White paper: Proactive COB strategies

White paper: Proactive COB strategies

Cost avoidance is more than just a way for Medicare Advantage plans to improve their bottom line; it gives them a competitive edge in a crowded market.

Even as recovery operations continue to thrive, health plans have sharpened their focus on prepayment technologies that can manage costs, optimize claims payments and ensure the care patients need is appropriately covered. As health plans invest in a technology driven approach that incorporates new, more robust data sources into their COB processes, they must find the right balance of recovery and a proactive approach that looks to solve root cause of incorrect payments that result from incomplete or inaccurate coverage information.

To stay competitive and meet consumer needs, Medicare Advantage plans may need to offer low-cost supplemental benefits that help them attract new members. A proactive COB strategy that addresses primacy order and eligibility can provide the means to fund these additional offerings.

Fill out the form to download this informative whitepaper today.

Discovery Health PartnersWhite paper: Proactive COB strategies
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White paper: 8 Payment integrity trends to watch in 2017

Whitepaper: 8 Payment integrity trends to watch in 2017

Health plans’ focus on cost reduction drives fresh look at payment integrity

Discovery Health Partners estimates that for healthcare payers, payment integrity problems cost 3-7 percent of their paid claim dollars every year. That means, for example, a 500,000-member health plan with costs averaging $3,600 per member per year will pay $1.8 billion in claims, of which $54-$126 million will be wasted expense.

Based on our work with more than 60 payment integrity clients and discussions with nearly three times as many prospects, we have documented eight trends worth watching in the next year.

Download this informative whitepaper today.

Discovery Health PartnersWhite paper: 8 Payment integrity trends to watch in 2017
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White paper: Transforming subrogation operations with data, technology, and analytics

White paper: Transforming subrogation operations with data, technology, and analytics

Three ways Software-as-a-Service improves subrogation recovery results in less time and at a lower cost

The advancement of SaaS subrogation case management technologies, along with powerful analytics, has transformed the way in-house healthcare subrogation organizations can proactively manage subrogation with more information, automation, and visibility into the whole process. This white paper explores three ways SaaS subrogation solutions enable health plans to increase recoveries in less time and at lower cost.

For more information

Please visit our Subrogation page or open the contact tab on the right to get in touch with a Business Development Associate.

Discovery Health PartnersWhite paper: Transforming subrogation operations with data, technology, and analytics
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White paper: Innovations in payment integrity for healthcare payers

White paper: Innovations in payment integrity for healthcare payers

Data mining, business intelligence, and analytics are at the core of today’s most successful payment integrity strategies

Today’s most successful payment integrity solutions are information-driven and automate many processes that are otherwise manual and time-consuming.

By combining advanced technology such as data mining and cloud computing, with information analytics and improved business processes, this new generation of “intelligent” payment integrity solutions enables health plans to more efficiently and effectively manage programs including eligibility, coordination of benefits, and subrogation.

Download this informative whitepaper today.

Discovery Health PartnersWhite paper: Innovations in payment integrity for healthcare payers
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