Business Case: The SaaS [R]Evolution in Healthcare Recovery

A sea of change is happening in healthcare cost management.  Recovery specialists say many issues are hampering their programs—legacy systems based on antiquated technology, lack of integration among information sources, inflexible reporting, partially automated claims recovery processes, passive case management, lack of visibility.

At the forefront of new technologies rapidly changing healthcare recovery is Software-as-a-service (SaaS).  On-demand software for subrogation and overpayment is delivered instantly and less expensively to desktops via the internet “cloud” instead of running on internal systems. These SaaS solutions, available from Discovery Health Partners as an alternative to its Full Service Subrogation and COB, combine leading-edge technology advancements, modernized workflow, and powerful information analytics.

Download the business case here>>.

Laura Cohen Joins Discovery Health Partners

ROLLING MEADOWS, IL (March 12, 2012) – Discovery Health Partners, a provider of cloud-based healthcare cost containment solutions, announced the addition of its newest executive management team member, Laura Cohen.  As Director, Client Advocacy and Coordination of Benefits (COB), Ms. Cohen serves as an ambassador for client engagements and manages new client onboarding and customer relations, including retention, growth, satisfaction, reporting, and business development.  Dually, Ms. Cohen oversees operations and product development for Discovery Health Partner’s COB offering.  READ FULL PRESS RELEASE>>

National Other Party Liability Group (NOPLG) 2012

May 1- May 4, 2012, San Antonio, Texas

Presentation: Exploring the Business Case for Health Plan-directed Dependent Eligibility Audits

Speaker: Paul Vosters, President & COO, Discovery Health Partners

Thursday, May 3, 1:15-2:30 p.m.

Rising health insurance premiums. Higher divorce rates. Blended families.  What do they share in common?  All are reasons why more health plan clients are verifying who among their employees and dependents are rightful benefits holders.

In recent years, dependent eligibility audits have shot up in prevalence in an attempt to control the rising expense of health insurance. Now there’s a new wrinkle in the mix: the Affordable Care Act, passed in 2010, which requires group health plans to continue making coverage available for children until the age of 26 regardless of marital status.

With additional dependents now eligible for coverage, the business case for dependent eligibility verification is stronger than ever. On average, employers find at least 3% to 6% of their covered dependents are ineligible for health benefits – a financial burden that can be quickly and significantly reduced with periodic dependent eligibility verification.

An unrealized opportunity exists for health plans to offer dependent eligibility services to their ASO and fully insured clients in an effort to control premiums and deliver greater customer value. This session explores the business case for health plan-directed dependent eligibility verification as a part of a customer-centric and holistic healthcare cost containment strategy.  What roadblocks should health plans expect by developing this new service?  What ROI and other benefits can be derived?  Learn about the rewards that dependent eligibility can offer health plans and their customers and ways to navigate potential obstacles.

Visit the conference website>>

View Paul’s presentation>>

[New Article] 5 Strategies for a Less Painful Dependent Eligibility Verification

Verifying dependent eligibility doesn’t have to be a painful experience anymore. A lot has changed — processes have improved, technology has advanced. Each project step can now be tracked, monitored and measured. More channels of communication have opened up to better explain what’s happening to employees, and why.  HR professionals can benefit from on-demand visibility into the entire process.

Let’s take a look at 5 ways to make your next dependent eligibility audit less painful and more efficient and effective: …READ FULL ARTICLE>>

LaunchPoint Raises $3.5 Million in Series B Financing

Discovery Health Partner’s parent company, LaunchPoint, announced today the close of a private Series B financial raise of $3.5 million. Backers include the roster of existing LaunchPoint Series A investors and new private contributors, bringing total corporate investments to $6.7 million.

Founded in 2008, LaunchPoint has served 30 customers through its two divisions: Ajilitee, a consulting and services firm that specializes in agile analytics, business intelligence, cloud enablement, and information management; and Discovery Health Partners, a provider of intelligent healthcare cost containment solutions that include subrogation, coordination of benefits and dependent eligibility verification.  Customers include leading healthcare payers, provider networks, academic medical centers, and self-insured corporations.  READ FULL PRESS RELEASE>>

White Paper: Dependent Eligibility Verification: 8 Reasons Why It Makes More Sense Than Ever

There’s a strong business case for periodic verification of eligible dependents — perhaps even more so in the wake of healthcare reform.  Our perspective paper, “Dependent Eligibility Verification: 8 Reasons Why It Makes More Sense Than Ever,” documents the many reasons why a dependent eligibility audit is a best practice and will deliver a return immediately and over the long term in terms of reduced claim costs. DOWNLOAD IT HERE>>

Healthcare Claim Recoveries Jump with Discovery Health Partners

ROLLING MEADOWS, IL (July 13, 2011) – Discovery Health Partners, a provider of cloud-based healthcare cost containment solutions, today announced that it has successfully improved claims recoveries for all customers who have implemented its Intelligent Full Service Subrogation and Overpayment solutions – even driving a recovery increase of 40%  for one customer.

Since its 2008 founding, Discovery Health Partners has broken new ground within healthcare cost containment by launching the industry’s first purely cloud-based platform that offers Subrogation, Dependent Eligibility Verification, Coordination of Benefits and Information Analytics solutions in a fully outsourced model or via SaaS (pay-as-you-go) for in-house management – or in any combination in between.   READ FULL PRESS RELEASE>>

How Transparent Are Your Recovery Operations?

Assess the transparency of your recovery programs conducted in-house or by vendors.   This self-evaluation tool will help you determine “the transparency factor” in your initiatives.    Take our Transparency Assessment Survey to learn more.

Western Claim Conference

September 18-20, 2011
Indian Wells, CA.

Come watch our presentation on “The Benefits of Transparency in Subrogation:  How Information Intelligence Drives Greater Visibility, Recoveries and Compliance”

Speaker:  Paul Vosters, President and COO of Discovery Health Partners

Attendees of this session will be able to gain insight on the most current picture of health reform and its implications on subrogation; better assess the transparency of subrogation programs conducted in-house or by vendors; and link visibility with improved financial and business planning and compliance efforts.

Visit the conference website>>.

View Paul’s presentation>>.

NASP 2011 Annual Conference

Gaylord Palms – Orlando, FL
November 6, 2011

Visit the conference website.