The Age of Audits: Why You Need to Re-evaluate Your Risk Adjustment Strategy
Rick Monaco,
Under rising pressure, organizations need to revamp their risk adjustment strategies to mitigate any potential exposure to audit findings.Read
Explore the 2021 ACA Risk Adjustment Transfer Payment Results
Austin Bostock,
Tom Field,
Analyze the results of 2021 ACA risk adjustment transfer payments by issuer and state through an interactive dashboard.Read
PACE 101: Understanding the Medicare/Medicaid Program
Eric Shapiro,
The Program of All-Inclusive Care for the Elderly (PACE) has quickly become one of the most celebrated Medicare/Medicaid health plan models supported by our government.Read
CMS Advanced Notice: Proposed PY2023 Risk Adjustment Updates
Rick Monaco,
Jeff De Los Reyes,
Eric Shapiro,
Our team of advisors take a look at the latest CMS Advanced Notice to provide insight on what this means for organizations like yours in the realm of risk adjustment.Read
Explore the 2020 ACA Risk Adjustment Transfer Payment Results
Austin Bostock,
William Payne,
Steven Singer,
Analyze the results of 2020 ACA risk adjustment transfer payments by issuer and state through an interactive dashboard.Read
Establishing a Successful Prospective Medicare Advantage Risk Documentation Program
Brandon Solomon,
Jeff De Los Reyes,
An evolved prospective risk capture program is essential for MAOs to improve overall revenue accuracy. Read our key takeaways on how to pivot from existing retrospective programs.Read
Tech-Focused MA Startups Chase Tailwinds in New Markets
Jason Montrie,
In this interview with AIS Health, explore the ways in which tech-focused Medicare Advantage startups are planning for expansion, while new startup insurers declare their intentions in advance of the 2021 AEP.Read
Podcast Interview: Breaking Down Silos in Healthcare with Data
Pareto Intelligence,
Pareto Intelligence's President Jason Montrie was recently interviewed for a popular podcast highlighting innovators in the healthcare industry.Read
Explore the 2019 ACA Risk Adjustment Transfer Payment Results
Pareto Intelligence,
Analyze the results of 2019 ACA risk adjustment transfer payments by issuer and state through an interactive dashboard.Read