INSIGHTS
for health plans and providers to make more informed strategic decisions

 
 
 

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

On April 2nd, CMS released the CY 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter. The primary change grabbing all the headlines is the higher than expected increase to average payments from 1.84 percent in the proposed rule to 3.4 percent ...
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Pareto Intelligence Featured on Built In Chicago

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 ...
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Pareto Intelligence and HealthScape Advisors Achieve HITRUST CSF® Certification

HITRUST CSF Certification validates that Pareto Intelligence and HealthScape Advisors are committed to meeting key regulations and protecting sensitive information. Systems that are HITRUST CSF Certified include our fileshare system, databases, web applications, and supporting infrastructure. To learn more about this announcement, read this article ...
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2018 Medicare Advantage Annual Election Period Analysis

The data used to populate the 2018 Medicare Advantage AEP Analysis was automatically aggregated using the Pareto Spotlight solution, using the final AEP results data released by CMS on February 15, 2018. Current Pareto Spotlight subscribers can use this link to log in and pull further insights from the 2018 ...
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RAPS Submission Deadline for Payment Year 2017 Extended To May 4, 2018

On January 26th, the Centers for Medicare and Medicaid Services (CMS) announced an extension to the Final Reconciliation deadline for Payment Year (PY) 2017 Risk Adjustment Processing System (RAPS) data submissions. The previously reported deadline of January 31, 2018 will remain an Interim Final Reconciliation deadline, while the RAPS PY2017 ...
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