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Deployment reaffirms ZeOmegas track record of successful implementations FRISCO, Texas February 1, 2012 ZeOmega Inc., the leading provider of software solutions for collaborative care management, and Blue Cross Of Idaho announced today that Blue Cross of Idaho has successfully deployed the Jiva software solution by ZeOmega as part of its integrated care management strategy to improve the overall health of its more than 600,000 members. The implementation, which took approximately nine months, was completed in December 2011. "We are pleased with the ZeOmega team's professionalism, commitment and response during this fast-paced implementation. The implementation focused on integrating our care management workflows, including behavioral management and enabling seamless data exchange with claims and decision support tools." said Lance Hatfield, CIO for Blue Cross of Idaho. "We now have a comprehensive view of our members' health profile including demographics, medical history, claims, diagnoses, and privacy preferences," according to Bruce Croffy, MD, Senior VP and Chief Medical Officer for Blue Cross of Idaho. "We can now collaborate seamlessly with our members and providers ultimately enabling us to deliver on our vision of improved healthcare for our members." "We are very pleased that Blue Cross of Idaho is now using Jiva to deliver population healthcare management services to its members." said Nandini Rangaswamy, Executive Vice President of ZeOmega. "Given the tight deadlines and the complexity of the implementation, this success would not have been possible without the preparation and commitment of the Blue Cross of Idaho team to this project. We are confident that Blue Cross of Idaho will see greater efficiencies in the coming weeks." Dr. Croffy added, "We are the first of several Blues plans to go live with Jiva, so this is very exciting for us. We know there are other Blues plans close behind us, and we're confident they will have a similar implementation experience and see immediate results as we have at Blue Cross of Idaho." About ZeOmega ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. For more information, visit www.ZeOmega.com or call 214-618-9880. About Blue Cross of Idaho Blue Cross of Idaho, a not-for-profit mutual insurance company, is a leader in delivering innovative health insurance products, services and information to more than 600,000 members. For 65 years, the company has served its customers by offering health insurance at a competitive price and has served the people of Idaho through support of community organizations, programs and events that promote good health. Blue Cross of Idaho is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit www.bcidaho.com Three-part white paper to help guide ACOs to make the right IT infrastructure decisions ZeOmega Inc. the leading provider of software solutions for collaborative care management, today announced the release of The ACO's Guide to Investing in IT, a three-part ACO white paper series, at the 2nd Annual ACOs Summit in Austin, Tex. The series examines accountable care requirements and discusses the IT capabilities available to ACOs in meeting such requirements. The first part of this series focuses on the implications of the final ACO rule and the possible challenges faced by ACOs. Part two dives into the possibilities of how ACOs can meet requirements, such as promotion of evidence based medicine, promotion of patient engagement, reporting on cost and quality metrics and Care Coordination. The series concludes with a discussion on IT capabilities, risks and factors that help an ACO select the right IT infrastructure. "With the release of the much awaited final rule on ACOs, healthcare providers are moving rapidly to implement the processes and systems needed to meet the requirements of accountable care," said Nandini Rangaswamy, Executive Vice President for ZeOmega, and author of the paper. "ACOs will take on a significant amount of risk and IT systems can help ACOs to manage that risk. From our conversations with healthcare providers, it is clear that many of these organizations will benefit from a better understanding of the technological capabilities that can help them meet the requirements of accountable care. This paper will walk the reader through a number of scenarios and technology capabilities, which we hope will be beneficial when conducting IT evaluations and making decisions for their ACO." The first installment of this complimentary white paper series is available for download at www.ZeOmega.com. Part two will be available on January 30, 2012, and part three will be released on February 6, 2012. About ZeOmega ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. For more information, visit www.ZeOmega.com or call 214-618-9880. Industry expert Judith Frampton to lead four-part series to demonstrate strategies for using technology to improve member population health ZeOmega Inc. the premier provider of software solutions for collaborative care management, today announced that it is hosting a four-part Webinar series for healthcare payers, focused on member engagement. The series – Member Engagement: Using Technology to Partner With Your Members for Better Outcomes – will feature Judith Frampton, RN, MBA, a recognized industry expert and author with extensive experience in managed care. "As healthcare heads toward population health management, payers are realizing that the success of their initiatives in improving the overall health of their members depends to a great extent on the effectiveness of their member engagement programs" said Nandini Rangaswamy, CFO and executive vice president for ZeOmega. "In order to deploy an effective member engagement program, plans must embrace the right strategies and tools that are reflective of their population's needs and their organization's goals. This webinar series will explore the nuances of member engagement, and discuss how IT systems fit into the equation." Ms. Rangaswamy continued, "We're very excited to be working with Judith Frampton on this series. She has an amazing track record of leading population health management programs. As a highly sought after speaker and consultant, Judith brings a wealth of knowledge and experience in member engagement." The first webinar will be held on Thursday, December 8, 2011 at 2pm EDT. Registrations for this session can be completed at http://bit.ly/rXsNm7. In the first session, attendees will learn why and how member engagement contributes to success, why it's important to let go of some firmly held beliefs, and the relationships between risk, resources and ROI. Attendees will also see how to right-size outreach efforts and where IT systems fit in. Additional sessions will discuss the total cost of poor employee health, the real drivers of employer health care costs, how to bring surprising value to your clients, real opportunities for personalization and real examples of a complete member engagement package. The final session will cover a current client case study from ZeOmega. About ZeOmega ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. For more information, visit www.ZeOmega.com or call 214-618-9880. About Judith Frampton RN, MBA Named one of the 25 national leaders in disease management by Managed Healthcare Executive for her "commitment, results, innovation, and thought leadership," Judith Frampton delivers strategy and design for topnotch health improvement efforts, including lifestyle, productivity, disease management, preventive health, as well as techniques to better anticipate future health risks across populations. Frampton's cutting-edge programs have been profiled in the Wall Street Journal, New York Times, Boston Globe, on National Public Radio and FastCompany.com. Employing highly personalized communications strategies and innovative approaches to engage individuals and groups, Frampton's outcomes-oriented results are ahead of the curve. She is credited with bringing Harvard Pilgrim Health Care to the position of Number #1 health plan in the US for an unprecedented 8 years in a row. Frampton brings more than 25 years of experience in the health care industry as a provider of direct patient care, as a leader of clinical services in hospitals, clinics, group practices, and as an executive in managed care. She is a frequent speaker at clinical and industry conferences and the author of works in both health care and management. Metroplex Technology Business Council Honors ZeOmega in Annual Fast Tech Award Listing ZeOmega Inc. announced today that it was named as one of the fastest growing technology companies in North Texas. ZeOmega was named in the Fast Tech Award listing on Friday, August 26 at the Metroplex Technology Business Council’s Tech Titans Awards Gala. The award presentation – sponsored by TravisWolff LLP, Comerica Bank and the Dallas Business Journal – revealed the list of the 35 companies as well as their ranking. Founded in 2001, ZeOmega is the leading provider of software solutions for collaborative care management. Jiva, ZeOmega's web-based integrated care management platform, transforms traditional episodic-based care management into proactive and collaborative population healthcare management through electronic health record-enabled care plans, point-of-care tools, decision support, analytics and user-configurable workflows for care management. ZeOmega’s solutions serve health plans, integrated delivery networks, and other payer and provider organizations seeking to implement Accountable Care models with the goal of improving the quality of healthcare while reducing the costs. "We are pleased to announce that ZeOmega placed number 24 on the Fast Tech Award list," said Nandini Rangaswamy, Executive Vice President and CFO for ZeOmega. "Our growth is a strong indicator of the market’s recognition of ZeOmega as the leader in care management solutions, and we anticipate continued momentum as we maintain the rapid pace of product innovation that sets Jiva apart from other solutions in the our space." In its 11th year, the Fast Tech Award honors the fastest growing technology, media, telecommunications, life sciences and clean technology companies in the Dallas-Fort Worth Metroplex, based on revenue growth from 2008 to 2010. The ranking is compiled from nominations submitted directly to the Metroplex Technology Business Council (MTBC), and through independent research using publicly available information conducted by the MTBC, TravisWolff LLP and Comerica Bank. "At the MTBC, we keep our finger on the pulse of what is happening in the tech industry in North Texas," said Bill Sproull, president and CEO of the MTBC."These fast growing companies are what make our technology industry so vibrant…keep your eyes on them!" For more information about ZeOmega, visit www.ZeOmega.com.You can also follow ZeOmega on Twitter at @ZeOmega and on Facebook at www.facebook.com/ZeOmega. About ZeOmega ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. For more information, visit www.ZeOmega.com or call 214-618-9880. About Metroplex Technology Business Council The Metroplex Technology Business Council (MTBC) is the innovation hub for North Texas’ technology community and actively connects entrepreneurs, universities and corporations for significant technological advancements. Founded in 1994 as a non-profit organization with approximately 300 members, it includes technology businesses and providers from across the DFW Metroplex. The MTBC is a TITAN, focused on growing Talent, Innovation, Tech Titans, Advocacy and Networking. It promotes the Dallas region as the center of cloud computing and fosters a culture of innovation among major technology companies in the region. Events include monthly Tech Industry Luncheons, Cloud Computing Special Interest Group Events, CEO Forums, Tech Week in Austin and the annual Tech Titans Awards Gala event. More information about MTBC can be found online by visiting www.metroplextbc.org. About TravisWolff TravisWolff is an independent accounting and advisory firm that offers a full range of assurance, tax and consulting services to large, formal business enterprises. TravisWolff specializes in the technology industry as well as construction, energy/oil and gas, financial services, healthcare, manufacturing and distribution, non-profit, professional services, real estate, and restaurant/retail/hospitality. Additionally, TravisWolff provides specialized services in the areas of business valuation, compensation and benefits planning, IT auditing (SAS 70), collaborative divorce consulting, employee benefit plan audits, estate planning, litigation services and forensic accounting. With more than 120 employees, TravisWolff has offices in Dallas and San Antonio and serves clients throughout Texas, along with their subsidiaries, operating companies and manufacturing facilities throughout the country and offshore. As a member of the Moore Stephens association, TravisWolff extends its services to the global market. TravisWolff is a registered firm with the Public Company Accounting Oversight Board (PCAOB). For more information, please visit traviswolff.com. About Comerica Bank’s Technology and Life Sciences Division Comerica Bank’s Technology and Life Sciences Division is one of the nation's leading technology banking practices, offering a wide range of financial services tailored to corporate customers, entrepreneurs and professionals. Veteran bankers provide credit and financial services and products to young, growing, professionally backed technology and life sciences companies, as well as their more mature counterparts. The Technology and Life Sciences Division serves all major U.S. technology centers from offices coast-to-coast and its headquarters in Palo Alto, Calif. Comerica Bank is a subsidiary of Comerica Incorporated (NYSE: CMA), a financial services company that is among the 20 largest U.S. banking companies, with $57 billion in assets at March 31, 2010. For more information, visit www.comerica.com.
Blue Cross and Blue Shield of Alabama Selects ZeOmega to Provide Integrated Care Management Solution
Largest provider of healthcare benefits in Alabama implementing Jiva, ZeOmega's care management software. ZeOmega Inc., the leading provider of software solutions for collaborative care management, announced today that Blue Cross and Blue Shield of Alabama has selected ZeOmega's Jiva software solution as part of its integrated care management strategy to improve the overall health of its more than three million members in Alabama and across the country. The implementation of Jiva is currently underway. "Having a platform that can facilitate seamless collaboration between our members, providers, and Blue Cross is critical to the success of our vision to provide quality healthcare to our members," said Dr. Dow Briggs, Vice President, Health Management and Medical Director for Blue Cross and Blue Shield of Alabama. "We selected ZeOmega's Jiva after a careful and thorough evaluation of vendor systems in the industry. ZeOmega's innovative offerings, and reliable implementation and support track records, clearly indicate that they are the right strategic IT partner for our company." Jiva is ZeOmega's web-based integrated care management platform, which transforms traditional episodic-based care management into proactive and collaborative population healthcare management through electronic health record-enabled care plans, point-of-care tools, decision support, and user-configurable workflows for care management. With Jiva, Blue Cross and Blue Shield of Alabama will be able to integrate workflows across the care management continuum, automate workflows intelligently based on their business rules and provide more effective collaboration between Blue Cross and its providers and members. Said Nandini Rangaswamy, Executive Vice President of ZeOmega, "We are pleased to be selected by Blue Cross and Blue Shield of Alabama for their care management platform. We are confident that by deploying Jiva, Blue Cross will not only see greater efficiencies, but also improved accessibility to quality healthcare for their members." About ZeOmega About Blue Cross and Blue Shield of Alabama ZeOmega showcases Jiva Care Analytics at AHIP Institute 2011 ZeOmega LLC, the premier provider of software solutions for collaborative care management today announced that it has successfully launched its care analytics offering. ZeOmega's web-based integrated care management platform, Jiva, now includes rules and algorithms that analyze clinical, demographic, administrative, and financial data to deliver actionable intelligence. Healthcare organizations bearing risk can now use Jiva's care analytics rule packages to achieve specific quality of care, administrative, compliance, financial and regulatory goals. Using this offering, healthcare organizations can define and focus on specific populations based on line of business, geography, clinical condition, demographics or any other criteria to trigger workflows based on the needs of the specific population. The offering will be delivered through the Jiva Sentinel Rules Engine which is also tightly integrated with Jiva's clinical workflow solutions. The care analytics rules run on Jiva’s comprehensive EHR which aggregates information across multiple data sources including lab, pharmacy, EMR, claims and self reported data to create a 360 degree view of the member. The rules cover a wide range of value propositions for clients such as identifying high risk members, engaging members who need the most attention during the care continuum, driving timely interventions to close gaps in care, alerting patients to potential drug-drug interactions, alerting hospitals to a potential CMS Never Event or alerting supervisors to a potential clinical or regulatory compliance issue. "Combining sophisticated care analytics, integrated workflow, and seamless multi-channel communication capabilities in a single platform empowers our clients to engage the right stakeholder at the right time. ZeOmega has also entered into several strategic partnerships with leading content vendors to enhance the value of our integrated collaborative care management solution to our clients." said, Sam Rangaswamy, ZeOmega’s Founder and Chief Executive Officer. "With its integrated care analytics, workflow and communications engine, Jiva is well suited for stakeholder collaboration and to achieve clinical integration across the care continuum. We are well positioned to serve the needs of organizations striving for accountable care excellence as well as meeting mandates for meaningful use." The Jiva platform with its integrated suite of care analytics, workflow and multi channel communications engine is being successfully used at a number of health plans and healthcare organizations. ZeOmega will be showcasing its Care Analytics Solution at America's Health Insurance Plans (AHIP) Institute 2011 at the Moscone West Convention Center in San Francisco, CA on June 15th – 17th. About ZeOmega, LLC ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. Visit www.zeomega.com or call 214-618-9880 for more information. FRISCO, TX May 18, 2011 Jiva, ZeOmega's web-based integrated care management platform, transforms traditional episodic-based care management into proactive and collaborative population healthcare management through electronic health record (EHR) enabled personalized care plans, point of care decision support tools, portals and user-configurable workflows for care management. Visit us in Booth 447, at www.zeomega.com or call 214-618-9880 for more information. FRISCO, TX and Philadelphia, PA April 4, 2011 "AmeriHealth Mercy is committed to providing quality, affordable health care to our members, and our care management platform is a vital part of ensuring the best possible level of care," said Andrea Gelzer, M.D., Corporate Chief Medical Officer of AmeriHealth Mercy. "We performed a thorough evaluation of leading care management vendors spanning several months and found that ZeOmega's Jiva software met all our needs. We are confident that ZeOmega will be the ideal collaborative partner to help us achieve our strategic goals." Jiva, ZeOmega’s web-based integrated care management platform transforms traditional episodic-based care management into proactive and collaborative population healthcare management through electronic health record (EHR) enabled care plans, point of care tools, decision support, and user-configurable workflows for care management. "This is a strategic win for us and we are very pleased to be selected as the strategic IT partner by AmeriHealth Mercy. We believe companies like AmeriHealth Mercy play a key role in ensuring that quality affordable healthcare is available to all members, including the poor and underserved", stated Nandini Rangaswamy, EVP and CFO of ZeOmega. "We are pleased to partner with AmeriHealth Mercy in leveraging Health Information Technology to deliver quality care and build healthy communities." About ZeOmega Founded in 2001, ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. Visit www.zeomega.com or call 214-618-9880 for more information. About the AmeriHealth Mercy Family of Companies The AmeriHealth Mercy Family of Companies is the nation's leader in health care solutions for the underserved. The company is among the largest organization of Medicaid managed care plans and related businesses in the United States, touching the lives of more than 7 million individuals covered by Medicaid, Medicare, SCHIP and other insurance. Headquartered in Philadelphia, AmeriHealth Mercy is a mission-driven company with more than 26 years of experience serving low-income, chronically ill populations. AmeriHealth Mercy’s core products include full-risk HMOs, management contracts, administrative services, pharmacy benefit management, care management services, and behavioral health care management services. For more information, go to www.amerihealthmercy.com Frisco, Texas, March 15, 2011 "We see the deployment of the Maya platform as a critical step in the advancement of Concentra's health care technology systems," says Suzanne Kosub, Concentra Chief Information Officer. "ZeOmega's ability to deliver a high-quality solution strengthens our position as an innovative provider of health care services." "By working with ZeOmega to streamline technology platforms, Concentra gained increased efficiency in communicating with physician reviewers,"says Michael Southwick, AVP of Concentra Physician Review. "The solution provides support to our organization’s ability to deliver cost-effective and efficient service to its clients." "We were pleased to be given the opportunity to work with Concentra," says Nandini Rangaswamy, Executive Vice President of ZeOmega. "As an organization committed to delivering high quality solutions and services, ZeOmega fully understood Concentra's vision in doing the same for its customers. We believe active engagement by the Concentra team during the entire implementation was a key reason for the success of this deployment." Concentra, a national health care company, provides a wide range of health and wellness services to many Fortune 500 companies, as well as acute and primary health care services to the general public. The company operates more than 310 national medical centers and 240 workplace health clinics. About ZeOmega ZeOmega LLC, based in Texas, is the premier provider of software solutions for Integrated Healthcare Management. ZeOmega's suite of health care management software, include Jiva for integrated healthcare management, Maya for Integrated Physician Reviews and Kriya for Integrated Disability and Injury management. ZeOmega's Jiva, is the only platform in the market that enables health care payers to implement enterprise wide collaboration by deploying member services, medical management, appeals and grievance management, care management and portals on a single platform and gives them a holistic view of the member across their enterprise to better manage member satisfaction and costs. ZeOmega’s solutions are deployed at public and private customers covering over 20 million lives. For further information, contact 214-618-9880 or visit: www.zeomega.com About Concentra® Concentra is a leading health care company focused on improving America’s health, one patient at a time. Through its affiliated clinicians, the company provides occupational medicine, urgent care, physical therapy, and wellness services from more than 300 medical centers in 42 states. In addition to these medical center locations, Concentra serves employers by providing a broad range of health advisory services and operating 240 worksite medical facilities. Through this complement of services, Concentra intends to raise the standard of health by putting individuals first, treating them with clinical excellence, and focusing on their ongoing wellness. About Humana Humana Inc., headquartered in Louisville, Kentucky, is one of the nation’s largest publicly traded health and supplemental benefits companies, with approximately 10.2 million medical members, 7.1 million specialty members, and operates more than 300 medical centers and 240 worksite medical facilities. Humana is a full-service benefits and well-being solutions company, offering a wide array of health, pharmacy and supplemental benefit plans for employer groups, government programs and individuals, as well as primary and workplace care through its medical centers and worksite medical facilities. Over its 50-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio. More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of :
FRISCO, Texas and MERIDIAN, Idaho, March 8, 2011 Jiva, ZeOmega's web-based integrated care management platform, transforms traditional episodic-based care management into proactive and collaborative population healthcare management through electronic health record (EHR) enabled care plans, point of care tools, decision support, and user-configurable workflows for care management. "Blue Cross of Idaho went through an exhaustive due diligence process before selecting ZeOmega. We were impressed not only with the breadth and innovation in ZeOmega's offerings, but also their track record of service and delivery."Said Bruce Croffy, M.D., Senior Vice President and Chief Medical Officer, Blue Cross of Idaho. "Having a robust care management platform that addresses both behavioral and medical care management processes is critical to the success of our initiatives and we believe ZeOmega is best positioned to deliver the platform we need in a time frame that works for us." "We are very pleased that Blue Cross of Idaho selected Jiva for deploying their care management solution. Blue Cross of Idaho is well positioned to deliver quality and cost effective healthcare because of its collaborative approach to working with providers", stated Sam Rangaswamy, CEO and President of ZeOmega. "We are proud to partner with Blue Cross of Idaho's in its comprehensive strategy to leverage Health Information Technology to ensure its members receive high quality care and exceptional service." About ZeOmega, LLC Founded in 2001, ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. Visit www.zeomega.com or call 214-618-9880 for more information. About Blue Cross of Idaho Blue Cross of Idaho, a not-for-profit mutual insurance company, is a leader in delivering innovative health insurance products, services and information to more than 650,000 members. For 65 years, the company has served its customers by offering health insurance at a competitive price and has served the people of Idaho through support of community organizations, programs and events that promote good health. Blue Cross of Idaho is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit www.bcidaho.com. Health Plans Can Now Leverage Healthwise Engagement Tools From Within Jiva Jiva, a web-based integrated care management platform, transforms traditional episodic-based care management into proactive and collaborative population healthcare management through electronic health record-enabled (EHR-enabled) care plans, point-of-care tools, decision support, and user-configurable workflows for care management. Health plans using Jiva will have access to a robust resource of Healthwise information and tools, including decision aids and thousands of Knowledgebase topics on chronic conditions, wellness, medical tests, procedures, and medicines; patient instructional health topics covering after-visit, preoperative, and post-operative categories; condition-specific chronic health information pages; and wellness campaigns supported by multimedia tools-all of which provide members with in-depth, action-focused knowledge around teachable moments. "Tight integration with Healthwise's offerings takes us one step closer to revolutionizing population healthcare management by ensuring that members, care managers, providers, and caregivers have access to relevant health educational information at the right time," said Sam Rangaswamy, ZeOmega's Founder and Chief Executive Officer. "Jiva's rules packages for Healthwise content streamline and automate the delivery of such content based on the consumer's channel preferences at the right time. Our clients are able to maximize the impact of such communications, thereby positively influencing member behavior." "If you want more engaged consumers, give them the tools they need to make smarter treatment decisions with their doctors and help them do more for themselves at home," said Don Kemper, Healthwise CEO. "ZeOmega and Healthwise are working together to get people the specific information tools they need at the time they need them." About ZeOmega Founded in 2001, ZeOmega is the premier provider of software solutions for Integrated Healthcare Management. The Jiva suite of care management software, which includes EHRs, personalized care plans, decision support tools, and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. Visit www.zeomega.com or call 214.618.9880 for more information. About Healthwise Healthwise is a nonprofit organization with a mission to help people make better health decisions. More than 110 million times last year, people turned to Healthwise information to learn how to do more for themselves, ask for the care they need, and say "no" to the care that's not right for them. Healthwise partners with health plans, hospitals, disease management companies, and health websites to provide up-to-date, evidence-based information to the people they serve. To learn more about Healthwise, please visit www.healthwise.org or call 1.800.706.9646. Partnership delivers capabilities for more effective Member Engagement ZeOmega’s Jiva, is a web-enabled, rules-driven enterprise platform that integrates workflows across the care continuum and automates workflows intelligently based on client business rules. Jiva enables healthcare organizations to identify, stratify and engage patients and at-risk members. As a communications and content delivery platform, Jiva enables meaningful exchange of contextual information and facilitates collaboration between payers, providers, and members through multichannel communications. “Health plans and care management organizations recognize that an effective population health management program requires effective management of not only members with chronic conditions or high risk members, but also proactive engagement of members with moderate or low risk. Our goal is to provide a tightly integrated solution through Jiva that enables clients to seamlessly deliver these programs to their members based on risk profiles and other client criteria and track the outcomes of these programs as part of the member’s health profile”, said Nandini Rangaswamy Co-Founder and CFO at ZeOmega. “After evaluating several options in the market, we chose the award winning Emmi programs because of the breadth and quality of these programs, the ability to tightly integrate their content within Jiva and their track record of engaging members using interactive media”. ”Through Jiva, care managers can now prescribe Emmi programs to members and track their level of engagement as they navigate through the modules. These programs are valuable tools that our clients can leverage to help members make better choices, whether for informed decision making about surgery or for the management of chronic conditions, including reasons to make lifestyles changes and to improve medication adherence. The web-based, interactive programs break down barriers to understanding by using a visual approach that is sensitive to low health literacy. ” said Dr. David Bendich, Medical Director at ZeOmega. “ZeOmega understands that consumers expect to receive simplified, easy to understand, health content in a convenient manner” said Bob Tavares, VP Care Management at Emmi Solutions. “Just as consumers appreciate the convenience of booking travel or paying bills online, our research suggests they appreciate and may even prefer online coaching programs. By integrating with Jiva, care managers can enroll, moderate and support consumers in their health improvement journey.” About ZeOmega ZeOmega LLC, based in Texas, is a premier provider of software solutions for Collaborative Healthcare Management. ZeOmega's suite of care management software, which includes EHRs, personalized care plans, decision support and portals, transforms traditional episodic-based care management into a proactive and collaborative population healthcare management. ZeOmega's flagship product Jiva is the only platform in the market that enables health care payors to implement enterprise wide collaboration by deploying member services, medical management, appeals and grievance management and care management in a single platform to give them a holistic view of the member across their enterprise to better manage member satisfaction and costs. ZeOmega's solutions are deployed at public and private customers who collectively manage more than 20 million lives. About Emmi Solutions, LLC Emmi Solutions works with healthcare organizations to improve the patient experience by helping people make sense of complicated medical information. The interactive multimedia programs empower patients to make more informed decisions, manage chronic conditions, and understand the importance of medication adherence. Participate in our blog, Engaging the Patient, by visiting http://engagingthepatient.com. RSS feed is available at http://feeds.feedburner.com/EngagingThePatient. Bloomberg News The companies are expanding beyond their core business to help insurers cope with the health overhaul, which threatens to swamp industry computer systems, said Joanne Galimi, a Boston- based analyst for technology researcher Gartner Inc. Bracing for added taxes and regulations, insurers are upgrading long-neglected systems used to enroll members, track care and process claims, Galimi said. They also face a 2013 switch to a new government-mandated system for classifying diseases. As a result, insurer spending on data technology will jump 24 percent by 2013, to $11.3 billion, according to a March report by IDC Health Insights, of Framingham, Massachusetts. "Every health-care payer in the world needs an upgrade," said Stephen Krupa, a founder of Psilos Group Managers LLC, a venture capital fund with $580 million invested in Click4Care and other medical companies. "You or I are talking about getting an iPad. They are still getting off mainframes." Insurers are seeking savings to offset costs from the legislation signed by President Barack Obama in March. The law calls for $240 billion in taxes and Medicare cuts on insurers over the next decade, while adding as many as 32 million customers. It also caps the amount of premiums spent on administrative costs, and bans denials of coverage based on preexisting medical conditions. Potential Acquisitions The technology push may spur acquisitions of a growing crop of software vendors catering to the industry, among them Click4Care Inc. and ZeOmega, Galimi said. UnitedHealth, based in Minnetonka, Minnesota, bought two closely held software companies during the last five weeks to expand its Ingenix data unit. For McKesson, technology sales are likely to be the San Francisco-based company's biggest growth area over the next four years, said Helene Wolk, an analyst at Sanford C. Bernstein & Co. in New York. UnitedHealth, the biggest insurer by sales, rose 92 cents, or 3 percent, to $31.96 in New York Stock Exchange composite trading at 4:01 p.m. McKesson climbed 14 cents to $60.46. Both stocks have gained 6.8 percent in the past 12 months. Insurers lag behind the banking industry, where customers routinely track accounts and make transactions online, Galimi said. That's partly because many of the 1,300 U.S. health plans are nonprofits that haven‟t had the resources to stay current, the analyst said. Consolidation has also left companies with multiple, often redundant systems, she said. Paper Records "So many health insurers have manual processes, workarounds, paper-based records," Galimi said in a telephone interview. "The very big ones are doing better because they have dollars to spend, but they've also had more acquisitions under their belts, so they have more siloed systems." A Gartner survey of 60 insurers in December 2008 found 70 percent had at least two back-end claims systems. Thirty-two percent had four or more. Health plans are also retooling to comply with ICD-10, a federally mandated system for classifying patients' medical conditions. The change will add thousands of disease codes as of Oct. 1, 2013, said Maureen O'Neil, another Gartner analyst. Installing and testing software may take insurers as long as 2.5 years, she said. "Virtually every core application is going to need to be changed," O'Neil said in a telephone interview. Psilos Niche That's created a niche for entrepreneurs like Krupa, the venture capitalist, who sees a market in using information- technology to streamline a U.S. health system that spends $2.5 trillion annually. Krupa's Psilos fund sold ActiveHealth Management and its care-coordination software to Hartford, Connecticut-based Aetna Inc. the third-largest U.S. insurer, for $400 million in 2005. New York-based Psilos has investments in about 18 health-care companies today, among them Click4Care and Burlington, Massachusetts-based HealthEdge Software Inc. vendors that analyze patient data and organize benefits. The companies have seen "unprecedented growth" in sales this year, said Robert Gillette, CEO at both. Click4Care, based in Powell, Ohio, makes software that sifts through prescriptions, electronic medical records, claims data and other information to identify patients at risk of developing a particular illness. The company aims to help insurers flag the diabetic who hasn't been taking insulin or the 40-year-old due for a prostate exam, Gillette said. It‟s developing other programs that cater to patients and caregivers. Texting Grandma "If grandma's had a hip replacement, you'd get a text message reminding you to drive her to physical therapy," Gillette said. "We're working on an iPad application so you can track her care." At some insurers, such "care management" work is still done by employees using "spreadsheets and sticky notes," Gillette said. Click4Care's programs do it automatically. HealthEdge makes software to track policy benefits and provider rates. Gillette declined to give specifics about either business‟s sales or to comment on the potential for being acquired. Health-plan executives "finally understand after quite a few years that they need to transform," Gillette said. "A lot of them are looking at the technological transformation as a way to rally the organization." ZeOmega Growth Closely held ZeOmega sells software used to manage more than 10 million customers' medical care, up from about 7 million two years ago, Chief Financial Officer Nandini Rangaswamy said by telephone. She said the Frisco, Texas-based company expects "triple-digit growth," spurred by an aging U.S. population and rising medical costs. "Health-care reform is the event that set it off, although the underlying factors have been there for years," said Rangaswamy, who founded ZeOmega with its CEO, her husband Sam. "The industry is coming to the conclusion that care management is going to be the critical solution to reduce health-care costs and still maintain quality." She declined to discuss the chance of an acquisition. Insurers may look to buy vendors to streamline their own systems and to improve the data they get from doctors and hospitals, said David Larsen, an analyst at Leerink Swann & Co., a healthcare investment bank based in Boston. Among potential targets, he cited Portico Systems of Blue Bell, Pennsylvania; iHealth Technologies Inc. of Atlanta; and Benefitfocus of Charleston, South Carolina. All are closely held. Ingenix Deals UnitedHealth's information-technology unit, Ingenix, said Aug. 16 that it would buy closely held Axolotl Corp., a San Jose, California-based creator of networks for doctors and hospitals to share medical data online. The insurer said July 22 that it had reached an agreement to acquire Picis Inc. of Wakefield, Massachusetts, a maker of software for emergency rooms and intensive care units. Terms of both deals were undisclosed. Ingenix generated $1.13 billion in sales last year, up from $867 million in 2007. Health-technology and consulting are among UnitedHealth‟s biggest opportunities for growth, as the health law squeezes profit margins for traditional insurance, Chief Executive Officer Stephen Hemsley said in a July 20 conference call with analysts. McKesson had $3.1 billion in technology sales last year, about 3 percent of total revenue. While insurers have cut technology budgets amid the recession, they're working to automate as many administrative functions as they can, said Matthew Zubiller, a company vice president. "Hand-Holding" Labor-intensive systems for preauthorizing care are prime targets, according to Zubiller. "These systems need a lot of hand-holding," he said in a telephone interview. "Every single authorization is touched by somebody." TriZetto Group Inc. a closely held rival to Ingenix and McKesson, has also seen sales grow, said Jeffrey Rideout, chief medical officer at the Greenwood Village, Colorado-based company. He declined to give specific figures. Insurers are rushing to comply with health-law mandates that take effect this year, among them a ban on lifetime benefit limits and extended coverage for some beneficiaries" adult children, he said. "People don't understand how challenging this can be for insurers," Rideout said in a telephone interview. "It's not like you can go into the basement and flip a switch." To contact the reporters on this story: Seattle, June, 2010 - ZeOmega's Jiva care management software has been fully integrated with Milliman Care Guidelines's CareWebQI® interactive software. To attain the Milliman Care Guidelines Integration Certification, ZeOmega -- a leading provider of web-enabled, rules-based workflow software for integrated care management -- had to demonstrate seamless Jiva workflow and enhanced usability with Milliman Care Guidelines® clinical guidelines and other content, delivered through CareWebQI. ZeOmega's Jiva is designed to transform traditional episodic-based case management into proactive and collaborative care management. Integration with CareWebQI gives care managers and providers access to the Care Guidelines clinical content which supports their efforts to deliver optimal healthcare. Integration of Jiva with CareWebQI brings added value to our clients seeking evidence-based, quality outcomes notes Sam Rangaswamy, ZeOmega's Chief Executive Officer.Care managers and physicians can now interact with the CareWebQI software through Jiva in real time, and access the Care Guidelines, which are tools to assist in the assessment of appropriateness of care. In addition, Jiva's analytics-driven automated workflow capabilities already incorporate clinical rules, protocols and assessments. This allows our clients to leverage this integration and Jiva's capabilities to consistently and efficiently direct evidence-based care. The Care Guidelines are available in many software solutions with feature-rich interfaces. These interfaces enable third-party vendors to integrate Care Guidelines clinical content, primarily through the CareWebQI software, into their own applications. The Milliman Care Guidelines Strategic Alliances team employs a structured integration certification program that certifies and supports content integrations, ensuring product quality and client satisfaction. Integrations such as this leverage the evidence-based Care Guidelines clinical content and help healthcare organizations to improve the quality of clinical outcomes. "Our Integration Certification program helps our Strategic Alliance Partners to tightly integrate the Care Guidelines content and interactive software with their own applications, such as Jiva," said Lynn Nemiccolo, Milliman Care Guidelines Vice President of Product Management.These certified integrations assure shared clients that our evidence-based clinical content is tightly integrated with selected medical management programs to support world-class healthcare delivery. About ZeOmega: ZeOmega LLC, based in Texas, is a premier provider of software solutions for Collaborative Healthcare Management. ZeOmega's suite of care management software, which includes EHRs, personalized care plans, decision support and portals, transforms traditional episodic-based care management into a proactive and collaborative population healthcare management. ZeOmega's flagship product Jiva is the only platform in the market that enables health care payors to implement enterprise wide collaboration by deploying member services, medical management, appeals and grievance management and care management in a single platform to give them a holistic view of the member across their enterprise to better manage member satisfaction and costs. ZeOmega's solutions are deployed at public and private customers covering more than 20 million lives. About Milliman Care Guidelines: Milliman Care Guidelines LLC, A Milliman Company, is located in Seattle, and independently develops and produces evidence-based clinical guidelines and software used by more than 1,700 clients, including more than 950 hospitals, seven of the eight largest US health plans, and 25 Centers for Medicare and Medicaid audit contractors. Covering the continuum of care, the seven-product Care Guidelines series is updated annually by an experienced team of clinicians and is used to support the care management of a majority of Americans. For more information, visit www.careguidelines.com. About Milliman: Milliman Care Guidelines is a wholly owned subsidiary of Milliman, Inc., which is among the world's largest independent actuarial and consulting firms. Founded in Seattle in 1947 as Milliman & Robertson, the company now has 52 offices in key locations worldwide. Milliman employs more than 2,400 people, with a professional staff of more than 1,100 qualified consultants and actuaries, including specialists ranging from clinicians to economists. The firm has consulting practices in healthcare, employee benefits, property and casualty insurance, life insurance, and financial services. Milliman serves the full spectrum of business, financial, government, union, education, and nonprofit organizations. For further information, visit www.milliman.com. Frisco, Texas, June 2010 “We expanded our Jiva offering to include CRM functionality in response to the emerging need for more comprehensive member engagement solutions. Payers want to provide consistent, high quality, coordinated service irrespective of whether members engage with them via a portal or call center. They also recognize the opportunity to influence a member at the point of a customer service interaction to improve quality of care and lower costs.” says Nandini Rangaswamy, Executive Vice President, Strategy and Business Development. Through this offering Jiva enables customer service and care management teams to obtain a consolidated view of the member information including call and service history, alerts, claims, benefits, appeals and grievances. Customer service representatives can now leverage member information at point of service to address member requests more effectively and collaborate with care teams seamlessly. Payers recognize that member touch points with customer service representatives can also be structured to gather information and take appropriate actions to influence a member’s behavior for a better outcome. As an example, a member can call into the health plan call center with a question about a claim payment. If the customer service representative accesses the member’s record for information on the claim and sees that there is a “Gap in Care” alert, once the member’s claim payment question is answered the customer service representative can inform the member that they would like to transfer the member over to a health coach or nurse for some important information about their medical care. Upon approval by member, the customer service representative can complete a warm transfer into care management. ZeOmega will be exhibiting at the AHIP 2010 Conference, booth 811. About ZeOmega: ZeOmega LLC, based in Texas, is a premier provider of software solutions for Integrated Healthcare Management. ZeOmega's suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. ZeOmega’s solutions are deployed at public and private customers covering over 20 million lives. ZeOmega’s software solutions are used by Commercial, Medicare and Medicaid payers in more than 20 states. For further information, contact 214-618-9880. 30 Connecticut Acute Care Hospitals Serving Medicaid Members to Increase Customer Satisfaction Hospital clinical and administrative staffs use the secure portal to submit Connecticut Medicaid authorization requests, receive responses and communicate with the Review Services team. "We see the coordinated launch of the Jiva Provider Portal to statewide acute care hospitals as being critical to reducing costs while improving the accuracy and response times to requests, said Kathy Warren, chief operating officer of Qualidigm in Rocky Hill. "We are pleased that we have received positive and enthusiastic feedback from the hospitals, which translates into better collaboration and communication." "We anticipate that this path-breaking portal system will expedite the authorization process and payment efficiency for the participating hospitals on an ongoing basis. This hospital is already experiencing the positive impact of the improved customer service initiative in the few short weeks that it has been up and running," said David Wurcel, vice president Corporate Business Services, Yale New Haven Health Services in New Haven. CT. "We believe that engaging providers is going to be crucial to the success of care management and administrative simplification, said Nandini Rangaswamy, executive vice president of ZeOmega. "We are pleased to help Qualidigm implement an effective solution that demonstrates a significant commitment to customer service." About ZeOmega: ZeOmega based in Texas, is a premier provider of software solutions for Integrated Healthcare Management. ZeOmega's suite of care management software, which includes EHRs, personalized care plans, decision support tools and portals, transforms traditional episodic-based care management into proactive and collaborative population healthcare management. ZeOmega's flagship product, Jiva, is the only platform in the market that enables health care payers to implement enterprise-wide collaboration by deploying member services, medical management, appeals and grievance management, care management and portals on a single platform and gives them a holistic view of the member across their enterprise to better manage member satisfaction and costs. ZeOmega's solutions are deployed at public and private customers covering over 20 million lives. ZeOmega's software solutions are used by payers to manage Medicaid and Medicare populations under various chronic care programs in more than 12 states. For more information, contact (214) 618-9880. About Qualidigm: Qualidigm in Rocky Hill, Conn., is a nationally-recognized consulting and research company providing services to local and national public and private sector clients. Qualidigm's mission is to continuously advance improvement in the quality, safety and cost-effectiveness of health care. It holds the Department of Social Services (Medicaid) contract for utilization review of hospital services for the State of Connecticut. It is also the Patient Safety Organization as designated by the State of Connecticut Department of Health, and is the Medicare designated Quality Improvement Organization for Connecticut. For more information, call Kathy Warren at (860) 632 6355 or visit www.qualidigm.org. Frisco, Texas, March 2010. "We are pleased to be a CMMI Level 3 company as it signals our commitment to delivering robust software solutions. We had 3 years of sustained & rigorous deployment of CMMI framework in our business environment before being appraised successfully on CMMI Level 3 in Q1 2010" says Sam Rangaswamy, Chief Executive Officer of ZeOmega. "Being appraised at Level 3 is a testament to our well-defined, customizable, repeatable and continually evolving processes in core areas of the software development life-cycle such as requirements analysis and management, configuration management, development, testing, project planning, control, and risk management". "In an industry where payers and providers see the deployment of care management systems as being risky with high probability of delays and cost overruns, we have been able to deliver reliable software and implementations consistently on time and within budget. We have been able to perform at this level because of the firm's culture of discipline and continuous process improvements. This is a key differentiator that separates ZeOmega from its peer group in terms of its ability to deliver superior solutions to our customers". By Sandra Hewett, Director of care management at Community Health Plan The continued use of manual processes raised a real concern for program changes and tracking with newer and more robust state and federal regulations. Community Health Plan (CHP) in Washington faced several challenges that needed to be addressed in order to achieve its goal of deploying a patient-centric delegated care-management system. For years, care managers at CHP used multiple, disparate systems for case management (CM), disease management (DM) and utilization management (UM) – resulting in information silos. Without an integrated system, there was a lack of evidence-based clinical pathways to ensure consistent care planning and management of patients. As a result, data collection was not robust, tracking was inadequate and reporting was not streamlined. In keeping with its vision and to meet organizational needs, CHP decided to deploy a patient-centric care-management system that emphasized collaboration between care managers, members and physicians, supporting the medical home philosophy. CHP envisioned the future deployment of a delegated care-management service model, where the primary physicians in its community health centers would actively participate in and/or lead patient care management. "The manual systems – some paper-based – created inefficiencies, lowered data integrity and decreased coordination of care for the patient," says Sandra Hewett, director of care management at CHP. "In UM, time-consuming audits for continuity and coordination of care reporting led to inaccuracies due to manual processing. Management of patient records in a manual-processing environment was inefficient and led to the potential risk of lost paper files as medical records were transferred between departments. It was also clear to everyone the current manual processes would not scale effectively as our organizational needs and programs grew." CHP was created in 1992 by a group of community health centers across Washington state. The state-wide health plan provides coverage for people in 33 Washington counties, delivering services to members through more than 300 primary care sites, 90 hospitals and 8,000 specialists. Overall, CHP offers access to locally delivered treatment and services for more than 240,000 individuals. The continued use of manual processes raised a real concern for program changes and tracking with newer and more robust state and federal regulations, Hewett explains. "We realized that if we continued with a manual system, we would face potential risk with data integrity issues and the inability to produce comprehensive reporting. In preparing for increased regulatory requirements and accreditation plans, we concluded that increased integration between UM, CM and DM were imperative." CHP was also cognizant of the need to meet the new HIPAA regulations, and the need for robust tracking and reporting capabilities when it pursued National Committee for Quality Assurance (NCQA) accreditation in 2010. Recruitment takes a role Given the nationwide shortage of nurses, CHP, like other organizations, also faced the challenges of recruiting and retaining qualified RN staff. Moreover, the lack of efficient integrated information systems further exacerbated the difficultly in recruiting, training and retaining nursing staff, while further adding to the annual operating costs. These issues loomed large as the health plan looked toward future expansion, which would require better connection and integration. The CHP team concluded the organization would need a patient-centric care-management platform that would: integrate its work flows, such as UM, CM, DM, appeals and grievances, across all lines of business; be configurable to enable CHP to meet not only current, but also future business requirements; provide robust data collection, tracking and reporting; increase efficiencies and reduce errors through automation; enable CHP to comply with the various regulatory and accreditation requirements; and be intuitive and easy to learn and use. After a thorough evaluation of leading solutions, CHP selected Jiva, an integrated care-management software solution from ZeOmega. Hewett was charged with overseeing the implementation. In 2008, CHP deployed Jiva’s integrated UM, CM, DM, appeals and grievances work flows centered on an assessment-driven care plan. "We used Jiva to aggregate data such as claims and pharmacy from other systems and integrate evidence-based guidelines into its decision-making processes, as well as influencing case-finding activities," says Hewett. In a second phase in 2009, CHP introduced additional features that fine-tuned its system and optimized work flow. Through Jiva, CHP was able to integrate information across claims, labs, pharmacy and other internal systems and across different work flows. CHP staff is now able to see a consolidated view of patient information. CHP also achieved its goal of deploying a patient-centric care-management solution, enabling care managers, providers and other stakeholders access to patient information from multiple points. This allowed clinicians to access and complete patient information with real-time data. Through Jiva, they were able to use integrated evidence-based guidelines during the decision-making process, thereby ensuring consistency in the application of benefit determinations. As a result, CHP continues to see improved patient care and outcomes. According to Hewett, Jiva enabled CHP to realize significant efficiencies through its streamlined work flows, business rules-driven processes, and automated/scheduled reporting and correspondence, as well as other capabilities such as alerts and schedulers. Improved efficiency, cost savings Prior to deployment, CHP performed a detailed analysis that established expected cost savings and efficiency gains from deploying the software. According to Hewett, an increase in case-management efficiency of 30 percent has yielded a corresponding increase in referrals to case management. This has resulted in more proactive management of patients’ needs, she says. Utilization management also saw an increase in productivity and improvements in turnaround times, Hewett reports, as CHP increased its utilization-management efficiencies with a 47 percent increase in its caseload per full-time equivalents. CHP realized further gains in February 2009 when it implemented batch integration between its external claims processor and Jiva. The additional integration allowed CHP to further increase the number of cases handled by case managers by 25 percent. A similar percentage increase was noted in the number of UM reviews completed by the CHP staff. CHP was able to integrate information across claims, labs, pharmacy and other internal systems and across different work flows. CHP staff is now able to see a consolidated view of patient information. "We realized additional benefits in areas of employee productivity and expanded market presence," Hewett says. "Because Jiva is a Web-based integrated care-management platform, we are now able to provide secure access for staff to CM, DM, UM and other patient information through our Web browser from a remote location. This has created remote work opportunities for care-management staff, thereby improving employee satisfaction." This remote-access capability also led to the launch of a satellite CHP office in Spokane, expanding the health plan’s customer service to both members and providers. Additionally, the satellite office strengthened CHP’s already tight linkage to its community health centers, Hewett says, thus strengthening a key strategic goal of the health plan. "We were able to transform our fragmented care-management environment into a proactive, connected healthcare ecosystem," she says. "Real-time access to member health-risk assessments, clinical pathways and other patient information enabled us to more quickly identify at-risk members and create customized care plans and management strategies, reducing medical costs and enhancing outcomes." CHP plans to offer its vision of a delegated care-management service model at its community health centers by deploying the Jiva Provider Portal in early 2010. "The portal will allow the patient’s entire healthcare team, across the provider network, to collaborate and participate in the management of the patient; enhancing the patient experience, improving the health of our population and reducing preventable medical expenses," says Hewett. By Nandini Rangaswamy, CFO and executive VP, ZeOmega Congress and policymakers across the country are considering several means to improve quality of care and control spiraling costs as part of the raging debate on healthcare reform. Although care management has not been explicitly discussed as the means to effect change, it will emerge in 2010 and beyond as one of the most promising and effective ways to deliver on the goals of healthcare reform. Care management as a concept, of course, is not new. What is new is the shift in approach and the technologies that make it feasible. There is emphasis on integration of information, collaboration between payers and providers, and communication with members. In the last few years there has been a push towards integrated utilization, case and disease management. Although payers have realized some benefits from this integration through improved efficiency and reduced errors, they recognize that there are further gains to be realized by proactively identifying high risk members, engaging them at the right time and by eliminating gaps in care. Payers can glean vital information on a member’s health by integrating and analyzing claims, pharmacy, lab and diagnostic data housed in disparate systems. This information can be leveraged to drive rules-based care management workflows. Tightly integrating the three components — analytics, rules and workflows — can truly revolutionize care management and shift the focus from collecting data to addressing quality issues. A few pioneers have already launched initiatives to do this. Care analytics is helping these payers identify high risk members and gaps in care. High risk members are automatically routed to outreach teams for appropriate engagement. Gaps in care are flagged as alerts in the nurses’ dashboard for appropriate intervention (for e.g. a patient failing to refill two prescriptions triggering an alert to the nurse to call the patient and determine the cause). Tight integration between care analytics and rules-driven care management workflows is enabling precise and timely interventions resulting in markedly better outcomes and savings. As Medicare, employers and other purchasers hold payers more accountable for quality and costs, health plans will increasingly rely on integrated solutions to demonstrate value to clients. There is now a general consensus on the correlation between provider collaboration and efficacy of care management. For example, care payers and providers alike are seriously considering management models such as patient centric medical home. Integrated provider portals, inbuilt messaging, discussion boards and other tools that facilitate collaboration will become critical for deploying those models. Another area of importance will be technologies that facilitate health information exchange. Whether it is integration with EMRs, or personal health records or RHIOs, these technologies will play a critical role in determining how information flows back and forth between providers, payers and other third party providers. Finally, technologies that enable multi-channel communications based on member and provider preferences will gain importance as payers seek to disseminate the right information to the right person at the right time through the preferred mode of communication. Frisco, Texas, November 09, 2009 "Today, care management is a centerpiece of most strategies adopted by clients to contain costs while improving the quality of care," says Nandini Rangaswamy, EVP, Strategy & Business Development at ZeOmega. "The need for timely exchange of critical data between care management and benefits management systems becomes compelling as clients increasingly recognize the potential to streamline workflows and improve the efficacy and speed of decision making in care management." Rangaswamy continued, "We believe there is significant value in providing a pre-integrated care management and benefits management offering, and are pleased to add ELDORADO to our strategic alliance partner program. Our clients can immediately realize the benefits of such a tightly integrated solution and on-going support when considering a total solution. ELDORADO's solid technology platform and its industry-leading position in the health benefits management space made it a natural complement to our care management solutions. ELDORADO's Javelina continues to gain greater acceptance with BCBS organizations, health plans and third-party administrators which is reflective of our mutual core market." "Our strategic alliance with ZeOmega and the integration of our platforms will provide our clients with a comprehensive, best-in-class solution for care and benefits management," says Tom Castleberry, President of Eldorado Computing, Inc. "Our shared commitment to product performance, functionality and unmatched professional services will help clients realize the benefits of a real-time, integrated care and benefits management system, quickly and efficiently and at the lowest total cost of ownership." About ELDORADO Based in Phoenix, Ariz., ELDORADO (Eldorado Computing, Inc.) specializes in health insurance application development, Business Process Outsourcing (BPO) services, IT engineering and operational consulting. The company serves the full spectrum of organizations nationally and internationally engaged in managing health benefit plans including third party administrators (TPAs), health plans, employers and self-insured organizations. Together, ELDORADO customers manage 5 million lives and handle 35 million claims annually. For more information, contact 602.604.3100 or visit www.eldoinc.com The legal entity remains unchanged as Eldorado Computing, Inc. ELDORADO is a wholly owned subsidiary of MphasiS, an HP company. About ZeOmega LLC Harvard Pilgrim Health Care Selects ZeOmega and its Jiva Software for its Integrated Care Management and Appeals Management Application. Frisco, Texas, (BUSINESS WIRE) The selection demonstrates ZeOmega's leading position in the care management software solutions market. "Harvard Pilgrim joins a growing number of healthcare payers that have selected ZeOmega's innovative care management software and consider ZeOmega's CMM compliant implementation and technical support services critical to their success", stated Sam Rangaswamy, CEO and President of ZeOmega. "Harvard Pilgrim has a comprehensive strategy that seeks to leverage Health Information Technology to provide exceptional clinical quality service, preventive care, disease management lifestyle coaching and member satisfaction." About Harvard Pilgrim Health Care Harvard Pilgrim is a not-for-profit health plan that provides a variety of health benefit options and funding arrangements to more than one million members in Massachusetts, Maine and New Hampshire. According to a joint ranking by "U.S. News & World Report" and the National Committee for Quality Assurance (NCQA), Harvard Pilgrim is a top commercial health plan in America, for the fourth consecutive year. Health Plans, Inc., a Harvard Pilgrim subsidiary offers employers health, dental and short-term disability benefits through self-insured plans in Maine, Massachusetts and New Hampshire. For more information, please visit www.harvardpilgrim.org About ZeOmega LLC ZeOmega LLC, based in Texas, is a premier provider of software solutions for Collaborative Healthcare Management. ZeOmega's suite of care management software, which includes EHRs, personalized care plans, decision support and portals, transforms traditional episodic-based care management into a proactive and collaborative population healthcare management. ZeOmega's flagship product Jiva is the only platform in the market that enables health care payers to implement enterprise wide collaboration by deploying member services, medical management, appeals and grievance management and care management in a single platform to give them a holistic view of the member across their enterprise to better manage member satisfaction and costs. With its strong healthcare domain expertise, emphasis on integrated information management, and decision support for population and benefits management, ZeOmega is the right technology partner for Health Plans, Disease Management Organizations, Medical Management Organizations, Third Party Administrators, and other organizations providing Medical and Care Management services. Harvard Pilgrim uses Jiva from ZeOmega to help achieve its integrated care management vision. Article: By Patty Enrado, Contributing Editor Healthcare IT News HPHC is deploying ZeOmega's Jiva to integrate data from multiple sources and share data with members through member-preferred communication channels. Data integration and data mining help identify, evaluate and stratify members for care management, said Judith Frampton, HPHC's vice president of medical management. With Jiva, HPHC can create interfaces that aggregate data from multiple department systems and design algorithms that build registries of at-risk members for specific conditions, she said. Payers are bringing their care management programs in-house to better manage their members' conditions in one place and with one point of contact, said Sam Rangaswamy, ZeOmega's CEO. It requires IT solutions to integrate all programs across the care continuum. Jiva's care analytics identifies and stratifies members based on their clinical conditions rather than actuarial models, he said. "We provide better accuracy on who to focus on, not from a cost standpoint but from a clinical standpoint," he said. HPHC anticipates that data integration will deliver greater process efficiencies and productivity from its case managers in terms of increased case load and active care plans created for each member. HPHC is incorporating social networks so members can learn from one another and understand health issues that impact their lives. "It's helping people change and learn new behaviors is an untapped resource that we are tapping big time," Frampton said. Social networking is still relatively new for payers, said Lynne Dunbrack, program director for Health Industry Insights. To stay ahead of the curve, payers need to adopt social networking technologies and services, commonly referred to as Health 2.0, to engage members, provide differentiation from competitors, and establish and sponsor a community for payers' constituents, among other things, she said. HPHC is doing just that with its sponsorship of the community site www.wellthen.org , said Frampton. Health plans say they want to see healthier patients and more efficient physicians, and that offering education and guidelines is one way to do that. The skeptical audience, however, wonders if it's all about money. Health plans are moving away from care and into "care management." Knowing that they don't inspire trust, but that physicians do, insurers want to make physicians messengers for health plans, improving members' health to save money. But they also want to prompt doctors to change their own behavior for even more savings to the plan. "Health plans are realizing they have to work with the trusted brand of the physician," said Dennis Schmuland, MD, a family physician who is the health plans industry solutions director for the U.S. Health and Life Sciences Group at Microsoft. The difference between care and care management, proponents say, lies in enhancing the role of the physician -- at worst in a superficial sense, and at best in a way that allows the physician to make good decisions without interference. At the annual meeting of America's Health Insurance Plans, held in San Diego in June, some of the flashiest, biggest booths -- one offering martinis, another offering California wine -- were hosted by firms vying to sell health plans the perfect care-management tool. All promised a means to gently, effectively use physicians to change patient behavior in a way that doesn't alienate either the patient or physician, and results in savings for the insurer. Some vendors, such as Emeryville, Calif.-based MedeAnalytics, offer software packages for hospitals and health plans. Other firms have integrated care-management prompts into existing products. Boston-based American Well, for instance, has integrated prompts into its portal for online medical visits. "What we see in the market is a proper evolution: You have to keep the doctor in the center," said American Well President and Chief Executive Officer Roy Schoenberg, MD. "Patients viscerally say, 'I need to see a doctor.' " In many cases, care-management systems can be integrated into a health plan's Web page and are automated. So when staff at the front desk run an eligibility check, the system produces reminders and suggestions, such as, "This patient's record shows some signs that she has a history of depression. Consider giving her a depression questionnaire as part of this visit," or, "This patient is due for a mammogram. Please schedule an appointment soon." Those messages could show up in an e-mail, a text message or a window on a doctor's handheld computer. "It's kind of catching the patient at the moment of truth," said Ted Ryan, vice president of sales for ZeOmega, a Frisco, Texas-based care-management system company. "You've got the data and got the patient in front of you. Before, it would have been a letter after the fact, or the ability to extract that data and push it back into clinic just wasn't there -- that was a daylong project." Doctor skepticism But physicians may not be easily convinced that health plans are interested in "care management" for the right reasons, or that health plans can improve the system. "I think it's a waste of money and not helpful," said Joseph W. Stubbs, MD, an internist from Albany, Ga., who is president of the American College of Physicians. Care-management systems can be integrated into a health plan's Web page. "So many times, their information is erroneous and irrelevant, because they don't have access to the clinical record," he said. "I can't tell you how many pieces of paper I have that say have you considered this or that." It would make more sense, he said, to pay doctors directly to manage care rather than hiring a third company to deliver messages from the health plan to the patient. Short of that, he said, for any health plan communication to be effective, it should be initiated by the physician, completed electronically and linked to a clinical record, not just claims data. Health plans and vendors of care-management systems said they know the problems. Doctors are overwhelmed with information, most of which comes at the wrong time, the wrong way or both. Rather than simply using a preapproval requirement, "when a physician does make a request for advanced imaging or prescription, why not deliver the evidence-based guidelines side by side with the approval?" Dr. Schmuland asked. There is also the credibility problem. Doctors don't always trust clinical information handed to them by health plans, so the health plans need a third party to provide objective clinical evidence that will sway doctors to do the right things. That's where the care-management companies say they come in. They try to stress to doctors that they're not all about money. Instead, they pitch how their systems focus on quality measurement based on established standards. Some also use systems that integrate the practice record. For example, MEDecision, a subsidiary of nonprofit Blues plan holder Health Care Service Corp., uses electronic health records as touch points for advising physicians, hospitals, health plans and patients. It identifies "gaps in care" and passes that information on to doctors in a nonintrusive way. Scott Storrer, president and chief operating officer for MEDecision, said many physicians in focus groups hosted by the company said they would pay for the system themselves because they found it so useful. Care-management companies also say they could solve one of health insurers' big quandaries: how to use the vast amount of information they hold -- claims data about members' hospital stays, visits to the doctor, prescription drugs -- to cut costs and improve care. Over the past five years, some health plans have tried sending the information and tools they own straight to members. The idea is that motivated patients spending their own money will search for value, educate themselves and act in their own best interests while driving quality and efficiency. It's still in play, but it hasn't worked out as quickly or as well as some had hoped. Consumers have proven difficult to reach, they don't have the information they want, and, despite sometimes having good information, they still don't always make the best choices. "I think there's less belief that it really is just a health-plan-to-consumer interaction that's going to make the difference," Dr. Schmuland said. "There's recognition across the industry that health care is a collaborative team process, and that to really have the long-term impact in reducing chronic disease and improve health, that requires more than just giving information to the consumer." Not insignificantly, care-management companies say health plans are willing to pay doctors for their time and attention, either under a capitated payment system or a fee-for-service arrangement as part of pay-for-performance programs. Proponents say that under a health plan's care-management system integrated into its existing portal, doctors would be prompted at the time of care to follow pay-for-performance guidelines. Tracking success would be simpler, and the clinical rationale for the pay-for-performance incentives would be delivered to the doctor at the time of care. "As annoying as pay-for-performance can be, physicians know it's coming, so the more opportunity they can have to get access to data [that supports payments], the better," said Terry Fouts, MD, chief medical officer for MedeAnalytics. Beyond paying for doctors to follow health plans' advice, those in the field said health plans also are figuring out that much of their success depends on the tone of their communications. The key to getting doctor buy-in is in how the message is framed, said Matthew Zubiller, business leader for advanced diagnostics management for McKesson, which owns InterQual, one of the oldest care-management tools. "Physicians don't mind being asked questions, but not stupid questions," he said. "This is about engaging the health care provider in a different way." Frisco, Texas - October 6, 2009 (Business Wire) "Charles' in-depth knowledge and experience in the healthcare payer market combined with his ability to position high-tech software solutions make him a valuable addition to the ZeOmega team," says Sam Rangaswamy, CEO and founder of ZeOmega. "He is uniquely qualified to help provide greater visibility into payer organizations seeking the value of incorporating a progressive care management application that will drive better outcomes and reduce costs" Before joining ZeOmega, Page held positions in senior positions software development and content offering solutions into the healthcare payor market. Previously, he managed the third largest third-party administrator (TPA) in the United States, preceded by a career in the insurance industry as a senior marketing and sales executive for New York Life and Cigna Healthplans, Inc. "It's an exciting time to join the ZeOmega team as the company continues to be recognized as a leader in collaborative care management solutions that being the provider, care manager and member together for better healthcare results," said Page. "I've been in the healthcare industry for a while, and over the last seven years have watched ZeOmega's technology evolve far beyond what is offered by others today. I wanted to contribute to this passion and momentum surrounding ZeOmega." Page is a retired U.S. Air Force Reserve (USAFR) command pilot and air operations officer. He received his bachelor's and master's degrees from Arizona State University. He earned his Registered Health Underwriter (RHU®) designation from Northeastern University. About ZeOmega LLC ZeOmega LLC, based in Texas, is a premier provider of software solutions for Collaborative Healthcare Management. ZeOmega's suite of care management software, which includes EHRs, personalized care plans, decision support and portals, transforms traditional episodic-based care management into a proactive and collaborative population healthcare management. ZeOmega's flagship product Jiva is the only platform in the market that enables health care payers to implement enterprise wide collaboration by deploying member services, medical management, appeals and grievance management and care management in a single platform to give them a holistic view of the member across their enterprise to better manage member satisfaction and costs. With its strong healthcare domain expertise, emphasis on integrated information management, and decision support for population and benefits management, ZeOmega is the right technology partner for Health Plans, Disease Management Organizations, Medical Management Organizations, Third Party Administrators, and other organizations providing Medical and Care Management services. Article: By Patty Enrado, Contributing Editor. Posted July. 31, 2009. Some of CHPW's departments have since exceeded the goal of achieving 30 percent improved efficiency through the integration of IT systems, automation of processes and streamlined workflow, she said. Now that all the data is in one place, staff members have a single, patient-centric view and as a result, all care management departments can support the same goals for the patient, Hewett said. More people are developing multiple chronic conditions and co-morbidities, observed Lynne Dunbrack, program director for Health Industry Insights. In order for health plans to get a holistic view of their members, they are looking to combine their care, case, disease and even health and wellness programs. "It's definitely becoming a trend," she said. ZeOmega's Jiva automated processes, which enabled Hewett to gain visibility into the volume of work and allocate staff according to the workload. "We saw huge productivity gains," Hewett said. The same number of staff is now able to do more use and concurrent reviews per day. Process automation has also increased CHPW's regulatory compliance. Communication between CHPW and its members' primary care physicians has improved because the software generates patient discharge notifications and letters. "It used to be hit and miss with our PCP communications," Hewett said. Ted Ryan, vice president of sales for ZeOmega, said health plans realize the value and power of information to impact medical loss ratio, quality of care and efficiency. "Health plans are now being the driver of health management platforms," he said. Ranking on Top 100 Reflects Widespread Adoption and Growing Success of ZeOmega's Leading JIVA Care Management Platform. Frisco, Texas, Jun 29, 2009 (BUSINESS WIRE) "We are honored to be recognized by JIVA, which includes electronic health records, personalized care plans, decision support tools, analytics and rules-engine driven workflow automation, is currently deployed by insurers, third-party administrators, QIO's and organizations providing disease management, care management and specialty health services covering more than 20 million lives across the United States. "Our focus on stream lined process management, integrated analytics, correspondence management, HRA and rules driven care management has enabled us to scale new heights. Our platform has the best combination of features and functions with a competitive total cost of ownership that guarantees ROI for our clients," said Sam Rangaswamy. "We look forward to continuing to execute on our growth strategy and climbing up the ranks of the HCI 100 in the years to come." About ZeOmega LLC With its strong healthcare domain expertise, emphasis on integrated information management, and decision support for population and benefits management, ZeOmega is the right technology partner for Health Plans, Disease Management Organizations, Medical Management Organizations, Third Party Administrators, and other organizations providing Medical and Care Management services. ZeOmega is proud to be a sponsor and exhibitor at the AHIP Institute 2009, to be held in June 3-5, San Diego Convention Center, San Diego, CA. As an industry leader in care management software, ZeOmega provides health plans and other stakeholders with an enterprise platform, enabling proactive, collaborative population health management of members. ZeOmega's clients utilize JIVA to Identify Risk, Coordinate Care, Educate Members, Influence Behaviors and Track Outcomes. ZeOmega is proud to be a Gold Sponsor for the 2009 Milliman User Group Forum, to be held April 19-22, Miami's famous Doral Golf Resort and Spa. ZeOmega, a leading provider of enterprise care management software, transforms traditional episodic based care management into proactive, collaborative healthcare management. ZeOmega's partnership with Milliman Care Guidelines empowers clients to Identify Risk, Educate Members, Manage Incentives, Influence Behaviors, Coordinate Care, Track Outcomes and Measure Results. Please stop by the ZeOmega booth see a demo of our platform and enter a drawing to win a Nordstrom gift certificate. ZeOmega will sponsor the 6th Annual World Health Care Congress, to be held in April 14-16, Marriott Wardman Hotel, Washington, DC. The 6th Annual World Health Care Congress is the most prestigious meeting of chief and senior executives from all sectors of health care. The 2009 conference will convene over 1,700 CEOs, senior executives and government officials from the nation's largest employers, hospitals, health systems, health plans, pharmaceutical and biotech companies, and leading government agencies. ZeOmega will be a silver sponsor at the upcoming PyCon 2009 to be held in March 23-27, 2009 in Chicago, at Crowne Plaza Chicago O'Hare Hotel, 5440, N River Rd, Des Plaines, IL 60018. ZeOmega, a leading provider of IT Consulting services, medical informatics solutions and health care management products is a sponsor member of the python software foundation. This sponsorship reinforces our support of the worldwide python developer community. Please visit us to learn more. Transition care management reduces costs Dec 01, 2008; Today, many payers are focused on utilization management (UM) to evaluate the appropriateness, medical need, and efficiency of various healthcare services for patients based on established payer criteria. That broad category of proactive healthcare case management often does not properly address an emerging area that significantly impacts healthcare costs - transition care management. The Gartner Healthcare IT Summit to be held on November, 16 - 19, 2008. at San Diego Sheraton Hotel and Marina, San Diego, CA. The summit will bring together executive level IT decision makers from the healthcare provider and payer market places with a dynamic range of technology vendors. ZeOmega will be presenting a case study on a payer sponsored Medical home model. The case study high lights the role of care co-ordinators working in conjunction with the care team at the medical home utilizing Jiva as the collaboration platform. The success of this model yielded better retention rates of enrolled members and 60% of the providers surveyed indicated that members were staying compliant with their care plans. ZeOmega is pleased to sponsor the 10th Annual meeting of DMAA, to be held on September 7 - 8, at Westin Diplomat Resort & Spa, Hollywood, FL. Join more than 1,200 population health professionals on Sept. 7 and 8, 2008, for the leading annual education, exhibit and networking event in population-based care: The Forum 08, the 10th annual meeting of DMAA: The Care Continuum Alliance. ZeOmega will be showcasing the latest capabilities of its care management software in booth #103. Please visit us to learn more. ZeOmega is proud to be a sponsor of 13th Annual Health Management Congress, to be held in July 22 - 24, Disney Contemporary Resort, Orlando, FL. ZeOmega will be showcasing the latest capabilities of its care management software in booth #302. Please click here for more info. ZeOmega is proud to be a sponsor of the AHIP Institute 2008, to be held in June 18 - 20, Moscone Center West, San Francisco. California. As an industry leader in care management software, ZeOmega provides health plans and other stakeholders with an enterprise platform, enabling proactive, collaborative population health management of members. ZeOmega's clients utilize Jiva to Identify Risk, Coordinate Care, Educate Members, Influence Behaviors and Track Outcomes. ZeOmega featured with APS Healthcare in American Health Executive magazine. ZeOmega will sponsor the 5th Annual World Health Care Congress, to be held in April 21 - 23, Marriott Wardman Hotel, Washington, DC. The 5th Annual World Health Care Congress is the most prestigious meeting of chief and senior executives from all sectors of health care. The 2008 conference will convene over 2,000 CEOs, senior executives and government officials from the nation's largest employers, hospitals, health systems, health plans, pharmaceutical and biotech companies, and leading government agencies. Please click here for more info. ZeOmega is pleased to announce that a leading health care delivery system in the northwest has chosen to deploy Jiva for delivering its care management services. Jiva will help deliver medical, disease and population management services to populations served by the network impacting close to 600,000 lives. ZeOmega will be a silver sponsor at the upcoming PYCON 2008 to be held in March 14-16, 2008 in Chicago, at Crowne Plaza Chicago O'Hare Hotel, 5440, N River Rd, Des Plaines, IL 60018. ZeOmega, a leading provider of IT Consulting services , medical informatics solutions and health care management products is a sponsor member of the python software foundation. This sponsorship reinforces our support of the worldwide python developer community. Please visit us at booth #203 to learn more. ZeOmega is proud to announce that it has launched Jiva for a leading integrated care management services vendor providing services to over 2 Million commercial lives. The platform allows multi disciplinary teams located across the nation to collaborate on medical case and care management services. The platform provides a comprehensive view of a patient across the care continuum enabling care managers to provide the right intervention at the right time thereby improving operational efficiencies and outcomes. The full gamut of business processes from wellness transactions to large case notifications are managed with Jiva including Utilization, complex case, disease, maternity and grievance management in a single platform eliminating traditional silos.
ZeOmega is pleased to sponsor the The 2008 WBL Summit, to be held between March 5 - 7, 2008 at the Fairmont, Washington, DC.
ZeOmega is proud to be a sponsor of the AHIP Business Forum 2007, to be held November As an industry leader in care management software, ZeOmega provides health plans and other stakeholders with an enterprise platform, enabling proactive, collaborative population health management of members. ZeOmega's clients utilize Jiva to Identify Risk, Coordinate Care, Educate Members, Influence Behaviors and Track Outcomes. Stop by the ZeOmega booth to see a demo of our system and enter a drawing to win a Nordstrom gift certificate. ZeOmega is proud to be a Gold Sponsor for the 2007 Milliman User Group Forum, to be held November 4th - 7th at the Laguna Cliffs Marriott Resort and Spa in Dana Point, California. ZeOmega, a leading provider of enterprise care management software, transforms traditional episodic based episodic-based care management into proactive, collaborative healthcare management. ZeOmega's partnership with Milliman Care Guidelines empowers clients to Identify Risk, Educate Members, Manage Incentives, Influence Behaviors, Coordinate Care, Track Outcomes and Measure Results. Please stop by the ZeOmega booth see a demo of our platform and enter a drawing to win a Nordstrom gift certificate. Please click here for more info. ZeOmega will be displaying its platform for Medical Management at the 12th Annual Health Management Congress, being held September 24th - 26th at the Disneyland Hotel, in Anaheim, California. ZeOmega's integrated UM, CM, DM software provides portal access for Providers, Members, and Carriers, to promote collaborative, proactive, population healthcare management through Wellness and Disease Management Programs. Stop by booth 304 to talk with our team and enter a drawing to win a Nordstrom gift certificate. Please click here for more info. ZeOmega will be showcasing its software solutions for healthcare at DMAA's 9h Annual Disease Management Leadership Forum, September 16th - September 19th, at Caesars Palace in Las Vegas. Visit booth #601 to learn how ZeOmega's suite of products can help transform your traditional episodic based care management process into proactive, collaborative, population health management. Talk with our team and enter a drawing to win a Nordstrom gift certificate. ZeOmega will be showcasing its platforms for Medical Management at AHIP's Annual Meeting June 20th - June 22nd at the Wynn Las Vegas. ZeOmega's suite of products transforms traditional episodic-based care management into a proactive and collaborative population healthcare management. Stop by booth #1238 to talk with our team and enter a drawing to win a Nordstrom gift certificate. ZeOmega will be displaying its software solutions for Medical Management at the Disease Management Colloquium, being held May 7th - May 9th at the Hyatt Regency at Penn's Landing, Philadelphia, Pennsylvania. Jiva, ZeOmega's integrated UM, CM, and DM platform, transforms traditional, episodic care management into collaborative, population healthcare management. Providers, Members, and Carriers can be proactive in managing a member's disease thru the utilization of portals and decision support tools. Stop by to talk with our team and enter a drawing to win a Nordstrom gift certificate. ZeOmega's flagship care management software "Jiva" will help manage Medicaid populations in 9 states by 3Q 2007. As of April 2007, Jiva is already live at Medicaid programs in 5 states. Client implementations are currently in progress in 4 more states and are expected to go live during the next six months. "This is solid testimony to Jiva's versatility as a care management platform", says Nandini Rangaswamy, Executive Vice President for Business Development" Because of the ease with which Jiva can be configured and extended, our clients were able to rapidly and successfully deploy Jiva across multiple states to suit custom state program requirements. One of the key decisions we made early on was to make our solution agnostic between various care management approaches. As a result Jiva today has a powerful set of tools that enable it to meet the needs of different flavors of care management including Medicare/Medicaid chronic care, Employer sponsored wellness and care management, Member-centric care, Provider-centric care management and more. Our clientele today includes some of the nation's largest disease management companies, TPAs and Fortune 100 insurance companies. We are confident that Jiva is poised to see more successes in 2007." With an integrated approach to care management that enables seamless information flow and smooth interaction between patients, providers, nurses, care coordinators and health coaches. Jiva is the right delivery platform for population health care management. About ZeOmega ZeOmega will be a silver sponsor at the upcoming PYCON 2007 to be held on February 23-25, 2007 at Dallas/Addison Marriott Quorum hotel, Texas (near Dallas). ZeOmega, a leading provider of IT Consulting services, medical informatics solutions and health care management products is a sponsor member of the python software foundation. This sponsorship reinforces our support of the worldwide python developer community. ZeOmega will be exhibiting its care management software solutions for healthcare at DMAA's 8th Annual Disease Management Leadership Forum, December 3rd - 5th, 2006, at the Colorado Convention Center in Denver. Visit booth #601 to learn how ZeOmega's suite of software solutions can help you transform your current care management process into proactive and collaborative population health management. You can also enter our raffle to win a $100 Nordstrom gift certificate. ZeOmega to present at the Gartner Health Information Technology Conference, San diego, CA. November 12 - 15th, 2006. The topic we will be presenting on "Systems approach to chronic care management". ZeOmega is proud to be a sponsor for the 21st Annual Conference for California Association of Health Plans, to be held at Indian Wells, California, between October 18th - 20th, 2006. ZeOmega will be exhibiting its care management solutions for healthcare at the conference. Visit us at booth #13 to see the extensive capabilities of our integrated care management system and talk to our team. You can also enter our raffle to win a $100 Nordstrom gift certificate. ZeOmega will be showcasing its platforms for Medical Management at the 2006 Fall Conference of the Texas Professional Benefit Administrators Association, to be held October 2nd - 4th 2006, at the Marriott Sugar Land Town Square in Sugar Land, Texas. ZeOmega's Software Solution integrates Utilization, Case and Disease Management into a single platform, and provides portal access for Providers, Carriers and Members to promote a collaborative and proactive management of health care through Wellness and Disease Management Programs. McKesson Adds ZeOmega to Alliance Partner Program; September 19, 2006 About ZeOmega About McKesson Corporation ZeOmega will show case its software solutions for disease management at the DM Congress at Mandalay Bay, Las Vegas between September 13 - 15 2006. ZeOmega's software solutions for disease management support both provider-centric and member centric approaches to care management through their emphasis on integrated information management and decision support for population. If you are a DM vendor, UM or case management vendor, Health plan, TPA, IPA or community health services coordinator, stop by booth 304 to see how our solutions can help you. You can also enter a raffle for a chance to win a prize! ZeOmega, a leading provider of integrated software solutions for Care Management, and Milliman Care Guidelines®, a recognized industry leader in providing evidence-based clinical guidelines, announced an agreement to integrate the evidence-based Milliman Care Guidelines® with ZeOmega's Integrated Care Management Platform, JIVA. This Alliance is an important step for us to accomplish our strategic goals. ZeOmega's integrated suite of Care Management solutions empower Clinicians and Care Managers to assimilate information about a member and make decisions based on a holistic view of the members health status. ZeOmega will exhibit its software solutions for utilization, case and disease management at the National CMSA in Dallas Fortworth Texas between June 13 - 17 2006 this year. If you are a DM vendor, UM or case management vendor, Health plan, TPA, IPA or community health services coordinator, please visit us at booth 706 - AMB A to talk to our team and see how we can help you. ZeOmega will be showcasing its platforms for Medical Management at AHIP's Annual Meeting June 7th - June 9th at the San Diego Convention Center. ZeOmega's platforms for Case, Disease, Utilization and Maternity Management provide an integrated software solution for Care Management. Please stop by booth 147 for a demo and a chance to win a Nordstrom gift certificate. ZeOmega will be showcasing its software solutions for utilization management, case management, disease management and maternity management at the 18th Annual National Managed Health Care Congress, April 24 - 26, 2006 Washington DC Convention Center. ZeOmega's software solutions for disease management support both provider-centric and member centric approaches to care management through their emphasis on integrated information management and decision support If you are a DM vendor, UM or case management vendor, Health plan, TPA, IPA or community health services coordinator, stop by booth #124 for a test drive and for a chance to win a prize! ZeOmega will be a gold sponsor at the upcoming PYCON 2006 to be held in February 24-26 2006 in Addison, Texas (near Dallas), at the Dallas/Addison Marriott Quorum hotel. ZeOmega, a leading provider of IT Consulting services , medical informatics solutions and health care management products is a sponsor member of the python software foundation. This sponsorship reinforces our support of the worldwide python developer community. ZeOmega will be showcasing Kriya and Maya, its enterprise platforms for workers compensation medical management at the National Workers' Compensation and Disability Conference & Expo at Lakeside Center at McCormick Place, Chicago, IL between Nov 15 - 16, 2005. ZeOmega is pleased to announce that a leading health care quality improvement organization in the Midwest selected ZeOmega's medical management platform for its organization. The organization which provides services to state agencies in more than seven states plans to use the platform for its utilization management and physician review programs. ZeOmega, will be showcasing Jiva its medical management platform for health care management at the 2005 Disease Management Association of America (DMAA) conference to be held in San Diego at the Sheraton Hotel and Marina between Oct 16 - Oct 19, 2005. Visit us at the conference to see a demo of our solution which integrates utilization, case and disease management on a single platform. Learn how you can use our platform to identify high risk members and/or members with chronic conditions and manage them through wellness and DM programs. All episodes related to a member can be tracked thru UM to monitor care being received by members. Members stratified for case management can be managed thru Jiva allowing the case manager to track care plans across CM and DM to improve quality of outcomes. We are pleased to announce that we have entered into an agreement to build a process management solution for a leading Independent Review Organization (IRO) based on the west coast. ZeOmega's business process management solutions cover a broad spectrum of process automation, web based components and help medical management entities such as IRO's reengineer their process and operations for the Web. ZeOmega was chosen over other bidders for its innovative solutions and deep domain expertise in UM CM and DM process management. This agreement further cements our presence as a leading technology and process management solutions provider for medical and population health management. October 12, 2005 Frisco, TX This certification is a key milestone for ZeOmega in its mission to provide cutting edge technology solutions to the health care industry. It reinforces our commitment to our clients in providing leading solutions that meet industry standards. Jiva is ZeOmega's medical management platform for health care that integrates Utilization, Case and Disease management. With an emphasis on integrated information management and decision support for population and benefits management ZeOmega is the right technology partner for DM vendors, UM and case management vendors, Health plans, TPAs, IPAs, PHOs and community health access programmes. Maya is ZeOmega's medical management solution for Independent Review Organizations covering a workflows like, Physician Reviews, Peer Reviews, IME/RMEs. The solution's capabilities in electronic documentation, automated reporting and auditing enables clients to streamline workflows, dramatically improve process efficiencies and reduce costs. Kriya is ZeOmega's medical management solution for Workers Compensation that integrates workflows such as UM, Peer Review, Field and Telephonic Case Management and RME/IMEs. With its flexibility to incorporate state specific care guidelines for workers compensation, Kriya enables TPAs, IROs and disability management vendors to overcome process constraints and provide medical management services across states while adhering to statute's, reducing costs and improving accountability. ZeOmega will be showcasing its medical management solutions at the 2005 Conference & Exhibition organized by the Texas Professional Benefit Administrators Association. The conference will be held from October 3 - 5, 2005, at the Marriott Dallas/Plano at Legacy Town Center. If you are a payer, TPA or do medical management, please visit us at the conference to know how our solutions can help you. We will be integrating the industries leading ODG guidelines into our product platform. Users of our web based solutions can now rely on industry standard benchmarks and best practices to make informed decisions and improve outcomes in a seamless fashion. Think BIG!! Is the theme of the Society of Independent Show Organizers (SISO) Executive Conference, August 15-17 2005 at the Pennsylvania Convention Center, Philadelphia, PA. ZeOmega will be presenting best practices on setting up web match making systems at sponsored events. This is a growing and profitable business model for trade shows looking to increase value for attendees. "Can We All Get Together?" or "Finding the Needle in the Trade Show Hay Stack" There are many different "matchmaking" systems and services that can help your exhibitors, attendees, speakers and sponsors find each other, prove the value of your event, increase the networking effect, and possibly even help a prospective attendee or exhibitor sell themselves on your event's match to their needs. This technology has the potential to be BIG, so to lead the curve, learn about what's out there in this fast paced roundtable. A leading managed care organization providing services for Workers compensation has entered into an agreement to use Kriya, ZeOmegas product for medical management and cost containment for Workers compensation. Kriya is offered as an ASP based service and will enable end to end life cycle management of workers compensation cases. An ASP based pay as you use service guarantees ROI for the end user while improving operational efficiencies. ZeOmega will be present at the National CMSA conference to be held at Gaylord Palms Resort and Convention Center in Orlando, FL between June 21-25. We will be showcasing our medical management solutions for group health and workers compensation at booth #209. If you are a self-insured, TPA, payer or any type of medical management entity, please visit us at the conference for a demo of our products and to learn how ZeOmega can help your organization. ZeOmega today signed a partnership agreement with Enfold Systems, a leading provider of Plone solutions for Desktops and Content Management. As part of the agreement, ZeOmega will be a reseller for Enfold's products such as the Enfold Plone Desktop, Enfold Enterprise Proxy, and Enterprise Server. ZeOmega believes this partnership will strengthen its offerings in Open Source Consulting and is excited to be working with Enfold Systems. For more details contact plone at zeomega dot com ZeOmega will be showcasing its Medical Management Solutions at the DFW CMSA conference to be held at the Omni Mandalay Hotel at Las Colinas,TX near DFW airport between April 21-23. If you are a self-insured, TPA, payer or any type of medical management entity, please visit us at booth # C-307 to see a demo of our solutions and learn how we can help your organization. 3i Infotech (www.icici-infotech.com), a leading provider of information technology solutions, announced today a technology partnership with ZeOmega (www.zeomega.com), a leading provider of workflow solutions for managed care. With this partnership PREMIA(TM) Health, a health benefits administration platform from 3i Infotech will be integrated with JIVA, a UM UR and case management platform from ZeOmega to provide its customers with end-to-end solutions for claims administration and Medical management. ZeOmega announces the launch of a maternity management portal as an extension to its JIVA medical management platform. The portal will allow members of health plans to enroll for maternity management services on the web. The system will check for eligibility before enrollment and enable medical management companies to manage such encounters via the web and report on these services. The portal enables ease of content and community management on the web using Plone the state of the art open source content management platform. Using Plone's advanced membership and community features, a TPA or medical management company can scale their operations to manage large populations. The Gartner Healthcare IT Summit will be held in Baltimore Nov 15-17 2004. The summit will bring together executive level IT decision makers from the healthcare provider and payer market places with a dynamic range of technology vendors. ZeOmega will be showcasing its enterprise process management and workflow solutions for managed care and present case studies of our implementations. A leading global process and change management group The Business process management group will be using ZeOmega's expertise with PHP, Postnuke, MySQL and Linux to launch their new Portal. The CMS will support new roles, workflow policies, banner ad management and Event management to support the growth in membership and viewership. The new site will also be hosted on ZeOmega's managed hosting infrastructure underlining ZeOmegas ability to provide end to end solutions for content management and web publishing. ZeOmega has secured a contract to build a medical management platform for a major health care group based in Texas. ZeOmega will customize its "JIVA" care management platform in addition to integration with PPO networks, eligibility and repricing systems. JIVA's web and standards based interfaces, advanced encounter/episode management, support for customizable workflow and notification management abilities were key factors in helping us secure this contract. ZeOmega is happy to sponsor the 2nd Plone conference in Vienna, Austria. We are fortunate to continue to be involved with the Plone community which is a like minded group of hackers that continues to create great software. Please follow the link for more details 2nd Plone conference. ZeOmega will be showcasing its Medical Management Solutions at the DFW CMSA conference to be held at the Omni Mandalay Hotel at Las Colinas,TX near DFW airport between April 21-23. If you are a self-insured, TPA, payer or any type of medical management entity, please visit us at booth # C-307 to see a demo of our solutions and learn how we can help your organization. ZeOmega celebrated its third anniversary during the month of April 2004. To mark our growth we have added another feather to the cap, by becoming a Sponsor Member of the Python Software Foundation As committed supporters of Zope - Python, we are proud to be a part of the community. Please click here for more info. ZeOmega is proud to sponsor Pycon for the second consecutive year, a conference organized by the members of the Python Community. Pycon 2004 is scheduled to be held in George Washington University, Washington D.C from March 24-26. ZeOmega announces the launch of ZEPP, an Intranet portal for Project Planning and Resource Management for the Center for Information Technology and Management. CITM is part of the School of Management (SOM) of the University of Texas at Dallas (UTD), USA. As a CITM partner promoting open source, ZeOmega is all set to support and maintain this Plone powered project management portal for the CITM community. ZeOmega entered into an agreement with a leading media and computer based training company based in the UK. As part of this agreement ZeOmega will build a Plone based Content Acquisition and Management system which will serve as the base to build uniquely structured e-learning programs. The CMS will be integrated with an LMS also built in Plone to service pure web based OR a combination of CDROM and web connected user communities. We are proud to announce ZeOmega's sponsorship for the first Plone Conference which was held in New Orleans, USA from Oct 15-17, 2003. SISO (Society of Independent Show Organizers) Executive Conference "Jiva" our flagship web based care and medical management software application was launched for the group health care market. It is a HIPAA compliant web based software service that allows telephonic case managers to co-ordinate collaborate and communicate on cases using the internet. The system supports pre-authorizations, case management, referrals, cost savings summary, reports, payroll and invoicing. It is ideal for medical management and cost containment companies who can streamline their business process using "JIVA" without having to spend money on IT staff. We are proud to announce ZeOmega's sponsorship for the second major Python and Zope Conference in Europe (Euro Python Conference) to be held in Charleroi, Belgium on June 25-27, 2003. The European Python and Zope Conference is an initiative by the Euro Python Conference Team to bring together Python and Zope users and developers. This was also an opportunity for those who are interested in these technologies to learn more about them. We are proud to announce ZeOmega's sponsorship of PyCon 2003, the first annual Python conference of the Python Software Foundation for developers. The Event is scheduled to be held between the 26th and 28th of March, 2003, at George Washington University's Cafritz Conference Center in Washington DC. ZeOmega launches "Maya", an integrated web based application service for medical cost containment in the Workers compensation industry. Maya integrates peer review, RME, IME and case management processes on a single web based platform using Zope and MySQL. ZeOmega signs contract with a major third party administrator in Texas to process medicals for peer review. ZeOmega's service will lower processing costs for the TPA and significantly improve turn around times for the reviewers. Our Zope based workflow engine seamlessly integrates with the TPA's business process enabling paperless process automation. ZeOmega's delivery model guarantees an ROI of over 50% to the TPA. We are currently working with other medical cost containment entities to provide similar services. ZeOmega will be showcasing its Medical Management Solutions at the 4th Annual Federal workers compensation conference to be held at the Anatole, Dallas TX. If you are a TPA, or a medical management entity providing services to Federal agencies please visit us at booth #20 to see a demo of our solutions and learn how we can help your organization. As per the agreement ZeOmega will build a project and document management portal to support the clients consulting practice in financial risk analysis. The project management portal will be built using Zope CMF to be used by the clients consultants who work on projects from different locations all over Europe. The solution will allow them to collaborate using the web and create a client extranet for secure and protected access to project information. In addition to group ware features the system will also contain a web interface to the clients CVS repository for source code control. Authentication will be via LDAP. Zope CMF with its ready to plug in content types and 3 party products is ideal to meet the clients aggressive timelines. We announce the signing of an agreement with Ministry of Education, Govt. of Venezuela in November 2001 to create an e-learning platform for "RENADIT", a project to advance technology awareness among teachers. |
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