TheHealthcare360™ combining world-class data with analytic consulting expertise.
Expert Guidance at Every Step
Our team of risk adjustment 360 subject matter experts (SMEs) has developed their expertise over many years with various health plans, IPAs and provider groups. They are ready to partner with you to provide the expertise to help run a successful and profitable risk adjustment and risk-sharing programs.
Help in Operational Playbook and Executive Plans
Our team helps with creating the operational playbook and executive plans for all aspects of the risk adjustment and risk-sharing programs.
Our team provides guidance and offers unique solutions for the issues that healthcare organizations face.
MA, ACA, and Medicaid Risk Adjustments Modules and calculations.
Quality measures assurance programs and projects design.
Healthcare analytics and predictive modeling.
Clinical and coding reviews and guidance.
CMS rules and regulations compliance.
ACA Edge Server data process flows and error handling.
Internal process and programs reviews.
Vendor’s efficiency and performance reviews.
Provider’s performance and engagement reviews and enhancements.