“Value-Based Benefit Design for Medicare Advantage, Managed Medicaid and Duals”

HEALTHsuite Mercato

This report highlights how health plans, utilizing advanced analytics and administering carefully designed benefit plans, can incentivize both patients and providers to make cost-effective choices,

RAM Technologies, Inc., the perennial leader in the development of enterprise claims processing software for healthcare payers, 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, Value-Based Benefit Design for Medicare Advantage, Managed Medicaid and Duals.

A small percentage of the population accounts for a large proportion of total healthcare expense. This is an area that must be addressed in order to ensure the long term viability of the American healthcare system. Stakeholders across the industry view value-based healthcare as the surest available mechanism to achieve the desired results. But it will take more than words to propel value-based design from conception to success. To capitalize on this opportunity health plans need to leverage leading technological capabilities while forging a committed bond between all parties; payers, providers and patients.

“This report highlights how health plans, utilizing advanced analytics and administering carefully designed benefit plans, can incentivize both patients and providers to make cost-effective choices,” states Robert A. Tulio, President of RAM Technologies, Inc. “We have provided our clients with the ability to design and administer value based benefits in our solution for years and this program has shown tangible results….

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