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Fort Washington, PA, United States, 2012/01/10 - RAM Technologies HEALTHsuite® claims management application provides support for salary based premium calculations - RAMTechnologiesInc.com / RAMTechInc.com.
RAM Technologies, Inc., a leading developer of advanced healthcare administrative systems for the payer market has enhanced their HEALTHsuite administrative system to support the variation of health insurance premiums based on employee income. This functionality will provide tangible benefits to organizations looking to avoid the financial penalties associated with the Patient Protection and Affordable Care Act.
More and more companies are moving towards health insurance premiums based on employee salary, this has created the need for greater flexibility in premium calculations. This need will continue to grow when health insurance exchanges, as required by the healthcare reform law, begin to operate in 2014. At that time, if an employee’s health insurance premium exceeds 9.5 percent of total household income, then that employee can opt out of the company provided plan and instead select subsidized coverage on the state’s health insurance exchange. For each instance where this scenario occurs the employer can be penalized up to $3,000.
“We have recognized a trend in the industry towards salary based premiums and have modified the HEALTHsuite application to accommodate this very specific need,” states Robert A. Tulio, President of RAM Technologies. “This feature will make it easier for companies to offer affordable coverage to their entire workforce. This is specifically relevant as health insurance exchanges come into play in 2014 when companies who do not provide affordable coverage will face penalties.”
RAM’s solution suite is comprised of the HEALTHsuite administrative application and the eHealthsuite™ web portal product. HEALTHsuite is an enterprise solution with fully integrated functionality to automate all aspects of health plan administration including functionality for Eligibility and Enrollment, Benefit Administration, Provider Contracting and Reimbursement, Medical / Utilization Management, Premium Billing, Care Management, Claims Processing, Customer Service and Contact Management, Reporting, EDI and more.
eHealthsuite is RAM’s flexible and secure web portal product. This highly innovative portal enables healthcare payers to reduce administrative costs while extending services to members and providers on a 24 x 7 basis. The self-service capabilities of eHealthsuite allow a health plan’s members and providers to access their information and conduct real-time transaction processing from their offices or homes via a secure Internet connection.
About RAM Technologies, Inc.
RAM Technologies (ramtechnologiesinc.com) is a leading developer of enterprise software solutions for healthcare payers. For over 31 years RAM Technologies has led the way in providing advanced automation for the administration of Medicaid, Medicare, Commercial and Federal Health Programs. HEALTHsuite and eHealthsuite are highly configurable applications designed to accommodate the complexities of healthcare management in an ever changing environment.