Capital District Physicians' Health Plan, Inc. (CDPHP(TM)) Renews Contract for Business and Medical Intelligence Systems - ikaHEDIS and ikaProfyle Reporting Systems Stabilize Professional and Performance Expenses.SOUTHBORO, Mass. -- ikaSystems Corporation, a leading provider of web-based, enterprise resource planning See ERP. (application, business) Enterprise Resource Planning - (ERP) Any software system designed to support and automate the business processes of medium and large businesses. (ERP (Enterprise Resource Planning) An integrated information system that serves all departments within an enterprise. Evolving out of the manufacturing industry, ERP implies the use of packaged software rather than proprietary software written by or for one customer. ) solutions for the healthcare industry, today announced that CDPHP--a not-for-profit, physician-directed health plan in Albany, New York--renewed the contracts for the ikaHEDIS and ikaProfyle systems. ikaHEDIS incorporates Health Plan Employer Data and Information Set The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance. (HEDIS HEDIS Health Plan Employer Data & Information Set Managed care An initiative by the National Committee on Quality Assurance to develop, collect, standardize, and report measures of health plan performances. (R)) standards to provide expert evaluation of PCPs and health plans in the form of comprehensive "report cards." ikaProfyle performs rigorous risk analysis and physician profiling to provide standardized evaluations that compare primary care providers (PCPs) and networks in terms of quality of care and cost. Since implementing ikaSystems' technology in 2000 Medicaid membership at CDPHP has increased 16.55%. Plus, medical expenses per member per month (PMPM) have decreased 7.27% in five years. "Contracting physicians based on utilization data--such as PMPM--is a healthy sign for healthcare organizations," says Dr. Solomon J. Zak, M.D., Vice President, Business and Medical Intelligence for ikaSystems. "Healthcare organizations will start to see a turnaround in cost savings and quality of care immediately after implementation of ikaProfyle and ikaHEDIS," adds Dr. Zak. About ikaSystems ikaSystems is a leading provider of web-based ERP solutions for the healthcare industry. The ikaEnterprise System is a single comprehensive system that automates all the key transactions in the managed care cycle. Five self-service web portals are tightly integrated with business intelligence and transactional systems: core claims adjudication, disease management, profiling, and HEDIS(R) reporting to provide a fully-integrated, web-based infrastructure for healthcare organizations, insurance carriers, and third party administrators. About CDPHP Founded and guided by physicians, CDPHP and its affiliates currently serve members in 29 counties throughout New York state and seven counties in Vermont. In 2005, CDPHP's HMO HMO health maintenance organization. HMO n. A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial, was ranked number one in member satisfaction for the seventh consecutive year by the New York State Health Accountability Foundation (NYSHAF), and was also rated the fifth fastest growing large company by the Albany Business Review. CDPHP's four affiliated companies include a family of products: Capital District Physicians' Health Plan, Inc.-AvidCare(TM), health maintenance organization (HMO); Healthy New York; Medicare Choice; Medicaid; Child Health Plus; and Family Health Plus. CDPHP Universal Benefits(R) -AchievaCare(TM), preferred provider organization pre·ferred provider organization n. Abbr. PPO A medical insurance plan in which members receive more coverage if they choose health care providers approved by or affiliated with the plan. (PPO PPO abbr. preferred provider organization PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there ) and high deductible preferred provider organization (HDPPO); AdaptaCare(R) a point-of-service product (POS); AttentiCare(TM), exclusive provider organization exclusive provider organization (EPO), n a dental benefits plan that provides benefits only if care is rendered by institutional and professional providers with whom the plan contracts (with some exceptions for emergency and out-of-area services). (EPO). Capital District Physicians' Healthcare Network, Inc.-AssociaCare(R), self-insured plans; and APA Partners, Inc.-third party administration (TPA). HEDIS is a registered trademark of the National Committee of Quality Assurance (NCQA NCQA National Committee on Quality Assurance, see there ). |
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