Pareto Intelligence

Member Level: Silver

Vendor Overview

Description of Services: Robust Analytics. Modern Technologies. Deep Business Expertise.
Pareto rises above the rest because we exist at the intersection of robust analytics, industry-leading technology solutions, and deep business expertise. The combination of these strengths allow us to solve our clients’ most complex problems by delivering modern technology solutions to over 40 healthcare clients with proven success.

Primary Service: Analytics
Secondary Service: Technology solutions

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350 N. LaSalle Dr
Suite 600
Chicago, IL 60654
(312) 476-8900
http://paretointel.com

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Documents
8/4/2020

Presentation: 2019 ACA Risk Adjustment Transfer Payment Results
Pareto takes a deep dive into the results of the 2019 ACA risk adjustment transfer payments. They shared their main take-aways, insights on negative error rates and transfer payment guardrails, and predictions regarding methodology changes.

4/22/2020

Presentation: Video telehealth calls are now accepted for risk adjustment, now what?
Join Brandon Solomon from Pareto Intelligence and Jeff De Los Reyes from Gorman Health Group for a conversation around the tactics and strategies you should consider as you approach your 2020 risk adjustment campaign.

4/22/2020

Recording: Video telehealth calls are now accepted for risk adjustment, now what?
Join Brandon Solomon from Pareto Intelligence and Jeff De Los Reyes from Gorman Health Group for a conversation around the tactics and strategies you should consider as you approach your 2020 risk adjustment campaign.

3/11/2020

Presentation: Medicare Advantage Premium Integrity-Reconciling Reporting Complexities that Cost Plans Millions
Pareto Intelligence describes how health plans have created market differentiation by making appropriate payments, mitigating compliance risk and recouping lost revenue dollars from CMS. Best practices for identifying and prioritizing factors driving MA premiums, navigating coordination with CMS, and maintaining accurate and compliant information are explained.

3/11/2020

Recording: Medicare Advantage-Premium Integrity - Reconciling Reporting Complexities that Cost Plans Millions
Pareto Intelligence describes how health plans have created market differentiation by making appropriate payments, mitigating compliance risk and recouping lost revenue dollars from CMS. In this session best practices for identifying and prioritizing factors driving MA premiums, navigating coordination with CMS, and maintaining accurate and compliant information are explained.

3/1/2020

Video: How does Provider-Sponsored Plan Performance Compare to the Industry?
Pareto Intelligence analyzed the initial data released post-Annual Enrollment Period (AEP) for Medicare Advantage (MA) plans and found significant growth, as well as areas of opportunity, for Health Plan Alliance (Alliance) member health plans.

2/10/2020

Medicare Advantage AEP Infographic 2020
Post-annual enrollment period stats for Medicare Advantage from Pareto Intelligence. Shared at the MA Product Design and Implementation Fly-In in February 2020.

2/7/2020

MA benefit trends from health plans big and small
Gorman Health Group and Pareto provide an overiew of MA trends and differentiated product strategies from 2020 AEP and highlight what plans can expect from competitors heading into 202. Presented at the MA Product Strategy Fly-In in February 2020.

1/21/2020

Healthcare Data Analytics & Technology Solutions Company | Pareto Intelligence
Pareto Intelligence is a leading healthcare technology company modernizing the way health plans and providers succeed in value-based care. We deliver analytics, technology and advisory solutions to help our clients achieve complete and accurate revenue, communicate critical patient information seamlessly, activate clinical and claims data, and make more informed strategic decisions. Our solutions are supported by artificial intelligence-enabled predictive models and proprietary algorithms, powered by advanced data science, that help our clients capture 5:1 to over 20:1 return on investment. Through this, Pareto demystifies complex healthcare data, and delivers actionable insights to improve outcomes.

Articles
4/22/2020

Preventing RADV Audit Exposure Through Compliant Risk Documentation Processes
Operating a revenue management program in the Medicare Advantage (MA), Affordable Care Act (ACA) and/or Medicaid markets requires a concerted focus and effort on achieving complete, accurate and compliant risk documentation and scores. That third component—compliance—is often overlooked by health plans, at least until faced with a Risk Adjustment Data Validation (RADV) audit.

11/18/2019

First Look at the 2020 Medicare Advantage Competitive Landscape
With the MA Annual Enrollment Period (AEP) in full swing, plans are seeing the early results of their 2020 product placement and benefit decisions. In analyzing the 2020 product details, Pareto Intelligence will show there are many new and continuing trends as the MA market continues to see more entrants and greater competition.

10/21/2019

Health Plan Alliance Announces Addition of Pareto Intelligence’s Medicare Advantage Market Intelligence Tool to its Group Purchasing Organization
A long-time preferred business sponsor of the Alliance, Pareto will now offer a custom version of its Pareto Spotlight solution exclusive to Alliance member health plans through the Alliance Group Purchasing Organization (GPO).