Resources
Explore the latest topic in payment and revenue integrity
Case studies
Case study: Coordination of Benefits (COB) for healthcare payers
As these three cases demonstrate, the Discovery Coordination of Benefits solution was designed specifically to address critical COB challenges, with an emphasis on flexible delivery models that support our clients’ unique requirements.
Discovery: Three Subrogation client success stories
This case study shows how Discovery generated millions in subrogation recoveries with Discovery’s analytic-driven, member-sensitive approach.
Case study: How Discovery is increasing healthcare subrogation recoveries
Discovery Health Partners leverages people, process, data, and technology to improve subrogation results for healthcare payers. View this case study to see how.
Ebooks
eBook: Restoring millions for your Medicare Advantage plan
The Medicare Advantage landscape is complex and requires the right people, processes, and technology to ensure accurate premium payments. Learn how which actionable steps your plan can take to capture underpaid premiums.
eBook: The modern guide to COB
The number of health plan members that have other health insurance keeps increasing. Are your methods for verifying eligibility and insurance information keeping up? Learn how to modernize your COB efforts and transition from recoveries to cost avoidance.
ebook: Maximizing your Medicare Advantage revenue through Medicare Secondary Payer (MSP) validation
Medicare Advantage plans collectively are underpaid by more than $2 billion because of Part C eligibility issues related to MSP. Most MA plans experience some level of revenue reduction from underpaid premiums due to Medicare Secondary Payer (MSP). At the core, it’s a problem with eligibility data.
White Papers
White paper: Proactive COB strategies
Cost avoidance is more than just a way for Medicare Advantage plans to improve their bottom line; it gives them a competitive edge in a crowded market.
White paper: 8 Payment integrity trends to watch in 2017
Based on our work with more than 60 payment integrity clients and discussions with nearly three times as many prospects, we have documented eight trends worth watching in the next year.
White paper: Transforming subrogation operations with data, technology, and analytics
The advancement of SaaS subrogation case management technologies, along with powerful analytics, has transformed the way in-house healthcare subrogation organizations can proactively manage subrogation with more information, automation, and visibility into the whole process. This white paper explores three ways SaaS subrogation solutions enable health plans to increase recoveries in less time and at lower cost.
Webinars
Webinar: COVID-19 roundtable | Helping you get payment integrity done
A discussion of insights and best practices in solving payment integrity operation challenges associated with the COVID-19 pandemic.
Webinar: Restoring underpaid CMS premiums for members with ESRD
The process of identifying and restoring underpaid ESRD premiums is time-consuming and complex. This can stand in the way of maximizing the premiums you deserve for your membership with ESRD. View this on-demand webinar to learn more.
Webinar: Walking the line – balancing claims, premiums, and compliance for Medicare Advantage plans
Listen to Discovery Health Partners’ Medicare subject matter expert, Amy Cogsdill, as she discusses the delicate relationships between premium recovery, claims payments, and compliance for Medicare Advantage plans.
Infographics
Infographic: Fixing payment integrity at the source
Are eligibility errors impacting your payment integrity approach? Find out the top three causes of eligibility errors and what they might be costing your plan.
Infographic: ESRD has a major impact on Medicare Advantage financials
MA plans are challenged with receiving the correct premiums from CMS for members with ESRD. View this infographic to learn more.
Infographic: Five trends in healthcare Coordination of Benefits (COB)
Healthcare coordination of benefits has been a relatively unchanged process in health plans for many years, but advances in data management, analytics, cloud-based software, and digital communications are causing some interesting trends to take shape in the COB world.
