What is Systems Integration & Interoperability?


As Medicaid agencies update or replace their electronic data interchange (EDI) platforms to conform to new federal interoperability standards, some are finding the transition less than smooth.

We have a suite of services to help keep things on track.

Why Systems Integration & Interoperability?

Complete compliance

Modernize your systems, simply

Future-proof your MMIS

How we can help.

At Gainwell, we develop solutions designed for interoperability, agility and scalable delivery with a flexible architecture. It’s time for out with the old. In with the new and modern.

Our cloud-based, modular software as a service (SaaS) takes the pain and heavy lifting out of updating your legacy Medicaid Management Information System (MMIS) and integrating new Medicaid Enterprise Systems (MES) modules. Leverage our best practices, economies of scale and expertise to enhance your performance and future innovation—while maintaining critical governance and security policies.

Interoperability is all the buzz as the industry shifts to improve patients’ access to their medical data. Ensuring compliance with the CMS Interoperability and Patient Access final rule is crucial for Medicaid agencies. As a cloud-based platform, our Fast Healthcare Interoperability Resources (FHIR) solution enhances critical data exchanges between platforms and devices, allowing for more effective exchange, access and usage of data, as well as empowering patients.

At the heart of our systems integration platform are real-time and near-real-time data exchanges, managed file transfer (MFT), single sign-on (SSO) and identity relationship management. Built-in enterprise architecture capability, operational data store (ODS) and master data management (MDM) mean you’re ready for today’s challenges, and tomorrow’s.

Systems Integration

Systems Integration is a cloud-based, software as a service (SaaS) solution that gives our clients an agile, modern and interoperable standards-based platform to help transform their legacy MMIS and begin to integrate new MES modules. Our easy-to-scale solution promotes strong program governance and standardization of processes, allowing state agencies to fulfill their MES strategies.


Fast Healthcare Interoperability Resources

Fast Healthcare Interoperability Resource satisfies healthcare interoperability requirements, actually going beyond CMS rules. Your members own their healthcare data and our solution empowers you to provide it to them.

Electronic Data Interchange

Transition to EDI Interoperability—our system supports HIPAA-standard requirements and will deliver greater adaptability and return-on-investment than current solution. It streamlines updates in a changing environment by supporting multiple standards such as the current 5010 and future X12 versions—all within the same platform with a single instance.

We can help. But the next move is yours!

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Additional Insights

FHIR: Two New Rules in One
Innovations in Patient Access
Interoperability 2.0: Journey Toward Patient Empowerment
Does Your Organization Have the Infrastructure Needed to Deliver on the Interoperability Promise?