Jiva for Medicare Advantage

Enrollment in Medicare Advantage (MA) stands at 30.7 million in 2023. This is an increase of 2.1 percent between 2019 and 2023. Nearly half of all Medicare beneficiaries are enrolled in an MA plan. The ability for MA plans to offer supplemental benefits such as in-home care, transportation, and meal delivery makes them popular alternatives to traditional Medicare. It has also led to greater scrutiny and compliance requirements by the Centers for Medicare and Medicaid Services (CMS).

Download this product overview now to learn how Jiva for Medicare Advantage is a comprehensive population health workflow, content, and compliance support platform that helps MA plans:

• Effectively manage complex MA populations for better health outcomes and lower medical costs.
• Increase member engagement.
• Integrate social determinants of health (SDOH).
• Generate higher Star ratings by leveraging our Care Quality Navigator.
• Optimize administrative costs and manage the Medical Loss Ratio.
• Adapt quickly to changing CMS requirements and shifting policies.
• Incorporate Jiva’s Risk Adjustment (RA) Navigator that presents current validated HCCs and recapture opportunities.
• Visualize and analyze – The RA Navigator brings risk adjustment data into the complete member profile, empowering care managers to act.

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