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The Medicare Advantage Special Needs Plans (SNPs) landscape is evolving, driven by new CMS regulations aimed at improving care for individuals with complex health needs - including those eligible for both Medicare and Medicaid.

RAM Technologies has been honored on the 2025 Inc. 5000 list for the ninth time, recognized for nearly 100% growth and innovation in healthcare solutions. RAM Technologies’ sustained growth is driven by nationwide partnerships, exceptional client service, and BPaaS solutions that deliver measurable results.

Overall, 2025 is a period of change for the Medicare Part D program and health plans will need to be proactive in their preparations for the future.

Overall, 2025 is a period of change for the Medicare Part D program and health plans will need to be proactive in their preparations for the future.

Our ultimate mission is to simplify operations for health plans, enabling their staff to focus on what matters most, patient care. Making the Inc. 5000 List is a testament to our commitment to provide the highest quality software and services to government sponsored health plans

We have a leading-edge platform designed specifically for the needs of government programs and our BPaaS division, RAM Health Services, is staffed with quality personnel highly experienced in the administration of Medicare Advantage and Managed Medicaid.

This event is the perfect opportunity to share the latest advancements we have made in Medicare enrollment and reconciliation

RAM Health Services brings decades of proven, hands-on experience exclusively administering government sponsored healthcare, and we deliver that expertise on our own industry leading platform.

We are proud of the growth we have achieved, and look forward to continuing our expansion and bringing our innovative offerings to more health plans operating in the Medicare Advantage and Managed Medicaid markets.

With the launch of our internal BPaaS division, RAM Health Services, we added another dimension to our offerings for health plans administering government programs,

We are constantly striving to provide the most comprehensive solutions for our clients, health plans administering government sponsored healthcare programs.

As these models gain popularity, MA plans that work with their provider network to encourage adoption will have the opportunity to devote more resources to innovative benefit design, improve collaboration with providers and provide a higher quality of care to their members.

Primary reasons for contracting with an MA plan for retiree benefits include lower costs for retirees, flexibility for enrollees, lower costs for the company, better coverage and ease of administration.

Despite serving high-need populations, MA plans collectively have lower spending than FFS plans, enrollees in MA plans are more likely to receive preventive services and care, and MA enrollees with certain chronic conditions have lower rates of hospital inpatient and emergency department utilization.

As the program continues to gain popularity, MA plans will have a growing opportunity to improve member care and outcomes by promoting preventive care and care management.

Plans that aim to provide the best care and experience for immigrants will take steps now to provide inclusive enrollment materials, patient education materials and benefits that address the unique needs of this growing population.

We value the relationships we have developed with our California clients, and look forward to continuing to support them, as our industry and state specific programs continue to evolve.

By providing these additional benefits and services, they can continue to provide the best and most affordable care possible to a growing number of beneficiaries.

Plans that continue to ensure compliance and improvements in these four areas will be on track for successful partnerships with OIG during periods of increased oversight and beyond.

Lawmakers are looking for ways to make more MA plans available that are tailored to dual-eligibles, although that could result in coverage disruption due to care transitions and network restrictions.

Payers that embrace technology in their offerings and interactions with members will be better able to compete.

total spending was lower among MA beneficiaries across all the subgroups analyzed in the report.

We welcome SIHO to the RAM family of clients and look forward to a long relationship working together.

MA plans are still determining the optimal mix of supplemental benefits to address social drivers of health, and the patient populations for which those benefits will be of greatest value.

MedPAC recommends lawmakers continue monitoring telehealth’s impact on healthcare access, quality and costs and consider that information in any additional permanent policy changes.

MA plans that embrace innovative plan designs and payment models can help ensure the security of the Medicare program going forward while providing the best and most holistic care for current members.

An inaccurate CMS-HCC risk score threatens to perpetuate structural barriers to health care faced by Black, Hispanic, Native American and other non-white MA beneficiaries by underfunding the health plans they rely on.

As the opioid crisis continues and MA enrollment rises, ensuring these members have access to affordable mental health should be of high importance for plans that want to help all members live their healthiest lives.

These types of changes have the potential to improve member health, with benefits for both patients and the plan.

Owning and operating on our own platform is a tremendous differentiator and keeps RAM well positioned to quickly address new and evolving regulatory changes that are so common in our space.

The proposed rules would create national standards for certain appointment wait times and help states implement a rating system for enrollees to compare CHIP and Medicaid plans.

MA plans and other stakeholders may be able to use information on the health care impacts of SDOH to prioritize interventions, the researchers suggest.

Plans that familiarize themselves with the final rule and its requirements and prepare early will see a smoother transition in their prior authorization policies. They will also be able to provide more consistent, equitable care to a wider swath of their membership, helping to close gaps and ensure more people receive the best care possible.

"As policy makers consider alternatives to address potential overpayments in Medicare Advantage, they should also consider the evidence that MA plans provide fewer services while also achieving equal or better-quality performance relative to traditional Medicare on a broad array of measures,"

plans that are well prepared will be best positioned to continue providing high-quality, innovative care and succeeding in both the marketplace and in helping members live their healthiest lives.

We are constantly striving to provide the most comprehensive solutions for our clients, health plans administering government sponsored healthcare programs, and to deliver new capabilities to meet their needs

Organizations that explore these types of arrangements may strengthen their ability to fund solutions that both lower costs for the plan and improve the health of their most vulnerable members.

Multiple healthcare organizations have asked CMS not to finalize the proposal or to delay the proposed changes until further research is done on the potential impact.

MA plans that offer innovative supplemental benefits and design plans and outreach that resonate with the populations most likely to switch are likely to enjoy a bigger share of the MA market as it continues to grow.

When it comes to new and innovative solutions for payers, AHIP is the place to be.

DASH is changing the way health plan executives, managers and supervisors view reporting and decision making.

MA plans that offer innovative supplemental benefits and design plans and outreach that resonate with the populations most likely to switch are likely to enjoy a bigger share of the MA market as it continues to grow.

The guidance also includes five scenarios demonstrating practical applications of these strategies.

With the new rule, CMS aims to address concerns about early termination of services in post-acute care settings,

Medicaid agencies that work now to prepare beneficiaries for redeterminations will help mitigate the impact on the overall healthcare system

Improving patient care while reducing administrative burden will provide further impetus for all parties involved to collaborate, navigating new policies, requirements and norms.

Medicaid agencies that work now to prepare beneficiaries for redeterminations will help mitigate the impact on the overall healthcare system

MA plans that identify and offer supplemental benefits that improve the health of their members, particularly those in greatest need, will position themselves to make the most of this growing market as well as in the wellbeing of their members.

Beneficiaries are choosing Medicare Advantage over traditional Medicare due to the benefit offerings and out-of-pocket cost limits, a survey shows.

As MA plans continue optimizing their processes, the industry's proactive approach in moving toward e-PA will benefit all stakeholders and, most importantly, will connect members with the most effective care as quickly as possible.

As MA plans continue optimizing their processes, the industry's proactive approach in moving toward e-PA will benefit all stakeholders and, most importantly, will connect members with the most effective care as quickly as possible.

TIHP will benefit from RAM’s relentless drive to deliver unmatched solution and service offerings to plans administering government sponsored healthcare.

CMS must either release the final RADV rule by November or request an extension, and the final rule is expected to shed light on how the agency will address stakeholder concerns about applying FFS audit methodologies to MA.

We are pleased to support the California Association of Health Plans and the integral work they do throughout the state.

Plans have an important opportunity to boost member satisfaction by increasing use of their member portals and providing more and better-communicated mental health and substance use services.

Plans should establish baselines before attempting to measure outcomes.

A host of APIs developed in the past by the federal government have helped foster data exchange with the private sector, including Blue Button and MyHealtheData

CMS’ Center for Medicare & Medicaid Innovation is launching an updated oncology care model for Medicare designed to lower costs while improving outcomes and health equity.

The court’s ruling lends support to safety-net hospitals and helps them with uncompensated care while also avoiding excessive spending.

Being selected to partner with American Health Plans is an honor and yet another validation of RAM as the leader in the Medicare Advantage solutions and services space.

The plans that balance member experience, access to care and affordability appear to be best positioned to thrive.

We are constantly striving to provide the most comprehensive, fully integrated, end-to-end solution for health plans administering Medicare Advantage

MA enrollees are taking advantage of the expanded care options afforded to them during the PHE, and plans are responding.

With this complete technology and services offering, small and entry level players can now achieve the same efficiencies and productivity as much larger health plans.

"As responsible stewards of the program, this rule enables us to learn more about how the Medicare dollar is being spent on certain Medicare Advantage benefits,” said Dr. Meena Seshamani.

As drug prices continue to increase, MA plans are an attractive option for beneficiaries who hope to save money and have access to the best possible care.

RAM Technologies, Inc., the perennial leader in the development of end-to-end solutions (technology and personnel) for health plans administering Medicare Advantage and Managed Medicaid, is pleased to announce its continued support of America’s Health Insurance Plans (AHIP) with the sponsorship of AHIP’s Annual Conference, AHIP 2022. RAM will be showcasing their comprehensive BPaaS offering along...

The announcement comes as MA plans garner a larger share of overall Medicare spending.

Rapid growth in MA plan enrollment continues, the MedPAC report noted.

Of particular importance to MA plans are Star Ratings, and it is likely that the ongoing pandemic could affect patient experience survey response rates, as well as the responses themselves,

Health plans operating in the Government sponsored market know RAM Technologies and have come to expect more from the solutions and services we offer.

Plans that offer potential enrollees a wide variety of options and benefits... will be best positioned to capture a greater percentage of the growing MA market

The strategic alliance between RAM and ACT is a win-win for both organizations and for the industry as a whole,

CMS is also creating a Health Equity Index, which would summarize social risk factor performance measures for MA and Part D plan providers into one score to increase transparency.

We evaluated all of our options and found RAM to be the ideal partner to meet our needs.

CMS is also creating a Health Equity Index, which would summarize social risk factor performance measures for MA and Part D plan providers into one score to increase transparency.

With swelling enrollment numbers and continued near-universal beneficiary satisfaction, it’s no wonder that seniors feel so strongly about protecting the Medicare Advantage coverage they choose and enjoy

Plans can better serve dual-eligibles – and get ready for a continued influx of these enrollees – by preparing for the proposed rules and ensuring that their offerings are comprehensive enough to stand out to prospective members.

As Medicare beneficiaries quickly and increasingly embrace telehealth, Medicare Advantage plans should fast-track their efforts to refine and target these offerings, ensuring they provide their members with preferred, convenient and safer options for health care.

the agency will allow patients in-home access to telehealth services for the diagnosis, evaluation and treatment of mental health disorders.

More MA plans to offer key supplemental benefits at $0 premium

We were very pleased to find that RAM offered an end-to-end technology platform focused on the administration of Medicare Advantage.

More MA plans to offer key supplemental benefits at $0 premium

MA premiums drop as plans gear up for big open enrollment

CMS proposes dropping accelerated Medicare coverage of breakthrough devices

Organizations considering entry into the MA market will want to consider RAM’s offering.

CMS is urging Medicare Advantage plans to relax prior authorization requirements for moving patients from general acute-care hospitals to post-acute care settings.

While major strides have been made with SDOH-focused benefits, gathering beneficiaries’ data on SDOH has proven trickier.

Medicare Advantage may be even more effective at reducing racial disparities than traditional Medicare

At the heart of every client engagement is a proactive partnership; an association that goes well beyond a checklist of duties and expands into RAM becoming an extension of our client partners.

With most of the nearly 6 million Americans with Alzheimer’s covered by Medicare, coverage of the drug could raise the program’s annual spending on drugs delivered in hospitals and doctor’s offices by 50%.

expanded coverage could bring financial benefits from better member health, as neglected dental, vision or hearing health can lead to much more expensive and serious health conditions

RAM Technologies, Inc. named by the Philadelphia Business Journal as one of the Top Technology employers in the Greater Philadelphia area.

expanded coverage could bring financial benefits from better member health, as neglected dental, vision or hearing health can lead to much more expensive and serious health conditions

CMS is allowing MA plans to factor in video-based telehealth visits to gauge members’ health for 2020 and 2021, but that policy hasn’t been expanded to audio-only encounters,

The RAM Health Services BPaaS offering delivers a world class administrative platform and provides health plans with the option to outsource all or selected portions of their operations.

Legislation builds off the foundation of a 2018 consensus statement issued by America's Health Insurance Plans calling for prior authorization improvement.

Legislation builds off the foundation of a 2018 consensus statement issued by America's Health Insurance Plans calling for prior authorization improvement.

CMS is increasing the payment rate Medicare will pay for administration of monoclonal antibodies (mAb) to treat beneficiaries with COVID-19

The financial effects of the pandemic put some plans' MLR below the 85% threshold mandated by law

Content sharing program provides health plans with the information they need to excel in the new era of healthcare.

Every year for the past decade the Philadelphia Business Journal has analyzed the technology sector in the Greater Philadelphia area and identified the organizations providing the greatest impact in the space. 2019 marks the tenth consecutive year RAM Technologies has been recognized, this time for its innovations in Medicare Advantage administration.

RAM Technologies, Inc. is pleased to announce its continued support of America’s Health Insurance Plans (AHIP) with the sponsorship of Institute 2019 in Nashville, Tennessee. RAM is participating as both a sponsor and exhibitor at the conference, to be held June 19th through 21st.

RAM Technologies, Inc. is pleased to announce the addition of Tim Herlehy as Vice President of Sales. Mr. Herlehy will focus on business development strategies and the continued expansion of RAM’s presence in the Medicare Advantage payer market.

RAM Technologies, Inc. and InfoMC Inc. have partnered to bring a fully integrated solution to the market for Medicare Advantage health plans. The combined offering brings all of the essential core capabilities, rapid deployment and integration with CMS, that Medicare Advantage plans must have, and elevates communication and collaboration between the plan and their constituents – essential components to ensure the health and wellness of their beneficiaries while controlling costs.