“Your Risk Is Our Risk”

TheHealthcare360 is your real partner for all your Risk Adjustment Needs

Risk Adjustment - Made Easy

With TheHealthcare360 product suite modules

TheHealthcare360 Solutions

Redefine patient care • Increase revenue • Optimize costs

Get a free trial of our product suite modules

To identify the right fit for your needs

TheHealthcare360 partners with Medicare Advantage Plans • Commercial Payers • Medicaid Health Plans • ACOs • Provider Groups • IPAs •Any Risk Sharing Organization to Provide valuable insights from your data • Optimize processes • Implement best practices • Drive better management strategies

TheHealthcare360 Solutions

The Risk Adjustment 360 CRM & Analytics Tool

Our state-of-the-art tool allows you to

  • Manage
  • Analyze
  • Plan
  • Capture
  • Track
  • Report

Consulting 360

We can provide a turnkey solution for you by matching TheHealthcare360 software with our team of experienced risk adjustment experts at your demand to consult and guide you through the entire RA programs.

SWAT 360

Our experts work with you to provide the best value in healthcare BI and IT projects within your budget and without disrupting your operations.

TheHealthcare360 Product Suite Modules

Member360

This member-centric module provides 360° insight about your members. Compares current demographic and health status to historical status and predicts future status. This results in better membership management by closing gaps in the member’s healthcare and quality measures.

Provider360

This module focuses on providers to measure and enhance the quality, completeness and efficiency of the services provided to the patients. It provides in depth statistics and analytics to highlight any provider’s gaps and issues and how to resolve it.

RAF360

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. Identifying all gaps and predicts possible gaps to capture by using complex analytical models.

Quality360

This module identifies the current Quality Measures status, identifies the gaps, and provides possible ways to close them.

Coding360

This module includes a clinical coding tool that allows organizations to capture all kind of data like diagnosis codes, procedure codes, quality measures and much more to close the gaps in RAF, Quality, and others.

Payment360

This module focuses on the cash-flow and the RA payment models and processes to help the healthcare organizations identify what they will get and when they will get it, also to identify any gaps in payments.

Claims360

Get a 360° view of your claims. Easily and interactively slice and dice the data to answer the questions you have (and will have in the future). Use your claims data to get an accurate PMPM and to identify possible ways to reduce it.

Submission360

Get the complete picture of your submissions. Reconcile what has been submitted with what should have been submitted. Find the gaps, rejections, and other issues in the submission process so you can submit the missing data.

News & Events

Delivering Medicare Advantage Solution at the RISE – 14th Risk Adjustment Forum

Want to Optimize your Services?

Find out more or try TheHealthcare360 for free to see how it can give you important information you have been missing.

“Your Risk Is Our Risk”, TheHealthcare360 is your only real partner for all your Risk Adjustment Needs.