Discovery MSP Validation Solution Achieves $200M in Premium Restorations for Health Plan Clients

MSP Validation helps Medicare Advantage plans recoup millions of dollars to their bottom lines by ensuring the accuracy of healthcare premiums paid by Centers for Medicare and Medicaid Services (CMS) for members with other health insurance.

LaunchPoint division Discovery Health Partners, a provider of payment and revenue integrity solutions for healthcare payers, has restored a record $200M in premium for its health plan clients through its MSP Validation solution. Honored two years in a row as a top 100 finalist in the Chicago Innovation Awards, MSP Validation helps Medicare Advantage plans recoup millions of dollars to their bottom lines by ensuring the accuracy of healthcare premiums paid by Centers for Medicare and Medicaid Services (CMS) for members with other health insurance.

“We can deliver significant premium restoration in a matter of months, which is continuing to drive strong interest in MSP Validation among health plans,” said Paul Vosters, Discovery president. “Few payment or revenue integrity solutions can boast of such a fast ROI,” he added. Discovery added five new clients in Q2 of 2017, covering in sum 346,000 Medicare Advantage members. New clients include such highly respected health plans as Tufts Health Plan, Geisinger Health Plan, and UCare. More than a dozen new MSP Validation clients have joined the Discovery client roster since the first of the year.

MSP Validation includes the analysis of open MSP records, validation of primacy, ECRS submissions, response monitoring, and premium reconciliation. The solution is typically delivered as an outsourced business process with Discovery experts managing the entire process on behalf of the client. It is often provided as a supplemental offering that complements clients’ existing efforts to help restore more.    Clients can also subscribe to the service as cloud-based software to manage the MSP process in-house, with their own staff. Many choose to take over ongoing maintenance after Discovery manages the initial restoration effort.

About Discovery Health Partners

Discovery Health Partners, a division of LaunchPoint, offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the…

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