Business Process Outsourcing (BPO) has grown considerably over the past decade, so much so, that even the most self-reliant organizations are taking a second look at how outsourcing can improve their bottom line. Whether you are new to Medicare Advantage (MA), Managed Medicaid (MD) and Special Needs Plan (SNP) administration, or are looking for ways to optimize existing programs, outsourcing is worth your consideration.
Medicare Advantage is the fastest growing segment of the healthcare market however the administrative and compliance requirements can present pitfalls to go along with the opportunity. Organizations with a dedicated compliance team, intimately familiar with the ins and outs of CMS, may be well positioned; however, those companies that do not currently possess those resources are going to need some assistance in meeting these requirements.
The business process services supplied by RAM Health Services provide health plans and organizations looking to enter the government sponsored healthcare market with a valuable resource of MA, MD and CMS expertise, instantly expanding their knowledgebase and bandwidth. Attempting to leverage the “wrong” platform, or cobbling together disparate systems and manual processes, could end up creating just as many problems as they are intended to resolve. Entering the government market without the proper resources to address these needs isn’t just a gap; it represents a potential threat to your organization.
If you are among the many organizations who are seriously considering expanding your presence in the market, or a new plan, entering MA for the first time, we welcome you to contact us today, to learn more about how RAM Health Services and our HEALTHsuite Advantage platform can provide you with a streamlined process to meet the demands of MA / MD / SNP administration and CMS compliance.