RAM Technologies, Inc. (RAM), the perennial leader in enterprise software solutions and outsourced business services for Medicare Advantage and Managed Medicaid health plans, is pleased to announce the extension of their business focus to include Medicare Part D administration. This expansion opens a new market for RAM, partnering with private insurers for the administration of their back-office operations.
Medicare Part D is an optional program for Americans enrolled in Medicare that helps cover the expense of their prescription drugs. These private insurers who offer Part D coverage are responsible for maintaining the efficacy of the program through detailed reporting of their operational costs, and the utilization and accessibility of the services they provide to the Centers for Medicare & Medicaid Services (CMS).
RAM’s Part D administration offering extends beyond their software platform (HEALTHsuite Advantage™) including full operational services provided by RAM Health Services (RHS), RAM’s internal BPaaS Division. RHS provides those services on RAM’s own technology platform. RHS is comprised of teams of highly trained operations personnel, experts in the administration of all phases of government sponsored healthcare: Medicare Part D; Medicare Advantage; Special Needs Plans; and Managed Medicaid. HEALTHsuite Advantage was designed specifically for the administration of government sponsored healthcare, this combination of enterprise platform and operations personnel is unmatched in the industry.
The operational functions provided by RHS are administered as an extension of the Part D insurers, delivering proven, cost-effective services across the Part D enterprise including:
- Sales
- Enrollment and CMS Reconciliation
- Premium Billing
- Call Center
- Member Grievances
- PBM Coordination
- EGWPs
- Compliance and Internal Auditing
- And more…
“We are constantly striving to provide the most comprehensive solutions for our clients, health plans administering government sponsored healthcare programs,” stated Christopher P. Minton, Executive Vice President of RAM Technologies. “This expansion into Part D was inevitable: creating new market opportunities and providing Part D insurers with a twenty (20%) to thirty (30%) discount on administrative services is a win for the industry. We look forward to expanding our footprint in the Part D market, and continuing to deliver best-in-class services.”
RAM Technologies, Inc. provides both technology (SaaS) and Business Process as a Service (BPaaS) for health plans serving the Medicare Advantage, Special Needs and Managed Medicaid markets. RAM’s core administrative solution, HEALTHsuite Advantage, represents the next evolution in administration for government sponsored healthcare programs. HEALTHsuite Advantage deploys rapidly in a pre-configured state. This innovative approach slashes implementation durations, eliminates risk and reduces total cost of ownership. HEALTHsuite Advantage’s robust features and functions include all of 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, bi and analytics, and more including fully integrated workflow and bi-directional integration with CMS – a must for Medicare Advantage and Managed Medicaid organizations.
RAM Health Services, RAM’s internal BPaaS offering, provides health plans with the option to outsource all or select portions of their operations. This increased level of engagement affords plans, both small and large, with a wealth of expertise in government sponsored healthcare, a benefit that has traditionally been available only to the largest 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 RAM Technologies:
RAM Technologies is a leading provider of enterprise software solutions for Medicare Advantage and Managed Medicaid health plans. For over 43 years RAM Technologies has led the way in the creation of superior software solutions for health plans serving government sponsored healthcare programs. RAM Technologies has merited a top spot in the Philadelphia Business Journal’s “List of Top Tech Employers” for fourteen 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.
