{"id":8,"date":"2019-12-21T14:45:51","date_gmt":"2019-12-21T14:45:51","guid":{"rendered":"https:\/\/essentials.pixfort.com\/original\/?page_id=8"},"modified":"2023-05-26T10:52:57","modified_gmt":"2023-05-26T10:52:57","slug":"home","status":"publish","type":"page","link":"https:\/\/thehealthcare360.com\/","title":{"rendered":"Home"},"content":{"rendered":"
[vc_section pix_over_visibility=””][vc_row full_width=”stretch_row” full_height=”yes” columns_placement=”top” pix_bg_grdient=”bg-gradient-primary” fade_in_opacity=”pix-opacity-4″ 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_1679039604073{padding-top: 40px !important;padding-bottom: 40px !important;}” pix_overlay_opacity=”0.85″ fade_in_intro=”13850″][vc_column parallax=”content-moving-fade” parallax_speed_bg=”40″ css=”.vc_custom_1577165868853{padding-top: 100px !important;padding-bottom: 100px !important;}”]

Improving <\/span><\/span> Healthcare <\/span><\/span> Outcomes <\/span><\/span> Through\r\nAI-Driven <\/span><\/span> Solutions <\/span><\/span> <\/h1><\/div><\/div>

<\/span><\/p><\/div><\/div>[vc_row_inner][vc_column_inner width=”1\/3″]

50% <\/span><\/span> <\/h3><\/div>

Expected time and cost reduction in coding and chart retrieval as a result of artificial intelligence (ai) and machine learning.<\/span><\/p><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]

80% <\/span><\/span> <\/h3><\/div>

Expected increase in efficiency and effectiveness of your risk adjustment program management.<\/span><\/p><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]

70% <\/span><\/span> <\/h3><\/div>

Expected provider engagement improvement.<\/span><\/p><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][vc_row_inner css=”.vc_custom_1683294068731{margin-top: 10px !important;padding-top: 16px !important;padding-right: 16px !important;padding-left: 16px !important;background-color: #ffffff !important;border-radius: 5px !important;}”][vc_column_inner width=”1\/5″ content_align=”text-center”]

\"RISE<\/a><\/div>[\/vc_column_inner][vc_column_inner width=”1\/2″][vc_column_text css=”.vc_custom_1683701188662{margin-top: 2px !important;margin-bottom: 20px !important;}”]\r\n

We are participating in RISE South WEST 2023<\/strong><\/p>\r\n[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/4″ content_align=”text-right”]Schedule a Meeting<\/span><\/a>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” css=”.vc_custom_1679045394133{padding-top: 40px !important;padding-bottom: 0px !important;background-color: #ffffff !important;}”][vc_row full_width=”stretch_row” pix_particles_check=”” css=”.vc_custom_1679039785460{margin-top: 0px !important;padding-bottom: 0px !important;background-color: #ffffff !important;}”][vc_column content_align=”text-center”]

Simplifying <\/span><\/span> healthcare <\/span><\/span> with <\/span><\/span> technology <\/span><\/span> <\/h2><\/div>[vc_column_text]TheHealthcare360\u2122 is the first company to dramatically lower the barriers of entry and the operating costs of a value-based operational model for Health Plans<\/strong>, IPA\u2019s\/Physician Groups, and Health Systems.[\/vc_column_text][\/vc_column][\/vc_row][vc_row pix_particles_check=”” css=”.vc_custom_1679043037936{margin-right: 15px !important;margin-bottom: 30px !important;margin-left: 15px !important;padding-bottom: 20px !important;background-color: #eeeff8 !important;border-radius: 4px !important;}”][vc_column][vc_row_inner][vc_column_inner]
Our <\/span><\/span> Solutions <\/span><\/span> plugs <\/span><\/span> into <\/span><\/span> the <\/span><\/span> existing <\/span><\/span> IT <\/span><\/span> infrastructure <\/span><\/span> for <\/span><\/span> Payers <\/span><\/span> (MA, <\/span><\/span> ACA, <\/span><\/span> Medicaid), <\/span><\/span> IPA's\/Provider <\/span><\/span> Groups, <\/span><\/span> ACO's <\/span><\/span> and <\/span><\/span> Value <\/span><\/span> Based <\/span><\/span> Organisations <\/span><\/span> <\/h6><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][vc_row_inner content_placement=”middle” gap=”30″ css=”.vc_custom_1679044942141{margin-right: 50px !important;margin-left: 50px !important;}”][vc_column_inner width=”1\/3″ content_align=”text-center”]
\"Payers<\/div>
Payers (MA, ACA, Medicaid)<\/h6>
<\/div><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″ content_align=”text-center”]
\"Independent<\/div>
Independent Practice Associations<\/h6>
<\/div><\/div><\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″ content_align=”text-center”]
\"ACO's<\/div>
ACO's and Value Based Organisations<\/h6>
<\/div><\/div><\/div>[\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row pix_particles_check=””][vc_column width=”1\/3″]
\"Value
Value based revenue is 100% dependent on accurate RAF and quality scores.<\/h5><\/div><\/div><\/div>[\/vc_column][vc_column width=”1\/3″]
\"80%
80% of accurate RAF and quality related revenue is the movement and management of continuously overlapping<\/h5><\/div><\/div><\/div>[\/vc_column][vc_column width=”1\/3″]
\"20%
20% of accurate RAF and quality related revenues is identifying, implementing and managing cost effective programs to capture what doesn't appear<\/h5><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row pix_particles_check=”” css=”.vc_custom_1679294752682{margin-top: 40px !important;padding-top: 20px !important;padding-right: 20px !important;padding-bottom: 20px !important;padding-left: 20px !important;border-radius: 1px !important;}”][vc_column]
Few <\/span><\/span> Health <\/span><\/span> plans <\/span><\/span> and <\/span><\/span> IPAs <\/span><\/span> can <\/span><\/span> afford <\/span><\/span> the <\/span><\/span> in-house <\/span><\/span> expertise <\/span><\/span> on <\/span><\/span> a <\/span><\/span> full-time <\/span><\/span> basis <\/span><\/span> to <\/span><\/span> understand <\/span><\/span> and <\/span><\/span> manage <\/span><\/span> the <\/span><\/span> data <\/span><\/span> and <\/span><\/span> programs <\/span><\/span> consistently. <\/span><\/span> <\/h6><\/div><\/div>
Complications include:<\/h6><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row pix_particles_check=””][vc_column width=”1\/3″]
\"Annually<\/div>
Annually changing CMS rules, which has to be reviewed, interpreted, translated, monitored<\/h6>
<\/div><\/div>[\/vc_column][vc_column width=”1\/3″]
\"Need<\/div>
Need qualified and affordable IT, technical resources<\/h6>
<\/div><\/div>[\/vc_column][vc_column width=”1\/3″]
\"Need<\/div>
Need qualified SME's to manage the program consistently<\/h6>
<\/div><\/div>[\/vc_column][\/vc_row][vc_row pix_particles_check=”” css=”.vc_custom_1679663742235{margin-top: 40px !important;margin-bottom: 40px !important;}”][vc_column][vc_separator color=”custom” accent_color=”#d8d9e9″ css=”.vc_custom_1679309340967{margin-top: 20px !important;margin-bottom: 40px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]
Most <\/span><\/span> importantly, <\/span><\/span> accurate <\/span><\/span> financial <\/span><\/span> and <\/span><\/span> quality <\/span><\/span> related <\/span><\/span> information <\/span><\/span> is <\/span><\/span> essential <\/span><\/span> in <\/span><\/span> guiding <\/span><\/span> the <\/span><\/span> Healthcare <\/span><\/span> organization <\/span><\/span> where <\/span><\/span> to <\/span><\/span> focus <\/span><\/span> limited <\/span><\/span> resources <\/span><\/span> for <\/span><\/span> the <\/span><\/span> best <\/span><\/span> patient\/member <\/span><\/span> care <\/span><\/span> possible. <\/span><\/span> <\/h6><\/div><\/div>
Opportunities exist if you can:<\/h6><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row pix_particles_check=”” css=”.vc_custom_1679309376199{margin-bottom: 40px !important;}”][vc_column width=”1\/3″]
\"Easily<\/div>
Easily and consistently identify areas of high and unnecessary utilization to be used for provider education and cost management<\/h6>
<\/div><\/div>[\/vc_column][vc_column width=”1\/3″]
\"Quickly<\/div>
Quickly and consistently stratify membership classifications and stratify risk appropriately for program development and monitoring<\/h6>
<\/div><\/div>[\/vc_column][vc_column width=”1\/3″]
\"Create<\/div>
Create a reliable shared view of data between the health plan and providers<\/h6>
<\/div><\/div>[\/vc_column][\/vc_row][vc_row pix_particles_check=””][vc_column][vc_separator color=”custom” accent_color=”#d8d9e9″ css=”.vc_custom_1679294909525{margin-top: 20px !important;margin-bottom: 20px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]

Technology <\/span><\/span> is <\/span><\/span> important <\/span><\/span> for <\/span><\/span> better <\/span><\/span> Visibility, <\/span><\/span> more <\/span><\/span> Accessibility, <\/span><\/span> and <\/span><\/span> improved <\/span><\/span> Efficiencies. <\/span><\/span> <\/h2><\/div>
<\/i><\/div><\/div><\/a>[\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” top_divider_select=”13″ t_has_animation=”true” t_2_color=”#eeeff8″ t_3_color=”#d8d9e9″ t_divider_in_front=”true” t_flip_h=”true” css=”.vc_custom_1679307459406{padding-bottom: 10px !important;background-color: #fafcff !important;}” t_custom_height=”80px”][vc_row full_width=”stretch_row” pix_particles_check=”” css=”.vc_custom_1679307272303{background-color: #fafcff !important;}” el_id=”clair360″][vc_column]

Introducing ”Better Patient care<\/span> + Increased Revenue<\/span> + Optimized Costs<\/span>“<\/strong><\/h4>\n<\/div><\/div>[\/vc_column][\/vc_row][vc_row full_width=”stretch_row” pix_particles_check=”” css=”.vc_custom_1679296718605{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 20px !important;padding-bottom: 60px !important;background-color: #fafcff !important;}”][vc_column width=”1\/2″][vc_single_image image=”13825″ img_size=””][vc_column_text css=”.vc_custom_1679295663861{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;}”]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.[\/vc_column_text]
<\/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>
Explore More<\/span> <\/i><\/a><\/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_mt“:“30px“}” css=”.vc_custom_1679296533089{padding-bottom: 30px !important;}”]
\"Better<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][\/vc_section][vc_section full_width=”stretch_row” pix_over_visibility=”” el_class=”darkblue_bg dw_top” css=”.vc_custom_1679307526887{background-color: #fafcff !important;}”][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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    \n\n\n\n\n\n\n\n\n<\/div>\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 pix_over_visibility=””][vc_row full_width=”stretch_row” full_height=”yes” columns_placement=”top” pix_bg_grdient=”bg-gradient-primary” fade_in_opacity=”pix-opacity-4″ 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_1679039604073{padding-top: 40px !important;padding-bottom: 40px !important;}” pix_overlay_opacity=”0.85″ fade_in_intro=”13850″][vc_column parallax=”content-moving-fade” parallax_speed_bg=”40″ css=”.vc_custom_1577165868853{padding-top: 100px !important;padding-bottom: 100px !important;}”][vc_row_inner][vc_column_inner width=”1\/3″][\/vc_column_inner][vc_column_inner width=”1\/3″][\/vc_column_inner][vc_column_inner width=”1\/3″][\/vc_column_inner][\/vc_row_inner][vc_row_inner css=”.vc_custom_1683294068731{margin-top: 10px !important;padding-top: 16px !important;padding-right: 16px !important;padding-left: 16px !important;background-color: #ffffff !important;border-radius:…","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nRAF Score - Medicare Risk Adjustment Software Tool - TheHealthcare360<\/title>\n<meta name=\"description\" content=\"Continuous healthcare quality improvement is here. TheHealthcare360\u2122(raf score, risk adjustment software tool) is the company to dramatically lower the barriers of entry and the operating costs of a value-based operational model for health plans, providers, and hospital systems.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/thehealthcare360.com\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"RAF Score - Medicare Risk Adjustment Software Tool - TheHealthcare360\" \/>\n<meta property=\"og:description\" content=\"Continuous healthcare quality improvement is here. TheHealthcare360\u2122(raf score, risk adjustment software tool) is the company to dramatically lower the barriers of entry and the operating costs of a value-based operational model for health plans, providers, and hospital systems.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/thehealthcare360.com\/\" \/>\n<meta property=\"og:site_name\" content=\"TheHealthcare360\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/TheHealthcare360\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-26T10:52:57+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@THealthcare360\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/thehealthcare360.com\\\/\",\"url\":\"https:\\\/\\\/thehealthcare360.com\\\/\",\"name\":\"RAF Score - Medicare Risk Adjustment Software Tool - TheHealthcare360\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/thehealthcare360.com\\\/#website\"},\"datePublished\":\"2019-12-21T14:45:51+00:00\",\"dateModified\":\"2023-05-26T10:52:57+00:00\",\"description\":\"Continuous healthcare quality improvement is here. 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