ROLLING MEADOWS, IL (June 6, 2012) – Discovery Health Partners, a provider of intelligent healthcare cost containment solutions, today announced that a new health plan customer has successfully implemented its software-as-a-service (SaaS)-based Subrogation service. The SaaS delivery model is an alternative to the traditional Full Service outsourcing that Discovery Health Partners has delivered to health plan and self-funded customers since 2008.
For a western region Blues health plan, Discovery Health Partners built a Virtual Private Cloud (VPC) to support and enhance the collections, insight, reporting and productivity of existing internal pre-payment and recovery Subrogation processes. In the VPC, claims data resides in Discovery Health Partners’ privately hosted, secure environment for Subrogation case identification, case management, and information analytics.
The new SaaS-based healthcare recovery model allows in-house recovery teams to benefit from state-of-the-art technology in a cost-efficient subscription model while retaining full control of the Subrogation function. It operates on Discovery Health Partners’ proprietary Healthcare Analytics Platform, which transforms key healthcare cost management business processes with enterprise-level, cloud-powered information analytics.
For a second customer, a community health plan in the northeast, Discovery Health Partners created a Hybrid Cloud environment, in which sensitive data remains in the customer data center and streams into Discovery Health Partners’ analytic applications only when needed, then returns to the customer data center. This approach represents an incremental step toward the cloud, allowing organizations to reap cloud value while retaining their data on premise.
“These examples of cloud adoption symbolize the seismic shift underway within healthcare, an industry that has long struggled with antiquated technology, overly complex processes, and a lack of information transparency,” said Paul Vosters, President and Chief Operating Officer of Discovery Health Partners. “The cloud is an enabler for competitive advantage. Our HIPAA-compliant SaaS models enable greater flexibility, cost effectiveness and control for the healthcare claims recovery and overpayment industry.”
Three robust, on-demand applications help customers tightly manage their recovery programs:
- Discovery Identification℠, a sophisticated data mining engine that accurately generates cases for investigation;
- Discovery Case Manager℠, which delivers modernized workflow, rich case detail, digital imaging and storage, and plan language features; and
- Discovery Dashboard℠, which provides unprecedented visibility through customized analytics for trend and case reporting
Discovery Health Partners uses commercial cloud services from leading providers such as Amazon Web Services, Informatica, and Microsoft. It includes comprehensive application, data, and infrastructure security controls designed to facilitate security governance and manage ePHI data security. It is fully HIPAA-compliant, meeting rigorous standards for technical, physical, and administrative security.