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

 
 
 

Attack of the Clones: Using Clone Analysis & Predictive Algorithms to Profile Newly Enrolled Members

Pareto Intelligence applies advanced predictive analytics to deliver immediate and actionable insights into new member populations. For new ACA member populations in 2017, Pareto Intelligence: Predicted PLRS within 1% of actual results, enabling more accurate transfer payment accruals. Stratified new members across condition and cost outcomes with over 90% accuracy, ...
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Pareto Intelligence and HealthScape Advisors to Present at Health Plan Alliance Value Visit

CHICAGO, August 1, 2018—HealthScape Advisors and its technology and analytics affiliate, Pareto Intelligence, are excited to be attending and presenting at the Health Plan Alliance’s Value Visit on August 6-10, 2018, in San Francisco. The Alliance is a national organization that brings provider-sponsored and independently-owned health plans together with their ...
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2017 Risk Adjustment Transfer Payment Results: Same Game, Different Outcomes

Year-over-year gross transfer dollars increased 2% nationally across the Individual and Small Group risk pools but range from -99% to 1000+% across state markets. On July 9th, 2018, the Centers for Medicare and Medicaid Services (CMS) released the Affordable Care Act (ACA) Risk Adjustment Transfer Payment results for the 2017 ...
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Jimmy Lee Joins Pareto Intelligence as Strategic Advisor

Jimmy’s 30+ year career in healthcare will be critical to advancing Pareto’s new and existing analytics solutions to better meet the ever-evolving needs of payers and providers. CHICAGO, July 10, 2018 – Pareto Intelligence is pleased to announce and welcome Jimmy Lee as Strategic Advisor. In this role, Jimmy will ...
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Preliminary Analysis of ACA Risk Adjustment Transfer Payments for 2017

On July 9th, 2018, the Department of Health and Human Services (HHS) released the Summary Report on Risk Adjustment Transfers for the 2017 Benefit Year. This report outlines risk adjustment transfers by issuer and state. The interactive dashboards below provide initial insight and allow for year-over-year comparisons. This post will ...
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