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’s accountability culture motivates employees to work at a higher level for their own success and help the company achieve its key results. The Accountability in Action award has been given to Beverly Orwig, MSP Recovery Specialist.
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.
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, 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
Listen to Discovery Health Partners’ Medicare subject matter expert, Amy Cogsdill, as she discusses the delicate relationships between premium recovery, claims payments, and compliance for Medicare Advantage plans.
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
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
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.
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.
Medicare Advantage plans collectively are underpaid by more than $2 billion because of Part C eligibility issues related to MSP. Most MA plans experience some level of revenue reduction from underpaid premiums due to Medicare Secondary Payer (MSP). At the core, it’s a problem with eligibility data.
The potential underpayment of millions of dollars in Medicare Advantage premiums is serious — particularly for executives, directors and managers. To help you determine whether your MSP program is need of immediate optimization, our MSP experts have developed this executive checklist focusing on the five key issues Medicare Advantage plan directors must examine.
Is your MSP validation and premium restoration process optimized? Download this simple stress test today to utilize the six MSP questions that will help you determine the opportunities you may have to improve your plan’s bottom line.
Are you leaving behind millions in underpaid Medicare Advantage premiums? As these three stories demonstrate, many Medicare Advantage plans have an opportunity waiting to be unlocked in their MSP process.
The Discovery Health Partners team spent some time earlier this week digging into Medicare at the Health Education Associates Medicare Accounting and Reconciliation conference. We were certainly excited to escape the snow and cold of the Midwest with a couple of days in Florida, and we were (almost) as excited to hear what our health
By identifying potential improvements, implementing best practices training, and correcting CMS eligibility, three health plans not only achieved impressive results in just the first 120 days. They were also able to ensure that their Medicare Advantage premiums are maximized each month going forward, leading to continued long-term improvements to revenue.