Recap: Premium restoration webinar’s biggest takeaways
Webinar recap diving into what’s going on in the Medicare Advantage world and why your health plan should be paying close attention to your premium restoration strategies.
Medicare Advantage
Webinar: Market forces impacting Medicare Advantage plans + why premium restoration is essential
View our on-demand webinar to learn about major Medicare Advantage market factors and why your health plan needs an iron-clad premium restoration strategy.
COVID’s effect on ESRD premiums
In the past year, we’ve seen an increase in ESRD form submission errors because of COVID. The result is missed premiums for Medicare Advantage plans that manage members with ESRD.
The value of machine learning in the ESRD Premium Restoration process
Discovery takes an innovative approach to ESRD validation, combining machine learning and human intervention to help our clients identify and restore premium dollars for this costly care.
New technologies drive Premium Restoration innovation
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 Health Partners delivers significant ROI to health plan clients using Premium Restoration solutions
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.
Premium restoration in an era of Medicare Advantage growth
Expanding on one of the top payment integrity trends for 2021, this blog post focuses on growth in Medicare Advantage enrollment and the challenges it brings for health plans.
Jason Brown on 2021 payment integrity market trends
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.
2021 to bring changes to Medicare Advantage plans
2021 will bring significant changes that will affect Medicare Advantage plans and their members.
Success with MSP and ESRD Premium Restoration
This blog explains the challenges with Medicare Secondary Payer and End-Stage Renal Disease and illustrates the value of premium restoration for health plans.
eBook: Restoring millions for your Medicare Advantage plan
The Medicare Advantage landscape is complex and requires the right people, processes, and technology to ensure accurate premium payments. Learn how which actionable steps your plan can take to capture underpaid premiums.
It’s challenging to identify and restore underpaid ESRD premiums. Here’s how to solve that.
Every year, plans lose out on millions in revenue due to underpaid ESRD premiums. A systematic process can help plans gain control of ESRD data and restore premium revenue.
Why Medicare Advantage plans may be losing money on members with ESRD
CMS pays higher premiums to cover the higher costs of ESRD care. When these members are not correctly identified, plans can miss out on millions in revenue.
Four tips for balancing the effects of Medicare Secondary Payer
Medicare Secondary Payer (MSP) is a multi-pronged issue for Medicare Advantage plans. If plans aren’t monitoring the effects of MSP on medical and pharmacy claims as well as premiums from CMS, they could be hurting their bottom line—to the tune of millions of dollars. MSP also introduces compliance responsibilities that plans must regard or else
Discovery MSP Validation achieves $200M in premium restorations
Discovery Health Partners, a provider of payment and revenue integrity solutions for healthcare payers, has restored a record $200M in premium for its health plan clients through its MSP Validation solution
Discovery to speak at MedAdvantage Operational Finance Summit
Session by Discovery Health Partners’ Kathleen Cortez to set the stage for understanding payment integrity’s role and value
Discovery Health Partners sustains momentum in Q1 with MSP wins
Strong business case and quick ROI keep demand strong with health plans of all sizes ITASCA, IL (June 26, 2017) – LaunchPoint division Discovery Health Partners, a provider of payment and revenue integrity solutions for healthcare payers, added 5 clients in Q1 of 2017 for its Medicare Secondary Payer (MSP) Validation solution. This strong
2017 Medicare Advantage Operational Finance Summit
Optimizing membership operations, accounting & reconciliation, and achieving comprehensive payment integrity | Date: July 17-19, 2017 | Location: Chicago, IL
A second look at underpaid CMS premiums could restore millions
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.
Discovery Health Partners adds new healthcare clients
In the last three years, Discovery has restored more than $150 million in underpaid premiums for its MSP Validation clients.
HEA Medicare Accounting & Reconciliation 101 Boot Camp
Mastering the essentials of membership & revenue reconciliation | Date: January 30-31, 2017 | Location: Nashville, TN
Discovery Health Partners a finalist for Chicago Innovation Awards
Chosen out of a record-breaking 643 entries, Discovery Health Partners’ Medicare Secondary Payer (MSP) Validation solution is honored for its work helping Medicare Advantage plans recoup millions of dollars to their bottom lines by ensuring member healthcare premiums paid by Centers for Medicare and Medicaid Services (CMS) are accurate.
Discovery to discuss payment integrity at ACAP Summit
The conference brings together CEOs of Medicaid health plans, senior staff, Washington policy leaders, and ACAP’s Preferred Vendors to discuss the role that Medicaid managed care plays in state and federal health reforms and how plans are preparing to meet the needs of the expansion populations.
Discovery Health Partners drives millions in recoveries and revenue optimization for Lovelace Health Plan
Analytics-based subrogation, COB and eligibility services improve health plan’s visibility, reporting and reduction of claims payment errors ITASCA, IL (April 28, 2014) – Discovery Health Partners’ cost containment support for New Mexico-based Lovelace Health Plan has resulted in $16 million in recoveries and revenue optimization in two years, announced the company. A mid-sized health plan,
Discovery drives millions in recoveries for Lovelace Health Plan
Analytics-based subrogation, COB and eligibility services improve health plan’s visibility, reporting and reduction of claims payment errors ITASCA, IL (April 28, 2014) – Discovery Health Partners’ cost containment support for New Mexico-based Lovelace Health Plan has resulted in $16 million in recoveries and revenue optimization in two years, announced the company. A mid-sized health plan,
