Delivering quality service to health plans without the babysitting

Maintaining a high level of customer service and solution quality is challenging in any industry.  And because our customers are in the highly-regulated market of healthcare and health insurance products, the services and outcomes we provide are under almost as much scrutiny as the plans we serve.

Modern population risk management: Initiatives and transformation

It is an exciting and challenging time to be a part of a health plan right now. New pressures, challenges, and opportunities are hurtling at plans from all directions in the form of providing services with value over volume, actively engaging consumers, and mandates that require a higher level of risk and quality management.

Subrogation recoveries for Medicare Advantage plans

This topic has been evolving for more than 10 years as litigation and case law have disputed over the issue of whether the private cause of action for double damages under the Medicare Secondary Payer (“MSP”) Act provides Medicare Advantage (“MA”) Plans with the right to bring suit against primary payers.

Subrogation recoveries for Medicare Advantage plans

This topic has been evolving for more than 10 years as litigation and case law have disputed over the issue of whether the private cause of action for double damages under the Medicare Secondary Payer (“MSP”) Act provides Medicare Advantage (“MA”) Plans with the right to bring suit against primary payers.

It’s the perfect time to evaluate your payment integrity technology

For many health plans, payment integrity is able to influence the bottom line in powerful ways. For payment integrity organizations (sometimes called cost containment), the new year is the perfect time to evaluate what has been working well and what can be done better and more efficiently.

Post-conference wrapup: 2015 NASP Conference

(Michele Stuart of JAG Investigations') presentation was alarming and fascinating as she showed us how vulnerable our social media activity makes us to criminal activity and walked us through steps we can take to protect ourselves.

Transforming payment integrity with transparency

As the healthcare industry continues to transform, it has become clear that the need for increased transparency is one of the critical drivers of change. Health plans are being asked to share more information with a broad range of stakeholders in an effort to control costs and drive improvements in efficiency.

An enterprise approach to payment integrity technology

For many health plans, payment integrity is able to influence the bottom line in powerful ways. For payment integrity organizations (sometimes called cost containment), the new year is the perfect time to evaluate what has been working well and what can be done better and more efficiently. And often payment integrity technology is one of

Discovery Health PartnersBlog