 |
 |
 |
 |
 |
 |
 |
 |
 |
Products
ikaUA and ikaPROFYLEMultifaceted Utilization Management and Provider ProfilingPayers typically use multiple analytic tools and data sets to obtain answers to important business questions. However, time and money are wasted on the IT resources necessary to support these systems, as well as on reconciling reports generated from different data sources. In the process, internal and external transparency goals are made all the more difficult to achieve. Together, ikaUA and ikaProfyle offer a multifaceted, Web-based utilization management and provider profiling application that health plans can use to:
The systems comprehensively describe all utilization parameters, actuarially comparing their use by providers, provider networks, hospitals and employer groups. Then, rigorously case-mix-adjusted economic and quality performance measures are used to produce a fair and accurate comparative performance index. Proven Analytic Methodologies Providers, provider networks, hospitals and employer groups are compared using advanced analytic methodologies developed by ikaSystems and proven through market experience, including:
ikaUA and ikaProfyle automatically generate over 120 standard reports covering virtually all of a health plan’s utilization reporting requirements. Standard reports include analyses at the provider, provider-group, hospital and employer-group level. With a click of a button, analysts can drill down into the data at any level and retrieve patient-level information. Even with such a complete reporting solution, however, health plans will want to create their own reports by downloading data into any off-the-shelf reporting application, which ikaUA also supports. |
|
|