Solomon J. Zak, MD Vice President, Business & Medical Intelligence ikaSystems Corporation

Primary Care and Specialty Network Optimization Using
Business and Medical Intelligence to Enhance the
Quality and Cost of Care

In any successful and comprehensively managed health care
system, it is essential to appreciate relationships between
Primary Care Physician (PCP) and Specialist networks. Cost effective
health care is synonymous with high quality care and
the relationship between the two is synergistic.

ikaSystems provides a stand-alone Provider Utilization
Management Systems for PCPs, specialists, and utilization
management staff members (CEO, CFO, all Risk Managers,
especially Underwriters). These Systems include the analysis and
the intelligence for cost and quality of care considerations in
Health Care Network Management.

ikaSystems will distribute profiling and utilization management
data and analysis of groups and providers in several longitudinal
studies; along with statistical data showing the case mix adjusted
evaluation of providers and practice patterns through web-portals
for providers, employers and utilization management staff.

Attendees of this session will receive the results of more than
thirteen years of statistical data analysis from leading health
plans which will show the impact Primary Care Physicians have
had on the Specialist Networks. The research will also address
the issue of provider selection as it relates to the establishment of
tiered networks based on Pay for Performance (P4P). Only
reliable and valid case mix adjusted evaluation of practice
patterns of individual primary care and individual specialist
providers will yield the needed results.