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

How Jiva AI works for you:
Our AI design plus your data enables powerful predictive capabilities tailored to your business.
Go beyond claims data to anticipate the needs of your most at-risk populations.
Turn prediction into action with custom workflows to effectively deploy care interventions.
Take a look behind the scenes of our world-class data resources and machine learning capabilities.