In order to make effective fact-based decisions and set ongoing strategy, we believe health plans must tap into their data to uncover the most important factors driving financial performance. Pareto’s Frontier solution applies predictive analytics, advanced data science techniques, and extensive market expertise to aid health plans in optimizing the performance of their risk-based lines of business, including Medicare Advantage (MA) and the Affordable Care Act (ACA) market.
Our Frontier solution analyzes heath plan and market data, as well as the social determinants of health contributing to behavior and health outcomes, to uncover the products, geographies, providers, and conditions that are driving financial performance and enable more informed product, pricing and strategic decisions. It also delivers advanced analytics and reporting to enable our health plan users to power and supplement their own analytical capabilities.
With all the sources of publicly available and third party market data in the healthcare industry, it can be difficult to aggregate and analyze the right information to make decisions. Included with Pareto Frontier or available as a standalone solution, Pareto Spotlight applies advanced analytics across 300 disparate third party datasets and benchmarks to generate a holistic view of performance and the competitive landscape across the Medicare Advantage (MA) market (including at a national, state, and county level).
Our solution aggregates and visualizes data to assess market dynamics, trends, and benchmarks across various geographies and includes an assessment of the competitive landscape, quality ratings, cost and utilization, product design, and risk scores helping health plans make data-driven decisions.