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Data-Driven Risk Adjustment Assessments

Complete risk documentation is critical for financial success in any risk adjusted market. Pareto’s Risk Integrity solution applies market-specific suspecting algorithms to identify and prioritize undocumented risk gaps for remediation through prospective and retrospective campaigns.

In partnership with our sister company, GHG Advisors, Pareto Intelligence offers a rsk adjustment solution + service model that is not only backed by powerful analytics, but also leverages GHG’s 25+ years of extensive industry expertise to turn those insights into action.

1.3M+

Medicare Advantage lives in the Hub

$30-$50

average PMPY impact

$150M+

in total financial opportunity identified

The Pareto Hub: Our Award-Winning Solution

The Pareto Hub is an award-winning data environment that collects, processes, and stores Medicare Advantage risk adjustment data, giving users full access to analytics and strategic insights. Combined with market-leading consulting, our solution helps health plan professionals make more informed decisions that improve their broader revenue goals.

 

 

Our Advanced Analytics Capabilities

  • Risk Adjustment Program Design and Operational Support
  • RADV Mock Audit and Support
  • Campaign Chase Lists
  • Risk Adjustment Factor (RAF) Scoring
  • Undocumented Condition Suspecting
  • Financial Accruals
  • Performance Management
  • And More

KLAS Rated and Reviewed

  • Pareto Intelligence is now fully rated by KLAS as a top performer for risk adjustment solutions
  • A score of 90.4 for overall performance
  • One of the top three vendors in the overall performance segment

Why Pareto?

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Prospective Risk Capture

We help incorporate a prospective risk documentation program into your broader clinical and quality strategy.

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Provider Learning Center

Together with GHG Advisors, we offer a Provider Learning program that is backed by analytics.

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RAPS/EDS Reconciliation

Our analysis enables our experts to identify top errors and help you prioritize remediation efforts.

A Powerful Foundation

     
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Our Data Management Platform

Pareto’s Data Management Platform, the foundation to our solutions, is built around data lake, artificial intelligence, and open source big data technologies to allow us to effectively ingest data in all formats and types at scale, organize them with appropriate data governance mechanisms within our data catalog, and provide efficient configuration capabilities to democratize data access and analytics.

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See it and Believe it

Our demos say it all. Tell us about your challenges and we’ll show you how we can help you overcome them.

Schedule a Demo