Discover a Truly Unique, Integrated Approach to Medical Management

Eliminate the need for multiple medical management vendors with ikaMM*, which seamlessly blends insight and workflow collaboration into a single, comprehensive and highly intelligent system to support the business intelligence and workflow needs of any commercial, Medicare or Medicaid care management program.

From utilization analysis and provider performance assessment to disease management and quality improvement, ikaMM provides a more automated, proactive and effective approach to care management.

Achieve Your Care Management Goals More Easily

ikaMM delivers:

• One data source for financial and clinical analyses: All ikaMM modules draw upon a single data warehouse for statistical analysis, decision support and reporting.
• Real-time or near real-time information: Because of the efficiency of ikaMM’s underlying technology, health plans can refresh their data as often as they require, without expending precious resources.
• Web-based communication and collaboration: The Internet provides an ideal environment to connect patients, providers and care management staff, ensuring the smooth and timely flow of information.
• Integrated business intelligence and workflow: Analytic and workflow tools are inextricably intertwined in all ikaMM modules, speeding the path from knowledge to action.

Automate All Medical Management Processes

ikaMM modules can be deployed with each other and other ikaEnterprise modules in any combination:

ikaDWH	Provides a consolidated database of administrative, clinical and financial information, including claims, laboratory, pharmacy, encounter, practice management and electronic medical record data
ikaUA*	Delivers comprehensive analytics and reporting for executive management, actuarial, underwriting, finance, quality and medical management decision making
ikaProfyle*	Reliably measures and compares the economic and quality performance of PCPs, specialists, hospitals, networks and employer groups using concurrent data and rigorously case-mix adjusted methodologies
ikaDM*	Gives health plans a next-generation solution for data-driven, collaborative and transparent disease management
ikaCM	Optimizes resources used to manage complex cases while ensuring no essential information slips through the cracks
ikaHRQ	Supplies a Web-based health risk questionnaire that captures member-supplied health information and facilitates data sharing
ikaAM	Supports all authorization management activities, including precertification and concurrent review, incorporating industry-standard clinical criteria
ikaHEDIS / ikaProHEDIS+*	Gives health plans unprecedented ability to proactively monitor and share quality data with staff, physicians and members, supporting HEDIS programs with timely and actionable information, intuitive tracking tools and ikaSystems’ HEDIS reporting expertise
ikaP4P	Dramatically lessens the burden of pay-for-performance program design and set-up while giving physicians a solid understanding of quality and utilization metrics, individual performance in relation to those metrics, and the relationship between performance and incentive payments

* Patent pending