Healthcare organizations face certain regulatory and operational complexities when managing care for people covered by government programs like Medicaid, Medicare, Dual Eligible Special Needs Plans (D/SNPs), PACE, and others. Jiva™ delivers all of the functionality necessary to effectively and efficiently manage programs serving these vulnerable or special needs populations.
With Jiva, government health plans can:
- Track performance to Star, HEDIS and other regulatory measures
- Manage regulatory compliant workflows such as MTM, Appeals & Grievances
- Leverage psychosocial determinants of health to drive better outcomes
- Empower care plan collaboration across multi-disciplinary care teams
- Utilize NCQA-certified programs to deliver evidence based care management