Redefine patient care, Increase revenue, Optimize costs with TheHealthcare360

The Risk Adjustment 360 CRM & Analytics Tool

Our advanced & unique, HIPAA compliant tool allows you to manage, analyze, plan, capture, track, and report all aspects of your RA and Risk Sharing programs utilizing several integrated modules in one interactive, user-friendly, role-based platform.

Consulting 360

  • Our team of RA 360 experts have housed their expertise over many years with numerous health plans and provider groups. They are ready to partner with you to provide the expertise to help run a successful and profitable RA and Risk Sharing programs.
  • The team helps with creating the operational playbook and then game plans for all aspects of the RA and Risk Sharing programs
  • The team provides guidance and offers unique solutions for the issues that healthcare organizations face

SWAT 360

  • Teams of BI & IT professionals bring their rich expertise in Healthcare IT to address all your IT needs
  • Our teams support your healthcare IT projects and processes to provide the best quality. Examples include:
    • Structure and design
    • Automation and enhancements
    • Data and files processing
    • Turnkey and in-house projects
    • Reporting and analytics
  • HIPAA privacy and security certified resources

    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.

    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.