

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15 Minutes

Application Completion Time

24 Hours

Approval Turnaround

90%+

First Pass Application

Solutions designed to improve experiences and streamline operations.

Gainwell Provider Flex

Enhance capabilities gradually according to your priorities and budget with our phased approach to provider service modernization.

Gainwell Provider+

Transform your providers’ experiences and improve operational efficiency with our best-in-class, fully modular provider management replacement.

Centralized Credentialing

Reduce provider burden and administrative cost through a shared, NCQA-accredited, and scalable centralized credentialing platform.

Customer Experience

Personalized, seamless, and omnichannel interactions with contact center staff equipped with state-of-the-art technology and training.

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Additional solutions making healthcare more efficient and effective.

Medicaid Enterprise

Modernizing claims, encounters, and financials with intelligent automation and interoperability through Gainwell Enterprise™.

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Care Quality

Enabling quality care and affordability with strategies that balance empathy and efficiency.

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Data & Analytics

Transforming your most complex data into actionable insights with Gainwell Genius™.

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Actionable insights that
empower healthcare progress.

We’re passionate about delivering ideas that can help shape the future of
healthcare, using education and transparency to improve health outcomes for all.

Accelerating Provider Enrollment in Vermont

Accelerating Provider Enrollment in Vermont

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Provider Solution Implementation

Provider Solution Implementation: Six Common Pitfalls (and How to Avoid Them)

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Provider Phased Modernization

Phased Modernization in Medicaid: A Smart Strategy for Provider System Upgrades

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Explore All Insights

How can we support you?

Start the conversation today.

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