What is subrogation?

When developing a comprehensive subrogation program, reducing member abrasion is key. A member-sensitive approach to recovery reduces required member touch points. Health plans can achieve this through:

• Continuous risk scoring — By scoring claims as more information comes in, health plans can reduce false positive investigations and needless member requests.
• Multichannel outreach — When health plans need to contact a member, they should use multiple methods to ensure they’re meeting members’ preferences. These methods include the web, phone, text or mail. 
• Investigation specialists — Investigation specialists have experience guiding tough conversations. Their efficient, empathetic approach helps ensure the recovery process is expedited for the health plan and the member. 

A comprehensive subrogation solution can help health plans increase recoveries and savings by: 

• Reducing leakage through the evaluation of all claims and recovery efforts 
• Improving productivity by prioritizing claims with the best chance for recovery  
• Improving member satisfaction through reduced cycle times and faster return of deductibles