Market Alert | 05.14.19
Market Alert | 04.27.19
Navigating the 2020 Medicare Advantage and Part D Rate Announcement & Final Call LetterIn April, the Centers for Medicare & Medicaid Services (CMS) released final policy and payment updates to the Medicare Advantage (MA) and Part D programs through the 2020 Rate Announcement and Final Call Letter. While there are many themes contained in the full document, one major takeaway stood out.
Market Alert | 04.09.19
2018 ACA Risk Adjustment Interim Report: Huh, Yeah, What is it Good For?CMS’ annual interim risk adjustment report provides many health plans with their first insights into the risk of their state market and their relative position. Though there are challenges to interpreting the results of this report, the answer to the question “what is it good for?” is certainly not “absolutely nothing.”
Market Alert | 02.19.19
Spotlight on the 2019 Medicare Advantage Annual Enrollment Period ResultsUsing our Pareto Spotlight solution, Pareto aggregated and analyzed the final Annual Enrollment Period (AEP) results data to understand changes in enrollment and the impact of 2019 product strategies.
Market Alert | 02.01.19
What is the Impact of Expanded Supplemental Benefits in Medicare Advantage?Beginning in performance year 2019, CMS awarded Medicare Advantage Organizations (MAOs) greater benefit flexibility through the creation of newly accepted (or expanded) supplemental benefits. January 2019 enrollment provides our first look into how the market reacted to the new benefit offerings.
Market Alert | 11.20.18
We don’t just love healthcare data…Would you be surprised to know that pumpkin is the most popular choice for pie? Or that stuffing is the top side dish? How about that Thanksgiving is one of the happiest days of the year for Americans?
Market Alert | 11.16.18
Pareto Intelligence Combines with Convey Health SolutionsThe combination of Convey, HealthScape, and Pareto solidifies the company’s market position as the go-to partner for health plans to optimize member experience and outcomes, ensure compliance, and drive enhanced revenue and profitability.
Market Alert | 11.06.18
Pareto Intelligence’s Engage Solution Modernizes Health Plan and Provider CommunicationThis innovative messaging solution helped one client achieve a 15% higher condition capture rate in the first six months of
Market Alert | 10.24.18
Large Regional ACO Improves the Accuracy of Risk Submissions With Pareto Intelligence’s Revenue Integrity SolutionThe Pareto Revenue Integrity solution was deployed to complete a comprehensive evaluation of the health system’s end-to-end encounter data quality,
Market Alert | 10.17.18