PROBLEMS WE SOLVE

Unique solutions for unique challenges.

To thrive in a complex, demanding, and rapidly changing healthcare environment, health plans must anticipate and effectively adapt to evolving regulatory and market requirements. Having the tools you need to optimize flexibility is critical.

That’s where we come in. ikaSystems works with you to develop an in-depth understanding of your unique market, business drivers, and priorities. We then tailor solutions that enable you to achieve the results that matter most.

Our deep experience, extraordinary personnel, and systems knowledge allow us to deliver the products, support, and technology you need to transform your business and maximize efficiency.

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Increasing Revenue

ikaSystems helps you grow membership across all lines of business—commercial, Medicare, and Medicaid—through marketing and sales automation tools that improve productivity and increase visibility into sales and financial performance.


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Reducing Costs

ikaSystems enables you to reduce administrative and medical costs by transforming operations through a combination of rules-based automation, workflow tools, clinical insight, and collaborative redesign of processes.


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Modernizing Technology

ikaSystems Web-based technology platforms are scalable, integrated, and highly reliable for maximum efficiency and agility.


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Growing with Public or Private Exchanges

At a time when priorities, regulations, and market conditions are constantly shifting, ikaSystems provides the tools you need to connect, interact, and transact electronically within public or private exchanges.


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Optimizing Medicare Revenue

ikaSystems helps Medicare Advantage plans meet the Centers for Medicare & Medicaid Services (CMS) requirements for Medicare enrollment and membership payment reconciliation with accuracy and speed.


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Streamlining Dual Eligibility Administration

ikaSystems solutions help health plans serving dual eligibles seamlessly manage dual claims for faster, streamlined administration of this unique population.


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Enhancing Star Ratings

With the CMS five-star rating system increasing incentives for quality, ikaSystems solutions can help you improve Medicare Advantage processes and programs that reduce your risk of missing out on revenue opportunities.