Discovery Health Partners wins new healthcare customers

September 19, 2013 Discovery Health Partners ,
Discovery Health Partners wins new healthcare customers

Intelligent Cost Containment Software Delivers Transparency, Control and Savings 

ITASCA, IL (September 19, 2013) – Discovery Health Partners  today announced that it has added new healthcare organizations to its client roster and expanded current customer portfolios, demonstrating demand for effective analytics-driven payment integrity solutions that reduce and contain healthcare spend.

Since January, Discovery Health Partners has won multiple new healthcare clients seeking proven solutions for healthcare subrogation, COB recovery and eligibility services.  They include Paramount Health Care, a large southern integrated health care services system, a leading mid-Atlantic health plan, and a leading western health plan.

Additionally, current client Lovelace Health Plan expanded its partnership with Discovery Health Partners with a Cost Containment Blueprint consulting engagement, which identified new opportunities for cost savings and revenue generation.  Fallon Community Health Plan, another client, extended its relationship with Discovery Health Partners to include Medicare Secondary Payer (MSP) Validation and Premium Restoration in addition to existing services provided for subrogation and COB.

“Discovery Health Partners has been a true partner in every sense for our recovery and cost avoidance programs,” said Karen Eskridge, Chief Operations Officer, Lovelace Health Plan.  “Their team has helped us to reduce erroneous claims payments and improve reporting; working together, we’ve also broken down obstacles and identified new savings opportunities we hadn’t seen before.”

Discovery Health Partners recently published the following client successes:

  • Within the first year, a mid-sized health plan with more than 230,000 members (including 30,000+ Medicare Advantage members) realized nearly $3.5 million in subrogation and COB recoveries.  By adding MSP Validation and Premium Restoration, the health plan recovered an additional $7.4 million dollars in six months. The health plan’s total two-year forecast for these services is nearly $15 million.
  • A community health plan with more than 200,000 members (including 30,000+ Medicare Advantage members) realized incremental savings of more than $2 million with Discovery Health Partners’ subrogation and COB services in seven months. The health plan expects to recover an additional $2.4 million in subrogation claims over the next six to 12 months. MSP Validation and Premium Restoration Services are expected to recover an additional $8.4 million in 2013.
  • Seeking greater transparency and the ability to respond faster to employer group reporting requests, another health plan adopted Discovery Health Partners’ cloud-based subscription software for on-demand analytics and case management tools. As a result, the health plan decreased their resources, support needs, and capital expenditures.

“Our flexible offerings, client advocacy, and leading-edge tools are highly valuable to our clients’ cost management programs,” said Paul Vosters, President and Chief Operating Officer, Discovery Health Partners. “We help clients look holistically at their cost containment efforts, and we will customize a plan and approach to meet their unique requirements. We quantify the results to show the difference we make.”

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersDiscovery Health Partners wins new healthcare customers
read more

Discovery Health Partners transforms healthcare recovery with SaaS

June 6, 2012 Discovery Health Partners
Discovery Health Partners transforms healthcare recovery with SaaS

ROLLING MEADOWS, IL (June 6, 2012) – Discovery Health Partners, a provider of intelligent healthcare cost containment solutions, today announced that a new health plan customer has successfully implemented its software-as-a-service (SaaS)-based Subrogation service.  The SaaS delivery model is an alternative to the traditional Full Service outsourcing that Discovery Health Partners has delivered to health plan and self-funded customers since 2008.

For a western region Blues health plan, Discovery Health Partners built a Virtual Private Cloud (VPC) to support and enhance the collections, insight, reporting and productivity of existing internal pre-payment and recovery Subrogation processes. In the VPC, claims data resides in Discovery Health Partners’ privately hosted, secure environment for Subrogation case identification, case management, and information analytics.

The new SaaS-based healthcare recovery model allows in-house recovery teams to benefit from state-of-the-art technology in a cost-efficient subscription model while retaining full control of the Subrogation function. It operates on Discovery Health Partners’ proprietary Healthcare Analytics Platform, which transforms key healthcare cost management business processes with enterprise-level, cloud-powered information analytics.

For a second customer, a community health plan in the northeast, Discovery Health Partners created a Hybrid Cloud environment, in which sensitive data remains in the customer data center and streams into Discovery Health Partners’ analytic applications only when needed, then returns to the customer data center. This approach represents an incremental step toward the cloud, allowing organizations to reap cloud value while retaining their data on premise.

“These examples of cloud adoption symbolize the seismic shift underway within healthcare, an industry that has long struggled with antiquated technology, overly complex processes, and a lack of information transparency,” said Paul Vosters, President and Chief Operating Officer of Discovery Health Partners. “The cloud is an enabler for competitive advantage. Our HIPAA-compliant SaaS models enable greater flexibility, cost effectiveness and control for the healthcare claims recovery and overpayment industry.”

Three robust, on-demand applications help customers tightly manage their recovery programs:

  • Discovery Identification℠, a sophisticated data mining engine that accurately generates cases for investigation;
  • Discovery Case Manager℠, which delivers modernized workflow, rich case detail, digital imaging and storage, and plan language features; and
  • Discovery Dashboard℠, which provides unprecedented visibility through customized analytics for trend and case reporting

Discovery Health Partners uses commercial cloud services from leading providers such as Amazon Web Services, Informatica, and Microsoft. It includes comprehensive application, data, and infrastructure security controls designed to facilitate security governance and manage ePHI data security. It is fully HIPAA-compliant, meeting rigorous standards for technical, physical, and administrative security.

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersDiscovery Health Partners transforms healthcare recovery with SaaS
read more

Laura Cohen joins Discovery Health Partners

March 12, 2012 Discovery Health Partners

ROLLING MEADOWS, IL (March 12, 2012) – Discovery Health Partners, a provider of cloud-based healthcare cost containment solutions, announced the addition of its newest executive management team member, Laura Cohen.  As Director, Client Advocacy and Coordination of Benefits (COB), Ms. Cohen serves as an ambassador for client engagements and manages new client onboarding and customer relations, including retention, growth, satisfaction, reporting, and business development.  Dually, Ms. Cohen oversees operations and product development for Discovery Health Partner’s COB offering.

“Laura’s extensive experience directly aligns with our priorities, which are to continue serving our growing roster of customers with excellence; further build and differentiate our COB solution; and expand the business,” said Paul Vosters, President and Chief Operating Officer of Discovery Health Partners. “Laura’s customer focus, industry knowledge, and financial savvy are a tremendous asset.”

Ms. Cohen brings a 20-year track record in health insurance customer service, business development, financial operations and administration, and profit-building. Prior to joining Discovery Health Partners, Ms. Cohen was Vice President of Operations at ACS Recovery Services, a Xerox Company. In this role, Ms. Cohen had complete responsibility for all claim overpayment identification and recovery services for large healthcare payers. Her achievements were numerable, including significant revenue and profit growth, division performance optimization, increased staff productivity. In 2009, Ms. Cohen was named Line of Business Innovator of the Year. She also earned the designation of Lean Six Sigma Champion.

Previously Ms. Cohen served in the capacity of Line of Business Controller at ACS, where she was responsible for transitioning all Primax Recoveries financial reporting, cash management, human resources, payroll and benefit functions to ACS after acquisition, and handling ongoing reporting to ACS corporate thereafter. Previous to the ACS acquisition, Ms. Cohen was Chief Financial Officer/Controller for Primax. Earlier in her career, Ms. Cohen worked at BABCO Investments as Controller/Consultant and at Advanced System Applications in various financial and accounting roles.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersLaura Cohen joins Discovery Health Partners
read more

Healthcare claim recoveries jump with Discovery Health Partners

July 12, 2011 Discovery Health Partners
Healthcare claim recoveries jump with Discovery Health Partners

ROLLING MEADOWS, IL (July 13, 2011) – Discovery Health Partners, a provider of cloud-based healthcare cost containment solutions, today announced that it has successfully improved claims recoveries for all customers who have implemented its Intelligent Full Service Subrogation and Overpayment solutions – even driving a recovery increase of 40%  for one customer.

Since its 2008 founding, Discovery Health Partners has broken new ground within healthcare cost containment by launching the industry’s first purely cloud-based platform that offers Subrogation, Dependent Eligibility Verification, Coordination of Benefits and Information Analytics solutions in a fully outsourced model or via SaaS (pay-as-you-go) for in-house management – or in any combination in between.

“Traditional recovery and overpayment methods are antiquated, slow, complex and opaque. Analytics and cloud computing are driving a major wave of change in healthcare cost containment, and we’re at the forefront of it,” said Paul Vosters, President and COO of Discovery Health Partners. “Greater visibility and transparency enable organizations to monitor, control and improve their programs and those of their vendors. This insight is essential for better recoveries and operational savings.”

Discovery Health Partners’ customers include national and regional health insurers, healthcare providers, and self-funded organizations such as Humana, Lovelace Health Plan, Meritor, The Mentor Network and Rush System for Health, among others.

The intelligent platform enables customers to monitor their recovery operations more closely, manage other vendors on a single platform, and even compare their recovery operations to others through industry benchmarking. Three proprietary applications – Discovery Identification℠, Discovery Case Manager℠ and Discovery Dashboard℠ — identify cases for investigation; provide start-to-finish case management tools; and offer interactive analytics for visibility into current cases, real-time and historical views, and a range of customizable reports.

Rapid scalability is an additional benefit of Discovery Health Partners’ cloud platform. Within three weeks, Discovery Health Partners successfully began processing claims for a major national health plan with five million lives. The platform also supports massive data growth as Discovery Health Partners approaches petabyte-level claims analysis.

“We’ve raised the bar for methods in healthcare and benefits cost containment,” said Vosters. “Savvy organizations today expect higher standards for transparency, advanced analytics and reporting, and flexible delivery in healthcare recovery.”

 

 

 

 

 

 

 

 

 

 

 

 

 

Discovery Health PartnersHealthcare claim recoveries jump with Discovery Health Partners
read more

 

 

 

Subscribe to our blog

Receive the latest payment integrity insights and perspectives

Recent posts

Resource pages

Contact request