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

How health plans recovered millions with next-generation solutions

Advanced subrogation solutions and tools are producing higher recoveries, while providing healthcare payers with greater transparency and insights.

Payment integrity success for payers

We’re trusted partners because we’re transparent about our processes, our work in progress, and our results. We learn your business and solve the tough challenges. Read on to see how we delivered payment integrity results for five health plans.

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.

Are you using the best subrogation strategies and tactics?

Join Elizabeth Longo, Discovery’s subrogation expert, as she shares leading-edge strategies and tactics for maximizing healthcare subrogation recoveries.

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.

On demand: 2017 Trends in healthcare payment integrity

Payment integrity experts Paul Vosters, President, and David Grice, VP of Strategic Development, discuss the trends emerging in 2017, as health plans focus on payment integrity optimization for cost reduction opportunities.

Could millions of dollars be hiding in your MSP validation process?

Discovery Health Partners’ payment integrity expert shares best practices to improve your MSP validation process and increase premium restoration 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.

The business case for SaaS in Subrogation

Software as a service (SaaS) solutions for healthcare subrogation and overpayment recovery combine leading edge technology, modernized workflow and powerful analytics.

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