Harvard Pilgrim Health Care Selects Jiva, ZeOmega’s Care Management Software, for Utilization Management

Harvard Pilgrim Health Care Selects Jiva to promote transparency between utilization management and care management functions; upgrades to Jiva 5.x

AHIP Institute 2013

FRISCO, Texas--()--ZeOmega, Inc., the premier provider of software solutions for population healthcare management, announced today that Harvard Pilgrim Health Care is expanding its use of ZeOmega’s integrated care management software, Jiva™ to include support for utilization management functions. As part of its expanded use of Jiva, Harvard Pilgrim will also upgrade to the latest version of Jiva, version 5.x.

Harvard Pilgrim selected Jiva in 2009 to further enable its vision for integrated health management. As a result, Harvard Pilgrim was able to enhance its member engagement by using sophisticated clinical analytics that quickly and accurately identify members with or at risk of chronic conditions. With the addition of the utilization management functionality, all of Harvard Pilgrim’s health management activities will be supported on a single platform.

“Harvard Pilgrim is a leader in integrated health management, and choosing ZeOmega as our technology partner has been key to our success,” says Anne Metzger, vice president of health management for Harvard Pilgrim Health Care. “Adding utilization management to the functions supported by Jiva provides our team with additional opportunities to engage our members in managing their health.”

Jiva, ZeOmega’s care management platform, transforms traditional episodic-based care management into proactive and collaborative population healthcare management through EHR-enabled care plans, point-of-care tools, decision support, analytics, and user-configurable workflows. Jiva enables the integration of workflows across the care management continuum, automating intelligently based on client business rules, and providing more effective collaboration among the health plan, its providers and members.

“Harvard Pilgrim is known for its innovative programs that focus on member engagement and client satisfaction,” says Nandini Rangaswamy, executive vice president for ZeOmega. “We are excited to expand this relationship as Harvard Pilgrim continually raises the bar for population health management.”

Both companies are attending the AHIP Institute 2013 on “Transforming Our Health Care System: Navigating and Succeeding in the New Marketplace,” June 12-14 in Las Vegas. Attendees can learn more about ZeOmega’s population health management solutions at booth 209.

About ZeOmega

ZeOmega’s powerful population health management platform delivers high-value, strategic solutions enabling payers and care-delivery organizations to improve individual health and provider performance. With deep domain expertise and a comprehensive understanding of complex population health challenges, ZeOmega serves as a “true-north” partner for clients - offering flexible deployment and delivery models that leverage an innovative platform designed to integrate workflow, analytics, content and communication capabilities. By consistently meeting customer expectations and project benchmarks, ZeOmega has earned a sterling reputation in the industry for responsiveness and reliability. For more information, visit www.zeomega.com or call 214-618-9880. Follow us on Twitter, LinkedIn or Facebook.

About Harvard Pilgrim Health Care

Harvard Pilgrim Health Care is a not-for-profit health plan serving more than one million members in New England. Founded in 1969, the health plan has built its reputation on pragmatic innovation with a goal of lowering costs, improving care and enhancing the overall member experience. Harvard Pilgrim is known for its excellent clinical programs, customer service, health improvement strategies and innovative tools that offer consumers greater transparency and empower them to make better decisions about their health care.

Harvard Pilgrim is the #1 private health plan in America again according to an annual ranking of the nation’s best health plans by the National Committee for Quality Assurance (NCQA). Harvard Pilgrim is the only private health plan in the nation to be named #1 for member satisfaction and quality of care for nine consecutive years.*

* NCQA’s Private Health Insurance Plan Rankings, 2011-13, HMO/POS. NCQA’s Health Insurance Plan Rankings 2010-11 – Private. U.S.News/NCQA America’s Best Health Insurance Plans 2005-2009 (annual). America’s Best Health Insurance Plans is a trademark of U.S. News & World Report. NCQA The State of Health Care Quality 2004. Harvard Pilgrim Health Care of New England, Harvard Pilgrim’s New Hampshire affiliate, is the top-ranked plan in New Hampshire and the seventh highest-ranked private health plan in America.

Trademark Information: ZeOmega and Jiva are registered trademarks or trademarks of ZeOmega, Inc. or its subsidiaries in the United States and other countries. Other marks or brands may be claimed as the property of others.

Contacts

ZeOmega
Ron Wozny, 214-618-9880, ext. 8077
rwozny@zeomega.com
or
Dodge Communications
Cheryl Monkhouse, 770-576-2547
cmonkhouse@dodgecommunications.com

Release Summary

ZeOmega announced today that Harvard Pilgrim Health Care is expanding its use of ZeOmega’s integrated care management software, Jiva™ to include support for utilization management functions.

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Contacts

ZeOmega
Ron Wozny, 214-618-9880, ext. 8077
rwozny@zeomega.com
or
Dodge Communications
Cheryl Monkhouse, 770-576-2547
cmonkhouse@dodgecommunications.com