Our solution

Discovery Health Partners’ Medicare Secondary Payer (MSP) Validation solution enables Medicare Advantage health plans to optimize MSP premium revenue by ensuring the accuracy of eligibility data shared with CMS.

Our MSP Validation solution combines powerful analytics capabilities with proven workflows to validate MSP records, correct inaccurate data, and restore underpaid premiums. Discovery pioneered MSP validation solutions, and has an unmatched track record of restoring premiums and driving improvements in payment accuracy.

  • Restore millions in underpaid MSP premiums
  • No-risk contingent fee model
  • Improve eligibility data and regulatory compliance
  • HITRUST CSF® certified for MSP

Our results

Over $300,000,000

in restored premiums for our Medicare Advantage clients

Our technology

Discovery’s solutions are built on the Healthcare Analytics Platform, integrating powerful data, analytics, and business process capabilities.

HIPAA compliant

Advanced analytics

Industry-leading security

Insightful reporting

Cloud-based platform

Automated workflow

Learn more

Infographic: Supplemental MSP validation

Nearly all Medicare Advantage plans strive to recover CMS premiums that were underpaid due to MSP rules. Nearly ALL plans can recover more.

HITRUST CSF® certification

Discovery Health Partners has earned HITRUST CSF®-certified status for information security from the Health Information Trust Alliance for its Discovery Case Manager, Dashboard and Reports, Secure File Transfer Protocol (SFTP), and Medicare Secondary Payer (MSP) technologies.

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

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.

5 Keys to evaluating revenue losses due to MSP

The potential underpayment of millions of dollars in Medicare Advantage premiums is serious — particularly for healthcare payer executives, directors and managers.

The definitive guide to maximizing Medicare Advantage premium revenue

Most MA plans experience some level of revenue reduction from underpaid premiums due to Medicare Secondary Payer (MSP). Download your copy of this exclusive eBook and learn how proven best practices can improve your MSP validation and premium restoration.

Stress test: How healthy is your MSP program?

Does your MSP program need immediate optimization? How do you know if gaps in your MSP process are resulting in underpayments to your Medicare Advantage plans?

Overview: Medicare Secondary Payer Validation

Our MSP Validation and Premium Restoration solution quickly and accurately validates MSP records, corrects inaccurate records, and restores underpaid premium dollars.

MSP premium restoration estimator

On average, 4 percent of Medicare Advantage membership has open MSP records and 50 percent of those records have premium restoration potential.

On demand: Unlock the full potential of your Medicare Secondary Payer (MSP) program

Could millions of dollars be hiding in your MSP validation process? Join Discovery Health Partners’ payment integrity expert, Mike Feid, to learn about best practices to improve your MSP validation process and increase premium restoration results.

Discovery Health PartnersMedicare Secondary Payer (MSP) resources for healthcare payers and health plans