Dynamic’s systems and resources enable ACA health plans to remain compliant throughout the collection, reconciliation, analytical, and submission processes
Santa Ana, CA – July 20, 2020 – Dynamic Healthcare Systems is proud to announce its Risk Adjustment solutions are qualified to assist new and current ACA participating commercial health plans in reconciling, analyzing, and submitting data to the government for the Risk Adjustment, Reinsurance, and Risk Corridor payment methodologies. In the coming months, as millions of individuals have lost their employer-sponsored coverage, the ACA Exchanges will see a massive influx of new enrollees, leading to increased compliance burdens and financial jeopardy.
Dynamic provides the expertise to ACA participating health plans regarding the highly detailed requirements for data collection, reconciliation, transmission, and provisioning of physical edge servers, transforming data to HHS/CCIIO compliant data sets, and receiving responses for the data submitted. Dynamic’s Risk Adjustment solution is designed to analyze, report, and forecast revenue based on ACA encounter data in a highly automated, work queue based format.
“Dynamic’s Risk Adjustment solutions highlight our continued support of ACA health plans at a time when the ACA health plans are experiencing a surge in enrollment combined with intense fiscal pressure,” says Jim Corbett, Chief Strategy Officer at Dynamic Healthcare Systems. “Dynamic stands at the ready, with the strength of our people, software, and automation,” Corbett added.
Dynamic’s software provides health plans with an end to end solution for the data submission/response process to stay compliant under the Centers for Medicare and Medicaid Services (CMS) submission requirements. Plans who fail to report their data accurately and promptly will be out of compliance and could ultimately lose their ability to conduct business in the Exchange Marketplace.
Dynamic’s robust Medicare Advantage suite of integrated solutions provides health plans and provider groups with an enterprise-wide platform that enables a strong risk adjustment strategy ensuring maximum and accurate risk-adjusted payments. Dynamic’s integrated software solutions are created to help ensure health plans and provider groups meet the byzantine compliance and data processing requirements that the Centers for Medicare and Medicaid Services establishes, monitors, and enforces.
Dynamic’s solutions integrate various sources of health plan and provider data to create a single view of a Plan’s membership. This single view facilitates the delivery of high-quality managed care while helping health plans meet compliance and revenue management challenges.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems was founded in 2005 in response to the significant business and system challenges placed on Medicare Advantage Organizations (MAOs) by the enacted Medicare Modernization Act of 2003.
Dynamic provides an end-to-end automated comprehensive solution for health plans and provider groups participating in Medicare Advantage, Managed Medicaid, and Marketplace programs.
Our automated solutions can help Dynamic’s clients optimize revenue and increase the quality of their governmental submissions in an operationally efficient manner that is designed to comply with applicable legal and regulatory obligations. The analytics, integrated workflows, and queues within a single integrated platform help Dynamic’s clients more effectively manage Enrollment, Premium Billing, Revenue Reconciliation, and Risk Adjustment. For more information, visit dynamichealthsys.com or call 949-333-4565 ext. 125.