Improved forecasting accuracy and contract-level, measure-level, and member-level insight to inform action
Optimized Quality Improvement, Reward Factor, and Star measure outcomes through precision targeting and probability modeling.
Decreased rework and manual effort with configurable dashboards, actionable insights, and data-driven action planning
StarIQ is a purpose-built solution that empowers health plans to strategically improve CMS Star Ratings by providing insights that define the measures, members and providers most likely to drive overall Star impact. Our analytics engine integrates clinical, member experience, and operational data to deliver actionable guidance—so teams can focus resources on what matters most.
StarIQ supports health plan leaders who are focused on driving the strategy, execution, and performance improvement of Star across the enterprise.
Optimize Star Ratings across contracts with data-driven forecasting, measure targeting, and scenario modeling.
Manage Star performance with confidence. Model scenarios, prioritize the highest-value opportunities, and support improvement across QI, Reward Factor, and overall Star Ratings.
Use performance insights to design outreach strategies that support quality and satisfaction improvement.
Quantify the rebate and bonus payment potential of your Star forecasts to inform financial planning and bid development.
Most health plans have dashboards. Few help make better decisions. StarIQ analytics bring predictive clarity to CMS’s evolving, complex Star Ratings program—so you can act with confidence, not guesswork.
Star Ratings are shaped by multiple variables - including the individual Star measures, QI, and Reward Factor. Pareto combines deterministic and probabilistic forecasting to model performance across all domains, helping plans anticipate outcomes with confidence. Scenario planning tools allow users to simulate changes, explore different paths, and shape both near-term and long-term Star strategies.
Not all Star measure improvements or gap closures yield an impact on overall Star Ratings. Our analytics help leaders understand which changes have the highest probability of influencing overall performance.
StarIQ does more than monitor trends and forecast performance, it shows you where to act for measurable lift. Pareto uses predictive and probabilistic modeling and measure-specific insights to help you prioritize what drives actual change—not just report on what happened.
Pareto’s data science models estimate end-of-year outcomes using a number of client-, measure- and industry-specific variables, to help you anticipate results and refine strategy in real time.
Yes. Our solution is constructed in such a way that it can be. The depth of the integration relies on how strategic the partnership is with the client.
Absolutely. StarIQ includes targeted dashboards and drilldowns for both Quality Improvement and the Reward Factor, so you can understand more clearly the levers of opportunity to support high Star performance.
Pareto simplifies the thousands of data points that make up Stars, and provides insights on the most valuable levers of performance improvement, supporting health plan leaders to develop strategies that hone in on the most impactful actions.
Easily analyze measure-level impact, test variable adjustments, and build best-case, worst-case, and likely-case forecasts to support strategic planning.
Each measure includes visualizations of YTD performance, overlaid with projected EOY performance (including data science-driven probabilistic distributions), prior year trends, segment-level detail (e.g., Reward Factors), and key benchmarks that impact scoring (QI thresholds, cut points).
Consolidates annual Medicare Star Ratings performance into an interactive, map-based dashboard enabling you to benchmark plan contract performance against national and regional averages, with drilldowns to the county level.
Provides an aggregated view of Star performance across all contracts within your organization, with the ability to drill down from enterprise-level trends to individual contracts and measures.
On June 28th, 2019, the Centers for Medicare and Medicaid Services (“CMS”) released the Affordable Care Act (“ACA”) Risk Adjustment Transfer Payment results for the 2018 benefit year. Within days
Dataset used in calculating the “Complaints of Health/Drug Plan” Star Measure for a health plan.
A member experience survey used by CMS to assess communication, access to care, and overall satisfaction. Heavily weighted in Star Ratings calculations.
Annual performance thresholds your to assign Star Ratings to measures, determined by assessing industry-wide performance and released post-submission—which makes forecasting challenging.
A set of standardized clinical quality measures (e.g., preventative screenings, chronic condition management, and post-acute care) reported by plans annually and used to calculate Star Ratings.
A data source that contains –among other thing–data used to calculated multiple Star measures (including Medication Adherence and Medicare Plan Finder Price Accuracy)
A Star Ratings category that scores year-over-year improvement across selected clinical and experience measures. Weighted heavily in overall Star scores.
A numerical bonus of 0.1 to 0.4 points applied to Medicare Advantage contract Star Ratings for sustained high performance and low measure-level variability. Reward Factors historically influenced whether contracts crossed key Star thresholds tied to Quality Bonus Payments and enrollment advantages.
CMS’s 5-star quality scoring system for Medicare Advantage plans, based on clinical outcomes, member experience, and administrative performance. Higher ratings drive bonus payments and enrollment growth.
Pareto Intelligence is a healthcare analytics and technology company that helps health plans in government-sponsored markets improve financial performance and regulatory compliance. Our platform delivers actionable insights across premium reconciliation, risk adjustment, Star Ratings, and member engagement—so plans can recover revenue, close gaps, and stay CMS-ready.
With solutions like StarIQ, Pareto helps plans move beyond disconnected dashboards toward data-backed strategy and measurable Star improvement.
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.
