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

 
 
 

2018 ACA Risk Adjustment Interim Report: Huh, Yeah, What is it Good For?

Though there are challenges to interpreting the results of CMS’ annual interim risk adjustment report, the answer to the question “what is it good for?” is certainly not “absolutely nothing.” CMS’ annual interim risk adjustment report provides many health plans with their first insights into the risk of their state ...
Read More

Spotlight on the 2019 Medicare Advantage Annual Enrollment Period Results

Late last week, CMS released the final Annual Enrollment Period (AEP) results data that details the most accurate 2019 Medicare Advantage (MA) enrollment information. Using our Pareto Spotlight solution, Pareto aggregated and analyzed the data to understand changes in enrollment and the impact of 2019 product strategies. The dashboard below ...
Read More

What is the Impact of Expanded Supplemental Benefits in Medicare Advantage?

Beginning in performance year 2019, CMS awarded Medicare Advantage Organizations (MAOs) greater benefit flexibility through the creation of newly accepted (or expanded) supplemental benefits. Many health plans approached 2019 product design with a “wait and see” mentality, as most wanted to evaluate how competitors may incorporate these benefits before taking ...
Read More

We don’t just love healthcare data…

You might call us data dorks. Knowledge nerds. Or just geeks… in general. Why’s that? Well this year, we decided to dive deeper into the data behind everyone’s favorite food holiday—Thanksgiving! Would you be surprised to know that pumpkin is the most popular choice for pie? Or that stuffing is ...
Read More

Pareto Intelligence and HealthScape Advisors Combine with Convey Health Solutions

FORT LAUDERDALE, Fla. & CHICAGO—Convey Health Solutions (“Convey”) today announced an agreement to merge with HealthScape Advisors, LLC (“HealthScape”) and Pareto Intelligence LLC (“Pareto”), combining Convey’s market-leading set of compliant, cost-reducing member enrollment, service, administration, quality and wellness support solutions with HealthScape’s market leading strategic consulting capabilities and Pareto’s innovative ...
Read More

Loading...