Explore the 2020 ACA Risk Adjustment Transfer Payment Results
Analyze the results of 2020 ACA risk adjustment transfer payments by issuer and state through an interactive dashboard.
Recoup Lost Dollars and Minimize Compliance Exposure
By applying proprietary analytics and modeling, we identify under- and overpaid claims, helping uncover root causes to resolve issues at the source. With over 20 years of Medicare experience, Pareto Intelligence helps organizations significantly reduce high-cost impacts.
Payment Integrity: Our Coordination of Benefits Solution
- Identifies and recovers incorrect claim payments
- Enhances pre-payment services to address issues identified in post-payment review
- Creates a comprehensive view into improving the entire payment process
- Provides clients full transparency into the analytics and outcomes of our evaluation
Why Pareto?
Healthcare-Specific
Our solution is built for healthcare and tailor-made for healthcare analytics applications.
Root Cause Focus
We go beyond surface-level gap identification to uncover the root cause of revenue losses to resolve issues at the source.
Flexible
We offer multiple delivery models and present our results in a way that works best for you.
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A Powerful Foundation
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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