In the midst of HIPAA regulations and ongoing threats to healthcare data, health plans increasingly require their vendors and partners to demonstrate a strong commitment to patient and member data privacy and protection. As a provider of data-driven solutions for healthcare payers, Discovery Health Partners has stepped up to meet this demand with the achievement of HITRUST CSF® certification for its core technologies.
The certification for our Discovery Case Manager, Dashboard and Reports, Secure File Transfer Protocol (SFTP), and Medicare Secondary Payer (MSP) technologies demonstrates that they have met key regulations and industry-defined requirements and are appropriately managing risk. These technologies drive the use of data across our solutions including Medicare Secondary Payer (MSP) Validation, Subrogation, and Coordination of Benefits:
- Secure File Transfer Protocol: The technology that allows us to securely and quickly load and integrate data from multiple sources to help identify payment and revenue integrity opportunities.
- Discovery Case Manager: Our core workflow software that is used to manage work in progress across all our solutions. This is the application that captures and stores information needed to support payment integrity processes and creates an audit trail to support tracking and compliance.
- Dashboard and Reports: The technology that provides standard and custom reports that track key performance indicators and results across our solutions.
- Medicare Secondary Payer: The application that is used to identify, validate, and track updates to CMS eligibility information and premium reconciliation for Medicare Advantage plans.
This achievement places Discovery in an elite group of organizations worldwide that have earned this certification. By including federal and state regulations, standards and frameworks, and incorporating a risk-based approach, the HITRUST CSF helps organizations address these challenges through a comprehensive and flexible framework of prescriptive and scalable security controls.
“In entrusting their data to us, our clients expect a highly secure environment. I am thrilled that we can demonstrate our commitment to meet their needs through our HITRUST CSF certification, the gold standard in our industry,” said Moe Alkhafaji, Discovery Health Partners’ Chief Information Officer.
He went on to explain that, “Our mission for strong information security does not stop with HITRUST certification. We will continue to evolve our tools as threats evolve, and will continue to drive for better policies and procedures that further safeguard our technology and our clients’ data.”