Discovery Health Partners
Discovery Health Partners is an industry leader in helping healthcare payers solve payment integrity challenges to improve financial and member outcomes.
Market challenges
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 solutions
Our consultative approach to solving each client’s unique challenges is powered by a data-driven technology platform, advanced analytics, and deep healthcare expertise.
Your results
We have a proven track record of helping our clients improve operational efficiency, achieve financial integrity, and generate measurable improvements.
Clients
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
- Third-party administrators
Technology
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 Because it is built in a cloud environment, our platform makes it simple to overcome the burden of outdated legacy applications without large investments in people, hardware, and software.
News
Discovery Health Partners’ Phil Garrison recognized as Notable Leader in HR by Crain’s Chicago Business
Discovery announces that its VP of HR Phil Garrison has been named one of Crain’s Chicago Business’ 2021 Notable Leaders in HR.
Sameer K. Mishra joins Discovery Health Partners as CIO
Mishra brings two decades of healthcare payer technology leadership to his new role as Discovery’s Chief Information Officer
Discovery Health Partners named to Crain’s Chicago Business Fast 50
Discovery announces it has been named to the Crain’s Chicago Business Fast 50 list of fastest growing companies. This is Discovery’s fourth time on the list.
Blog
Premium restoration in an era of Medicare Advantage growth
Expanding on one of the top payment integrity trends for 2021, this blog post focuses on growth in Medicare Advantage enrollment and the challenges it brings for health plans.
Award winner Tonya Mondelli believes in the power of accountability
The Q4 2020 Accountability in Action award goes to Tonya Mondelli, in recognition of her accomplishments as technical project manager.
Jason Brown on 2021 payment integrity market trends
With the long-standing impact the pandemic has made on the entire healthcare ecosystem, Discovery is keeping a close eye on payment integrity market trends to help customers drive efficiencies and manage costs in 2021.
