Resources

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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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See How We Can Help Your Plan Succeed

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Latest Insights

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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,

On-Demand Webinars

Beyond the Noise: Insights on the 2026 CMS Star Ratings

Discover insights from the 2026 CMS Star Ratings, trends affecting MA plans, and strategies for improvement from industry experts.

How to Accelerate Your Risk Adjustment Strategy

Unlock insights into your risk adjustment data, enhancing transparency and allowing for data-driven strategies. Watch to learn how.

Unlocking Success: Best Practices for Monitoring Health Plan Data Submissions to CMS

Under-reported risk in MA and ACA markets affects your revenue. Watch to learn about improving encounter data quality and operational efficiency.

Tools & Reports

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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

Interactive Analysis: 2024 ACA Risk Adjustment Transfer Payment Results

On June 30th, 2025, the Department of Health and Human Services (HHS) unveiled the highly anticipated Summary Report on Individual and Small Group Market Risk Adjustment Transfers for the 2024 Benefit

How Blue Cross of Idaho Modernized Provider Communication to Improve Risk & Quality Outcomes

Blue Cross of Idaho improved provider engagement and risk documentation by delivering clinical insights directly into provider workflows.
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Improving Medicare Advantage Risk Submission Accuracy Through Data Integrity Analytics

See how a Medicare Advantage plan identified $3M in suppressed risk transfer by uncovering data integrity gaps across the risk submission process.

How an ACA Plan Identified $7.7M in Suppressed Risk Transfer

ACA plan identifies millions in suppressed risk transfer by uncovering encounter data gaps impacting EDGE server submissions.

Explore RevenueIQ for Risk Adjustment Resources

See how it works. Explore program overviews, product details, and answers to your most common questions.

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About Pareto

Pareto is designed to bring clarity, integrity, and efficiency to every aspect of your digital and business processes. In today’s fast-paced environment, organizations face numerous challenges from managing complex workflows to ensuring consistent quality and maximizing value. Pareto addresses these challenges head-on by providing intelligent, streamlined solutions that simplify operations and drive measurable results.

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Fill out the form to take the first step toward reaching your goals. Share a few details so we can provide the right resources and support tailored just for you.

Fill out the form to take the first step toward reaching your goals. Share a few details so we can provide the right resources and support tailored just for you.