'Health plans are under significant pressure to maintain CMS compliance while providing a high quality of care to their members at an affordable price,' said Kathy Feeny, President and Chief Executive Officer of Dynamic Healthcare Systems.
Irvine, CA (PRWEB) June 23, 2015
Dynamic Healthcare Systems, a leading provider of enterprise technology solutions for government-regulated health plans, today announced that Navitus Health Solutions, LLC (“Navitus”) has selected its suite of solutions to support the Navitus Employer Group Waiver Plan. Dynamic’s Voyager software will provide Navitus with its Enrollment and Revenue Reconciliation modules. Navitus, a division of SSM Health, is a full-service, URAC-accredited pharmacy benefit management company.
“Health plans are under significant pressure to maintain CMS compliance while providing a high quality of care to their members at an affordable price,” said Kathy Feeny, President and Chief Executive Officer of Dynamic Healthcare Systems. “Our software is designed to create operational efficiencies between a Plan’s various departments, allowing it to seamlessly manage its business while increasing revenues and profitability.”
Navitus’ self-funded EGWP PDP + Wrap product, Navitus MedicareRx, adheres to the Navitus 100 percent pass-through model, whereby 100 percent of all CMS subsidies, Coverage Gap discounts, and rebates are passed through in full to the client. The company sought a partner that understood this model.
Dynamic’s solutions are designed to ensure health plans meet the complex compliance and data processing requirements the Centers of Medicare and Medicaid Services (CMS) establishes, monitors and enforces. Dynamic’s Voyager application integrates the various sources of data to create a single view of a Plan’s membership in order to deliver high-quality managed care and consistently meet these compliance requirements as well as any revenue management challenges they face.
“Navitus was looking for a business partner that understands both Medicare Part D and the CMS compliance environment. Dynamic’s comprehensive, fully-integrated solution will enable Navitus to efficiently serve its Employer Group Waiver Program (EGWP) customers,” said Carmen Backman, Senior Director of Government Programs.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems, Inc. delivers comprehensive enterprise software solutions and services for health plans with Medicare Advantage, Medicaid, and Marketplace lines of business striving to succeed amid new and evolving regulatory requirements. Headquartered in Irvine, California, the company brings world-class innovations to companies serving the government-regulated healthcare population. For more information, visit dynamichealthsys.com or call 949.333.4565.
Navitus Health Solutions, LLC, a division of SSM Health, is a full-service URAC-accredited pharmacy benefit management company. As a zero-spread, full pass through pharmacy benefit manager (PBM), Navitus aligns performance with plan sponsors’ benefit goals to deliver comprehensive clinical programs and cost-saving strategies that lower drug trend and promote good member health. Navitus provides flexible services to government entities, self-funded employers, coalitions, labor organizations, third-party administrators, and health plans, including Medicaid, Exchanges, and Medicare Part D. For more information, visit navitus.com or call 877.571.7500.