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Risk Adjustment Solutions

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Insightful visualizations, actionable analytics, and dedicated advisory support to help you achieve accurate and compliant risk adjustment performance.

Advanced Risk Adjustment Analytics

Leverage a portfolio of services that provides comprehensive support for every type of government-sponsored healthcare organization.

Performance management
Monitor risk adjustment performance with interactive visuals and access member-level insights.

Data submission reconciliation
Identify root causes and remediation opportunities to ensure accurate and comprehensive submissions.

Provider education
Identify opportunities to educate providers and develop actionable implementation plans.

Prospective data collection
Inform prospective risk strategies to support providers at the point of care.

Retrospective risk suspecting
Use historical performance and proprietary analytic algorithms to identify conditions for investigation.

Mock RADV preparedness
Improve preparedness with analytics to inform RADV strategies. 

HCC program compliance
Identify potential opportunities for HCC compliance reviews.

Accrual projections
Gain insights into financial estimates associated with subsequent risk adjustment reconciliation periods.

Renew your entire approach to risk adjustment

Take charge of your data with the Pareto Hub

Understanding your risk adjustment performance is critical to the organization. Whether this includes potential areas for compliance investigation, financial accrual insights, member mix impacts, or ensuring submission completeness–the Pareto Hub has you covered.

The Pareto Hub promotes true data ownership and visibility into key risk adjustment metrics with actionable analytics to empower your strategic initiatives.

Gain Full Transparency

Complete transparency into your risk adjustment performance, with member-level data and analytics, to improve strategic decision making.

Receive Rapid Insights

Regular updates to inform your risk adjustment performance, with support from our professionals to provide ad hoc analytics.

Integrate Easily 

Seamless integration of your business intelligence tools create custom analytics, reports, and more.

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Steer strategy and enhance results

Get in-depth evaluations of performance in risk adjustment programs and campaign effectiveness, along with assessments of providers, conditions, and members. Our team of risk adjustment professionals leverage these analyses to steer your ongoing strategy and enhance results.

  • RADV Mock Audit and Support

  • Program Evaluation and Strategy

  • Compliance Risk Assessments

  • Chart Retrieval & Coding Services

  • Medical Coding Compliance Evaluations

  • In-home Assessments

  • Virtual Home Visits

  • Interim Program Management

Award-winning capabilities, recognized experts, and powerful analytics will impact your organization beyond your risk adjustment program.

Discover how you can improve rewards and incentives programs and other supplemental benefits.

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Supplemental Benefits
Healthy Rewards & Member Engagement