Care Management Solution
Managing care consistently to the highest standards of quality and outcomes improvement can be extremely difficult for organizations facing workforce shortages, complicated regulatory requirements, and cost pressures.
How Our Jiva Platform Enables Better Care Management
The Jiva Healthcare Enterprise Management Platform addresses care management challenges by combining the power of AI with world-class clinical content and workflow automation logic to focus your teams on “next best actions.” By automating routine tasks and screening out the ‘noise’ in member data, we help ensure your teams are doing the highest value work every step of the way. The Utilization Management (UM) capabilities in Jiva give healthcare organizations the insights and tools needed to better guide the use and effectiveness of healthcare services.
Deep understanding of the care management function is in our DNA. Our clinical content and customized care pathways and workflows have been designed and are continuously updated by seasoned care managers who have spent years helping members and patients navigate their care journeys. They know what it takes to make a real impact with members and keep highly trained care managers engaged and fulfilled with high-value work.
Who We Serve
Commercial Health Plans
A one-stop shop for care management, benefits administration, process automation, organizational optimization, and efficiency across the enterprise.
Exceed your value-based care benchmarks leveraging combined clinical and claims data to reduce risk, close gaps, and ensure optimal outcomes.
Accountable Care Organizations
From risk-stratification to gap identification and closure strategies, our capabilities are unmatched, and built in SDOH criteria helps you reach at-risk communities with effective programs.
Medicare Advantage Plans
Built-in risk adjustment to drive consistent success in PMPM payment models and maximize Star ratings performance.
ZeOmega is #1 Best in KLAS for Payer Management Solutions 2022 and 2023
Impact of the New CMS Healthcare Interoperability Rules | ZeOmega
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.
AbsoluteCare Selects ZeOmega for Chronic Care Management for High-Risk Patient Populations
ZeOmega announced today that value-based integrated healthcare provider AbsoluteCare has selected ZeOmega’s Jiva platform to fulfill its needs for comprehensive care management, utilization management, and clinical assessment support.