Case Study
Insurance Discover
Large Medicaid Program Avoids $1.2B in Claim Payment Errors
Business issue
A northeastern Medicaid program needed to maximize savings and identify all existing third-party liability (TPL). There was an inefficient process in place for posting identified and verified TPL quickly.
Background
Medicaid program fee-for-service population has declined in recent years
Cost avoidance savings continue to climb regardless of volume of lives covered – highlighting the strength and value of FinThrive’s product despite decreasing membership
Solution Highlights
Fee-for-service claims were appropriately billed to third-party payers through identification of other insurance and data maintenance
Accurately identified third-party liability to improve administrative processes
Patented data-matching technology with 300+ query permutations to find insurance
Customer Overview
2M+ member population
Operations managed by Accenture
Northeast Medicaid program
Revenue management without limits
FinThrive provides smarter, smoother revenue management to 3,250+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.