Pareto Intelligence

Presentation: Revenue Management Data Strategy - Risk Adjustment and Quality Networking
Risk Adjustment and Quality leaders convene for a unique change of pace from a lecture-style webinar.

Recording: Risk Adjustment & Quality February 2021 Networking Carousel
Risk Adjustment and Quality leaders convene for a unique change of pace from a lecture-style webinar.

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.

Recording: 2019 ACA Risk Adjustment Transfer Payment Results

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.

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.

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.

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.

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.

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.