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 Because it is built in a cloud environment, our platform makes it simple to overcome the burden of outdated legacy applications without large investments in people, hardware, and software.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
MultiPlan completes acquisition of Discovery
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 Health Partners delivers significant ROI to health plan clients using Premium Restoration solutions
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.
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.
Blog
Recap: Premium restoration webinar’s biggest takeaways
Webinar recap diving into what’s going on in the Medicare Advantage world and why your health plan should be paying close attention to your premium restoration strategies.
COVID’s effect on ESRD premiums
In the past year, we’ve seen an increase in ESRD form submission errors because of COVID. The result is missed premiums for Medicare Advantage plans that manage members with ESRD.
The value of machine learning in the ESRD Premium Restoration process
Discovery takes an innovative approach to ESRD validation, combining machine learning and human intervention to help our clients identify and restore premium dollars for this costly care.
