Jason Brown on the road ahead for payment integrity
Health plans face increasing pressure to ensure payment integrity. Discovery CEO Jason Brown explains recent trends and how they’re shaping the new decade.
Read MoreImprove your subrogation recoveries
In today’s healthcare system, subrogation plays a critical role in ensuring payment integrity. Whether the cause is an accident or serious illness, health plans stand to lose millions paying claims when a third-party payer is responsible. These claims amount to as much as $25 per member per year. However, many health plans lack the tools and resources to identify and pursue recovery opportunities for high-cost, complex claims.
As your subrogation partner, Discovery Health Partners offers deep subrogation expertise, advanced technologies, and a data-driven approach—all with proven results you can trust. With analytics and alternative investigation methods, we find more recovery opportunities, validate more cases, and reduce member contact, ultimately maximizing recoveries for your health plan.
The latest in Subrogation
Case study
Discovery’s Subrogation solution delivers millions in recoveries for healthcare clients
Whether used as an outsourced service or in-house technology model, our Subrogation solution has a proven track record of delivering measurable results for health plans. This case study showcases the millions of dollars our clients added to their bottom line as a result of our services.
Ways we help
Technology
Our flexible delivery model is supported by web-based applications that help streamline the subrogation process to your needs while offering the transparency you expect.
Expertise
Legal and recovery teams are highly skilled in subrogation techniques and negotiation tactics—working tirelessly to recoup money on your behalf.
Efficiency
Sophisticated processes and procedures supported by technology and experience drive consistent results and superior quality audit scores.
Better results from case identification through recovery
Improved case identification
Data analytics, machine learning, and rules-based analysis help identify and validate subrogation cases. We continuously refine our case identification methodology and determine the most effective validation methods, ultimately reducing false positives and increasing yield.
Positive member experience
Creating a positive member experience is key to your overall success. We combine data, technology, people, and processes to uncover opportunities while making member outreach as intuitive and user-friendly as possible.
Collaboration with partners
As we work to identify the full scope of recovery opportunities for your health plan, we complement data analysis and machine learning with the expertise of key technology and information partners. This collaboration powers improved results in mass torts, product liabilities, and medical practice claims.
Pre-payment subrogation
Avoiding inaccurate claims payments upfront creates true cost avoidance, allowing you to completely avoid the claim cost. Coupled with traditional subrogation recovery, pre-payment subrogation creates a holistic approach while maximizing savings, eliminating rework, and quickly identifying cases.
From our dedicated legal team and experienced call center staff to our proprietary technology and software, our Subrogation solution delivers better results while preserving your member relationships.
Your Subrogation partner
Recover and restore value to get the revenue you deserve and make healthcare more affordable.
Prevent
Avoid inaccurate claims payments up front
Correct
Improve case identification and validation methods
Recover
Get better results from case identification through recovery
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Read More Discovery: Three Subrogation client success stories
This case study shows how Discovery generated millions in subrogation recoveries with Discovery’s analytic-driven, member-sensitive approach.
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Should health plans expect more from their subrogation efforts? It’s worth a look!
Recent years have seen some health plans and subrogation vendors experiment with information technology and analytics to help improve the identification of claims with subrogation potential, reduce member abrasion across the subrogation process, and improve settlement rates.
Read MoreContact us today for more information on accelerating your payment integrity results.
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