State of Health Plan Subrogation: Expert tips on maximizing subrogation success
As payers look to uncover every possible recovery opportunity, identifying the proper liable party for payment of health care services is essential. Join this webinar to learn how to maximize the ROI of your subrogation strategy by understanding the key building blocks for success:
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Breaking down the components of subrogation success
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Understanding both core and ancillary benefits of doing subrogation right
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Appreciating the differences between internal and outsourced subrogation efforts
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How to maximize the ROI of your subrogation program
Speakers: Debra Whaley, Senior Executive Subrogation Analyst, Trustmark Companies; Ryan L. Woody, Partner, Matthiesen, Wickert & Lehrer; Mara Gericke, Director of Subrogation Recovery Operations, Conduent; Moderator: Clive Riddle, President, MCOL
Subrogation is a critical element in ensuring payment integrity. Challenges for improving health plan subrogation recoveries include a multitude of factors such as: complexities in regulatory compliance; a relative “under-the-radar” level of c-suite awareness of subrogation performance issues in some organizations; the difficulty in capturing data identifying claims as subrogation-appropriate; the increased trend rate in accidental injuries and death; and Post-ACA expansion of coverage increasing the volume of potential claims to consider, particularly with the age 19-26 population that experiences a higher rate of accidental injuries.
Yet opportunities exist to meet these subrogation challenges. Advances in analytics provide enhanced capabilities in addressing high volumes of data and identification of potential subrogation claims.
Optimizing the success of health plan subrogation efforts requires a rich understanding of state and ERISA regulations and the skill to recognize the best path to claim resolution. In this webinar our experts will share their insights on the rules governing healthcare subrogation and their experiences in maximizing results in the current subrogation environment.
Additional Tags: Claims, TPA, Third Party Administrator, Payment Integrity, Slef-Insurance, Self-Funding, Benefits Administration
Event Date: Wednesday, September 1, 2021Speaker
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Category(s): Health Plans
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