August 09, 2007
Pediatric Associates Health Plan Selects ikaSystems for Its
Online Medical Management Systems with Providers
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 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 Pediatrics Assoicates and AmeriHealth Mercy, please
visit
www.papsn.com and
www.amerihealthmercy.com.