Case Study: northeast community health plan cost containment success

DHP-CSImagine if you knew that $2 million of your company’s money was scattered across the streets outside your office. It’s a windy day, your staff is tied up at a training session, and you’re meeting with clients all afternoon. Would you let it blow away?

The truth is, health insurers all over the country are throwing away millions of dollars each year, either by not performing or underperforming critical cost containment measures, such as subrogation and coordination of benefits. See how one community health plan boosted its savings by millions in a matter of months.

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Discovery Health PartnersCase Study: northeast community health plan cost containment success
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What’s cookin’ at Discovery Health Partners

Cookbook-DHP-2013-1An industry exclusive! Discovery Health Partners is excited to release the Second Edition of its popular cookbook, “What’s Cookin’ at DHP.” Download a copy — and become inspired to dish up your own healthy and delicious fare.

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Discovery Health PartnersWhat’s cookin’ at Discovery Health Partners
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Case study: Western region Blues health plan modernizes its subrogation operations

Intelligent subrogation at work

A western region Blues health plan wanted to modernize its subrogation operation and empower the in-house team to work more efficiently and deliver better results.

As part of this effort, the health plan wanted to move from paper storage to state-of-the-art integrated case management, and from manual reporting to user friendly, on-demand
analytics. It also wanted to support and enhance existing prepayment processes in addition to creating a stronger recovery-based model. Very importantly, the health plan wanted to maintain control over the recovery process by relying on its in-house team.

To download and read how this health plan modernized its subrogation process, just complete the quick form below:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersCase study: Western region Blues health plan modernizes its subrogation operations
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Settlements approach $3.5 million from cloud-based cost containment solution

A prominent regional Southwestern health plan wanted to reduce erroneous claims payments and maximize its healthcare cost containment program. Working with Discovery Health Partners, the plan now uses automated case management, data mining, and reporting tools for processes such as subrogation, coordination of benefits (COB), and overpayment. This case study highlights how the health plan achieved:

  • Increasing its volume of recoveries
  • Recovered Medicare Advantage premiums faster
  • More flexible reporting
  • Better response and attention from its vendor

To access this case study, just complete the quick download form below…

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersSettlements approach $3.5 million from cloud-based cost containment solution
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Community health plan boosts subrogation and COB savings by more than $2 million in seven months

A 25-year-old community health plan from the Northeast wanted to simplify its subrogation and COB processes and improve overall savings.  The organization had been managing these functions on its own using internal staff to manually track savings and paper files, but wanted enhanced data mining to help them discover more cases they weren’t already processing.  The team also needed more insight into the inventory of cases in process so it could forecast expected recoveries.

Complete the quick form below to download and find out how this health plan increased its savings by more than $2 million in less than one year with Discovery Health Partners.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersCommunity health plan boosts subrogation and COB savings by more than $2 million in seven months
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White Paper: Innovations for Cost Containment for Healthcare Payers

Get more from your cost containment efforts

Whether they realize it or not, most healthcare payers are losing millions of dollars each year across cost containment activities such as COB, subrogation, eligibility, MSP validation, and more.

Fortunately, a new generation of “intelligent” cost containment solutions helps cut the losses and achieve significantly better results. Modern cloud and analytic technologies and streamlined processes lead to improved recoveries, cost avoidance, and increased revenue – all of which support health reform priorities such as medical loss ratio and waste and abuse efforts.

In this white paper, you’ll learn:

  • Real-world examples of “intelligent” cost containment success
  • How technologies such as cloud computing and analytics are transforming cost containment and delivering measurable business value
  • Best practices for getting started on an “intelligent” cost containment path

Complete the quick form below to view and download. A confirmation email will be sent with a link to the download page.

 

 

 

Discovery Health PartnersWhite Paper: Innovations for Cost Containment for Healthcare Payers
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Business Case: the SaaS [r]evolution in healthcare recovery

A sea of change is happening in healthcare cost management.  Recovery specialists say many issues are hampering their programs—legacy systems based on antiquated technology, lack of integration among information sources, inflexible reporting, partially automated claims recovery processes, passive case management, lack of visibility.

At the forefront of new technologies rapidly changing healthcare recovery is Software-as-a-service (SaaS).  On-demand software for subrogation and overpayment is delivered instantly and less expensively to desktops via the internet “cloud” instead of running on internal systems. These SaaS solutions, available from Discovery Health Partners as an alternative to its Full Service Subrogation and COB, combine leading-edge technology advancements, modernized workflow, and powerful information analytics.

Complete the quick form below to view and download.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersBusiness Case: the SaaS [r]evolution in healthcare recovery
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Whitepaper: dependent eligibility verification

8 reasons why it makes more sense than ever

 

There’s a strong business case for periodic verification of eligible dependents — perhaps even more so in the wake of healthcare reform.  Our perspective paper, “Dependent Eligibility Verification: 8 Reasons Why It Makes More Sense Than Ever,” documents the many reasons why a dependent eligibility audit is a best practice and will deliver a return immediately and over the long term in terms of reduced claim costs.

Complete the quick form below to view and download.

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersWhitepaper: dependent eligibility verification
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Useful Resources

The following industry resources may be useful to Health Plans, Self-insured Employer Groups, HMO and Indemnity Insurers, Third-Party Administrators and Government Health Plans.

The National Association of Subrogation Professionals
Self-Insurance Institute of America, Inc.
America’s Health Insurance Plans
U.S. Government Healthcare Reform
The Data Warehousing Institute
Employer Healthcare Congress
Health Data Management online

Discovery Health PartnersUseful Resources
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