Today, Pareto Intelligence officially announces the launch of Pareto StarIQ, a predictive intelligence platform designed to help Medicare Advantage plans move beyond static reporting and toward predictive insights that strategically empower a plan to execute on their best path toward Star improvement.
Many MA plans rely on dashboards that show where their Star Ratings are today, but fail to answer the most critical question: what are most valuable and probable moves we can make?
As Star leaders know, not every Star measure matters to the same degree, and not every gap closure will secure that next ½ Star. By combining Star expertise with advanced analytics and data science, StarIQ empowers health plans to define and execute on the most probable and impactful path to Star improvement or stabilization.
“Insights are plentiful, but recommendations are scarce. We built StarIQ to cut through the noise and condense all the ‘what ifs’ into ‘what nows.’ It’s about knowing exactly where your biggest areas of risk and opportunity are, so you can take intelligent action.”
– Damian Kearney, VP Analytics at Pareto Intelligence.
“Insights are plentiful, but recommendations are scarce. We built StarIQ to cut through the noise and condense all the ‘what ifs’ into ‘what nows.’ It’s about knowing exactly where your biggest areas of risk and opportunity are, so you can take intelligent action,” said Damian Kearney, Pareto’s Vice President of Analytics. “Plans are facing headwinds externally and internally. Externally, CMS is making it more difficult for Medicare Advantage Organizations to achieve or sustain a 4+ Star Rating. Internally, plans are facing significant financial pressures and are challenged to do more with less. StarIQ helps plans with both, to identify, prioritize, and execute on the 20% of actions that will impact 80% of the outcome. Greater Star impact with fewer resource requirements.”
Star Ratings move in stair-steps, with steep revenue consequences for small shifts in performance. StarIQ’s Scenario Planner models best-case, worst-case, and likely-case outcomes early in the performance year, giving leaders confidence on how to optimize Reward Factor, QI, and overall Star throughout the year.
The Intelligence Behind Every Half-Star Decision
Pareto StarIQ is powered by the ParetoIQ platform, which enables all Pareto solutions with AI-enabled data processes, analytics, and algorithms. Pareto’s solution suite fully integrates to deliver unprecedented value to users across Star, risk adjustment, and member activation. Pareto StarIQ differentiates by delivering:
Probabilistic Forecasting
Star Ratings move in stair-steps, with steep revenue consequences for small shifts in performance. StarIQ’s Scenario Planner models best-case, worst-case, and likely-case outcomes early in the performance year, giving leaders confidence on how to optimize Reward Factor, QI and overall Star throughout the year.
Threshold-Driven Targeting
StarIQ calculates the exact number of member actions needed to reach the next Star threshold across all measures. Leaders know precisely which measures and members to prioritize and why, replacing broad outreach with targeted, high-probability interventions.
Matrixed Alignment
StarIQ integrates clinical, member, and operational data into a single data model to support integrated strategies and program execution. Quality, Risk Adjustment, and Care Management teams can see members at the ‘belly button’, across Star and Risk Adjustment gaps, to eliminate program silos and maximizing the return on every interaction.
With the launch of StarIQ, Pareto Intelligence continues its legacy of bringing unmatched data rigor to the healthcare industry, applying the same analytical precision trusted for risk adjustment to the most complex program in Medicare Advantage.
To learn more about Pareto StarIQ and see how close you really are to your next half-star, visit paretointel.com/Star-IQ