Audience
Healthcare payers and risk-bearing provider organizations in search of a tool to improve revenue accuracy, risk adjustment performance and clinical-claims insights
About Pareto Intelligence
Pareto Intelligence is a healthcare analytics and technology platform that helps health plans and risk-bearing provider organizations improve financial performance, compliance, clinical communication, and value-based care outcomes by transforming complex healthcare data into actionable insights and operational workflows. Its core is a centralized healthcare data environment that ingests, normalizes, and enriches disparate clinical, claims, and social determinants of health data to deliver comprehensive patient and program views that drive downstream analytics and reporting. Pareto’s solutions include risk adjustment and revenue integrity tools that identify undocumented risk gaps, improve risk scores, support RADV audit readiness, reconcile premiums, and ensure complete and compliant revenue capture; payment integrity capabilities to detect under- and overpaid claims and improve Section 111 reporting and coordination of benefits.