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. Clair360™, the artificial intelligence “glue” that binds Medicare Advantage, IPAs and Providers and hospital systems into a unified healthcare ecosystem.
The heart of the Risk Adjustment program is the RAF360. The focus is on membership RAF: Defining the current RAF, past RAF, future RAF – what it will be, and what it should be. Our goal is to identify all gaps and predict possible gaps to capture by using complex and validated analytical models.
Improve Quality Score
This module identifies the current quality measures status, identifies the gaps, and provides possible ways to close them which will help improving quality performance metrics. Self-Managed AI-based module that allows you to update your measures status as frequently as needed.
Other 7 Additional Modules makes Healthcare easy for you!
The healthcare industry is made easier with the our seven additional modules, namely Member360, Coding360, Provider360, Claims360, Payment360, Submission360, and Tasks360. These modules aid Medicare Advantage, IPAs, providers, and hospital systems in their operations.
Some of the features of these modules include a member-centric approach that provides a comprehensive view of the members, automated NLP-based charts, enhanced quality, completeness, and efficiency of services for patients, the ability to analyze complex claims data for cost and utilization statistics, and a fully integrated task management module for managing, communicating, tracking, and reporting all projects and tasks.