2021 to bring changes to Medicare Advantage plans
2021 will bring significant changes that will affect Medicare Advantage plans and their members.
Medicare Secondary Payer (MSP)
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.
End-Stage Renal Disease (ESRD) FAQs
Discovery addresses some of the frequently asked questions regarding End-Stage Renal Disease (ESRD) and explains how ESRD validation works.
Medicare Secondary Payer (MSP) FAQs
Discovery addresses some of the frequently asked questions around Medicare Secondary Payer (MSP) validation and explains how Medicare Advantage plans can ensure accurate premiums from CMS.
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
MSP Validation momentum continues for Discovery with new wins in Q3
Discovery Health Partners, a provider of payment and revenue integrity solutions for healthcare payers, added three Blue Cross and Blue Shield plans in Q3 to its growing roster of Medicare Secondary Payer (MSP) Validation clients
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
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.
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.
