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Expected time and cost reduction in coding and chart retrieval as a result of artificial intelligence (ai) and machine learning.
Expected increase in efficiency and effectiveness of your risk adjustment program management.
Expected provider engagement improvement.
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.
![Payers (MA, ACA, Medicaid)](https://www.thehealthcare360.com/wp-content/uploads/2023/03/Payers-2.png)
Payers (MA, ACA, Medicaid)
![Independent Practice Associations](https://www.thehealthcare360.com/wp-content/uploads/2023/03/Independent-Provider-Associations-2.png)
Independent Practice Associations
![ACO's and Value Based Organisations](https://www.thehealthcare360.com/wp-content/uploads/2023/03/Hospital-Health-Systems-1.png)
ACO's and Value Based Organisations
![Value based revenue is 100% dependent on accurate RAF and quality scores.](https://www.thehealthcare360.com/wp-content/uploads/2022/02/Healthcare-Visualization-and-SmartView.jpg)
![80% of accurate RAF and quality related revenue is the movement and management of continuously overlapping](https://www.thehealthcare360.com/wp-content/uploads/2022/02/Healthcare-Data-Strategy-and-Management-1.jpg)
![20% of accurate RAF and quality related revenues is identifying, implementing and managing cost effective programs to capture what doesn't appear](https://www.thehealthcare360.com/wp-content/uploads/2022/02/Healthcare-Predictive-and-Statistical-Modeling.jpg)
![Annually changing CMS rules, which has to be reviewed, interpreted, translated, monitored](https://www.thehealthcare360.com/wp-content/uploads/2023/03/CMS-Rule-Change-1.png)
Annually changing CMS rules, which has to be reviewed, interpreted, translated, monitored
![Need qualified and affordable IT, technical resources](https://www.thehealthcare360.com/wp-content/uploads/2023/03/IT-Resources-1.png)
Need qualified and affordable IT, technical resources
![Need qualified SME's to manage the program consistently](https://www.thehealthcare360.com/wp-content/uploads/2023/03/Expert-Resources-1.png)
Need qualified SME's to manage the program consistently
![Easily and consistently identify areas of high and unnecessary utilization to be used for provider education and cost management](https://www.thehealthcare360.com/wp-content/uploads/2023/03/Utilization-1.png)
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](https://www.thehealthcare360.com/wp-content/uploads/2023/03/RAF-Score-1.png)
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](https://www.thehealthcare360.com/wp-content/uploads/2023/03/RAF-Data-1.png)
Create a reliable shared view of data between the health plan and providers
Introducing ”Better Patient care + Increased Revenue + Optimized Costs“
![Clair360-Logo](https://www.thehealthcare360.com/wp-content/uploads/2021/01/Clair360-Logo.png)
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.
![Particle element](https://www.thehealthcare360.com/wp-content/uploads/2019/12/loop-3.png)
![Better Patient care + Increased Revenue + Optimized Costs - Screen image](https://www.thehealthcare360.com/wp-content/uploads/2023/03/Clair360-HIPPA-AI-NCQA.png)
![Particle element](https://www.thehealthcare360.com/wp-content/uploads/2019/12/loop-2.png)