Health Plans

How we help Health Plans

TheHealthcare360™ platform is built to fulfill the needs and bridge the gaps between the different departments inside a health plan. We enhance and manage the entire program lifecycle starting from membership management to risk adjustments and quality, provider engagement, finance, and IT/BI departments.

Patient Care Predictions

Machine learning and artificial intelligence will actually improve clinical outcomes of members. Clair360™ gets smarter and more intuitive over time.

Increase Revenue with RAF Score

Clair360™ directs your team to capture more past, present and future RAF and guides your team’s efforts to achieve those which have the greatest impact on revenues.

Drive HCCs, Increase Quality Scores

Clair360™ identifies HCCs and multiple-condition HCCs that are commonly overlooked, and instantly communicates to all internal and external parties the steps required to capture.

API Interface with Most EHR/EMR systems

Clair360™ is compatible with most electronic health and medical records systems, either through mapping or through direct API interfaces.

HIPAA Certified

Clair360™ is HIPAA certified, and your engine is built on your own AWS, HIPAA certified server.

Cloud-Based, pay as you go system

No Investment, No specialized IT talent required.

End-to-end system integrates

Internal and external parties in real time-Improved communication and outcomes.

Low/No capital Investment

Improved health outcomes to get more members

Secure and Affordable Solution

Affordable and within the capabilities of current staff with AWS-Hosted data encryption.

API interfaces with most EHR/EMR systems

Clair360™ Plugs your organization with all your healthcare organization partners.

Scalable ML & AI Solution

Scalable from the smallest to the Largest Payor and Provider Organizations.

Clair360™ can help to Health Plans

Clair360™, an interactive, fully integrated, and AI-based platform with multi-module solutions, focuses on resolving many issues participants in the Medicare, Medicare Advantage, Medicaid, and commercial domain face every day.