Pareto Intelligence Honored in Built In Chicago’s Prestigious Best Places to Work List for 2020

Pareto Intelligence

CHICAGO, Ill., January 14, 2020—Pareto Intelligence today announced it was featured as one of the 2020 “Best Places to Work” and

Market Alert | 01.13.20

Are You Ready for Increased Use of EDS Submissions in Medicare Advantage Risk Score Calculation?

Brandon Solomon

On January 6th, 2020, the Centers for Medicare and Medicaid Services (CMS) released the Advance Notice of Methodological Changes for

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.

Market Alert | 04.09.19

2018 ACA Risk Adjustment Interim Report: Huh, Yeah, What is it Good For?

Jake Lamke

Though there are challenges to interpreting the results of CMS’ annual interim risk adjustment report, the answer to the question

Market Alert | 02.19.19

Spotlight on the 2019 Medicare Advantage Annual Enrollment Period Results

Kristi Skowron

Using our Pareto Spotlight solution, Pareto aggregated and analyzed the final Annual Enrollment Period (AEP) results data to understand changes in enrollment and the impact of 2019 product strategies.

Market Alert | 02.01.19

What is the Impact of Expanded Supplemental Benefits in Medicare Advantage?

JP Moran

Beginning in performance year 2019, CMS awarded Medicare Advantage Organizations (MAOs) greater benefit flexibility through the creation of newly accepted (or expanded) supplemental benefits. January 2019 enrollment provides our first look into how the market reacted to the new benefit offerings.

News | 11.20.18

We don’t just love healthcare data…

Pareto Intelligence

Would you be surprised to know that pumpkin is the most popular choice for pie? Or that stuffing is the top side dish? How about that Thanksgiving is one of the happiest days of the year for Americans?

News | 11.16.18

Pareto Intelligence Combines with Convey Health Solutions

Pareto Intelligence

The combination of Convey, HealthScape, and Pareto solidifies the company’s market position as the go-to partner for health plans to optimize member experience and outcomes, ensure compliance, and drive enhanced revenue and profitability.

News | 11.06.18

Pareto Intelligence’s Engage Solution Modernizes Health Plan and Provider Communication

Pareto Intelligence

This innovative messaging solution helped one client achieve a 15% higher condition capture rate in the first six months of

News | 10.24.18

Large Regional ACO Improves the Accuracy of Risk Submissions With Pareto Intelligence’s Revenue Integrity Solution

Pareto Intelligence

The Pareto Revenue Integrity solution was deployed to complete a comprehensive evaluation of the health system's end-to-end encounter data quality,

Market Alert, News | 10.17.18

Navigating the Medicare Advantage Competitive Landscape in 2019

Jesse Goldsholl

At the start of Q4, CMS gives Medicare Advantage Organizations (MAOs) their first look at what the MA competitive landscape will look like in the following year. Leveraging our Market Spotlight solution, Pareto immediately ingested these files and uncovered key insights for MAOs within the data.

Market Alert, News | 10.09.18

Pareto Intelligence Introduces Direct-to-EHR Messaging Solution for Enhanced Payer-Provider Communication

Pareto Intelligence

Pareto Engage modernizes the way health plans and providers communicate by delivering critical member insights directly into Electronic Health Record

News | 10.03.18

Pareto Intelligence Named One of the Top 100 Finalists for the Chicago Innovation Awards

Pareto Intelligence

CHICAGO, Ill., October 2018—Out of 519 nominees, Pareto Intelligence has been selected as one of the Top 100 Finalists still in the

News | 09.18.18

Over $150 Million in Inaccurate Revenue Identified by Pareto Intelligence’s Data Integrity Solution

Pareto Intelligence

Pareto's Data Integrity solution has uncovered a multitude of data quality issues causing revenue loss, as well as overpayments due

Market Alert | 09.05.18

Attack of the Clones: Using Clone Analysis & Predictive Algorithms to Profile Newly Enrolled Members

Jami Eddington, David Thompson

Regardless of the extent of clinical and historical data available, there are irrefutable benefits to applying analytics to garner information about an unfamiliar population. Using a limited dataset, Pareto applies proprietary models to profile new-to-plan members.

News | 08.01.18

Pareto Intelligence and HealthScape Advisors to Present at Health Plan Alliance Value Visit

Pareto Intelligence

HealthScape Advisors and its technology and analytics affiliate, Pareto Intelligence, are excited to be attending and presenting at the Health Plan Alliance’s Value Visit on August 6-10, 2018, in San Francisco.

Market Alert | 07.26.18

2017 Risk Adjustment Transfer Payment Results: Same Game, Different Outcomes

Austin Bostock, Bill Michael

CMS released the Affordable Care Act (ACA) Risk Adjustment Transfer Payment results for the 2017 benefit year. Year-over-year gross transfer dollars increased 2% nationally across the Individual and Small Group risk pools but range from -99% to 1000+% across state markets.

News | 07.10.18

Jimmy Lee Joins Pareto Intelligence as Strategic Advisor

Pareto Intelligence

Jimmy's 30+ year career in healthcare will be critical to advancing Pareto's new and existing analytics solutions to better meet

Market Alert | 07.09.18

Preliminary Analysis of ACA Risk Adjustment Transfer Payments for 2017

Austin Bostock, Bill Michael

On July 9th, 2018, the Department of Health and Human Services (HHS) released the Summary Report on Risk Adjustment Transfers

Market Alert | 05.31.18

Musings on Health Datapalooza 2018

Pareto Intelligence

Last month, five people from Pareto Intelligence attended Health Datapalooza in Washington, DC. Health Datapalooza is an annual gathering of

News | 05.22.18

Pareto Intelligence & HealthScape Advisors Named One of the Best Places to Work in Healthcare in 2018

Pareto Intelligence

CHICAGO, Ill., May 2018—Pareto Intelligence (Pareto), through its parent company HealthScape Advisors (HealthScape), has been selected by Modern Healthcare as

Market Alert | 05.16.18

Predicting the Impact of Benefit Design Changes on Enrollment to Drive 2019 Product Strategies

Michelle Solomon

Product strategy planning for 2019 is well-underway for Medicare Advantage Organizations (MAOs) with bid submission deadlines just around the corner.

Market Alert | 05.10.18

2019 NBPP: It’s About More Than the HCCs

Pareto Intelligence

Recently, the Department of Health and Human Services (HHS) released the 2019 Notice of Benefit and Payment Parameters, which includes

Market Alert | 04.05.18

2019 Final Call Letter: MA Plans – Don’t Get Lost in the Good News

Brandon Solomon

On April 2nd, CMS released the CY 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies

News | 04.02.18

Pareto Intelligence Featured on Built In Chicago

Pareto Intelligence

What's it like to work at Pareto Intelligence? The team at Built In Chicago, an online resource for startup/tech news and job openings, interviewed our employees and visited our office to find out. Spoiler alert: It has to do with our commitment to a "yes" culture and our support of ideas.

News | 03.05.18

Pareto Intelligence and HealthScape Advisors Achieve HITRUST CSF® Certification

Pareto Intelligence

HITRUST CSF® Certification validates that Pareto Intelligence and HealthScape Advisors are committed to meeting key regulations and protecting sensitive information.

Market Alert | 02.16.18

2018 Medicare Advantage Annual Enrollment Period Analysis

Brandon Solomon

The data used to populate the 2018 Medicare Advantage Annual Enrollment Period (AEP) Analysis was automatically aggregated using the Pareto

Market Alert | 01.29.18

RAPS Submission Deadline for Payment Year 2017 Extended To May 4, 2018

Brandon Solomon

On January 26th, the Centers for Medicare and Medicaid Services (CMS) announced an extension to the Final Reconciliation deadline for

News | 01.18.18

Pareto Intelligence Announces Jason Montrie as President

Pareto Intelligence

Montrie's extensive experience launching and developing a variety of healthcare companies will help take Pareto to the next level, continuing

Market Alert | 11.07.17

CMS Announces an EDS Reporting Extension

Brandon Solomon

On October 20th, the Centers for Medicare and Medicaid Services (“CMS”) informed Medicare Advantage Organizations (“MAOs”) that the encounter data

Market Alert | 10.26.17

New Plans on the Block: What to Expect from the MA Competitive Landscape in 2018

Brandon Solomon

Earlier this month, the Centers for Medicare and Medicaid Services (“CMS”) released the 2018 Medicare Advantage (“MA”) Landscape Files, providing

Market Alert | 10.18.17

Power of the Pen: Potential Implications of Trump’s Executive Order on the ACA

Brandon Solomon

On October 12, 2017, President Trump signed an executive order initiating significant changes to key provisions of the Affordable Care

Market Alert | 07.27.17

Hidden Figures: 2016 ACA Risk Adjustment Individual Market Results

Brandon Solomon

On June 30, 2017, HHS released the Summary Report on Transitional Reinsurance Payments and Permanent Risk Adjustment Transfers for the

Market Alert | 05.23.17

The Last Puzzle Piece: Final Risk Adjustment Coefficients for 2018

Brandon Solomon

The Department of Health and Human Services (“HHS”) recently released the much anticipated Final Risk Adjustment Model Coefficients for the