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

 
 
 

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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Pareto Intelligence Announces Jason Montrie as President

Pareto Intelligence recently welcomed a new addition to its growing team through the appointment of Jason Montrie as President, effective January 16, 2018. Montrie will be a pivotal part of growing and evolving Pareto’s technology and analytics solutions to stay ahead of the ever-changing healthcare industry. Montrie’s extensive experience launching and developing a ...
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CMS Announces an EDS Reporting Extension

On October 20th, the Centers for Medicare and Medicaid Services (“CMS”) informed Medicare Advantage Organizations (“MAOs”) that the encounter data submission deadline has been extended for the second final reconciliation of Payment Year (“PY”) 2016 to April 2, 2018. This allows MAOs to reevaluate their Encounter Data System (“EDS”) submissions ...
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New Plans on the Block: What to Expect from the MA Competitive Landscape in 2018

Earlier this month, the Centers for Medicare and Medicaid Services (“CMS”) released the 2018 Medicare Advantage (“MA”) Landscape Files, providing insight into detailed product information for plan benefit packages (“PBPs”) down to the county level. CMS also released PBP Benefits Data, which contains over 50 files of highly specific benefit ...
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