Listen to Discovery Health Partners’ Medicare subject matter expert, Amy Cogsdill, as she discusses the delicate relationships between premium recovery, claims payments, and compliance for Medicare Advantage plans.
Managing costs is the fundamental challenge facing all health plans today, and payment integrity is at the heart of this issue. In this exclusive webinar on demand, payment integrity experts Paul Vosters and David Grice discuss the eight major payment integrity trends that have emerged in 2017 and offer recommendations for health plans that want to capitalize on those trends.
Though MA plans are on the task – attempting to find and correct errors in member eligibility and CMS premium payments – most are still missing millions of dollars due to hidden challenges in the process.
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:
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.
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.
Is your MSP validation and premium restoration process optimized? 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.
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.
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.