Using Social Determinants of Health to Combat COVID-19
David Thompson,
Thrisha Oruganti,
In a COVID-19 landscape, can predictive analytics and social determinants of health help you better care for your population? Pareto answers this question using data.Read
Preventing RADV Audit Exposure Through Compliant Risk Documentation Processes
Brandon Solomon,
Jeff De Los Reyes,
Taking proactive measures to improve risk documentation accuracy prevents RADV exposure, or worse, potential litigation. What should health plans do?Read
Success of PPOs, OTC Coverage May Drive 2021 MA Offerings
Jason Montrie,
In this interview with AIS Health, hear strategies for incorporating lessons learned from 2020 into benefit designs before bids are due for 2021.Read
Deep Dive into Medicare Advantage Supplemental Benefits Trends from 2020 AEP
Brandon Solomon,
William Payne,
Using the 2020 AEP results, Pareto evaluated the year-over-year trends in supplemental benefit offerings prevalence and adoption across the Medicare Advantage market to help MA plans make more informed product decisions for 2021.Read
Analysis of the 2020 Medicare Advantage Annual Enrollment Period (AEP) Results
Pareto Intelligence,
Now that the dust has settled post-AEP, and CMS has released February monthly membership enrollment data, we have granular insight into the shifts in membership resulting from 2020 AEP.Read
Big Ideas in the Proposed 2021 Notice of Benefit & Payment Parameters for the ACA Market
Zain Jafri,
Read our initial summary and perspective on the Proposed 2021 Payment Notice from HHS.Read
Are You Ready for Increased Use of EDS Submissions in Medicare Advantage Risk Score Calculation?
Brandon Solomon,
On January 6th, 2020, the Centers for Medicare and Medicaid Services (CMS) released the Advance Notice of Methodological Changes forRead
First Look at the 2020 Medicare Advantage Competitive Landscape
Brandon Solomon,
With the AEP in full swing, plans are seeing the early results of their 2020 product placement and benefit decisions. Check out our interactive analysis of the recently released CMS data.Read
Improve In-Year Performance by Addressing Encounter Data Quality Issues
Brandon Solomon,
From encounter to regulatory submission, there are several ways that data can become inaccurate and negatively impact revenue, which requires a holistic effort to identify and resolve data quality issues.Read