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Note 2 - Revenue
12 Months Ended
Dec. 31, 2018
Notes to Financial Statements  
Revenue from Contract with Customer [Text Block]
2.
 
Revenue
 
The Company’s revenue disaggregated by service for the year ended
December 31, 2018
is as follows (
in thousands
):
 
Coordination of Benefits
 
$
397,095
 
Payment Integrity
 
 
144,063
 
Total Population Management
 
 
57,132
 
Total
 
$
598,290
 
 
Coordination of benefits revenue is derived from contracts with state governments and Medicaid managed care plans that typically span
1
to
5
years with the option to renew. Types of service contracts could include: (a) the identification of erroneously paid claims; (b) the delivery of verified commercial insurance coverage information; (c) the identification of paid claims where another
third
party is liable; and (d) the identification and enrollment of Medicaid members who have access to employer insurance. Most of these types of service contracts contain multiple promises, all of which are
not
distinct within the context of the contract. Therefore, the promises represent a single, distinct performance obligation for the types of services we offer. Revenue derived from these performance obligations is largely based on variable consideration where, based on the number of claims or amount of findings the Company identified, a contingent or fixed transaction price/recovery percentage is allocated to each distinct performance obligation. The Company utilizes the expected value method to estimate the variable consideration related to the transaction price for its service contracts. Key inputs and assumptions in determining variable consideration includes identified pricing and expected recoveries and/or savings. The expected recoveries and/or savings are based on historical experience of information received from our customers. Revenue is primarily recognized at a point in time when our customers realize economic benefits from our services when our services are completed. However, we have a limited number of fixed fee arrangements where revenue is recognized over time as performance obligations are satisfied within
one
to
three
years. Generally, coordination of benefit contract payment terms are
not
standardized within the respective contract; however, payment is typically due on demand and there is a clear and distinct history of customers making consistent payments.
 
Analytical services consists of payment integrity services and total population management.
 
Payment integrity services revenue is derived from contracts with federal and state governments, commercial health plans and other at-risk entities that can span several years with the option to renew. Types of service contracts could include: (a) services designed to ensure that healthcare payments are accurate and appropriate; and (b) the identification of over/(under)payments or inaccurate charges based on a review of medical records. Most of these types of service contracts contain multiple promises, all of which are
not
distinct within the context of the contract. Therefore, the promises represent a single, distinct performance obligation for the types of services we offer. Revenue derived from these performance obligations is largely based on variable consideration where, based on the number of claims or amount of findings the Company identified, a contingent or fixed transaction price/recovery percentage is allocated to each distinct performance obligation. The Company utilizes the expected value method to estimate the variable consideration related to the transaction price for its service contracts. Key inputs and assumptions in determining variable consideration includes identified pricing and expected recoveries and/or savings. The expected recoveries and/or savings are based on historical experience of information received from our customers. Revenue is primarily recognized at a point in time when our customers realize economic benefits from our services when our services are completed. However, we have a limited number of fixed fee arrangements where revenue is recognized over time as performance obligations are satisfied within
one
to
three
years. Generally, payment integrity contract payment terms are
not
standardized within the respective contract; however, payment is typically due on demand and there is a clear and distinct history of customers making consistent payments.
 
Total population management revenue is derived from contracts with health plans and other risk-bearing entities that can span several years with the option to renew. Types of service contracts could include: (a) programs designed to improve member engagement; and (b) outreach services designed to improve clinical outcomes. Most of these types of service contracts contain multiple promises, all of which are
not
distinct within the context of the contract. Therefore, the promises represent a single, distinct performance obligation for the types of services we offer. Revenue derived from these services is largely based on consideration associated with prices per order/transfer and PMPM/PMPY fees. The Company believes the output method is a reasonable measure of progress for the satisfaction of our performance obligations, which are satisfied over time, as it provides a faithful depiction of (
1
) our performance toward complete satisfaction of the performance obligation under the contract and (
2
) the value transferred to the customer of the services performed under the contract. The Company has elected the right to invoice practical expedient for recognition of revenue related to its performance obligations when the amount we have the right to invoice the customer corresponds directly with the value to the customer. Additionally, certain total population management contracts have distinct performance obligations related to software license and implementation fees which have historically been recognized as revenue ratably over the life of the contract. Lastly, we have a limited number of fixed fee arrangements where revenue is recognized over time as performance obligations are satisfied within
one
to
three
years. Upon adoption of ASC
606,
revenue for software licenses is recognized at the beginning of the license period when control is transferred as the license is installed and revenue for implementation fees is recognized when control is transferred over time as the implementation is being performed. As the performance obligation is deemed to have been satisfied and control transferred to our customers for software licenses and implementation fees on or before
December 31, 2017,
the Company recorded a decrease to deferred revenue and an increase to opening retained earnings of
$1.1
million, net of tax, as of
January 1, 2018
for the cumulative impact of adopting ASC
606.
Generally, total population management contract payment terms are stated within the contract and are due within an explicitly stated time period (e.g.,
30,
45,
60
days) from the date of invoice. A portion of the payment received
may
relate to future performance obligations and will result in an increase to deferred revenue until the obligation has been met.
 
The Company’s revenue disaggregated by market for the year ended
December 31, 2018
is as follows (
in thousands
):
 
Commercial
 
$
323,150
 
State
 
 
233,921
 
Federal
 
 
41,219
 
Total
 
$
598,290
 
  
A portion of the Company’s services are deferred and revenue is recognized at a later time. Deferred revenue was approximately
$6.4
million as of
December 31, 2017;
$1.1
million, net of tax, was recorded as a decrease to deferred revenue as of
January 1, 2018
as discussed above; and
$5.3
million of this amount was recognized as revenue during the year ended
December 31, 2018.
Deferred revenue was approximately and
$5.6
million as of
December 31, 2018.
Deferred revenue is included in Accounts payable, accrued expenses and other liabilities in the Consolidated Balance Sheets.
 
Contract modifications are routine in nature and often done to account for changes in the contract specifications or requirements. In most instances, contract modifications are for services that are
not
distinct, and, therefore, modifications are accounted for as part of the existing contract. The Company has elected to use the practical expedient to expense the incremental costs of obtaining a contract if the amortization period of the asset that the Company would have otherwise recognized is
one
year or less.