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.
The number of health plan members that have other health insurance keeps increasing. Are your methods for verifying eligibility and insurance information keeping up? Learn how to modernize your COB efforts and transition from recoveries to cost avoidance.
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.
A health plan’s successful pursuit of claim recoveries depends on an optimized subrogation process. Using the right technology and best practices for managing your plan’s subrogation program will improve your recoveries and your bottom line.