Government Regulated Health Plan Solutions

Leverage our Industry Expertise

Dynamic Healthcare Systems

Dynamic is the leading enterprise software and solutions company for health plans that manage Medicare Advantage and Commercial Exchange plans . We offer one of the most comprehensive teams of software development and government regulated health plan experts in the industry. Our proven track record speaks for itself. Based on an intimate knowledge of Medicare policy, procedure and regulation, we offer our clients cutting edge technology solutions for the complex and ever changing government sponsored healthcare marketplace.

Fully-Integrated Solution

One fully integrated solution that provides Medicare Enrollment, Premium Billing, RAPS submission, EDPS Submission, Risk Adjustment, HCC Analytics, Revenue Reconciliation, Chart Retrieval Projects, PDE Audit, and subject matter experts to help manage your Medicare Advantage members.

Medicare Risk Adjustment

Dynamic will setup, manage, and operate your entire Risk Adjustment program, provide oversight, or simply supplement your Risk Adjustment staff. Our Risk Adjustment subject matter experts have decades of experience managing Medicare risk adjustment programs.

Govt. Financial Solutions

Submit and reconcile RAPS and Encounter Data, analyze HCC transactions and manage data from retrospective and prospective intervention programs with our modular tools.

Professional Services

Leverage our expertise to fill your Risk Adjustment program gaps – from Risk Adjustment program review to improving STAR ratings to managing RAPS and Encounter Data Submissions.

Marketplace Solutions

Solutions include EDGE Server, Advance Premium Tax Credits (APTC) and Cost Sharing Reduction (CSR). Be compliant with CMS’ distributed data collection process to submit risk adjustment data to support the “Three R’s” and provide analytics to review population patterns and health risk scores.

Dual Eligible Solutions

An add-on module to our Medicare Part C solution that administers State and Federal reporting and auditing requirements for dual lines of business.

Dynamic is pleased to sponsor the following organizations:

Health Plan AllianceRISE