Solution Trends

Jiva’s Appeals & Grievances (A&G) Solution centralizes and automates the management of complaints, organization determinations, appeals, and grievances.

Jiva facilitates population health management strategies for value-based care entities, such as accountable care organizations (ACOs), and patient centered medical homes (PCMHs)

Optimize your Jiva environment for cost savings and efficiency while reducing the total cost of ownership.

The interoperability-enabled Jiva platform delivers unmatched care management tools to help health plans and providers succeed. Learn more.

Tackle opioid abuse within your populations using Jiva Opioid AI.

Created to improve quality of life and health outcomes, CalAIM is an important initiative.

ZeOmega’s Integrated Identification & Stratification solution uses clinical, claims, and pharmacy data to risk-score and stratify members — so care managers can prioritize the right people at the right time.

ZeOmega and Clearlink support compliant, scalable clinical operations for health plans. Delegated care and utilization management services powered by Jiva.

FHIR enabled workflow for submitting ePA requests directly from the providers’ EMRs to payers.

ZeOmega and Clearlink support compliant, scalable clinical operations for health plans. Delegated care and utilization management services powered by Jiva.

Streamline and standardize the investigation process for Potential Quality Issues using the Jiva PQI Navigator. Download the overview sheet to learn more.

Jiva for Medicare Advantage is a comprehensive population health workflow, content, and compliance support platform that helps MA plans effectively manage complex MA populations health outcomes, lower

Member Engagement (ME) Navigator is an omni-channel communication solution that utilizes clinical intelligence to automate efficient and effective member engagement.

Meet the ultimate solution for performance monitoring and analytics. Embrace an embedded omnichannel workflow for closing gaps in care and empowering value-based care reporting.

ZeOmega’s Medical Guidelines Digitizer service combines AI with clinician expert guidance to efficiently interpret clinical policies, extract decision points, convert content into machine-readable formats, and more at scale.

ZeOmega’s Medical Guidelines Assist uses AI that streamlines the medical necessity review process. It extracts and structures clinical data from documents.

The Smart Fax Automator is ZeOmega’s AI solution for Prior Authorization Requests that recognizes and extracts information from faxes.

Social Care Connect is ZeOmega’s addition to the SDOH Social Care Platform. Enhance coordination and management of referrals with a closed loop solution.

Smart Auth Optimizer is ZeOmega’s AI-driven prior authorization solution that automates and streamlines the process for procedures and medications.

The Jiva Member Portal enables members to access health information and collaborate with their care manager and care team. Learn more.

Five considerations for payers when choosing an interoperability solution.

Managing care for economically disadvantaged populations requires healthcare organizations to account for the prevalence of chronic conditions.

CMS Star ratings and reimbursements should only be the start of your strategy.

CalAIM is a multi-year initiative to improve the quality of care provided to Medi-Cal members by implementing a broad delivery system, program, and payment reform across the Medi-Cal program.

Learn how the Jiva Risk Adjustment (RA) Navigator empowers users to ensure risk score integrity, thus maximizing accurate risk payments.

The Jiva for Complex Case Management solution allows NCQA-accredited clients to identify, stratify, and assess all aspects of a patient’s health. Learn more.

Jiva SMS Text is a TCPA- and HIPAA-compliant enhancement to existing member engagement functionality. Learn More.

Is your health plan ready for the next wave of CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) requirements? ZeOmega can help payers prepare.

ZeOmega's platform is configurable to meet every facet of the LTSS workflow from enrollment to assessments, service planning, authorizations, and reporting.

ZeOmega’s Solution to Enhance Maternal and Infant Well-Being

As an extension of Jiva’s Care Management solution, the Jiva Provider Portal is a web-based application that helps optimize care quality.

Read this overview to learn how ZeOmega's Jiva Utilization Management solution can save you time and money by improving effectiveness and efficiency.

Evidence-based care guidelines and the Cite AutoAuth rules engine from MCG seamlessly integrate within the ZeOmega Jiva Provider Portal to enhance payer-provider collaboration

How ZeOmega delivers the individualized population health touchpoints payers need to improve member contact and outcomes.

Data sheet explaining how, with Jiva, Dual-SNPs can coordinate care among stakeholders and with automated workflows for care coordination and transitions.

ZeOmega has developed the technology and frameworks to support your compliance with the 21st Century Cures Act final rules for Interoperability and Patient Access.

The ZeOmega SDOH Social Care Platform benefits your organization by identifying SDOH risks and needs across geographic areas, populations, and at an individual level.