Advisory

We help our clients proactively build comprehensive risk adjustment strategies. Our advisors work with payers and risk-bearing providers to ensure accurate revenue capture, address changes in payment models, and develop internal processes to achieve optimal business outcomes.

$8.5M

projected in incremental PY2021 RAF opportunity for an MA plan

$2M

approximately identified for an ACA plan for additional retrospective targeting

9 out of 10

of the top national health plans served

Enhance Your Strategic Planning and Revenue Outcomes

Our team of healthcare industry veterans have spent decades serving leading health plans, providers, law firms, financial institutions, and medical device companies. Backed by our suite of data products, our advisors merge their expertise with leading technology-based solutions to empower clients at every decision-making level.

 

Qualitative and Quantitative Risk Adjustment Assessments

  • Performance Improvement and Execution
  • Risk Documentation Improvement
  • Data Integrity and Revenue Projections
  • RADV and Audit Preparedness
  • and more

Why Pareto?

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Experience-Forward Advisory

We bring 25+ years of extensive industry expertise, including consulting leading health plans, PBMs, and state and federal agencies.

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Solution + Service Model

Our expertise is paired with artificial intelligence and machine learning technology for a comprehensive business strategy.

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Speed and Transparency

We accelerate data processing and analysis down to a matter of days, not weeks, all while providing complete transparency and access.

Meet Our Advisors

Rick Monaco Principal, Risk Adjustment Solutions

Rick brings over 20 years of experience to Pareto Intelligence and GHG Advisors, with extensive experience in leading, developing, and executing on strategic initiatives within the healthcare ecosystem. This includes more than 15 years of dedicated emphasis in government programs, specifically assisting health plans design analytic strategies for comprehensive and accurate data capture to support risk adjustment and organizational initiatives. In his current role as Principal, Rick is responsible for executive client management, analyzing and planning business strategy, and advising clients on analytic solutions.

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Eric Shapiro Principal, Risk Adjustment Solutions

Eric is responsible for the execution and oversight of risk adjustment projects across all government and state-sponsored programs (Medicare, Medicaid, and ACA). Eric brings over 15 years of healthcare experience to Pareto, working closely with health plans, health services organizations, and independent physician associations. Eric has extensive insight into risk adjustment activities including medical record retrieval, diagnosis coding solutions, provider engagement, and suspecting analytics.

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KLAS Rated and Reviewed:
Top Performer for Risk Adjustment Solutions

"Pareto Intelligence offers consulting with their software, and that has been a really good fit for our organization. The other risk adjustment analytics solutions we looked at were more like software with a little consulting. The team we have is great, and they are doing the heavy lifting of a lot of the data work but are engaged with us on the interpretation as well." — KLAS Customer Review

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A Powerful Foundation

     
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Our Data Management Platform

Pareto’s Data Management Platform, the foundation to our solutions, is built around data lake, artificial intelligence, and open source big data technologies to allow us to effectively ingest data in all formats and types at scale, organize them with appropriate data governance mechanisms within our data catalog, and provide efficient configuration capabilities to democratize data access and analytics.

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See it and Believe it

Our demos say it all. Tell us about your challenges and we’ll show you how we can help you overcome them.

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