Pareto Engage
Pareto Engage Success Story
THE SITUATION
A multi-state payer deployed Pareto Engage to evolve the method to communicate critical member information with providers and improve risk documentation completeness for their chronic condition members. Pareto Engage delivered member specific clinical information electronically to providers within their EHR and workflow to maximize patient visit outcomes.
EVALUATION METHODOLOGY
Pareto Intelligence has evaluated the risk documentation performance of members whose provider received a clinical message from Pareto Engage to a control population of similar risk profile and demographics who did not receive Pareto Engage messages.
THE RESULTS
Through five months, the Pareto Engage target population has experienced a 15% higher condition capture rate compared to the control. When diving further into the preliminary results, the target population significantly outperformed the control amongst the highest risk members, which represent the greatest risk adjustment improvement opportunity and cost management risk. Applying these results to a population of 25k members would generate $5.5-6M in incremental risk adjustment revenue to a plan.
89%
of eligible providers
messaged successfully
15%
more conditions captured
“It makes it much easier for us and we are able to assign the attachment as a task for the next time the member visits... the office would much prefer the emails over mailings as the messages can be directly attached and assigned in the member’s medical record.”
— Primary Care Physician
THE PARETO ENGAGE DIFFERENCE
Pareto Engage is an EHR agnostic communication solution that can reach over 70% of practicing physicians without health plan or provider IT lift. Our solution modernizes the way health plans and providers communicate, delivering:
Improved provider relations by delivering meaningful insights to providers in their current workflow.
Administrative savings by eliminating/reducing traditionally abrasive and non-adopted methods of communicating with providers (e.g., mail, fax, embedded resources).
Improved outcomes by delivering critical member insights to close risk, quality and clinical gaps.
Learn how improved data access and transparency leads to more effective programs to lower cost, improve quality of care, and increase revenue accuracy.