Discovery’s Wellness Committee ambassador Jim Heffernan shares healthy snack alternatives in the third post of this special series to celebrate the month of May as Global Employee Health and Fitness Month.
Discovery’s Wellness Committee ambassador combats workout excuses that come with working from home in the second of a special series of posts to celebrate the month of May as Global Employee Health and Fitness Month.
The new year is upon us and with it comes a new decade. Need to catch up on Discovery Health Partners happenings? Read highlights from our most popular blogs of 2019 to remind you what we’ve been up to all year.
Administrative complexity continues to drive the high level of waste in healthcare. Learn how to reduce improper payments with an optimized payment integrity approach that blends advanced analytics with human expertise.
Ever feel like you’re living through “A Nightmare on Subro Street?” Healthcare subrogation can be terrifying! Health plans are “afraid…very afraid” of what high costs and low settlements do to their bottom line. Read our spooktacular blog post on turning your subro tricks into bottom-line treats.
It can be the small, unintentional errors that expose valuable health data to data thieves. Holding your building door open for a delivery person with their hands full. Clicking on an urgent email request from a senior executive.
The future of healthcare coordination of benefits might not be as exciting as humans living on Mars or Oprah for president, but there are some interesting things happening in COB that are changing the way health plans approach this age-old process.
When selecting a COB vendor, health plans are most interested in partnering with experts whose solutions deliver considerable incremental recovery opportunities with minimal disruption to their existing operations. Read our blog to see the most common integration points of alignment between supplemental COB and health plans’ internal efforts.
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
Recent years have seen some health plans and subrogation vendors experiment with information technology and analytics to help improve the identification of claims with subrogation potential, reduce member abrasion across the subrogation process, and improve settlement rates.
What roles are necessary in your healthcare organization for successful application of your data analytics? Whatever the size, culture and maturity level of your company, I believe there are five key functions your organization needs to develop models that can help drive solutions to real-world problems.