UCare Selects IkaSystems for Medicare Enrollment

Minneapolis-based UCare has implemented Southborough, Mass.-based IkaSystems' cloud-based Medicare Advantage enrollment and reconciliation platform.

The carrier was looking for a way to manage its Medicare enrollment growth through streamlined enrollment processes, stay compliant with Medicare regulations and control the administrative costs associated with member and payment reconciliation, it says in a statement.

In addition to deploying the Enrollment Pathways module of IkaMedicareGateway, UCare has also gone live with the Reconciliation Module, which the vendor claims helps minimize discrepancies, perform more efficient discrepancy resolution, and minimize resources and rework during member and payment reconciliation processes.

IkaMedicareGateway and IkaPortals are a part of IkaEnterprise, an end-to-end cloud system for health plan business process optimization and intelligence management. It includes full sales cycle automation, core claims adjudication, care management and proactive quality measurement and reporting with self-service portals for sales, administrative, employer, member and provider use.

“In previous open enrollment sessions, UCare would bring in temporary employees to handle manual enrollment processes, which became more cumbersome year after year as our membership expanded," Beth Monsrud, SVP and CFO of UCare, says in a statement. "This year, just two months after deploying ikaSystems’ solutions, we have already eliminated the need to bring on extra help, enabling us to significantly reduce administrative costs.”

Nathan Golia is senior editor of Insurance & Technology. He joined the publication in 2010 as associate editor and covers all aspects of the nexus between insurance and information technology, including mobility, distribution, core systems, customer interaction, and risk ... View Full Bio