RAM Technologies, Inc. (RAM), the perennial leader in enterprise software solutions and services for Medicare Advantage and Managed Medicaid health plans, is pleased to announce the newest addition to the RAM family of clients, American Health Plans based in Franklin, Tennessee.
American Health Plans selected RAM to provide the technology platform and administrative services to support the growing book of business for its Medicare Advantage Institutional Special Needs Plans (I-SNPS). RAM’s industry leading solution (HEALTHsuite Advantage™ core and eHealthsuite™ member and provider portals) combined with the preeminent Medicare Advantage operational expertise of RAM Health Services (RAM’s internal BPaaS division) will drive operational efficiencies, control costs, and ensure compliance with CMS allowing American Health Plans to focus on the expansion of their business.
American Health Plans manages I-SNPs in nursing homes across more than ten (10) states and is the largest and fastest growing provider-owned I-SNP in the country. American Health Plan’s roots in managed care run deep and its plans can be found in over 300 nursing homes. American Health Plans grew its facility footprint by one-third in just the first quarter of 2022 by adding more than one-hundred (100) new nursing homes to its network of provider-owned I-SNPs.
Robin Bradley, Chief Operating Officer, of American Health Partners, the parent company of American Health Plans, said, “Our organization is growing rapidly as we continue to add new facilities and members across an expanding number of states. We needed a platform and a partner focused on the administration of Medicare Advantage to support our operations today and enable continued and compliant growth in the future. We found the combination of RAM’s advanced technology and experienced staff to be the best fit for our needs.”
Mr. James (Jimmy) Kolata, Chief Strategy Officer for RAM Technologies, added, “American Health Plans is an innovator and leader in the I-SNP market and continuously prove this by expanding into new geographies and locations to support the lives of institutionalized members. 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. We look forward to supporting American Health Plan’s continued growth for many years to come.”
RAM Technologies, Inc. provides both technology (SaaS) and business process solutions (BPaaS) to health plans serving the Medicare Advantage and Managed Medicaid markets. RAM’s core administrative solution, HEALTHsuite Advantage, represents the next evolution in Medicare and Managed Medicaid administration. HEALTHsuite Advantage deploys rapidly in a pre-configured state. This innovative approach slashes implementation durations, eliminates risk and reduces TCO. HEALTHsuite Advantage’s robust features and functions include all the essential core system capabilities, including benefit administration, enrollment, billing, reconciliation, provider data management, provider contracting and reimbursement, utilization management, encounter and claims administration, fulfillment, customer service and more including fully integrated workflow and bi-directional integration with CMS – a must for Medicare Advantage and Managed Medicaid organizations.
The RAM Health Services (BPaaS) offering provides health plans with the option to outsource all or select portions of their operations. This increased level of engagement affords plans, small and large, with a wealth of expertise in government sponsored healthcare programs, a benefit that had traditionally been available only to larger organizations. For new market entrants, this offering is particularly attractive as it dramatically reduces time to market, alleviates hiring and HR issues and enhances health plan revenue.
About American Health Plans:
American Health Plans, a division of Franklin, Tennessee-based American Health Partners, is a leader in the provider-owned Medicare Advantage industry. Through Institutional Special Needs Plans (ISNPs) and Institutional-Equivalent Special Needs Plans (IESNPs), American Health Plans equips senior living providers with a business model that can reduce financial risk by improving clinical outcomes across all levels of care. This division currently has co-ownership and partnership agreements with long-term care providers in Georgia, Florida, Kansas, Mississippi, Missouri, Oklahoma, Utah, Texas and Tennessee and Idaho. For more information, visit AmHealthPlans.com or call (800) 766-9404.
About RAM Technologies, Inc.
RAM Technologies is a leading provider of enterprise software solutions for healthcare payers. For over 41 years RAM Technologies has led the way in the creation of comprehensive, end-to-end solutions (technology and services) for health plans administering Medicare Advantage (from Enrollment to Encounter Reporting). RAM Technologies provides the premier solutions for MA / SNP administration and has merited a top spot in the Philadelphia Business Journal’s “List of Top Software Developers” for twelve consecutive years, has been featured in Inc. Magazine’s List of Fastest Growing Private Companies for five years and has been named Most Promising Insurance Technology Solution Provider by CIO Review. To learn more about RAM Technologies call (877) 654-8810 or visit www.ramtechinc.com.