Premium Restoration

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.

MultiPlan completes acquisition of Discovery

MultiPlan completes the acquisition of Discovery, creating a comprehensive and scalable platform for healthcare payers seeking to improve the effectiveness and reach of their payment and revenue integrity programs.

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.

MultiPlan to acquire Discovery

MultiPlan’s acquisition of Discovery will create a comprehensive and scalable platform for healthcare payers seeking to improve the effectiveness and reach of their payment and revenue integrity programs.

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.

Enhancing premium restoration in four steps

Find out which four steps you can take to capture underpaid premiums and ensure accurate premium payments going forward for your Medicare Advantage members.

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.

Fixing payment integrity at the source

Find out how eligibility management plays a role in maximizing recovery opportunities, improving cost avoidance strategies, and creating premium restoration possibilities.