Avoiding Inaccurate CMS Data Submissions and Supercharging Your Data Process
Pareto Intelligence,
To ensure accurate encounter data, it's important to have a thorough understanding of the data process. Address systemic issues early to avoid spending administrative resources on closing gaps year after year.Read
Interactive Analysis: 2022 ACA Risk Adjustment Transfer Payment Results
Austin Bostock,
Fiona Dassum,
Analyze the results of 2021 ACA risk adjustment transfer payments by issuer and state through an interactive dashboard.Read
Pareto Insights: Medicare Advantage Payment Year 2024 Model Update (v28)
Our review of these model changes (v24 to v28) and the estimated potential impact for your health plan.Read
The Latest CMS Ruling: What This Means for Medicare Advantage Organizations
On January 30, 2023, CMS finalized a new rule to overhaul risk adjustment audits performed on MA plans. This ruling directly impacts the CMS’ Risk Adjustment Data Validation program, which focuses on the substantiation of diagnostic information submitted for risk adjustment consideration.Read
Risk Adjustment Priorities: Connecting Medicare Advantage Supplemental Data & Encounter Data
Rick Monaco,
Regularly re-evaluating your risk adjustment strategy ensures taking the appropriate steps to mitigate potential exposure to audit findings.Read
The Age of Audits: Why You Need to Re-evaluate Your Risk Adjustment Strategy
Rick Monaco,
Under rising pressure, organizations need to revamp their risk adjustment strategies to mitigate any potential exposure to audit findings.Read
Explore the 2021 ACA Risk Adjustment Transfer Payment Results
Austin Bostock,
Tom Field,
Analyze the results of 2021 ACA risk adjustment transfer payments by issuer and state through an interactive dashboard.Read
PACE 101: Understanding the Medicare/Medicaid Program
Eric Shapiro,
The Program of All-Inclusive Care for the Elderly (PACE) has quickly become one of the most celebrated Medicare/Medicaid health plan models supported by our government.Read
Pareto Intelligence Wins “Best Healthcare Big Data Solution” in 2022 MedTech Breakthrough Awards Program
Pareto Intelligence,
Pareto has recently been selected as the winner of the “Best Healthcare Big Data Solution” award in the sixth annual MedTech Breakthrough Awards for our Pareto Hub solution.Read