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Explore the latest perspectives, success stories, and news from Pareto Intelligence—built to help health plans stay ahead of the market, evolve strategies, and improve performance.

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Featured Article

There's a Hole in Your Rewards Bucket

Sarah opens her mail to find your colorful brochure promising $200 in rewards for completing health activities.

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Interactive Analysis: 2025 ACA Risk Adjustment Transfer Payment Results

Pareto’s interactive dashboard lets you explore the 2025 ACA risk adjustment transfer payment results by issuer and state. You can analyze multi-year trends, compare plan performance, and uncover insights to
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CMS’ Race to Validate: Navigating the Rapid RADV Era

CMS has launched its Payment Year 2020 Contract-level RADV audit process, giving selected Medicare Advantage health plans access to sampled members and HCCs — with PY2021 audits expected to begin
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The Real Job of a Star Ratings Team

A C-Suite leader once asked: "So why does the Stars team need to exist?" They don't close gaps, chase charts, or run the call center. But in the real world
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The 3 Biggest Star Takeaways From The 2027 MAPD Rule

The 2027 MAPD Rule is removing 11 Star measures, and the ones being cut are largely the highest-performing ones. This article breaks down what that means for health plan performance,
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Pareto Intelligence Launches StarIQ to Bring Predictive Intelligence to Medicare Advantage Star Ratings

Pareto StarIQ is a predictive intelligence platform designed to help Medicare Advantage plans leverage predictive insights to execute their best path toward Star Rating improvement.
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PY2027 Advance Notice Deep Dive: Impact of Unlinked Supplemental Submissions

CMS proposes eliminating unlinked supplemental records for Medicare Advantage in 2027, but the critical challenge is that official guidance on how to link supplemental encounters to claims has never been
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