Quality Improvement Solution
Quality has become the foundation for health plan success across all lines of business, especially government programs, where Star ratings and HEDIS® measures represent significant revenue risks and opportunities.
Overview
Quality has become the foundation for health plan success across all lines of business, especially government programs, where Star ratings and HEDIS measures represent significant revenue risks and opportunities. Quality correlates to outcomes, costs, and member satisfaction and is the basis for value-based care reimbursement models.
How Jiva Helps With Quality Measurement
Consistently improving quality metrics requires a combination of knowing where to focus for maximum impact, efficient workflows, and real-world experience in both care and compliance. The Jiva Care Quality Navigator offers a complete integrated solution for quality improvement that includes:
Intelligent Automation
AI-powered workflows leverage the Jiva Sentinel Rules Engine and our world-class clinical content resources to give teams a “next best action” orientation and the tools they need to ensure optimal interventions.
Analytics and Reporting
Dashboards, KPIs, and real-time scorecards align the entire organization transparently on performance against the critical metrics that drive quality.
Clinical Intelligence
Our growing library of continuously updated clinical content and care pathways reduces variability, ensures consistent reviews, and includes high-value, member-facing educational materials.
Experienced Advisors
Our quality program advisors are seasoned veterans with extensive real-world experience in value-based transformation. They focus on defining a customized set of core competencies and guiding process and technology implementations to achieve consistently high-quality metrics.
Who We Serve
