HEALTHsuite Advantage™ for MedicaidStreamline operations with SaaS and BPaaS solutions for Managed Medicaid administration

Optimize operations with a solution designed for Medicaid administration.

The administration of Managed Medicaid plans can be complex due to many factors including regulatory compliance, data management and patient engagement. Let RAM Technologies simplify your operations with our HEALTHsuite Advantage solution, which offers both SaaS and BPaaS options.

Proven performance for every health plan.

HEALTHsuite Advantage is a comprehensive suite of integrated modules designed for superior Managed Medicaid plan administration, featuring eHealthsuite, our self-service portal for members and staff.

HEALTHsuite Advantage provides the flexibility and accuracy needed to enhance Managed Medicaid administration.

HEALTHsuite Advantage delivers precise state-specific reporting, flexible non-traditional service configuration, and thorough membership and financial reconciliation. It connects all correspondence to the right member, integrates records with any plan, and ensures seamless state compliance with proprietary data formats and ongoing updates. It also integrates with payment systems and cost containment tools.

Other key features include:

  • Captures Medicaid recipient categories
  • Supports PCP auto assignment
  • Integrated and configurable workflows for both operations and medical management
  • Supports Medicaid/Medicare Dual Eligible processing
  • Maintains and tracks financial responsibility for government and unlimited third-party subsidies

Additionally, we provide our clients with state-specific features such as enrollment management, capitation payment reconciliation, encounter reporting, Medicaid fee schedules, and support for timely filing.

Our proven implementation methodology delivers a 100% on-time go-live rate.

With a 100% on-time go-live rate, your implementation will be seamless and stress-free, allowing you to focus on what matters most: your members. Our deployment and implementation methodology integrates proven best practices refined over decades of experience. This expertise ensures rapid deployment and precise configuration, delivering measurable results for your organization.

A dedicated team and process that makes implementation easy.

Our experienced team works closely with each client, and we assign a dedicated representative who keeps us updated on any business changes throughout our partnership. We utilize a state-specific readiness playbook for Medicaid implementations, customized to each state’s requirements and timelines. Our experts are adept at navigating state contract requirements and are well-versed in state companion guides. We handle system demos, staff interviews, and documentation reviews, while our platform accommodates all state-specific needs, including fee schedules, plan hierarchies, and capitation rates.

CMS Integration
CMS Integration

BPaaS for Managed Medicaid

Looking for interim or long-term operational support? Our BPaaS solution saves time and cuts administrative costs while maintaining high-quality service.

Auto Adjudication Software
Auto Adjudication Software

eHealthsuite Portals

Our member and provider portals deliver comprehensive self-service capabilities and utilize the same database as HEALTHsuite Advantage, ensuring real-time access to information while optimizing both time and resources.

Discover how RAM Technologies can simplify your success.

Are you facing challenges in your Managed Medicaid operations? Schedule a demo with us today and see how HEALTHsuite Advantage can drive your success.

Discover how RAM Technologies can simplify your success.

Are you facing challenges in your Managed Medicaid operations? Schedule a demo with us today and see how HEALTHsuite Advantage can drive your success.

Join our mailing list.
Get Medicare Advantage insights and updates from RAM Technologies delivered right to your inbox.
RAM Technologies, Inc.

275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810

Join our mailing list.
Get Medicare Advantage insights and updates from RAM Technologies delivered right to your inbox.
RAM Technologies, Inc.

275 Commerce Drive, Suite 100
Fort Washington, PA 19034 USA
1-877-654-8810

© 2021 RAM Technologies, Inc., All rights reserved. Privacy Policy.