Case study: Payment integrity success for healthcare payers

Case study: Payment integrity success for healthcare payers

Health plans are improving their claim recoveries, premium restoration and margins with advanced payment integrity solutions

Next-generation solutions, combined with greater transparency, allow Discovery Health Partners to build trust while delivering optimal results. See how we helped several health plans optimize their process and add millions to their bottom lines:

  • Top 5 plan expands subrogation business 5 times
  • MSP restores $13 million in 30 days for NY plan
  • Community health plan recovers $25 million for MA and commercial plans
  • Quick $1.9 million win with payment integrity consolidation
  • $13 million in MSP restoration continues into subrogation
  • Insightful dashboard and reporting strengthens MA plan

Just complete the quick download survey on the right for immediate access.

Discovery Health PartnersCase study: Payment integrity success for healthcare payers
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ebook: Maximizing your Medicare Advantage revenue through Medicare Secondary Payer (MSP) validation

ebook: Maximizing your MedAdvantage 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.

Download your copy of this exclusive eBook and learn how proven best practices can improve your MSP validation and premium restoration results by:

  • Understanding the impact of MSP on your premium revenue
  • Recognizing organizational barriers
  • Optimizing your process to overcome obstacles
  • Empowering your team with the right technology

Discovery Health Partnersebook: Maximizing your Medicare Advantage revenue through Medicare Secondary Payer (MSP) validation
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Webinar: Unlock the full potential of your MSP program

Unlock the full potential of your Medicare Secondary Payer (MSP) program

Learn the 5 keys that unlock the full revenue potential of your MSP validation program

Join payment integrity expert, Mike Feid, to learn about best practices to improve your MSP validation process and increase premium restoration results.

During this on-demand webinar, you’ll learn:

  • How to identify more opportunities to restore underpaid premiums
  • Tips to validate open records with 100% success
  • Why documenting validation information helps with eligibility corrections and compliance
  • Why monitoring and tracking results are a critical and often overlooked step to success

Access and view this insightful webinar today.

Discovery Health PartnersWebinar: Unlock the full potential of your MSP program
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Checklist: 5 Tips to evaluate revenue loss due to Medicare Secondary Payer (MSP) gaps

Checklist: 5 Tips to evaluate revenue loss due to Medicare Secondary Payer (MSP) gaps

Is your Medicare Advantage plan be losing millions due to your MSP program?

The potential underpayment of millions of dollars in Medicare Advantage premiums is serious — particularly for executives, directors and managers.

To help you determine whether your MSP program is need of immediate optimization, our MSP experts have developed this executive checklist focusing on the five key issues Medicare Advantage plan directors must examine.

Download this handy checklist today.

Discovery Health PartnersChecklist: 5 Tips to evaluate revenue loss due to Medicare Secondary Payer (MSP) gaps
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Checklist: 6 Questions to determine the health of your Medicare Secondary Payer (MSP) program

Checklist: 6 Questions to determine the health of your Medicare Secondary Payer (MSP) program

Is your MSP validation and premium restoration process optimized?

There’s one thing worse than the fact that many Medicare Advantage plans are underpaid millions of dollars each year: it’s that many of those plan don’t even realize it.

How do you know if gaps in your MSP process are resulting in underpayments to your Medicare Advantage plans? How do you optimize your MSP program to maximize your plan’s finances.

Download this simple stress test today to utilize the six MSP questions that will help you determine the opportunities you may have to improve your plan’s bottom line.

Discovery Health PartnersChecklist: 6 Questions to determine the health of your Medicare Secondary Payer (MSP) program
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Case study: 3 Medicare Secondary Payer (MSP) validation success stories

Case study: 3 Medicare Secondary Payer (MSP) validation success stories

Three Medicare Advantage plans restore millions through MSP validation and premium restoration

Are you leaving behind millions in underpaid Medicare Advantage premiums? As these three stories demonstrate, many Medicare Advantage plans have an opportunity waiting to be unlocked in their MSP process.

The key is MSP validation, which starts by identifying potential improvements and implementing best practices training. These plans were then able to correct their CMS eligibility to nearly 100% validation and achieve impressive results in just the first 120 days. These three plans were also able to ensure that their Medicare Advantage premiums are maximized each month going forward, leading to continued long-term improvements to revenue — and millions of dollars in restored premiums.

Will you see the same results? Download your copy of this insightful case study today to learn more.

Discovery Health PartnersCase study: 3 Medicare Secondary Payer (MSP) validation success stories
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Case study: how MSP solutions restored millions of underpaid premiums for 3 Medicare Advantage plans

Unlocking the power of MSP validation

By identifying potential improvements, implementing best practices training, and correcting CMS eligibility, three health plans not only achieved impressive results in just the first 120 days.

They were also able to ensure that their Medicare Advantage premiums are maximized each month going forward, leading to continued long-term improvements to revenue.

Access and download this case study now…

Discovery Health PartnersCase study: how MSP solutions restored millions of underpaid premiums for 3 Medicare Advantage plans
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