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  • EXPLAINABLE AI

    Improve care while reducing costs with intelligent risk identification and alerts

Jiva AI gives users unprecedented predictive insights into the risk drivers affecting patient outcomes, then puts them into action through configurable workflows. Jiva seamlessly channels alerts and materials to care teams based on customizable risk stratification designed for your unique business needs and processes.

Identified populations can be proactively managed with the appropriate interventions and programs to prevent negative events such as opioid overdose or hospitalization.

Going well beyond risk scores and claims information, Jiva’s machine learning algorithms integrate EMR, claims, lab, socioeconomic, behavioral, lifestyle, and client-provided data to surface a variety of risk factors.

How does Jiva AI work?

  1. A wide variety of data is ingested and transformed for use in predictive models.
  2. These models generate member risk scores.
  3. Risk scores are surfaced in Jiva applications, where the custom-configured Sentinel Rules Engine automatically triggers workflow actions.

How Jiva AI works for you:

AI AS A SERVICE

Our AI design plus your data enables powerful predictive capabilities tailored to your business.

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AI FOR VULNERABLE POPULATIONS

Go beyond claims data to anticipate the needs of your most at-risk populations. 

LEARN MORE
MACHINE LEARNING-INTEGRATED WORKFLOWS

Turn prediction into action with custom workflows to effectively deploy care interventions.

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ARCHITECTURE AND DATA GOVERNANCE

Take a look behind the scenes of our world-class data resources and machine learning capabilities.

LEARN MORE

Capabilities

  • Care Management
  • Government Solutions
  • Healthcare Services Communication Hub
  • Social Determinants Of Health
  • Analytics & Reporting
  • Clinical Intelligence
  • Explainable AI
6200 Tennyson Parkway
Suite 200
Plano, TX 75024 USA
214.618.9880
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ZeOmega KLAS overall Vendor Score: 83.5
ZeOmega

  • About Us
  • Who we Serve
  • How we Help
  • Client Success
  • Knowledge Hub
About Us

  • Leadership
  • Advisory Board
  • News & Events
  • Careers
  • Best in KLAS
  • Partners
  • Certifications
Who we Serve

  • Commercial Health Plans
  • Medicaid Managed Care Plans
  • Medicare Advantage Plans
  • Health Systems
  • Accountable Care
How we Help

  • Transitions to Value Based Care
  • Improve Care & Quality
  • Boost Efficiency & Productivity
  • Drive Consumer Engagement
  • Enhance Cost Avoidance & Optimization
  • Increase Payer Provider Collaboration
Solutions

  • Your Jiva Solution
  • Health Unity
  • Solutions Care-Intel
Client Success

  • Jiva Implementation Service
  • Jiva Support Services
  • Jiva Certification
  • Jiva Cloud Services
  • Advisory Services
Knowledge hub

  • White Papers
  • Case Studies
  • Solution Trends
  • Webinars
  • Videos
  • Infographics
  • Blogs
Certified

From The Blog

  • Impact of the New CMS Healthcare Interoperability Rule | ZeOmega
  • Key Takeaways from 2024 Medicare Advantage Proposed Rule | ZeOmega
  • Reducing Burden in Healthcare Prior Authorizations | ZeOmega
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