Pediatric Associates Health Plan Selects ikaSystems for Its Online Medical Management Systems With Providers
Posted on: Thursday, 23 August 2007, 12:13 CDT
Pediatric Associates Health Plan, a Medicaid health plan exclusively for children, has entered into an agreement to implement ikaSystems' web-based ikaProHEDIS system. ikaProHEDIS is a comprehensive transactional Health Employer Data Information Set (HEDIS) reporting system that will significantly enhance quality of service to members, reduce administrative costs and provide a competitive edge in the health insurance industry.
HEDIS performance is reported by each primary care physician (PCP), including the list of members due for each measure to facilitate the PCP in administering the required measures. At the health plan level, ikaProHEDIS identifies PCPs and their members due for HEDIS measures so that medical management staff can coordinate between PCPs and members to increase scores.
"Providing real time, online information on eligible members for HEDIS measures involves complex metrics and extensive medical intelligence, and since the PCP is the key, we provide this information to PCPs to perform and to the medical management staff to coordinate such care" says Solomon J. Zak, MD, Sr. VP, Medical and Business Intelligence at ikaSystems.
"Pediatric Associates Health Plan chose us after extensive due diligence because they were convinced that, in addition to providing robust solutions, we really understand health plan administration and how to incorporate medical and business intelligence in a way that would enable them to effectively achieve their objectives," says Mr. Ravi Ika, President and CEO of ikaSystems. "At ikaSystems, we constantly innovate and apply existing state-of-the art portal platform technology, and such an innovation is ikaProHEDIS, which can substantially reduce chart review costs, yet well exceed national HEDIS benchmark criteria."
About ikaSystems
ikaSystems is a leading provider of web-based ERP solutions for the managed care industry. Based in Southborough, Massachusetts, ikaSystems offers a broad spectrum of software solutions, outsourcing, and consulting services. The ikaEnterprise System is ikaSystems' flagship product. It is a full-service, comprehensive system that automates all the key transactions in the managed care cycle. The system consists of five standalone, self-service web portals that are tightly integrated with core transactional systems: claims, disease and utilization management, medical and business intelligence, HEDIS® reporting, and consumer-directed healthcare. This integrated solution provides a comprehensive web-based infrastructure for healthcare organizations, insurance carriers, and third party administrators. For more information, visit www.ikasystems.com
About Pediatric Associates Health Plan
Pediatric Associates Health Plan currently operates in Broward County, Florida. As the only Medicaid health plan in Florida exclusively for children, its mission is to help children be healthy, happy, and safe. The health plan is owned and directed by local pediatricians and managed by AmeriHealth Mercy. AmeriHealth Mercy and its affiliates comprise the largest family of Medicaid managed care plans in the United States, touching the lives of over 2 million members nationwide. AmeriHealth Mercy specializes in providing management care services and management for publicly funded programs, with special expertise in Medicaid, Medicare and State Children's Health Insurance Programs (SCHIP). For more information on Pediatric Associates and AmeriHealth Mercy, please visit www.papsn.com and www.amerihealthmercy.com.
Source: Business Wire
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