Medicare Advantage

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.

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.

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.

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.

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 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

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,