Premium Integrity
Pareto’s Premium Integrity solution ingested and analyzed billions of data records and generated insights into attainable financial improvement for the client, which would be achieved by remediating payments with CMS.Read
Pareto Intelligence Honored in Built In Chicago’s Prestigious Best Places to Work List for 2020
Pareto Intelligence,
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?
Brandon Solomon,
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
Brandon Solomon,
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 In-Year 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.Read
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 languageRead
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 ActRead
2018 ACA Risk Adjustment Transfer Payment Results: “Premium Stabilization Program” Beginning to Stabilize
Austin Bostock,
On June 28th, 2019, the Centers for Medicare and Medicaid Services (“CMS”) released the Affordable Care Act (“ACA”) Risk AdjustmentRead
Explore the 2018 ACA Risk Adjustment Transfer Payment Results
Austin Bostock,
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.Read