HEALTHsuite Mercato
We did an in-depth evaluation of vendors in the market and found that RAM Technologies offered the most comprehensive, end-to-end suite to administer our business.
FORT WASHINGTON, Pa. (PRWEB) November 13, 2018
RAM Technologies, Inc., the perennial leader in the development of enterprise software solutions for health plans administering Medicare Advantage and Managed Medicaid, is pleased to announce that Doctors Healthcare Plans, Inc. has selected their core administrative platform, HEALTHsuite® Mercato, to administer their new Medicare Advantage business. HEALTHsuite will provide Doctors Healthcare Plans with an end-to-end solution to manage the entire administrative process.
Doctors Healthcare Plans, Inc. (DHCP) is a new for-profit Medicare Advantage Health Plan located in Miami, Florida. DHCP is organized as a Health Maintenance Organization (HMO) and serves the Medicare population of Miami-Dade County. The Company’s healthcare services will be provided through an Independent Practice Association (IPA) delivery system.
“We did an in-depth evaluation of vendors in the market and found that RAM Technologies offered the most comprehensive, end-to-end suite to administer our business,” said Rafael Perez, President and CEO of Doctors Healthcare Plans, Inc. “As a new Medicare Advantage plan it is essential for us to offer our beneficiaries high quality, affordable healthcare services that are timely and accessible. The RAM platform (HEALTHsuite Mercato) will play a significant role in helping us meet our objectives.”
“For the past several years we have focused our energies on developing the premier solution for health plans administering Medicare Advantage and Managed Medicaid,” said Christopher P. Minton, Executive Vice President of RAM Technologies. “We focus specifically on health plans that offer Medicare Advantage and Managed Medicaid health insurance. This concentration has allowed RAM to move HEALTHsuite beyond the competition and deliver the specific capabilities our clients need to administer government sponsored healthcare programs. We welcome Doctors Healthcare Plans to the growing family of RAM clients.”
HEALTHsuite Mercato is a highly adaptable, browser-based solution designed to streamline the administration of government sponsored healthcare programs (Medicare Advantage, Managed Medicaid, Financial Alignment Initiative-Duals, Federal Employee Health Benefits, etc.). HEALTHsuite Mercato provides unparalleled automation across health plan operations including eligibility and enrollment, benefit administration, provider contracting and reimbursement, provider credentialing, medical & utilization management, care management, premium billing, encounter / claims administration, overpayment recovery, customer service, contact management, capitation, subrogation, fulfillment, EDI integration, management & operational reporting and more.
In addition to the enterprise capabilities provided by HEALTHsuite Mercato, RAM’s web portal product eHealthsuite™ enables providers and members to interact with the health plan in real time through a secure Internet connection. This self-service functionality, available 24 x 7, lowers administrative costs by reducing the demands on the health plan’s customer service personnel.
About RAM Technologies, Inc.
RAM Technologies is the industry leader in helping organizations enter the Medicare Advantage market. Every day more and more people are asking, “How Do I Become a Medicare Advantage Health Plan?” We offer a step-by-step process to succeed. Whether you are a health system looking to transition to Medicare Advantage or a new entity looking for Steps to Succeed as a Medicare Advantage start-up, we can help. To learn more about “What do I need to do to start a Medicare Advantage Health Plan?” call (877) 654-8810 x 4 or visit http://www.ramtechinc.com.