Demand for Payment Integrity Solutions Drives 62 Percent Growth in Hiring
ITASCA, IL (January 20, 2015) – Discovery Health Partners, a division of LaunchPoint, announces dramatic growth in clients and headcount for 2014, as the firm continued to expand its payment integrity solution suite and drive measurable results for its healthcare clients. Discovery Health Partners has responded to the increased market pressure on health plans by delivering next-generation payment integrity software and solutions to improve recoveries, avoid costs, and optimize revenue. The company added new health plans to its client roster every quarter in 2014, in effect doubling the number to 37 clients, including two of the top five payers and seven clients in Blue Cross/Blue Shield organizations. Currently, Discovery Health Partners’ software processes 10,000,000 unique lives under management, with 65 percent of 2014 revenue coming from new customers.
Since January, Discovery Health Partners has won multiple new healthcare clients including Summacare, Hometown Health, Physicians Plus, Health Choice and one of the top five health plans in the country, among others. In addition, the company expanded its work with the former Lovelace Health Plan and with Fallon Health to bring proven solutions that address the changing needs of the marketplace.
To service this client demand, Discovery Health Partners grew employee headcount 62 percent in 2014, adding 30 employees in the fourth quarter alone. New employees support clients as recovery and business data analysts, senior software security architects, call center representatives and legal experts.
The Discovery Payment Integrity Suite includes Discovery Analytics; Discovery Claims Analytics; Discovery Coordination of Benefits; Discovery Eligibility; and Discovery Subrogation. Discovery Health Partners plans to continue hiring in 2015 at a similar rate to 2014.
Discovery Health Partners recently published the following client successes:
- A community health plan with 207,000 members (32,000 Medicare Advantage members) engaged with Discovery Health Partners to streamline its payment integrity program, leverage legal best practices, and generate improved recoveries using Discovery solutions for Subrogation, Coordination of Benefits, and Medicare Secondary Payer (MSP) Validation. The health plan realized subrogation recoveries of nearly $5.3 million in the first two years of the program as well as $8.5 million realized in MSP premium restoration and $5.7 million recovered through coordination of benefits.
- A regional Blues health plan with 269,000 members looking to modernize its subrogation operation and empower the in-house team implemented Discovery’s Subrogation software solution, enabling its team to implement a prepayment review process and manage recovery operations via a cloud-based application.
- A national health insurer with more than 500,000 Medicare Advantage members partnered with Discovery Health Partners for MSP Validation, restoring $32.7 million during the initial validation process.
“Our flexible offerings, account management, leading-edge tools and full transparency are highly valuable to our clients’ cost management programs,” said Paul Vosters, President and Chief Operating Officer, Discovery Health Partners. “We help clients look holistically at their payment integrity efforts, and customize a plan and approach to meet their unique requirements. In many ways we create transparency to the payment integrity space within their organization like never before. We quantify the results to show the difference we make.”
Discovery clients enthusiastically agree. “Fallon Health has a long-standing commitment to improving efficiency and performance so that we can better meet the needs of our members. Our partnership with Discovery Health Partners provides greater visibility into case management and trending through better reporting and analytics. We’ve been able to raise the bar on performance across our payment integrity operations. We’ve also been impressed with how seamlessly the Discovery team partnered with our team,” said Carol Pitts, Vice President, Claims Administration, Fallon Health. “Since working with Discovery Health Partners, we’ve pursued new savings, recovery, and cost avoidance opportunities, and it has positively impacted our bottom line.”