Cost Avoidance Strategy with Accenture Saves $702M for Large Medicaid Program

Background

Medicaid Program fee-for-service population has declined in recent years

Cost avoidance savings continue to climb regardless of volume of lives covered

Fee-for-service claims were appropriately billed to third-party payers through identification of other insurances and data maintenance

Solution Highlights

Significantly reduced administration burden and increased member satisfaction

By identifying other health coverage, the payment responsibility is routed appropriately avoiding overpayment and incorrect billing

Insurance Discover is the only technology in the market to continuously maintain data integrity

Customer Overview

Large state Medicaid program

Operations managed by Accenture

4.5 million members

$702M

Total cost avoidance savings of $702M from 2020-2023

4.9%

Identified additional medical and ancillary coverages for 4.9% of Medicaid members

880+

880+ payer EDI connections to 98% of US insured lives