Discovery Health Partners is an industry leader in helping healthcare payers solve payment integrity challenges to improve financial and member outcomes.
Regulatory change, complex reimbursement models, inadequate technology, and poor data quality create administrative waste that health plans must solve to serve their members and meet their financial goals.
Our consultative approach to solving each client’s unique challenges is powered by a data-driven technology platform, advanced analytics, and deep healthcare expertise.
We have a proven track record of helping our clients improve operational efficiency, achieve financial integrity, and generate measurable improvements.
Discovery has partnered with more than 60 clients including three of the nation’s top five health plans and ten Blues plans. With appreciation for our effective solutions, strong partnership orientation, and measurable results, our clients are 100% referenceable. Our solutions serve healthcare payers who want to modernize payment integrity through improved technology and automated business processes, including:
Commercial health plans
Government health plans (Medicare Advantage and Medicaid Managed Care Organizations)
Self-insured employer groups
Your team is great at building trust. I have had nothing but a positive and efficient experience.
Your client service is outstanding. You truly feel like a business partner, and you deliver strong results—a breath of fresh air among vendors.
The company seems to be very focused on providing value, not just getting a sale. We have been able to learn from your team things that will make our team more productive as well.
Our secure, HIPAA-compliant Healthcare Analytics Platform is a flexible technology foundation designed to help healthcare payers improve recoveries, avoid cost, and optimize revenue. It is a 100% cloud-based environment that combines advanced technology including data mining and analytics with embedded workflow, case management, and dashboard tools that give payers unparalleled control over their operations and complete transparency across business processes. Because it is built in a cloud environment, our platform makes it simple to overcome the burden of outdated legacy applications without large investments in people, hardware, and software.
MultiPlan completes the acquisition of Discovery, creating a comprehensive and scalable platform for healthcare payers seeking to improve the effectiveness and reach of their payment and revenue integrity programs.
Discovery restored over $61M in underpaid CMS premiums for a regional Blue Cross Blue Shield health plan with 36,000 Medicare Advantage members. Discovery’s robust Premium Restoration solution set has delivered quick ROI to over half of the MA plans in the U.S.