Settlements approach $3.5 million from cloud-based cost containment solution

A prominent regional Southwestern health plan wanted to reduce erroneous claims payments and maximize its healthcare cost containment program. Working with Discovery Health Partners, the plan now uses automated case management, data mining, and reporting tools for processes such as subrogation, coordination of benefits (COB), and overpayment. This case study highlights how the health plan achieved:

  • Increasing its volume of recoveries
  • Recovered Medicare Advantage premiums faster
  • More flexible reporting
  • Better response and attention from its vendor

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Discovery Health PartnersSettlements approach $3.5 million from cloud-based cost containment solution