Disrupting the Economics of Healthcare

With Continuous healthcare quality improvement

50%

Expected time and cost reduction in coding and chart retrieval as a result of artificial intelligence (ai) and machine learning.

80%

Expected increase in efficiency and effectiveness of your risk adjustment program management.

70%

Expected provider engagement improvement.

We are participating in HIMSS23

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Simplifying healthcare with technology

TheHealthcare360™ is the first company to dramatically lower the barriers of entry and the operating costs of a value-based operational model for Health Plans, IPA’s/Physician Groups, and Health Systems.

Our Solutions plugs into the existing IT infrastructure for Payers (MA, ACA, Medicaid), IPA's/Provider Groups, Hospital/Health System

Payers (MA, ACA, Medicaid)

Independent Provider Associations

Hospital/Health Systems

Value based revenue is 100% dependent on accurate RAF and quality scores.

80% of accurate RAF and quality related revenue is the movement and management of continuously overlapping

20% of accurate RAF and quality related revenues is identifying, implementing and managing cost effective programs to capture what doesn't appear

Few Health plans and IPAs can afford the in-house expertise on a full-time basis to understand and manage the data and programs consistently.

Complications include:

Annually changing CMS rules, which has to be reviewed, interpreted, translated, monitored

Need qualified and affordable IT, technical resources

Need qualified SME's to manage the program consistently

Most importantly, accurate financial and quality related information is essential in guiding the Healthcare organization where to focus limited resources for the best patient/member care possible.

Opportunities exist if you can:

Easily and consistently identify areas of high and unnecessary utilization to be used for provider education and cost management

Quickly and consistently stratify membership classifications and stratify risk appropriately for program development and monitoring

Create a reliable shared view of data between the health plan and providers

Technology is important for better Visibility, more Accessibility, and improved Efficiencies.

Introducing ”Better Patient care + Increased Revenue + Optimized Costs“

An Interactive, fully integrated, AI-Based solution for accurately identifying RAF score and providing real time actionable insights on quality gaps. The tool empowers the stakeholders to not just identify the gaps but to track the progress and close these gaps.

Guaranteed at least 2x ROI within 12 months of Implementation

Closing gaps in Clinical conditions (Increasing RAF)

Increased Quality Stars Ratings

20% decrease in cost in risk management programs

Hundreds of thousand savings in the technology costs

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