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With utilizing AI in healthcare, we must analyze LLMs, the inputs, and the outcomes as we continue to evolve them with discretion and critical thinking.

Improve risk adjustment accuracy with Jiva's Risk Adjustment Navigator, a comprehensive solution that can increase financial success and quality care.

To effectively navigate the complexities of risk adjustment in federally sponsored healthcare, a combination of operational strategies and technology is vital.

With the Jiva platform's configurable Sentinel Rules Engine (SRE), health plans can use automation to effectively prioritize, sort, and manage the case load.

For federal authorities, reducing risk adjustment overpayments and noncompliant coding practices are critical to the sustainability of the healthcare system.

Patient Access and Interoperability bring hundreds of payers and app developers into an emerging ecosystem that will continue to mature.

Learn how current risk adjustment methodologies have unintentionally caused overpayments for federally sponsored healthcare funding.

Learn why API testing & certification programs confirm the ability to fully conform to the FHIR standard and enable interoperability in a scalable manner.

See how new technologies enable nurse informaticists, health plans, providers, and community-based resource organizations to improve processes.

FHIR stands for Fast Healthcare Interoperability Resources. Learn about FHIR-based APIs hosted by payers and how this impacts access to health information.

See how new technologies enable nurse informaticists, health plans, providers, and community-based resource organizations to improve processes.

Let's take a look ChatGPT, what is unique about it, why it’s different this time, and the potential benefits in healthcare.

For any areas of healthcare where blocks of text are present, ChatGPT can offer a myriad benefits. See more.

We are living in turbulent times. On global and local levels, threats of force, and actual violence, are present almost everywhere we look. While many of us are fortunate or even privileged, no one with a conscience can ignore and not be troubled by the events around us.

Much of the direction of the 2020 proposed rule is in the new proposed rule, particularly the sharing of prior authorization decisions/status with patients.

The Centers for Medicare and Medicaid (CMS) released the 2024 Medicare Advantage Proposed Rule on December 14, 2022 and the 957 page document is scheduled to enter the federal register on December 27th, 2022.

To reduce the burden of the prior authorization, many providers and payers have come together to develop solutions. Learn more.

What’s the difference between customization and personalization, and what does that have to do with enterprise-grade population health management applications?

Common wisdom holds that data is the critical component of population health. The key to success, however, comes from identifying relationships and meaning within the data that affect both broad populations and individuals within those populations.

It’s no secret that the Quadruple Aim – healthcare’s holy grail of reducing costs, improving population health, enhancing patient engagement, and improving the experience for healthcare providers.