Our solution

Discovery Health Partners’ Payment and Revenue Integrity Assessment delivers an objective and insightful assessment of payment integrity, premium optimization, and claims recovery efforts across all areas of a health plan.

We measure and analyze all angles of your plan’s performance to identify opportunities to minimize claims costs, maximize recoveries, and increase productivity of recovery teams. Armed with key performance metrics, best practices, and industry benchmarks, you can make informed decisions about organizational structure, technology and process improvements, and vendor strategy.

  • Measure the financial impact of payment integrity and cost containment initiatives company wide
  • Measure your plan’s maturity in key payment integrity areas
  • Analyze your plan’s performance with our proprietary benchmarks
  • Identify and measure progress toward achievable revenue and cost optimization goals

Our results

Identified

$40,000,000

in additional recovery and cost avoidance opportunities for two million-member health plan

Our technology

Discovery’s solutions are built on the Healthcare Analytics Platform, integrating powerful data, analytics, and business process capabilities.

HIPAA compliant

Advanced analytics

Industry-leading security

Insightful reporting

Cloud-based platform

Automated workflow

Learn more

Checklist: Payment integrity “must knows”

Improve your payment integrity results with our proven checklist for eliminating errors and optimizing your process.

Infographic: Enterprise payment integrity

Health plans need to look at the big picture. Here are 3 critical reasons why you need to evaluate health claim payment integrity at the enterprise level.

Infographic: Improving results

A quick overview of how a regional health plan increased payment recoveries and cost avoidance with thorough payment integrity analysis and planning.

 

Rey VillarPayment Integrity Consulting