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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.

See it and Believe it

Our demos say it all. Tell us about your challenges and we’ll show you how we can help you overcome them.

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