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Pareto Intelligence

@ParetoIntel

Patented and award-winning analytics, technology and advisory solutions company helping health plans and risk-bearing providers succeed in value-based care.

 Chicago, IL
paretointel.com
Joined March 2016
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Pareto's analysis of the 2027 results reveals why contract structure belongs in the quality and business strategy conversation. hubs.ly/Q04D5MJ90
Contract size matters. Risk does, too. [Read more] | Pareto Intelligence

ALT Contract size matters. Risk does, too. [Read more] | Pareto Intelligence

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CMS methodologies may change, but plans can prepare for a range of outcomes. Scenario modeling tests potential impacts. Probability modeling shows where risk may lie. See Kimberly Switlick-Prose’s take on a more resilient Star strategy: hubs.ly/Q04yKQSl0
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One former health plan Stars analyst describes the challenge of manually preparing data, accounting for forecast uncertainty, and comparing improvement programs that were measured differently across departments. Learn more: hubs.ly/Q04zMQKf0
Is that real improvement, or just noise? | StarIQ

ALT Is that real improvement, or just noise? | StarIQ

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Pareto is at the 27th Risk Adjustment Forum and ready for the conversations shaping the year ahead: RADV, data integrity, prospective risk adjustment, and compliance. #RiskAdjustmentForum #RADV #MedicareAdvantage
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Pareto research estimates 40–50 outreach touches a year at about $3.79 each. That’s over $150 per member. Without coordination, plans may spend more without driving more action. See what better coordination looks like: hubs.ly/Q04z3s810
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At RISE, Pareto will be talking with plan leaders about making risk adjustment more accurate, efficient, and defensible.
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The 2027 Star Ratings are out. The rating is only the beginning. Learn from the data. Prioritize what matters. Take a closer look with us at what your 2027 Star Ratings are telling you: hubs.ly/Q04B9VgF0
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New OIG findings put coding accuracy and documentation integrity back in focus. Meet Darlene Gallemore, Pareto’s manager of Risk Adjustment Consulting, and read how she connects chart-level expertise with population-level signals. hubs.ly/Q04zhlt-0
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Visit Pareto Intelligence in the Liberty Ballroom Exhibit Hall to talk through the questions behind better prioritization. If you’re at the conference, come say hello and share the challenge your team is working through. #NAACOS #ValueBasedCare #RiskAdjustment
We're at NAACOS Fall today

ALT We're at NAACOS Fall today

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Today’s the day. The 2027 CMS Star Ratings are out. Now learn what they mean for your plan. Join Kimberly Switlick Prose, Damian Kearney, & Andrew Bell at 1 PM ET for Beyond the Noise: Live Insights on the 2027 CMS Star Ratings. Register & Join Live hubs.ly/Q04yKHNn0
Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

ALT Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

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Tomorrow is the day. The 2027 CMS Star Ratings are out. Now learn what they mean for your plan. Join Kimberly Switlick Prose, Damian Kearney, & Andrew Bell at 1 PM EST for Beyond the Noise: Live Insights on the 2027 CMS Star Ratings. Register & Join Live hubs.ly/Q04yKGnM0
Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

ALT Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

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More outreach doesn’t always mean more engagement. When quality, risk adjustment and rewards teams contact the same member separately, even helpful messages can feel like noise. See why a shared view of the member matters: hubs.ly/Q04z3qsl0
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We’ll be at the NAACOS 2026 Conference, October 14–16 at the Marriott Marquis in Washington, D.C. Stop by Pareto’s table in the Liberty Ballroom Exhibit Hall to compare notes on turning healthcare data into clear, defensible action. #NAACOS #ValueBasedCare #HealthcareAnalytics
See you at NAACOS

ALT See you at NAACOS

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A Star Ratings forecast tells leadership where a plan stands. But what happens next? Get a behind-the-scenes look at the work in the first of four Star Analyst Field Notes. hubs.ly/Q04zwGvt0
A Star Ratings forecast is only part of the story. | StarIQ

ALT A Star Ratings forecast is only part of the story. | StarIQ

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Designed for Medicare execs, Stars & quality leaders, and analytics teams who must act fast after the ratings drop. If you guide Star rating strategy or need the real story behind the scores, this webinar is for you. Register Now hubs.ly/Q04yK1YG0
Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

ALT Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

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Your rewards strategy is about to meet real member behavior. Pareto RewardsIQ helps plans identify the members and health actions that matter most, personalize engagement, and optimize campaigns as results come in.   Learn more: hubs.ly/Q04z3_bQ0
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178 of 220 sampled enrollee-years had diagnoses unsupported by medical records in OIG’s new HumanaChoice audit. Darlene Gallemore asks what MA risk adjustment teams should look for in their own data and how to find it sooner. hubs.ly/Q04zhk4g0
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CMS is running RADV audits across multiple payment years, on a rolling basis. Know what’s coming next. #RADV #MedicareAdvantage hubs.ly/Q04xpCB90
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Webinar takeaways: • Industry winners and losers • Drivers of change in YoY scores • Impact of regulatory changes on scores, and potential uncertainty going forward • Future outlook for plans based on this year's results Register Now hubs.ly/Q04yJZql0
Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

ALT Join our webinar: Beyond the Noise: Insights from the 2027 Star Ratings & Implications for Health Plans | Tuesday, October 13 | 1 PM ET

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Star Ratings strategy takes both inches and miles. Address today’s measure gaps while building capabilities like data exchange and provider attribution that support performance over time. Kimberly Switlick-Prose explains how plans can do both: hubs.ly/Q04yKQfd0
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