Population Health Management Solution
The Jiva Healthcare Enterprise Management Platform delivers all the tools commercial health plans need to help with population health management while personalizing the care experience, one member at a time.
The power of big data analytics to identify high-value, population-level insights has transformed healthcare, bringing clear focus on the underlying causes of disease, cost, and risk. Jiva includes powerful data integration, analytics, and reporting tools to help payer organizations optimize care and utilization management efforts and achieve the quality goals and associated revenue they have earned.
Easy Data Access for Population Health
Leveraging claims, SDOH, and other data sources, Jiva identifies drivers of disease, stratifies populations based on risk scores, and intelligently routes members to the care management workflows designed to address their specific needs.
A robust set of dashboards and reporting tools provide insight into KPIs and enterprise metrics such as productivity, cost, disease status, and utilization. They also include pre-built visualizations for CMS Star ratings, CMS ACO Quality Measures, and NCQA HEDIS® measures for optimal quality performance.
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.