Goodbill has appointed industry veteran Andy McGarvey as Chief Revenue Officer to expand its hospital savings solution to self-funded employers nationally, the company announced Tuesday.
Building on the success of its hospital bill negotiation service for patients, Goodbill recently unveiled a comprehensive cost containment solution to help employer-funded plans capture savings before claims are processed. McGarvey, who brings more than two decades of experience in healthcare payments and insurance, will drive adoption through strategic partnerships with third-party administrators (TPAs), brokers and employers.
“When I first saw Goodbill’s plan offering for employers, I was intrigued,” McGarvey said. “It’s a smart, innovative solution that requires very little in terms of implementation, but produces quantifiable savings for employers and members alike. There’s nothing out there like it, and I’m honored to be introducing it to more businesses.”
Before joining Goodbill, McGarvey most recently served as Executive Vice President of Strategic Account Management at Zelis, a healthcare payments and pricing company.
Prior to that, he was Vice President of Strategic Accounts at UnitedHealth Group, tasked with building partnerships to improve costs, quality and member satisfaction. While with UnitedHealth, he also worked at OptumLabs, a health data initiative focused on improving patient quality of care while reducing the cost of care.
McGarvey’s deep industry experience, coupled with his shared passion for Goodbill’s mission to make healthcare affordable for everyone, made his hiring a no-brainer, said Goodbill CEO and co-founder Patrick Haig.
“Andy’s not only a respected heavy-hitter, but he also brings a level of intensity and urgency that we need to disrupt this space,” Haig said.
With McGarvey on board, more employers will realize savings faster with Goodbill, Haig added. “Employers and members have been overpaying for hospital visits for too long. The sooner we can help them, the sooner they can start saving money that’s literally slipping through their fingers,” he said.
Goodbill’s solution for self-funded employers captures savings that traditional claim editing and reference-based pricing (RBP) repricing solutions leave behind, through:
Goodbill flags coding errors on the bill, but also goes beyond that to eliminate some unnecessary charges altogether based on data provided by the patient’s own medical record — all before the claim is processed. While traditional solutions reserve this kind of auditing rigor for high-dollar claims after plan payment, Goodbill’s team of licensed medical coders and clinicians conducts this review on all claims before plans pay providers, and before providers bill patients.
Goodbill helps get claims fully or partially waived through hospital charity care, also known as financial assistance or 501(r). While charity care is an often overlooked tool for lowering claims, Goodbill has the data to instantly check a member’s eligibility at more than 3,600 hospitals nationwide. If they qualify, Goodbill helps them apply, for free.
Interested in learning more? Visit Goodbill’s page for third-party administrators (TPAs), brokers, or request a demo.
