
Case studies
COB solution drives measurable cost savings and millions of dollars in recoveries for three plans
See how our solution brings together advanced technology and best practices, delivered in partnership with our clients, to identify other insurance coverage, maximize recoveries, and drive ongoing cost avoidance.
How 3 health plans restored millions through Medicare Secondary Payer validation
Learn how three Medicare Advantage plans used MSP validation for improved returns:
- Restored millions in premiums in under 120 days
- Improved their process to realize millions more in months to come
- Achieved 100% MSP validation success
Webinars
How are the latest trends in COB impacting your plan’s performance?
Payment integrity experts Paul Vosters, President, and Kathy Cortez, Vice President of Operations, discuss the benefits and challenges of today’s healthcare Coordination of Benefits trends.
Walking the line: Balancing claims, premiums, and compliance for Medicare Advantage plans
Listen to Medicare expert, Amy Cogsdill, as she discusses the delicate relationships between premium recovery, claims payments, and compliance for Medicare Advantage plans — and how to balance them to meet company goals.
Eligibility data errors are behind up to 30% of your payment integrity issues
Join Paul Vosters, president of Discovery Health Partners, as he discusses how eligibility data management fixes could add millions to your plan’s bottom line.
How can analytics drive better results for your health plan?
Vice President of Analytics Steve Forcash discusses how principles of data science are being applied to real-world payment integrity processes to drive better results.
White papers
Innovations in healthcare payment integrity
Today’s most successful payment integrity solutions are information-driven and automate many processes that are otherwise manual and time-consuming.
8 Payment integrity trends to watch in 2017
With payment integrity problems costing health plans 3-7 percent of their paid claim dollars every year, plans are focusing on payment integrity for cost reduction.