Gainwell is joining the program integrity community at this year's NAMPI conference to exchange insights, address fraud challenges, and explore next-generation solutions. Visit us onsite to see how our tools support smarter claim reviews, provider investigations, and case management. We’ll also share how innovations like enhanced Residency Verification are helping states reduce improper payments and strengthen Medicaid oversight.
Gainwell is attending MESC 2025, where Medicaid leaders gather to explore what’s next in enterprise systems. This year’s event will highlight new thinking around operational excellence, compliance, and program integrity, along with fresh perspectives on today’s challenges and tomorrow’s solutions. Join us for engaging forums, hands-on demos, and meaningful discussions on the innovations driving Medicaid technology forward.
Gainwell’s Mobile Digital Platform (MDP), part of the Gainwell GoTM user experience solution suite, received a gold award in the Spring 2025 Digital Health Awards. The app enables Medicaid members to easily access their clinical data so they can coordinate their care across providers.
(4 of 4) (In this fourth and final installment of our series on Provider Experiences, we focus on using provider feedback to continually innovate.) Providers' needs are constantly evolving, and Medicaid agencies must adapt their systems and processes accordingly. Advanced analytics and self-service tools create a feedback loop that…
(3 of 4) (In this third installment of our four-part series on Provider Experiences, we examine empowering providers throughout the process.) Navigating the Medicaid enrollment process can often feel like deciphering a puzzle. Inconsistent enrollment application elements across the broad network of payers leads to confusion and prolonged processing…
For state Medicaid agencies, managing complex multivendor ecosystems can be costly, time consuming, and inefficient. As states work to streamline costs and improve outcomes, they are exploring opportunities to simplify and rationalize their Medicaid Enterprise System (MES) ecosystems. With fewer vendors and well-defined “swim lanes” of roles and responsibilities, a…
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