The New Normal for Medicare Advantage


RAM’s Medicare Advantage-in-a-Box solution, powered by HEALTHsuite Advantage™, was designed with adaptability in mind.

RAM Technologies, Inc., the perennial leader in the development of enterprise software for Medicare Advantage and Special Needs health plans, is pleased to announce the availability of a new report as part of the “Sharing Knowledge to Improve Healthcare Administration” (SKIHA) program. This month, members of the SKIHA program (free registration) are granted complimentary access to the RAM report, The New Normal for Medicare Advantage.

In response to the COVID-19 pandemic, CMS has published a variety of regulations – some temporary and some permanent – for Medicare Advantage (MA) plans. These changes make it easier for seniors to access diagnostic and treatment services for COVID-19, and also continue the government’s push toward improved efficiency and quality of healthcare. Some of these changes could very well become permanent and MA plans must be ready to adapt to this rapidly changing environment.

“COVID-19 has affected all of our lives and will have a permanent impact on the future of healthcare. MA plans must be ready to accommodate these changes and lead the charge into the next evolution of our industry,” stated Christopher P. Minton, Executive Vice President of RAM Technologies. “We anticipate that CMS will continue to identify and modify regulations and expand the services MA health plans can offer to their Members. This dynamic environment requires an efficient and adaptable platform to maintain pace with these innovations. RAM’s Medicare Advantage-in-a-Box solution, powered by HEALTHsuite Advantage™, was designed with that adaptability in mind.”

This year has clarified how rapidly the world can change. MA plans remain committed to helping beneficiaries access the healthcare services they need, but they also must remain committed to compliance with these rapidly evolving regulations and requirements. This article provides a rundown of new permanent CMS requirements as well as recent temporary CMS regulations affecting MA plans that are in many cases expected to stick, such as expanded telehealth benefits, testing coverage, vaccine coverage (once one is available), and coverage of extended in-hospital stays due to the need to quarantine. To read the entire report, “The New Normal for Medicare Advantage”- CLICK HERE.

RAM Technologies is a leading healthcare software and services provider with nearly 40 years of experience delivering proven administrative solutions to the healthcare payer market, with a specific focus on simplifying the administration of Medicare Advantage. The RAM offering, Medicare Advantage-in-a-Box, powered by HEALTHsuite Advantage represents the leading end-to-end solution for health plans administering MA or looking for a simplified way to get into the MA market.

About the Program

Established in 2015, the SKIHA program (Sharing Knowledge to Improve Healthcare Administration), provides an open platform to share industry analysis and research, helping the payer community prepare for the future. Every month the SKIHA program makes available special content, with unique insight and in-depth industry knowledge, to those in the position to enact real change. This open exchange of ideas supplies the information health plans need to improve operations, increase productivity and reduce costs.

About RAM Technologies, Inc.

RAM Technologies is the industry leader in helping organizations that are interested in starting a Medicare Advantage plan. Every day more and more people are asking, “How Do I Become a Medicare Advantage Health Plan?” We offer a step-by-step process to succeed. Whether you are a health system looking to transition to Medicare Advantage or a new entity looking for Steps to Succeed as a Medicare Advantage start-up, we can help. To learn more about launching a Medicare Advantage Plan, answering the question, “What do I need to do to start a Medicare Advantage Health Plan?” call (877) 654-8810 x 4 or visit http://www.ramtechinc.com.

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