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Analysis of the 2020 Medicare Advantage Annual Enrollment Period (AEP) Results
Now that the dust has settled post-AEP, and CMS has released February monthly membership enrollment data, we have granular insight into the shifts in membership resulting from 2020 AEP.Read
Big Ideas in the Proposed 2021 Notice of Benefit & Payment Parameters for the ACA Market
Read our initial summary and perspective on the Proposed 2021 Payment Notice from HHS.Read
Pareto Intelligence Honored in Built In Chicago’s Prestigious Best Places to Work List for 2020
Pareto Intelligence has been featured as one of the 2020 “Best Places to Work” and “Best Small Companies to Work for”Read
Are You Ready for Increased Use of EDS Submissions in Medicare Advantage Risk Score Calculation?
On January 6th, 2020, the Centers for Medicare and Medicaid Services (CMS) released the Advance Notice of Methodological Changes forRead
First Look at the 2020 Medicare Advantage Competitive Landscape
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.Read
Improve 2019 Performance by Addressing Encounter Data Quality Issues
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.Read
See How Pareto Leaders are Moving the Company Forward
It's not always easy navigating the intersection of healthcare and technology. Both bring with them a complex infrastructure and languageRead
Encounter Data Quality: The Overlooked Risk Impacting Revenue & Compliance
Did you know that 60-85% of encounter data issues impacting the accuracy of regulatory submissions occur pre-submission for health plans? With the regulatoryRead
Heads Up, PBMs: New Reporting Requirements for Prescription Drug Coverage in 2020
With the recent passage of The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities ActRead