Grateful for our community, partners, and team. Wishing you a joyful and safe Thanksgiving from all of us at Gainwell! #gratitude #gainwell #thanksgiving
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
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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
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Primary
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United States, US
Employees at Gainwell Technologies
Updates
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Gainwell was thrilled to attend the National Association of Medicaid Directors conference and hear from Dr. Palav Babaria during the panel discussion on "Transforming Care Through Technology: Telehealth & Data Analytics in Medicaid." Dr. Babaria shared how California is leading the way in population health management with: • Building on Whole Person Care pilots to expand upstream interventions that improve outcomes and lower costs. • Launching a statewide longitudinal health record, standardizing data across 58 counties and 24+ MCOs. • Augmenting plan-specific risk models with a transparent, statewide risk algorithm to enable prevention-focused outreach. • Using shared dashboards to empower stakeholders with actionable insights for better care coordination. California’s scale and complexity poses challenges, but the success of Medi-Cal Connect is a testament to the power of collaboration and innovation. Together, we’re reducing fragmentation and driving continuous population health improvement. #NAMD2025 #MedicaidInnovation #PopulationHealth #DataAnalytics
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That’s a wrap on NHCAA 2025! Thanks to everyone who joined HMS for great conversations and new ideas. Let’s keep pushing for better healthcare integrity. Reach out to learn how we can help you proactively detect fraud and stay ahead of the curve. #NHCAA2025 #HealthcareInnovation
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We had a great turnout at our Fraudside Chat session yesterday and heard some critical takeaways for streamlining FWA workflows. Don’t forget to check out our session later this afternoon at #NHCAA2025 to learn more about proactive fraud detection: Creating Capacity for Proactive Fraud Detection by Unlocking Workflow Efficiencies Thursday, Nov. 20, 4:00 p.m. - 5:00 p.m., Ryman Studio 16-18
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🚀We are excited to announce a major expansion of our Gainwell Community Engagement Verification (CEV) platform, designed to better support state agencies and Medicaid members. The enhanced platform features a next-generation, AI-driven matching engine that achieves 99.5 percent accuracy in Medicaid eligibility verification. By using 40 advanced algorithms, we can increase confidence in identity verification and maximize data-based verifications, which reduces the need for manual outreach. To enhance the verification journey, we're collaborating with a network of leading innovation partners: Argyle, Databricks, FindHelp, Fortuna Health, and Unite Us. Check out the full details in our latest press release: https://lnkd.in/dhs3Tfkn #GovTech #Medicaid #HealthIT
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Live from NAMD 2025! Engage with Gainwell about transformative solutions that innovate program delivery. Let’s talk about data-driven decisions that improve outcomes across every critical touchpoint. Real solutions for real challenges - that's the Gainwell difference. Visit our booth for an interactive experience you won’t want to miss. #NAMDFall2025 #Medicaid #Healthcaredelivery
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Gainwell is live at the NAMD Fall 2025 Conference, engaging with Medicaid leaders from across the country! Unwind tonight at Harbor Social, on site at the Gaylord, and reconnect with friends, or make new ones. Be our guest and enjoy drinks, food, and games like bocce ball, darts, and more. 📍 Location: Harbor Social (at Gaylord National Resort) 📅 Date: Tonight, Wednesday, November 19, 2025 🕖 Time: 7:30 p.m. – 10:30 p.m. We look forward to connecting with you! #NAMD2025 #Medicaid #GainwellTechnologies
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We’re live at NHCAA 2025! Visit the HMS booth for engaging demos, expert advice, and networking. Let’s drive innovation in fraud detection together! #NHCAA2025 #FWA
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We are proud to announce that Gainwell has been awarded contracts in all four service categories under the NASPO ValuePoint® Medicaid Enterprise Systems – Pharmacy Benefits Services (PBS) solicitation. This achievement underscores our leadership in delivering scalable, high-performing solutions across the full Medicaid lifecycle. This pharmacy award expands Gainwell’s NASPO ValuePoint portfolio, enabling a more streamlined channel for procurement. Learn more about the award and how Gainwell helps states modernize their Medicaid programs: https://lnkd.in/g4ZmCPTk #MedicaidModernization #HealthcareTechnology #StateProcurement
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HMS is looking forward to presenting at NHCAA 2025! Join our sessions for actionable strategies and expert perspectives on healthcare fraud prevention. Check out the details for our two sessions below. Don’t miss out! Streamlining FWA Workflows: Avoiding Pitfalls with Smarter Solutions 📅 Wednesday, Nov. 19, 11:40 a.m. - 12:00 p.m., Exhibit Hall Discover how to boost efficiency with a purpose-built fraud solution designed to adapt to your team’s needs. Creating Capacity for Proactive Fraud Detection by Unlocking Workflow Efficiencies 📅 Thursday, Nov. 20, 4:00 p.m. - 5:00 p.m., Ryman Studio 16-18 Learn how to shift from reactive to proactive to free capacity for data-driven insights, allowing your team to detect fraud earlier, reduce losses, and stay ahead of evolving schemes. #NHCAA2025 #FWA
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