Key Strategic Partnerships to Enhance Our Population Health Management Solutions
ZeOmega partners with a number of organizations to enhance its population health management solutions and provide clients with best-in-class capabilities. Some of the companies we have integrated with to date include:
InterQual® solutions, from Change Healthcare, allow organizations to reduce over- and underutilization for optimal care, align with other stakeholders, support physician and care manager performance management, and increase defensibility of decisions to lower risk. The comprehensive InterQual portfolio includes evidence-based clinical content for levels of care, imaging, procedures, molecular diagnostics, DME, behavioral health, retrospective monitoring and coordinated care as well as clinical evidence summaries.
InterQual Connect™ is a flexible cloud-based solution integrated into the Jiva platform that combines InterQual content and authorization connectivity. It promotes transparency between payers and providers by establishing and sharing a common language of evidence based criteria, and reduces the administrative burden of the prior authorization process by enabling the automation of all authorization requests, even those that require a medical review.
Emmi extends the reach of health care teams by enabling providers to communicate with patients throughout the continuum of care. Their easy-to-use, personalized and dynamic multimedia programs inspire people to take action, motivate healthy behaviors and build trusting ongoing relationships. Emmi’s EmmiEngage product has been integrated into the Jiva workflow, allowing care managers to scalably engage patients in their health. With Emmi as part of the team, clinicians can provide guidance, track progress and gather insights beyond the clinical setting to improve outcomes, enhance quality and increase satisfaction. Emmi’s content has been pre-certified by NCQA for PCMH criteria.
Healthwise provides care managers and physicians with a powerful resource that engages people to take an active role in their health. Healthwise member-friendly health education is fully integrated with Jiva. The integration allows health plans to access Healthwise® Knowledgebase, Healthwise® Care Support Pages, Healthwise® Ix® Patient Instructions, Healthwise® Ix® HealthMastery® Campaigns, and Healthwise® Ix® Conversations from within Jiva-streamlining and automating the delivery of this important content to its members, physicians, and the care community. Everything care managers and physicians need to support the people they serve.
Integra Connect’s partnership with ZeOmega enhances its ability to deliver a comprehensive, integrated suite of cloud-based technologies and services that enable specialty groups to optimize clinical and financial performance as reimbursement shifts to value-based models. Connected by the IntegraCloud platform, the company’s core applications span population health including care management; advanced analytics; medication therapy management; specialty-specific EHR; practice management; and revenue cycle management. All are designed to help specialty practices transform operationally in adherence with complex regulations, including MACRA program requirements.
Lumeris serves as a long-term operating partner for organizations that are committed to the transition from volume- to value-based care and delivering extraordinary clinical and financial outcomes. Lumeris enables clients to profitably achieve greater results in value-based care arrangements through proven playbooks based on collaboration, transparent data and innovative engagement methodologies. Lumeris offers comprehensive services for managing all types of populations, including launching new Medicare Advantage Health Plans, Commercial and Government Health Plan Optimization, and Multi-Payer, Multi-Population Health Services Organizations (PHSOs) for provider organizations. Currently, Lumeris is engaged with health systems, provider alliances and payers representing tens of millions of lives moving to value-based care. Lumeris has nearly 800 employees.
An industry recognized leader, Lumeris was awarded 2017 Best in KLAS for value-based care managed services for helping clients deliver improved clinical and financial outcomes. This was the second year we received this distinguished award. For the past six years, Essence Healthcare, Lumeris’ premier client with more than 63,000 members in Missouri and Illinois, has received 4.5 to 5 Stars from the Centers for Medicare and Medicaid Services. We enjoy working with all of our clients, delivering these same results, and aligning our proven multi-payer, multi-population model with their value-based care vision.
MCG Health, part of the Hearst Health network, helps health care organizations implement informed care strategies that proactively and efficiently move patients toward health. With powerful elements of the MCG Cite solution fully integrated into ZeOmega’s Jiva, MCG’s transparent assessment of the latest research and scholarly articles – along with data analysis – gives payers the vetted information they need to feel confident in their care management decisions. For this reason, eight of the ten largest U.S. health plans use MCG evidence-based guidelines and software.
Visiant provides end-to-end scalable solutions that deliver cost-effective Medicare Advantage services, with secure and compliant operations, to deliver best-in-class outcomes, built on the market-leading ikaSystems technology platform. Visiant, the 360 Medicare solution, also brings integrated capabilities to help customers improve their risk score accuracy and quality measures. Our partnership with ZeOmega enables Visiant to deliver member data across the care continuum to streamline workflows and improve operational efficiencies. We also leverage Jiva to seamlessly integrate with electronic medical record systems.
Visiant offers tailored solutions, as a delegated service, to help current health plans achieve exceptional outcomes and prospective insurers to enter and thrive in the market.
Services offered include:
- Administrative Services
- Portfolio Management
- Compliance with CMS Guidelines
- Quality and Risk Adjustment Services
- Pharmacy Oversight and Management
Vivify Health provides a remote care platform utilizing consumer mobile devices and a myriad of services and solutions to provide comprehensive patient engagement. ZeOmega has partnered with Vivify to integrate Jiva with Vivify providing a bidirectional integration between Jiva’s care coordination capabilities and Vivify’s mobile platform. This integration allows the exchange of care coordination data such as assessments and virtual visits, alerts, educational content, and other information between platforms extending Jiva’s Care Coordination and content to the patient at home or anywhere outside the clinical environment.
Wolters Kluwer Health
Wolters Kluwer Health helps healthcare organizations improve clinical effectiveness by providing solutions that help balance the quality / cost equation. Through our integration with the Jiva platform, our decision support solutions provide insights within the healthcare workflow to help control costs, maximize revenue, adjudicate claims, and enhance market research. Medi-Span® powers pharmacy systems with drug data for therapeutic classification and clinical screening. Medi-Span Price Rx® provides timely drug pricing analysis. Lexicomp® and Facts & Comparisons® help professionals make safe medication decisions with point-of-care drug references. UpToDate® offers evidence-based treatment recommendations. Together, these solutions provide consistent healthcare guidance to support business decisions and enhance patient care.