The Centers for Medicare & Medicaid Services (CMS) have started annual Risk Adjustment Data Validation (RADV) audits for all 550+ Medicare Advantage plans, up from just 60 per year. With this expanded oversight, CMS aims to recover up to $43 billion annually in improper payments, marking a new era of regulatory intensity for MA plans.
Download the white paper below to learn how RAM Health helps Medicare Advantage plans improve their processes by integrating compliance, automation, and scalability through our HEALTHsuite Advantage™ platform and BPaaS model, enabling proactive audit readiness and operational excellence.
About RAM Health
RAM Health (formerly RAM Technologies) offers HEALTHsuite Advantage™, a core administrative processing system (CAPS) purpose-built for Medicare Advantage, Special Needs Plans (SNPs) and Managed Medicaid. Founded in 1981, RAM Health provides SaaS and BPaaS solutions exclusively for government-sponsored healthcare programs, supporting enrollment, claims administration, provider management, premium billing, compliance, reporting, and CMS connectivity. With more than 45 years of experience, RAM Health helps health plans simplify operations, maintain regulatory compliance, and improve member and provider experiences. Learn more about RAM Health by visiting www.ramhealthinc.com.
Media Contact
Robert Meyer, RAM Health, rmeyer@ramhealthinc.com, www.ramhealthinc.com
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