Case Study

Full-Spectrum Coordination of Benefits Solutions Help Regional Plan Boost Savings

Full-Spectrum Coordination of Benefits Solutions Help Regional Plan Boost Savings

Full-Spectrum Coordination of Benefits Solutions Help Regional Plan Boost Savings Customer Regional commercial health insurance carrier with approximately 500,000 covered lives and $2.5 billion in annual claim spend. Challenge The health plan sought to identify primary coverage sources for its commercially covered population. Products Coordination of Benefits Services, including prospective cost avoidance and retrospective recovery. Results • >250% ROI. • >$500K increased yearly collections. • Increased the plan’s total savings by $4.66 per member per year (PMPY): $1.26 PMPY cost avoidance and $3.40 PMPY retrospective recovery. • Results achieved in the second-pass position. Case Study Insight. Innovation. Transformation.Insight. Innovation. Transformation. © 2022 Change Health

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