Gainwell Technologies Market Research Report

Company Overview

• Name: Gainwell Technologies

• Mission of the company: To be the leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem, with a commitment to improve health outcomes through innovative solutions, human-centered experiences, and strategic partnerships.

• When was the company founded and by whom: No information is available.

• Key People in the Company:

• Mark Knickrehm, Chairman and Chief Executive Officer

• Greg Adler, Senior Vice President, Implementation Practice

• Bill Allison, Chief Client Officer

• Claudia Barlow, Chief People Officer

• Jesse Bradford, Senior Vice President & General Manager, Data Analytics

• Gary Call, M.D., Chief Medical Officer

• Mike Connolly, Chief Operating Officer

• Susan Worthy, Chief Marketing Officer

• Company Headquarters: United States

• Number of Employees: 10,001+ employees

• Revenue of the company: No information is available.

• What is the company known for: Gainwell Technologies is known for its leadership in providing digital and cloud-enabled services and solutions that are vital for health and human services program operations. They specialize in serving agencies, health plans, and Managed Care Organizations (MCOs) with a focus on improving health outcomes.

Products

Gainwell Technologies offers a comprehensive suite of solutions in various sectors. Some of their major offerings include:

1. Medicaid Management

• Description: These solutions are modular, intelligent, and cloud-based, designed to cover all aspects of Medicaid Management including claims, encounters, provider solutions, managed care, EDI clearinghouse, etc.

• Features:

• Accelerates claims processing

• Supports value-based care

• Controls costs with comprehensive task management

2. Managed Care Organizations

• Description: Tools and solutions designed to streamline MCO operations, mitigate risks, and improve care quality.

• Features:

• Coordination of Benefits and Payment Integrity

• AI and machine learning integration

• Case Management, Pre-payment and Post-payment solutions

3. Human Services & Public Health

• Description: Solutions aimed at improving community health through enhanced service delivery and management.

• Features:

• Whole Person Service solution for Medicaid

• WIC and Early Intervention programs

• Immunization management and analytics

4. Providers

• Description: Provider-focused solutions to enhance patient outcomes through technology solutions and alleviating administrative burdens.

• Features:

• Care Management platform

• Clinical Claim Reviews

• FraudCapture® for detecting fraud and abuse

5. Pharmacy Solutions

• Description: Designed to control prescription drug costs and enhance patient outcomes.

• Features:

• Point-of-Sale claims module

• Rebate Administration

• Preferred Drug List Management

6. Systems Integration & Interoperability

• Description: Solutions to support modular system integration and interoperability within Medicaid systems.

• Features:

• Real-time data exchange

• FHIR solution for data accessibility

• GainwellGo mobile platform

7. Cost Containment & Care Quality

• Description: Comprehensive solutions to ensure payment integrity and coordination of benefits.

• Features:

• Payment Integrity reviews and analytics

• FraudCapture®

• Advanced Care Management platform

8. Analytics

• Description: Advanced analytics solutions to improve program performance and predict future trends.

• Features:

• Data Lake and Enterprise Data Warehouse

• Predictive modeling and trend analysis

• Pharmacy and Provider Analytics

Recent Developments

• Recent Developments: Gainwell Technologies continues to enhance its existing offerings with AI and machine learning to stay on the cutting edge of health technology and improve efficiencies.

• New Products Launched: No detailed information available about new product launches.

• New Features Added to Existing Products: Integration of automated systems for Care Management and Payment Integrity showcases their continued focus on maximizing operational efficiency and effectiveness.

• New Partnerships: Gainwell Technologies has been active in participating in significant industry events like the National Health Care Anti-Fraud Association Annual Training Conference to exchange ideas and promote their solutions related to fraud prevention and payment integrity.

This report outlines Gainwell Technologies' market presence, their focus on modernization, and their comprehensive suite of products aimed at enhancing health service delivery and efficiency across the United States.