Control

Your data analytics.
Your data investment.

How do you get greater control over your data and bring your risk adjustment analyses in-house without the challenges of managing another vendor or building your own platform?

Get the best of both worlds

 

Build-it-yourself solutions can be attractive, offering more control and security. However, they also have challenges: hidden costs, a lack of technical expertise, and platform limitations. Partnering with a proven platform offering you full control over your risk adjustment data and do-it-yourself options may be the best choice for your plan.

The Pareto Hub is built on our cutting-edge data management platform. It aggregates and integrates data from multiple sources into a business-ready environment for analysis. Some integrate their business intelligence tools and conduct independent self-service analyses. But most of our clients pair the Hub with our advisory services and subject-matter expertise, taking advantage of our solution + service model.

What questions does your data need to answer for you?
    • What RAF and PLRS impact do year-over-year model changes have on my population?
    • How much does each source of risk capture contribute to RAF and/or PLRS?
    • How much have I captured that has not been accepted by CMS?
    • What is the estimated financial value of targeted undocumented risk gaps?
    • Which members are the most critical to engage early for risk capture and care management?
    • What conditions do providers struggle the most to document accurately?
How does the Hub get you the answers?
    • Detects year-over-year model changes’ impact on population RAF and PLRS
    • Discovers RAF score outcomes contribution based on member mix changes or risk capture performance
    • Identifies differences in risk scores between internal processes and CMS submissions and approvals
    • Identifies attainable population-based RAF and/or PLRS targets
    • Understands what your plan has captured but was not accepted by CMS
    • Tracks risk capture trends over time (ex/ shifting more to provider-documented)
    • Recognizes the estimated financial value of targeted undocumented risk gaps

Enlist a proven partner for reliable, scalable data analytics

Control your data while we manage the platform.

Plans benefit from our investments in continuous platform development, our technical knowledge, and the best practices we’ve identified working with a variety of health plans.

Let’s Talk

 

Gain control of your data and risk adjustment analyses for optimized revenue and improved quality.