How do you balance regulatory compliance, member outcomes, and operational efficiency—while keeping administrative costs under control?

For health plan leaders, the mandate is clear: improve outcomes, stay compliant, and reduce administrative cost. Yet one of the biggest opportunities to achieve this often sits right in front of us—the care management platform.

Whether it’s ZeOmega Jiva, GuidingCare, MHK, or another system, the platform should be the engine that drives efficiency and insight. Too often, though, health plans are left with underutilized tools, costly workarounds, and configuration backlogs that increase cost instead of reducing it.

The question isn’t whether you’ve invested in the right system. It’s whether you’ve optimized it to deliver on its promise. And that’s where the right strategy—and the right partner—makes all the difference

Why Care Management Platforms Miss the Mark

Through our work with health plans across the country, we consistently see:

• Misaligned Workflows – Clinical and business teams bending processes to fit the system, rather than the system enabling the model of care.
• Configuration Backlogs – Bottlenecks that delay new clinical programs, regulatory updates, and market responsiveness.
• Costly Rework – Fixing misconfigurations downstream because planning, governance, or testing was rushed.
• Limited ROI – A significant investment in technology without measurable reductions in administrative burden.

A Smarter Path Forward

Leading plans treat care management optimization as a strategic initiative—not just an IT project. Here are steps we recommend:

1. Assess the Current State – Conduct a structured review of configuration, integrations, and user adoption. Identify where manual workarounds drive cost.
2. Define the Future Model of Care – Ensure platform updates are tied to your clinical and regulatory priorities, not just technical functionality.
3. Prioritize Quick Wins – Target automation, streamlined workflows, and improved reporting that deliver near-term savings.
4. Mitigate Risks Early – Establish governance, testing, and change management frameworks to avoid costly rework.
5. Leverage External Expertise – Engage experienced partners with accelerators and proven playbooks to shorten timelines and reduce risk.

How the Right Partner Adds Value

This is where consulting partners like Impresiv Health can help accelerate results. Our teams bring:

• Deep Implementation Experience – Successful rollouts and optimizations across Jiva, GuidingCare, MedHOK, and other leading platforms.
• Accelerators & Playbooks – Proven methodologies that compress timelines and reduce cost.
• Risk Mitigation – Structured change management and testing frameworks to ensure compliance and continuity.
• Flexible Resourcing – From targeted staff augmentation to full implementation teams, we adapt to your needs.

The Payoff

When health plans take this approach, the benefits are measurable:

• Lower Administrative Cost – By eliminating manual work and reducing rework.
• Faster Time-to-Value – Technology investments pay off sooner.
• Improved Staff Satisfaction – Teams spend less time on workarounds and more time on high-value activities.
• Stronger Compliance & Readiness – A platform aligned with evolving regulations and audit requirements.

Are you Ready to Connect?
If your care management platform isn’t delivering the ROI you expected—or if you’re preparing for a major upgrade—now is the time to act. With the right expertise and accelerators, you can reduce cost, move faster, and unlock the full potential of your technology.

At Impresiv Health, we help health plans do exactly that.

Let’s talk about how we can help you accelerate your platform optimization and reduce administrative cost.