Key Concepts for Population Health Management with Medicare Advantage
ZeOmega has over two decades of experience working with payers and other risk-bearing entities to drive government program success. We know what it takes to stay in compliance while supporting optimal care for complex patient populations and continuously monitoring and managing cost and efficiency.
When it comes to Medicare Advantage programs, you simply cannot cut corners. We have built a comprehensive Medicare Advantage solution that covers all compliance requirements, automating adherence to complex reporting and regulatory obligations.
Star Ratings and compliance metrics depend on your teams having the intelligent tools and insights to zero in on the gaps and opportunities with the biggest impact while holistically addressing individual member needs. Powered by the most superior clinical content in the industry, we automate proven best practices with “next best action” workflows, enabling your teams to focus for maximum impact and ensure consistent quality for every member.
ZeOmega Medicare Advantage solutions feature built-in Risk Adjustment, drive consistent success in PMPM payment models, and maximize HEDIS® bonus performance. Whether you are seeking to grow your Medicare Advantage membership, improve transactional efficiency, or take your UM and CM performance to the next level, we have you covered.
As health plans and providers transform operations to support value-based care, it’s important to keep in mind that successfully engaging consumers in their health is also critical to managing costs and outcomes.
Join ZeOmega experts as they discuss how health-related social need (HRSN) interventions and/or programs can be utilized to advance health equity through the lens of an integrated delivery network.
How will AI change the future of care management? Learn about the impact of ChatGPT/AI in Healthcare
The Jiva Care Quality (CQ) Navigator is a powerful performance monitoring and analytical solution with an embedded omnichannel workflow that centralizes HEDIS and CMS Stars quality program data, improves care gap closure rates, and empowers value-based care reporting.
Through Partnerships with Change Healthcare and MCG, ZeOmega’s HealthUnity™ Smart Authorization Gateway Saves Time, Lowers Costs and Reduces Delays in Patient Care
This sprawling proposal for the Medicare Advantage program includes updates and policy changes to the Star program, clarifies prior authorization adjustments, enhances member access to behavioral health services and new health equity focused requirements.
ZeOmega announced that it has integrated its SDOH Social Care solution with Microsoft Cloud for Healthcare built for Microsoft Azure.