{"id":3058,"date":"2020-05-07T22:37:06","date_gmt":"2020-05-07T22:37:06","guid":{"rendered":"https:\/\/essentials.pixfort.com\/original\/?page_id=3058"},"modified":"2023-06-13T06:48:57","modified_gmt":"2023-06-13T06:48:57","slug":"clair360","status":"publish","type":"page","link":"https:\/\/thehealthcare360.com\/?page_id=3058","title":{"rendered":"Clair360\u2122"},"content":{"rendered":"
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Clair360 an affordable solution to accurately calculate the risk adjustment factor and identify quality gaps<\/span><\/p><\/div><\/div>Request A Demo<\/span> <\/i><\/a>

<\/svg>\n<\/span><\/span><\/a><\/div><\/div>[\/vc_column][vc_column width=”1\/2″ pix_particles_check=”1″ pix_particles=”%5B%7B%22image%22%3A%22140%22%2C%22h_position%22%3A%22left%22%2C%22horizontal%22%3A%2215%25%22%2C%22v_position%22%3A%22top%22%2C%22vertical%22%3A%225%25%22%2C%22depth%22%3A%220.2%22%2C%22xaxis%22%3A%22100%22%2C%22yaxis%22%3A%220%22%2C%22rotation_speed%22%3A%22300%22%2C%22img_width%22%3A%2275%25%22%2C%22animation%22%3A%22fade-in%22%2C%22delay%22%3A%22500%22%2C%22pix_infinite_animation%22%3A%22pix-rotating-inverse%22%2C%22pix_infinite_speed%22%3A%22pix-duration-slow%22%7D%5D” responsive_css=”{“pix_res_sm_mb“:“60px“}”]
\"\"<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” responsive_css=”{“pix_res_sm_pt“:“40px“,“pix_res_sm_pb“:“40px“}” css=”.vc_custom_1612360367114{padding-top: 80px !important;padding-bottom: 80px !important;background-color: #ffffff !important;}”][vc_row full_width=”stretch_row” full_height=”yes” pix_particles_check=”” css=”.vc_custom_1611868367549{margin-top: 0px !important;margin-bottom: 0px !important;background-color: #ffffff !important;}” fade_in_intro=”13456″][vc_column content_align=”text-center”]

Clair360\u2122 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

Clair360\u2122, an interactive, fully integrated, and AI-based platform with multi-module solutions, that identifies risk adjustment and quality issues and communicates in real time to all internal and external stakeholders how to resolve them. Clair360\u2122 plugs into the existing IT infrastructure of Medicare Advantage plans, provider groups and hospital\/health systems via APIs.<\/p>\r\n[\/vc_column_text]

Clair360\u2122, <\/span><\/span> the <\/span><\/span> artificial <\/span><\/span> intelligence <\/span><\/span> \u201cglue\u201d <\/span><\/span> that <\/span><\/span> binds <\/span><\/span> Medicare <\/span><\/span> Advantage, <\/span><\/span> IPAs <\/span><\/span> and <\/span><\/span> Providers <\/span><\/span> and <\/span><\/span> hospital <\/span><\/span> systems <\/span><\/span> into <\/span><\/span> a <\/span><\/span> unified <\/span><\/span> healthcare <\/span><\/span> ecosystem. <\/span><\/span> 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Solutions <\/span><\/span> to <\/span><\/span> Common <\/span><\/span> Problems <\/span><\/span> with <\/span><\/span> Risk <\/span><\/span> Adjustments <\/span><\/span> <\/h2><\/div><\/div>[vc_row_inner][vc_column_inner width=”1\/3″]
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Cloud-Based, <\/span><\/span> Pay <\/span><\/span> as <\/span><\/span> You <\/span><\/span> Go <\/span><\/span> System <\/span><\/span> <\/h6><\/div>

No Investment, No specialized IT talent required.<\/span><\/p><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]

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End-to-End <\/span><\/span> System <\/span><\/span> Integrates <\/span><\/span> <\/h6><\/div>

Internal and external parties in real time-Improved communication and outcomes.<\/span><\/p><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]

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Low\/No <\/span><\/span> Capital <\/span><\/span> Investment <\/span><\/span> <\/h6><\/div>

Improved health outcomes to get more members<\/span><\/p><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][vc_row_inner css=”.vc_custom_1612431556844{padding-top: 30px !important;}”][vc_column_inner width=”1\/3″]

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Secure <\/span><\/span> and <\/span><\/span> Affordable <\/span><\/span> Solution <\/span><\/span> <\/h6><\/div>

Affordable and within the capabilities of current staff with AWS-Hosted data encryption.<\/span><\/p><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]

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API <\/span><\/span> Interfaces <\/span><\/span> with <\/span><\/span> Most <\/span><\/span> EHR\/EMR <\/span><\/span> Systems <\/span><\/span> <\/h6><\/div>

Clair360\u2122 Plugs your organization with all your healthcare organization partners.<\/span><\/p><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]

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Scalable <\/span><\/span> ML <\/span><\/span> & <\/span><\/span> AI <\/span><\/span> Solution <\/span><\/span> <\/h6><\/div>

Scalable from the smallest to the Largest Payer and Provider Organizations.<\/span><\/p><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” top_divider_select=”dynamic” top_moving_divider_color=”%5B%7B%22d_gradient%22%3A%221%22%2C%22d_color_1%22%3A%22%23191f6c%22%2C%22d_color_2%22%3A%22%23f7790c%22%7D%2C%7B%22d_gradient%22%3A%221%22%2C%22d_color_1%22%3A%22%23f7790c%22%2C%22d_color_2%22%3A%22%23191f6c%22%7D%2C%7B%22d_gradient%22%3A%22%22%2C%22d_color_1%22%3A%22%23ffffff%22%2C%22d_color_2%22%3A%22%23f8f9fa%22%7D%5D” t_flip_h=”true” pix_visibility=”1″ css=”.vc_custom_1679650112262{padding-bottom: 20px !important;background-color: #fafcff !important;}” t_custom_height=”500px”][vc_row full_width=”stretch_row” t_flip_h=”true” pix_particles_check=”” css=”.vc_custom_1679648019153{margin-top: -150px !important;padding-top: 80px !important;background-color: #fafcff !important;}”][vc_column]

Clair360\u2122<\/span><\/span><\/h5><\/div>

Product Suite Modules<\/h3><\/div><\/div>
Range of products to meet Healthcare industry Analytical, Metrics and Reporting needs.<\/div><\/div><\/div>
Member360<\/a><\/div>
Coding360<\/a><\/div>
Provider360<\/a><\/div>
RAF360<\/a><\/div>
Quality360<\/a><\/div>
Claims360<\/a><\/div>
Payment360<\/a><\/div>
Submission360<\/a><\/div>
Tasks360<\/a><\/div><\/div><\/div><\/div>
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Member360 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

This member-centric module provides 360\u00b0 insight about your members. It compares current demographic and health status to historical statuses and predicts future status. This results in better membership management by closing gaps in the member\u2019s healthcare and quality measures.<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1577614452659{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]<\/div>

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Coding360 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

This module includes a clinical coding tool that has automated NLP-based charts and data review processes which allows organizations to capture various data like diagnosis codes, procedure codes, quality measures, and much more.<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1577614452659{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]<\/div>

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Provider360 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

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\u2019s gaps and issues and how to resolve it.<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1577614452659{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]<\/div>

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RAF360 <\/span><\/span> <\/h2><\/div>[vc_column_text css=”.vc_custom_1685604621900{margin-bottom: 10px !important;}”]\r\n

The heart of the Risk Adjustment program is the RAF360. The focus is on membership RAF: Defining the current RAF, past RAF, future RAF \u2013 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.<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1685604499946{margin-top: 0px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][vc_row_inner][vc_column_inner width=”1\/4″ css=”.vc_custom_1685601532729{margin-right: 0px !important;}”]

Learn More<\/span><\/a><\/div>[\/vc_column_inner][vc_column_inner width=”1\/4″]
FAQ<\/span><\/a><\/div>[\/vc_column_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][\/vc_row_inner]<\/div>
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Quality360 <\/span><\/span> <\/h2><\/div>[vc_column_text css=”.vc_custom_1685605334110{margin-bottom: 10px !important;}”]\r\n

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.<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1685605406875{margin-top: 0px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”][vc_row_inner][vc_column_inner width=”1\/4″ css=”.vc_custom_1685601532729{margin-right: 0px !important;}”]

Learn More<\/span><\/a><\/div>[\/vc_column_inner][vc_column_inner width=”1\/4″]
FAQ<\/span><\/a><\/div>[\/vc_column_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][vc_column_inner width=”1\/4″][\/vc_column_inner][\/vc_row_inner]<\/div>
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Claims360 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

This module provides a 360\u00b0 view of claims. It allows users to slice and dice the complex claims data to provide answers to business questions like utilization, costs, and statistics easily. In addition, it utilizes claims data to get an accurate PMPM and to identify possible ways to reduce it<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1577614452659{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]<\/div>

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Payment360 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

This module focuses on cash flow and the RA payment models and processes to help organizations identify what likely payment when they should receive payment, and identify any gaps in payments.<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1577614452659{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]<\/div>

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Submission360 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

This module provides a complete picture of submissions. It reconciles what has been submitted with what should have been submitted. Also, it finds the gaps, rejections, and other issues in the submission process then it creates files to submit missing data.<\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1577614452659{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]<\/div>

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Tasks360 <\/span><\/span> <\/h2><\/div>[vc_column_text]\r\n

This built in fully integrated task management module enhanced managing, communication, tracking and reporting all projects and tasks related to programs and process within the Clair360\u2122. It provides an easy and interactive way to create, assign and track tasks to team members and providers.<\/span><\/p>\r\n[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_separator color=”custom” el_width=”90″ animation=”fade-in-up” accent_color=”rgba(255,255,255,0.1)” css=”.vc_custom_1577614452659{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]<\/div><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” css=”.vc_custom_1679648477468{margin-bottom: 0px !important;background-color: #fafcff !important;}”][vc_row pix_particles_check=””][vc_column][vc_separator color=”custom” style=”double” accent_color=”#eeeff8″ css=”.vc_custom_1679650273016{margin-bottom: 60px !important;}”][\/vc_column][\/vc_row][vc_row pix_particles_check=”” el_id=”DownloadBrochure”][vc_column width=”1\/2″]

ROI <\/span><\/span> calculator <\/span><\/span> for <\/span><\/span> Clair360\u2122 <\/span><\/span> <\/h4><\/div>[vc_raw_html]JTVCQ1BfQ0FMQ1VMQVRFRF9GSUVMRFMlMjBpZCUzRCUyMjYlMjIlNUQ=[\/vc_raw_html][\/vc_column][vc_column width=”1\/2″ responsive_css=”{“pix_res_sm_ml“:“0px“,“pix_res_md_ml“:“0px“}” css=”.vc_custom_1679650003482{margin-left: 30px !important;}”]
Key highlights<\/h6><\/div><\/div><\/div>
<\/i>Guaranteed at least 2x ROI within 12 months of Implementation<\/span><\/div>
<\/i> Closing gaps in Clinical conditions (Increasing RAF)<\/span><\/div>
<\/i> Increased Quality Stars Ratings<\/span><\/div>
<\/i> 20% decrease in cost in risk management programs<\/span><\/div>
<\/i> Hundreds of thousand savings in the technology costs<\/span><\/div><\/div><\/div>
Download Brochure<\/span> <\/i><\/span><\/div>[\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” css=”.vc_custom_1611861877496{padding-bottom: 10px !important;background-color: #fafcff !important;}” el_class=”darkblue_bg dw_top”][vc_row pix_particles_check=”” el_id=”RequestDemo”][vc_column]
\"Particle<\/div><\/div><\/div><\/div>

Request a Demo<\/h4><\/div><\/div><\/div>\n
\n

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    <\/div>\n<\/form>\n<\/div>\n<\/div><\/div>[\/vc_column][\/vc_row][\/vc_section]<\/section>","protected":false},"excerpt":{"rendered":"[vc_section full_width=”stretch_row” pix_over_visibility=”” el_id=”highlight_section”][vc_row full_width=”stretch_row” bottom_divider_select=”dynamic” bottom_moving_divider_color=”%5B%7B%22d_gradient%22%3A%221%22%2C%22d_color_1%22%3A%22%23191f6c%22%2C%22d_color_2%22%3A%22%23f7790c%22%7D%2C%7B%22d_gradient%22%3A%221%22%2C%22d_color_1%22%3A%22%23f7790c%22%2C%22d_color_2%22%3A%22%23191f6c%22%7D%2C%7B%22d_gradient%22%3A%221%22%2C%22d_color_1%22%3A%22%23ffffff%22%2C%22d_color_2%22%3A%22%23ffffff%22%7D%5D” b_divider_in_front=”true” pix_particles_check=”” pix_overlay_color=”gradient-primary” css=”.vc_custom_1679384263800{padding-top: 40px !important;padding-bottom: 80px !important;}” pix_overlay_opacity=”0.85″ fade_in_intro=”13480″][vc_column parallax=”content-moving-fade” parallax_speed_bg=”40″ width=”1\/2″ css=”.vc_custom_1577165868853{padding-top: 100px !important;padding-bottom: 100px !important;}”][\/vc_column][vc_column width=”1\/2″ pix_particles_check=”1″ pix_particles=”%5B%7B%22image%22%3A%22140%22%2C%22h_position%22%3A%22left%22%2C%22horizontal%22%3A%2215%25%22%2C%22v_position%22%3A%22top%22%2C%22vertical%22%3A%225%25%22%2C%22depth%22%3A%220.2%22%2C%22xaxis%22%3A%22100%22%2C%22yaxis%22%3A%220%22%2C%22rotation_speed%22%3A%22300%22%2C%22img_width%22%3A%2275%25%22%2C%22animation%22%3A%22fade-in%22%2C%22delay%22%3A%22500%22%2C%22pix_infinite_animation%22%3A%22pix-rotating-inverse%22%2C%22pix_infinite_speed%22%3A%22pix-duration-slow%22%7D%5D” responsive_css=”{“pix_res_sm_mb“:“60px“}”][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” responsive_css=”{“pix_res_sm_pt“:“40px“,“pix_res_sm_pb“:“40px“}” css=”.vc_custom_1612360367114{padding-top: 80px !important;padding-bottom: 80px !important;background-color: #ffffff !important;}”][vc_row full_width=”stretch_row”…","protected":false},"author":1,"featured_media":0,"parent":13800,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-3058","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nClair360 Software, Medicare Risk Adjustment Software - 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