Edaptive Becomes Subcontractor on RASS
A 5 year subcontract to IBM
Date Published: 1/26/2016
Edaptive Systems is pleased to announce that it has been awarded a subcontract to IBM to support the Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Suite of Systems (RASS). The RASS resides under the Medicare Enrollment & Payment Systems (MEPS) suite and has been in production since 2004. By law, CMS must adjust payments to Medicare Advantage (MA) organizations Part D sponsors for the health status of their enrolled beneficiaries. The RASS was established to receive, process, store, and analyze data used to risk-adjust payments based on health status. The RASS is the critical source system that provides beneficiary-specific risk scores to the Medicare Advantage and Prescription Drug (MAPD) system, which in turn calculates payments for the Part C Medicare Advantage (MA) program, Part D Prescription Drug program, PACE programs, and for the MA and Fee-for-Service (FFS) program demonstrations such as the Accountable Care Organizations (ACOs).
Edaptive currently provides technical writing support and will have the opportunity to provide mainframe COBOL testing and development support on the program during its 5 year life-cycle.