Innovations in AI and machine learning unlock opportunities to eliminate waste, reduce costs, and make healthcare more affordable. Discovery offers the best of both machine power and human power to help MA plans ensure the accuracy of CMS premiums.
Discovery restored over $61M in underpaid CMS premiums for a regional Blue Cross Blue Shield health plan with 36,000 Medicare Advantage members. Discovery’s robust Premium Restoration solution set has delivered quick ROI to over half of the MA plans in the U.S.
With the long-standing impact the pandemic has made on the entire healthcare ecosystem, Discovery is keeping a close eye on payment integrity market trends to help customers drive efficiencies and manage costs in 2021.
MultiPlan’s acquisition of Discovery will create a comprehensive and scalable platform for healthcare payers seeking to improve the effectiveness and reach of their payment and revenue integrity programs.