Dynamic’s Risk Adjustment Management Program (RAMP) Services Help Health Plans Address Common and Potentially Costly Issues
Irvine, CA – November 7, 2017 –Dynamic Healthcare Systems, a leading provider of comprehensive solutions to health plans and health systems participating in Medicare Advantage, Managed Medicaid, and Marketplace programs, today announced enhancements to its highly successful RAMP advisory services. Dynamic’s enhanced RAMP services now feature complete calculation and forecasting of RAPS and EDS risk scores, presented separately as well as blended, while providing detailed work breakdown for resolving HCC differences and enhanced clinical algorithms for identifying gaps in care. Dynamic’s RAMP services offering, originally launched in 2015, assists health plans with the ongoing challenges they face in managing and maintaining accurate, reliable and validated risk scores for their members.
Health plans face significant challenges in accurately maintaining and managing their members’ care through physician education, member communication, and accurate data collection while struggling to prevent data leakage and incorrect year-over-year diagnoses documentation. Additionally, many plans utilize a retrospective and fragmented approach to attain the necessary information on their members and receive inadequate reimbursement from CMS. Dynamic’s newly improved RAMP services help health plans develop and implement proven proactive strategies that validate members’ data in both the Risk Adjustment Processing System (RAPS) and Encounter Data Processing System (EDPS).
“Today many health plans have challenges with data leakage issues and with their retrospective approach in attaining critical information on their members,” says Jim Corbett, Chief Strategy Officer at Dynamic Healthcare Systems. “At Dynamic, we support our clients by assessing their risk adjustment program and providing actionable strategies that will improve their risk adjustment program,” Corbett added.
Dynamic’s robust solutions and RAMP services provide Medicare Advantage health plans with solutions that enable a strong risk adjustment strategy ensuring maximum and accurate risk-adjusted payments. Dynamic’s integrated software solutions are designed to ensure health plans meet the complex compliance and data processing requirements that the Centers for Medicare and Medicaid Services (CMS) 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 provides comprehensive solutions to health plans and health systems participating in Medicare Advantage, Managed Medicaid, and Marketplace programs. Dynamic’s solutions help its clients optimize plan revenue and quality through the utilization of Dynamic’s rich analytics that identify areas for potential improvement, help maintain compliance through ongoing enhancements aligned with CMS regulations, and enhance operational efficiency through fully integrated solution utilizing a centralized database and integrated workflows. Headquartered in Irvine, California, the company offers comprehensive software solutions, managed services, and professional services. For more information, visit dynamichealthsys.com or call 949.333.4565.