Case studies

COB solution drives measurable cost savings and millions of dollars in recoveries for three plans

See how our solution brings together advanced technology and best practices, delivered in partnership with our clients, to identify other insurance coverage, maximize recoveries, and drive ongoing cost avoidance.

How 3 health plans restored millions through Medicare Secondary Payer validation

Learn how three Medicare Advantage plans used MSP validation for improved returns:

  • Restored millions in premiums in under 120 days
  • Improved their process to realize millions more in months to come
  • Achieved 100% MSP validation success

How health plans recovered millions with next-generation solutions

Advanced subrogation solutions and tools are producing higher recoveries, while providing healthcare payers with greater transparency and insights.

Payment integrity success for payers

We’re trusted partners because we’re transparent about our processes, our work in progress, and our results. We learn your business and solve the tough challenges. Read on to see how we delivered payment integrity results for five health plans.

Webinars

On demand: Next-generation eligibility

Join Paul Vosters, president of Discovery Health Partners, as he discusses how eligibility data management fixes could add millions to your plan’s bottom line.

On demand: Unlock the full potential of your MSP program

Could millions of dollars be hiding in your MSP validation process? Join Discovery Health Partners’ payment integrity expert, Mike Feid, to learn about best practices to improve your MSP validation process and increase premium restoration results.

On demand: Proven subrogation strategies and tactics

Join Elizabeth Longo, Discovery’s subrogation expert, as she shares leading-edge strategies and tactics for maximizing healthcare subrogation recoveries.

On demand: Comphrehensive population risk management

Learn best practices and proven strategies for designing and implementing a top-down risk management program that drives better outcomes.

On demand: The good, the bad, and the challenging new trends in Coordination of Benefits

Payment integrity experts Paul Vosters, President, and Kathy Cortez, Vice President of Operations, discuss the benefits and challenges of today’s healthcare COB trends.

On demand: 2017 Trends in healthcare payment integrity

Payment integrity experts Paul Vosters, President, and David Grice, VP of Strategic Development, discuss the trends emerging in 2017, as health plans focus on payment integrity optimization for cost reduction opportunities.

White papers

Innovations in healthcare payment integrity

Today’s most successful payment integrity solutions are information-driven and automate many processes that are otherwise manual and time-consuming.

8 Payment integrity trends to watch in 2017

With payment integrity problems costing health plans 3-7 percent of their paid claim dollars every year, plans are focusing on payment integrity for cost reduction.

The business case for SaaS in Subrogation

Software as a service (SaaS) solutions for healthcare subrogation and overpayment recovery combine leading edge technology, modernized workflow and powerful analytics.

Rey VillarResources