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Note 3 - Revenue Recognition
6 Months Ended
Jun. 30, 2018
Notes to Financial Statements  
Revenue from Contract with Customer [Text Block]
3.
Revenue Recognition
 
The Company’s revenue disaggregated by product for the
three
and
six
months ended
June 30
is as follows
(in thousands)
:
 
 
 
Three Months Ended

 June 30
 
Six Months Ended

June 30
 
 
2018
 
2017
 
2018
 
2017
Coordination of benefits
 
$
100,754
 
 
$
98,454
 
 
$
192,507
 
 
$
186,946
 
Analytical services
 
 
46,037
 
 
 
34,859
 
 
 
95,709
 
 
 
60,100
 
Total
 
$
146,791
 
 
$
133,313
 
 
$
288,216
 
 
$
247,046
 
 
Coordination of benefits
Coordination of benefits revenue is derived from contracts with state governments and Medicaid managed care plans that typically span
3
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 affordable 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 recognized at a point in time when our customers realize economic benefits from our services when our services are completed. 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
The Company’s analytical services revenue consists mostly of payment integrity services but also care management and consumer engagement services.
 
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 recognized at a point in time when our customers realize economic benefits from our services when our services are completed. 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.
 
Care management and consumer engagement services 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 the invoice practical expedient for recognition of revenue related to its performance obligations. Additionally, certain care management and consumer engagement services 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. However, 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 
$1.4
million as of 
January 
1,
2018
for the cumulative impact of adopting ASC
606.
A portion of the Company’s care management and consumer engagement services are deferred and revenue is recognized over time. Deferred revenue of this nature was approximately
$5.4
million and
$6.4
million as of
June 30, 2018
and
December 31, 2017,
respectively, and is included in Accounts payable, accrued expenses and other liabilities in the Consolidated Balance Sheets. Generally, care management and consumer engagement 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.
 
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.