ITASCA, IL (April 30, 2019) – Discovery Health Partners today announced a 20 percent growth in subrogation recoveries for its clients from 2016-2018 and is looking to more than double those results in 2019. This increase is due to Discovery’s strategic four-pronged subrogation transformation initiative spanning its people, process, data, and technology components.
People: Discovery has made significant investments in key subro leadership positions, including the appointment of a new Vice President of Subrogation Operations, Heather Rodemann. It has increased it paralegal staff by 10% and has moved to a remote, national workforce in order to have access to superior talent. In addition, the company expanded its training program to include enhanced negotiation tactics.
Process: Procedural enhancements include a leadership role dedicated to efficiency and automation; stronger alignment of resources with cases based on skills and case complexity; and standardization of KPIs to improve consistency, best practices, and efficiency. The company’s quality audit program boasts scores of 99 percent for financial audits and 97 percent for procedural audits.
Data: Discovery has increased the variety and number of data sources it accesses with its proprietary machine learning and predictive analytics processes, including claims, eligibility, and provider data, as well as external third-party data providers. These enhancements help to identify and validate subrogation claims faster and more accurately. A multi-variant approach to diagnosis codes helps identify cases that otherwise might be missed.
Technology: Discovery has also fine-tuned its technology platform, including a HITRUST CSF® certified file transfer system and improvements to Discovery Case Manager, which guides the case investigation and recovery process, maintains a record of all activity and correspondence, and provides 24×7 visibility into subrogation case inventory and progress.
“Being able to identify and validate recoveries faster, with more accuracy, and with less member outreach further solidifies Discovery’s Subrogation solution as a best-in-class model for the industry,” stated Heather Rodemann, Vice President of Subrogation Operations. “It has been incredibly rewarding to see our team’s hard work and planning result in growth at Discovery and in more significant and accurate recoveries for our clients.”
Discovery is also making improvements to key areas of its Subrogation solution including enhanced pre-payment capabilities. Click here for additional information on Discovery and its Subrogation capabilities.
About Discovery Health Partners
Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies with government programs. Serving more than 60 health plans across the U.S., including six of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth—earning a spot on the Inc. 5000 list five years in a row and the Crain’s Fast 50 three times. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.
# # #