Discovery Health Partners named to Crain’s Chicago Business Fast 50

ITASCA, IL (October 12, 2020) – Discovery Health Partners announced today that it has been named to the Crain’s Chicago Business Fast 50 list of fastest growing companies in Chicago. To achieve its spot on the list, Discovery had to demonstrate an aggressive five-year revenue increase marked by year-over-year growth.

“Discovery is proud to make the Crain’s Fast 50 list this year and to have our team’s success and hard work recognized,” said Discovery Health Partners CEO Jason Brown. “Sustaining the type of growth that earned our spot on this list is a testament to the powerful combination of people and technology solutions that Discovery has assembled.”

This is the fourth time in the company’s history that Discovery has made the Fast 50 list. This distinction adds to other recent significant growth news coming out of Discovery, including its recent acquisition of Consova and its seventh consecutive placement on the Inc. 5000 list of fastest growing companies in America.

Full results and rankings of the Crain’s Fast 50 list can be found here.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies. Serving more than 80 health plans across the U.S., including nine of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth and innovation—earning a spot on the Inc. 5000 list seven years in a row, the Crain’s Fast 50 four times, and a prestigious FutureEdge 50 Award from IDG for innovations in machine learning. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

Read more about the powerful payment integrity solutions that helped Discovery earn its spot on the Crain’s Chicago Fast 50 list.

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Discovery Health PartnersDiscovery Health Partners named to Crain’s Chicago Business Fast 50
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Jeffrey Fasy joins Discovery Health Partners as Chief Financial Officer

ITASCA, IL (September 29, 2020) — Discovery Health Partners has tapped Jeffrey Fasy as its new Chief Financial Officer. Fasy brings decades of strategic financial management and financial analytics capabilities, along with robust experience in healthcare technology and data-centric organizations.

“We are pleased to add Jeff to our executive team,“ said Discovery CEO Jason Brown. “His skill set combines growth management expertise and deep appreciation for delivering continued client value. Jeff will be strong leader and help us navigate toward our overall key results.”

“I’m thrilled to have landed at Discovery,” commented Fasy. “We have great people and a very strong foundation to build on. I’m looking forward to helping the team sharpen their focus on client value, which I believe is the way we all win—our clients, employees, investors, and Discovery.”

Fasy most recently served as SVP, Financial Planning and Analysis, for nThrive, a revenue cycle management company for health care providers, and as Vice President of Revenue Assurance and Global Financial Planning and Analysis for Cotiviti, a solutions and analytics company for healthcare companies. Prior to those, Fasy held a variety of financial leadership roles at companies such as Equifax, SNF Holding Company, Kemira Chemicals, UCB, Inc., and Procter & Gamble.

Fasy’s appointment follows other recent significant growth news coming out of Discovery, including its recent acquisition of Consova and its seventh consecutive placement on the Inc. 5000 list of fastest growing companies in America.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies. Serving more than 80 health plans across the U.S., including nine of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth and innovation—earning a spot on the Inc. 5000 list seven years in a row, the Crain’s Fast 50 four times, and a prestigious FutureEdge 50 Award from IDG for innovations in machine learning. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

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Discovery Health PartnersJeffrey Fasy joins Discovery Health Partners as Chief Financial Officer
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Discovery Health Partners named a “Top 100 Finalist” in the Chicago Innovation Awards program

ITASCA, IL (September 16, 2020) – Discovery Health Partners has achieved a spot as a “Top 100 Finalist” in the Chicago Innovation Awards program. Discovery is nominated in the “Innovations in Healthcare” category and it is the company’s second time making this exclusive list. In its 19th year, the Chicago Innovation Awards has a history of recognizing the most innovative products and services in the Chicago region.

Discovery is being recognized for its case open logic machine learning initiative as part of its claims ranking process within its Subrogation practice. Already acknowledged as an innovation leader in healthcare by IDG-CIO earlier this year in their FutureEdge 50 program, Discovery’s case open logic initiative leverages its decade of case outcomes data to fuel a subrogation model that eliminates hours of manual work, results in more accurate case identification, and reduces member friction.

As a Chicago Innovation Awards Top 100 finalist, Discovery will participate virtually in the Chicago Innovation Awards final event on October 19, 2020, where winners in each category will be announced.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies. Serving more than 80 health plans across the U.S., including nine of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth and innovation—earning a spot on the Inc. 5000 list seven years in a row, the Crain’s Fast 50 four times, and a prestigious FutureEdge 50 Award from IDG for innovations in machine learning. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

Discovery Health PartnersDiscovery Health Partners named a “Top 100 Finalist” in the Chicago Innovation Awards program
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Discovery Health Partners enhances capabilities with acquisition of Consova’s payment integrity business

ITASCA, IL (August 27, 2020) – Discovery Health Partners, an industry leader dedicated to helping healthcare payers solve payment and revenue integrity challenges to improve financial outcomes, today announced they have acquired Consova’s payment integrity business.

This acquisition greatly expands Discovery’s growing Data Mining expertise and capabilities. Discovery assumes ownership of Consova’s payment integrity assets, including:

  • A team of seasoned medical claims analysts with a proven track record of accuracy in overpayment findings and recoveries
  • A robust set of unique, proprietary algorithms and process automation that combs through data in medical claims to select those that are most likely billed, coded, or submitted in error
  • A marquis list of top-10 health plan clients

With this latest acquisition, Discovery advances its position as a leading payment integrity solution provider. This acquisition represents an additional step in Discovery’s strategy of leveraging technology and advanced analytics to offer a full suite of payment integrity solutions for health plans.

“We are excited to welcome the Consova team and clients to the Discovery family. The combination of Discovery and Consova deepens our data mining and analytics expertise while expanding our growing client footprint,” commented Jason E. Brown, CEO of Discovery Health Partners. “We are thrilled to now be able to offer our vastly expanded expertise to clients, enabling them to recover significantly more claims overpayments.”

“Our payment integrity solutions have found a great new home with Discovery,” added Vino Ramayah, Consova’s CEO and Chairman. “Given Discovery’s demonstrated ability to grow their solution portfolio and customer base, we know that the data mining analytics and staff Consova has built will flourish and allow Discovery to rapidly grow their footprint in the health plan marketplace.”

Discovery has maintained an exceptional growth record over the last several years; the company recently received the prestigious Inc. 5000 Fastest Growing Companies award for the seventh year in a row. Only a very small fraction of the companies that apply for the list makes the list more than once, and only 1.26 percent of those companies have made the list seven times. Read the news here.

Comprehensive solutions for a growing industry problem

The estimated cost of waste in the US health care system ranges from $760 billion to $935 billion, accounting for approximately 25% of total health care spending, and the projected potential savings from interventions that reduce waste, excluding savings from administrative complexity, ranged from $191 billion to $286 billion, representing a potential 25% reduction in the total cost of waste. Implementation of effective measures to eliminate waste represents an opportunity reduce the continued increases in US health care expenditures.1 Healthcare claims processing is as profoundly complex as ever and is only made more difficult by numerous EMR vendors and compliance issues.

Through proven data mining practices, Discovery tackles this industry issue by identifying and recovering overpayments caused by inaccurate contract pricing, improper billing and coding, and misapplied reimbursement methodologies. The combination of expert auditing and coding staff, advanced analytics, and a best-in-class ReThink payment integrity platform enables Discovery to rein in wasteful spending and recover lost healthcare dollars for health plans.

About Consova

Founded by seasoned healthcare executives and powered by the Global Healthcare Technology powerhouse Cereus Health Group, Consova knows what it takes to contain healthcare costs. The company’s goal is to improve clients’ financial performance without diminishing the level of benefits that is offered to employees and members. For more information, go to www.consova.com.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies. Serving more than 80 health plans across the U.S., including many of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth—earning a spot on the Inc. 5000 list seven years in a row and the Crain’s Fast 50 three times. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

1Waste in the US Health Care System: Estimated Costs and Potential for Savings | JAMA Network  (October 2019)

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Discovery Health PartnersDiscovery Health Partners enhances capabilities with acquisition of Consova’s payment integrity business
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Discovery Health Partners does it again, making the Inc. 5000 list for the seventh year in a row

ITASCA, IL (August 12, 2020) – Discovery Health Partners today announced that the company has been named to the annual Inc. 5000 list for the seventh year in a row. Discovery’s three-year revenue growth was enough to bump the company’s ranking to position number 4008 on this prestigious list of the nation’s fastest-growing private businesses.

According to Inc., only a very small fraction of the companies that apply for the list makes the list more than once, and only 1.26 percent of those companies have made the list seven times.

“Making the Inc. 5000 list for seven consecutive years really puts Discovery in rare air,” said Discovery Health Partners CEO Jason Brown. “This is a direct result of the investments we’ve made in new solutions and analytics and a true testament to the incredible work our employees do every day to deliver profound client value. I’m very proud of our team and so happy to have their hard work recognized.”

“We’re very pleased with Discovery’s sustained, positive trajectory and the company’s ability to stay focused on client-centric growth and results. Earning the Inc. 5000 award for a seventh time puts an exclamation point on the fine work the Discovery team is doing,” commented Steve Unterberger, Carrick Capital Partners Managing Director and a member of the Discovery Board of Directors.

Complete results of the 2020 Inc. 5000 can be found here.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies. Serving more than 80 health plans across the U.S., including six of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth and innovation—earning a spot on the Inc. 5000 list seven years in a row, the Crain’s Fast 50 three times, and a prestigious FutureEdge 50 Award from IDG for innovations in machine learning. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

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Discovery Health PartnersDiscovery Health Partners does it again, making the Inc. 5000 list for the seventh year in a row
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Discovery Health Partners’ case open logic machine learning initiative receives FutureEdge 50 award from IDG

Itasca, IL – December 16, 2019 – Discovery Health Partners has been named an honoree of a 2020 FutureEdge 50 award from IDG’s CIO. This prestigious honor is given to organizations that are pushing the edge with new technologies to advance their business for the future. Discovery will accept its award at the AGENDA20 Conference held March 23 – 25 at the Sawgrass Marriott Golf Resort & Spa in Ponte Vedra Beach, Florida.

Discovery’s case open logic initiative was piloted earlier this year to test machine learning as part of its claims ranking process within its Subrogation practice. Already a leader in analytics-powered technology solutions for some of the top health payers in the country, Discovery saw an opportunity to leverage its decade of case outcomes data to fuel a subrogation model that eliminates hours of manual work, results in more accurate case identification, and reduces member friction. Discovery is implementing improvements and enhancements and intends to roll out similar machine learning capabilities to other lines of business such as Data Mining, Clinical Audit and Coordination of Benefits (COB).

“Discovery’s data science team has been blazing new trails in the payment integrity industry through advanced analytics and machine learning capabilities,” stated Discovery CIO Dan Iantorno. “Combining technology innovation with our team’s decades of experience in the health payer space is at the heart of how we deliver game-changing results for our customers.”

“The organizations in the FutureEdge 50 are doing exciting things that would have been unimaginable just a few years ago. For example, there’s a project using blockchain and quantum computing to establish trust; an indoor navigation system; and many uses of AI/ML for insights and efficiency,” said Anne McCrory, group vice president, customer experience and operations, events, and the FutureEdge and AGENDA20 conference chair. “We are honored to showcase these innovations and many others as we enter into a new era of sophistication with cloud, devices, and environments powering the technology-driven business.”

For more information about how Discovery Health Partners’ award-winning team and technologies are helping health payers solve payment integrity challenges to improve financial and member outcomes, visit www.DiscoveryHealthPartners.com.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies with government programs. Serving more than 70 health plans across the U.S., including six of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth—earning a spot on the Inc. 5000 list six years in a row and the Crain’s Fast 50 three times. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

About the FutureEdge 50 Awards

The FutureEdge 50 awards recognize organizations pushing the edge with new technologies to advance their business for the future. The successor to the Digital Edge 50 awards, the FutureEdge 50 will recognize not only established initiatives driving business success but also early-stage projects pursued for their watershed potential. These initiatives may be in R&D, proof of concept or pilot phases. With this, the FutureEdge 50 awards aim to bring the most cutting-edge trials and applications of emerging technologies – and the innovative cultures enabling them — to our audience at the AGENDA conference.

About CIO

CIO focuses on attracting the highest concentration of enterprise CIOs and business technology executives with unparalleled expertise on business strategy, innovation, and leadership. As organizations grow with digital transformation, CIO provides its readers with invaluable peer insights on the evolving CIO role as well as how leading IT organizations are employing technologies, including automation, AI & machine learning, data analytics and cloud, to create business value.

The award-winning CIO portfolio — CIO.com, CIO events, CIO Strategic Marketing Services, CIO Forum on LinkedIn, CIO Executive Council and CIO primary research — provides business technology leaders with analysis and insight on information technology trends and a keen understanding of IT’s role in achieving business goals. CIO is published by IDG Communications, Inc. Company information is available at www.idg.com.

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Discovery Health PartnersDiscovery Health Partners’ case open logic machine learning initiative receives FutureEdge 50 award from IDG
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Cathy Eddy joins as newest member of Discovery Health Partners Strategic Advisory Board

Itasca, IL – September 17, 2019 – Discovery Health Partners today announced that Health Plan Alliance founder and former president, Cathy Eddy, has joined its Strategic Advisory Board. Discovery’s Strategic Advisory Board is charged with guiding the company in advancing its industry-leading solutions portfolio to help health plans proactively avoid costs, improve the accuracy of claims payments, and protect the erosion of premium revenue through emerging technologies, services, and best practices.

“We are thrilled to welcome Cathy to our Strategic Advisory Board,” stated Discovery CEO Jason Brown. “Her passion and leadership in the health plan industry is renown, and we consider it a privilege to have her taking an active role with Discovery as we pursue aggressive growth and innovation goals while delivering the best possible payment integrity outcomes for our customers. There are few who know the needs of provider-sponsored plans—a key customer group for us—better than Cathy. Her insights will help us to continue to align our services to these health plans’ goals.”

Cathy founded the Health Plan Alliance in 1996 (formerly HMO Alliance), an organization that helps provider-sponsored and independent health plan members be more competitive in their individual markets by sharing a broad knowledge base, identifying performance improvement methods, enabling collective purchasing, and sharing insights. Under Cathy’s leadership, the Health Plan Alliance grew to 50 members. She retired as president in April 2018. In addition to her leadership at Health Plan Alliance, Cathy has extensive advisory and speaking experience with numerous boards and health organizations.

Formed in May of 2019, current Discovery Strategic Advisory Board members include: Amanda Fox, Healthcare and Insurance Practice Partner, Spencer Stuart (retired); Michael Cotton, CEO, Providence Health Plan; and Wheeler Coleman, CEO, EC-United, and former CTO at HCSC.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies with government programs. Serving more than 70 health plans across the U.S., including six of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth—earning a spot on the Inc. 5000 list six years in a row and the Crain’s Fast 50 three times. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

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Discovery Health PartnersCathy Eddy joins as newest member of Discovery Health Partners Strategic Advisory Board
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Unprecedented growth: Discovery makes Inc. 5000 list for sixth consecutive year

Latest recognition places Discovery on Inc. 5000 Honor Roll Hall among elite group of fastest-growing private companies

ITASCA, IL (August 14, 2019) – Discovery Health Partners announced today that for the sixth year in a row, the company has been named to the annual Inc. 5000 list, the most prestigious ranking of the nation’s fastest-growing private businesses. Debuting on the list in 2014, Discovery has earned the position of 4264 on the 2019 Inc. 5000. After being inducted into the Inc. 5000’s 5-time Honoree Hall of Fame just last year, Discovery has broken new ground once again this year with their sixth appearance on the list. According to Inc., only a fraction of the companies that apply for the list make the list more than once, and only three percent of those companies have made the list six times.

“We’re incredibly honored and excited to make Inc. 5000’s list for a sixth time,” said Discovery CEO Jason Brown. “This kind of unprecedented, year-after-year growth is only possible thanks to our incredible team at Discovery, and it fuels our commitment to delivering profound value to our clients.”

Complete results of the 2019 Inc. 5000 can be found here.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies with government programs. Serving more than 70 health plans across the U.S., including six of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth—earning a spot on the Inc. 5000 list six years in a row and the Crain’s Fast 50 three times. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

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Discovery Health PartnersUnprecedented growth: Discovery makes Inc. 5000 list for sixth consecutive year
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Discovery Health Partners names vice president of payment optimization

ITASCA, IL (June 5, 2019) — Discovery Health Partners today announced that Subrahmanyam Mantha has joined the Discovery leadership team as Vice President, Payment Optimization. In this new role, Mantha will tap into his more than 20 years of managed healthcare and payment integrity experience to help Discovery’s clients better control costs associated with incorrect billing and overpaid claims and to improve health plans’ administrative and medical loss ratios.

“Expanding our payment integrity offerings is an important part of our growth strategy, and Mantha will play a key leadership role in making that happen,” stated Discovery CEO Jason Brown. “With this new payment optimization executive role and our recent acquisition of HealthMind, Discovery is demonstrating that we are fully committed to delivering the best pre- and post-payment optimization results for our customers.”

“Discovery has a stellar reputation for being a leader in subrogation, COB, and premium restoration, and I’ve seen how they’ve aggressively been expanding their payment integrity footprint,” stated Mantha. “I am thrilled to be a part of growing this strategic business line and to be a part of a company with such a promising future.”

Before assuming the leadership role for payment optimization at Discovery, Mantha spent more than 20 years in a variety of operations and leadership roles supporting managed care organizations and building payment integrity programs. Most recently, Mantha led the development and deployment of prepay analytics solutions for a large global payment integrity company, supporting several top-10 health plans. Prior to that, Mantha was Senior Vice President at SCIO Health Analytics, where he delivered analytics solutions to support Payment Integrity operations, healthcare analytics, and global delivery operations.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies with government programs. Serving more than 70 health plans across the U.S., including six of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth—earning a spot on the Inc. 5000 list five years in a row and the Crain’s Fast 50 three times. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

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Discovery Health PartnersDiscovery Health Partners names vice president of payment optimization
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Discovery Health Partners forms Strategic Advisory Board

New board advances Discovery’s position as a leader in payment integrity for U.S. health payers

Itasca, IL – May 21, 2019 – Discovery Health Partners today announced the formation of a Strategic Advisory Board comprised of industry veterans and forward thinkers in the healthcare payer technology space. This board will guide Discovery in advancing its industry-leading solutions portfolio to help health plans proactively avoid costs, improve the accuracy of claims payments, and protect the erosion of premium revenue through emerging technologies, services, and best practices.

“Discovery’s Strategic Advisory Board is an integral part of achieving the aggressive goals we have laid out for the years ahead,” stated Jason Brown, CEO of Discovery Health Partners. “With their collective industry knowledge, our advisors will help us connect more deeply to solve healthcare executives’ top priorities. This will give us a huge advantage as we expand and sell more complex solutions into a competitive marketplace.”

Inaugural board members include:

AMANDA FOX
Healthcare and Insurance Practice Partner, Spencer Stuart (retired)

Before her professional retirement, Amanda Fox was a partner with Spencer Stuart’s global Healthcare and Insurance practices and led the firm’s insurance industry search efforts. Amanda led a number of confidential CEO succession assignments for most of the top insurance companies and partnered with one of the largest national payers to restructure the senior leadership team following a CEO succession. She worked with regional and local health plans, specialty firms, and with new subsectors emerging as a result of U.S. healthcare reform. Amanda holds a B.A. in political science from Randolph-Macon Woman’s College (now Randolph College) and sits on the advisory committee of the Society of Actuaries.

MICHAEL COTTON
CEO, Providence Health Plan

Mike Cotton joined Providence Health Plan as chief executive officer in 2015. With more than 25 years’ experience in healthcare, Mike provides strategic leadership for Providence Health Plan’s commercial, self-funded, Medicare, and Medicaid programs. Prior, Mike was vice president and chief operating officer for Humana and held executive management roles with Evolent Health and Alere Health. In addition, Mike has led provider sponsored health plans affiliated with University Hospitals Health System and Premier Health System. Mike graduated from Cleveland State University, earning an MBA in healthcare administration, and holds a certificate of executive healthcare management from Case Western Reserve University.

WHEELER COLEMAN
CEO and Executive Partner, EC-United

Wheeler Coleman is CEO and Executive Partner at EC-United, a boutique IT consulting firm specializing in delivering innovative solutions that transform businesses. Prior to his CEO role, Wheeler was a two-time CIO and former CTO of the nation’s fourth-largest health insurance company where he spent 25-plus years on the management team. Throughout his career in the health payer industry, Wheeler has built a reputation for transforming business and simplifying IT to meet business needs, driving optimum bottom-line returns, reducing costs, minimizing inefficiencies, improving capabilities, building high-performance teams, and integrating emerging technology strategically for long-term growth. Wheeler is an MBA graduate of the University of Notre Dame.

About Discovery Health Partners

Discovery Health Partners’ mission is to deliver unique, actionable analytic insights and technology-powered solutions to help healthcare payers improve payment integrity, increase revenue optimization, and maximize efficiencies with government programs. Serving more than 70 health plans across the U.S., including six of the 10 largest U.S. health plans, Discovery has been recognized consistently for its growth—earning a spot on the Inc. 5000 list five years in a row and the Crain’s Fast 50 three times. For more information on Discovery Health Partners, go to www.DiscoveryHealthPartners.com.

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Discovery Health PartnersDiscovery Health Partners forms Strategic Advisory Board
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