Featured Insight

First Look at the 2020 Medicare Advantage Competitive Landscape

Brandon Solomon, Jesse Goldsholl, JP Moran

With the AEP in full swing, plans are seeing the early results of their 2020 product placement and benefit decisions. Check out our interactive analysis of the recently released CMS data.

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Market Alert | 10.30.19

First Look at the 2020 Medicare Advantage Competitive Landscape

Brandon Solomon, Jesse Goldsholl, JP Moran

With the AEP in full swing, plans are seeing the early results of their 2020 product placement and benefit decisions. Check out our interactive analysis of the recently released CMS data.

Market Alert | 09.20.19

Improve 2019 Performance by Addressing Encounter Data Quality Issues

Brandon Solomon

From encounter to regulatory submission, there are several ways that data can become inaccurate and negatively impact revenue, which requires a holistic effort to identify and resolve data quality issues.

News | 09.14.19

See How Pareto Leaders are Moving the Company Forward

Pareto Intelligence

It’s not always easy navigating the intersection of healthcare and technology. Both bring with them a complex infrastructure and language

Market Alert | 08.22.19

Encounter Data Quality: The Overlooked Risk Impacting Revenue & Compliance

Brandon Solomon

Did you know that 60-85% of encounter data issues impacting the accuracy of regulatory submissions occur pre-submission for health plans? With the regulatory

Market Alert | 08.08.19

Heads Up, PBMs: New Reporting Requirements for Prescription Drug Coverage in 2020

Matt Krizmanich

With the recent passage of The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act

Market Alert | 08.01.19

2018 ACA Risk Adjustment Transfer Payment Results: “Premium Stabilization Program” Beginning to Stabilize

Austin Bostock, Mike Fertl

On June 28th, 2019, the Centers for Medicare and Medicaid Services (“CMS”) released the Affordable Care Act (“ACA”) Risk Adjustment

Market Alert | 07.01.19

Explore the 2018 ACA Risk Adjustment Transfer Payment Results

Austin Bostock, Mike Fertl

On June 28th, HHS released the Summary Report on Risk Adjustment Transfers for the 2018 Benefit Year. Explore an interactive dashboard on the high level results.

News | 06.14.19

Learn More About Pareto’s Commitment to Collaboration on Built In Chicago

Pareto Intelligence

The best ideas at Pareto come to life through cross-functional collaboration and a diversity of perspectives from all areas of

News | 05.14.19

Oak Street Health Partners with Pareto Intelligence to Improve Revenue Accuracy

Pareto Intelligence

The partnership’s initial successes have led to a continuation and expansion of services focused on a holistic approach to achieving complete and accurate revenue capture.

Market Alert | 04.27.19

Understanding the 2020 Medicare Advantage and Part D Rate Announcement & Final Call Letter

Brandon Solomon

In April, the Centers for Medicare & Medicaid Services (CMS) released final policy and payment updates to the Medicare Advantage (MA) and Part D programs through the 2020 Rate Announcement and Final Call Letter. While there are many themes contained in the full document, one major takeaway stood out.