Improving Healthcare Outcomes Through AI-Driven Solutions

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.

RISE 2023 - logo

We are participating in RISE South WEST 2023

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, ACO's and Value Based Organisations
Payers (MA, ACA, Medicaid)
Payers (MA, ACA, Medicaid)
Independent Practice Associations
Independent Practice Associations
ACO's and Value Based Organisations
ACO's and Value Based Organisations
Value based revenue is 100% dependent on accurate RAF and quality scores.
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
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
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
Annually changing CMS rules, which has to be reviewed, interpreted, translated, monitored
Need qualified and affordable IT, technical resources
Need qualified and affordable IT, technical resources
Need qualified SME's to manage the program consistently
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
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
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
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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Better Patient care + Increased Revenue + Optimized Costs - Screen image
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