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.


Helping you get payment integrity done

A discussion of insights and best practices among Discovery’s client community in solving payment integrity operation challenges associated with the COVID-19 pandemic.

Restoring unpaid CMS premiums for members with ESRD

By our estimation, underpaid premiums for members with ESRD cost Medicare Advantage plans $600 million. Watch this webinar to learn how you can restore premiums up to $7k per month for members with ESRD.

How are the latest trends in COB impacting your plan’s performance?

Learn how you’re being impacted during this on-demand webinar as our payment integrity experts 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

View this on-demand webinar to learn how fixing your eligibility data management could add millions to your plan’s bottom line.

On demand: 2017 Trends in healthcare payment integrity

Listen in as Discovery Health Partners’ payment integrity experts 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

Proactive COB strategies: Gaining a competitive edge for MA plans

To stay competitive, Medicare Advantage plans may need to offer low-cost supplemental benefits that help them attract new members. A proactive COB strategy that addresses primacy order and eligibility can provide the means to fund these additional offerings.

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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