Case Study

Accurate Coordination of Benefits Helps Health Plan Achieve $73 Million in Upfront Cost Avoidance

Accurate Coordination of Benefits Helps Health Plan Achieve $73 Million in Upfront Cost Avoidance

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Accurate Coordination of Benefits Helps Health Plan Achieve $73 Million in Upfront Cost Avoidance Customer Large health plan Challenge The health plan sought to identify primary coverage sources for its Medicaid population Products Coordination of Benefits Medicaid solution Results • Realized cost avoidance savings of $2.2 million in first month of initial pilot program • Achieved cost avoidance savings of $25.9 million within eight months of initial pilot program • Implemented medical Coordination of Benefits program in 20 states and pharmacy Coordination of Benefits program in 15 states • 2019 cost-avoidance savings of $73 million Case Study2 Large Health Plan The Customer Change Healthcare partnered with a large national health plan to identify primary insurance cov

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