GHS partners with clients throughout the United States to improve healthcare systems. States we currently work with are seeing results firsthand, and, as a result, furthering their relationship with us. Other states are catching on, realizing that GHS is the healthcare management company of choice. Click for a complete client listing.
Goold’s innovative healthcare management solutions are built on a contemporary technology platform and are scalable, agile, secure and innovative. Our Medicaid Pharmacy Benefits solutions have been certified by CMS in three states, with a new, fourth client initiating CMS certification presently. Click for a complete product listing.
GHS partners with clients throughout the United States to improve healthcare systems. States we currently work with are seeing results firsthand, and, as a result, furthering their relationship with us. Other states are catching on, realizing that GHS is the healthcare management company of choice. Learn more…
GHS collaborates with clients to enhance the quality of healthcare, create healthier populations, and contain costs through the delivery of Clinical Assessment programs. GHS administers a top-notch Community Assessment Program, featuring more than 30 nurses who perform nearly 15,000 medical assessments each year. Learn more…
Our trained and experienced Medical Prior Authorization (Med-PA) staff review and determine medical PAs using State and contractor criteria, notifying submitters of PA determinations in a timely manner. A telephone help desk is also provided to assist both medical providers and their patients with questions regarding the medical PA process. Learn more…
Medicaid fraud and abuse prevention, auditing and recovery have become more important than ever, with new policy and regulations implemented by CMS and individual states. GHS’ Program Integrity and Recovery Audit Contracting (RAC) services helps States identify improper payments made on claims for health care. Learn more…
GHS captures an average of 4,000+ HCFA, UB and ADA forms on a daily basis. We also offer state-of-the-art yet simple-to-use Data Capture & Storage services, customized to meet individual client needs. Learn more…
Our experienced and knowledgeable teams build partnerships with our clients to provide creative, cost effective and high quality health care solutions. To learn more…
Goold provides a balanced clinical approach to healthcare management, utilizing “clinical-data” teams of doctors, pharmacists, data analysts, and developers. Learn more…
Goold’s state-of-the-art software solutions include pharmacy claims processing, drug rebate accounting, robust analytic tools, as well as provider and manufacturer portals. For more information click here.