Integrated Specialty Alliance
Where comprehensive network management meets accessible, affordable, specialty healthcare.
Transformative Administrative Care Models
Making complex care available, accessible, and affordable through 360-degree physician-to-physician care coordination across ERs and UCCs throughout South Florida.
About Us
At Integrated Specialty Alliance (ISA), we believe that every individual deserves access to affordable specialty healthcare delivered by a high-quality expert for the best possible health outcome.
OUR MISSION
To make complex care available, accessible and affordable through 360-degree physician-to-physician care coordination.
Priority PODs
Priority PODs (Providers Organized to Deliver Care Along Service Lines) consist of a coalition of physicians and facilities working in a collaborative arrangement utilizing a model of 360-degree comprehensive physician-to-physician care coordination.
360 Degree Care Program
Our 360° care model connects specialists across the care continuum
More than Standard Neurology Specialty Services
Our comprehensive neuroscience specialty services, supported by an integrated administrative infrastructure and strategic partnerships with ERs, and UCCs throughout South Florida, deliver superior patient outcomes. Our value-based approach generates measurable cost efficiency and healthcare savings, ensuring sustainable, high-quality care delivery.
Provider Advantages
Access to High-Demand Specialists:
We provide access to leading neuroscience specialists and subspecialists within the community—offering a high-quality, cost-effective alternative to high-cost health systems.
Reduced Wait Times:
Shorten appointment wait times for members requiring neurological, neurorehabilitation, and therapy services, including Physical, Occupational, and Speech Therapy.
Extensive Network Coverage:
A robust neuroscience network serving Miami-Dade and Broward Counties, and soon adding Palm Beach County to continue delivering comprehensive inpatient and outpatient care through strong affiliations with HCA Florida Hospitals, urgent care centers, emergency departments, rehabilitation hospitals, and community hospitals.
Existing Patient Reach:
Already treating a significant portion of insurance organizational membership in hospital settings—our goal is to extend this care into our clinical practices through formal contractual arrangements.
Coordinated, Value-Based Care:
Our 360° care coordination model is supported by experienced, robust teams involved in third-party administration, information technology, telemedicine, and provider network management—ensuring efficient, cost-effective, and patient-centered service delivery.
Broad Payer Capability:
Fully equipped to serve major Managed Care Service Organizations , self-funded plans, Medicare and Medicaid HMOs, commercial insurance, international health plans and Affordable Care Act (ACA) members.
International Patient Services:
Experienced in serving international patients—particularly from the Caribbean—seeking neuroscience care in the United States, with opportunities for enhanced collaboration through contracted arrangements.
CONTACT US
Interested in learning more about Integrated Specialty Alliance Network and how we can help support your practice?
For more information, call 1-877-749-5472
Services Offered
Transformative Administrative Care Models
ISA provides comprehensive network management services to accomplish the delivery of accessible, cost-efficient, quality specialty healthcare services.
More than Standard Neurology Specialty Services
Our broad range of neuroscience specialists, supported by an integrated administrative infrastructure, deliver superior care for patients with neurological conditions. Value-based, quality healthcare translates into measurable cost effective and efficient healthcare.
Contact Us for More InformationProvider Advantages
High-Demand Neuroscience Specialists & Subspecialists
A New Era for 360 Care Specialty Network Organizations
The range of our neuroscience specialty services and integrated administrative support result in enhanced patient outcomes for complex neurological conditions. Our value-based approach generates measurable cost efficiency and savings, ensuring sustainable, high-quality care delivery.
Access to High-Demand Specialists
Access to leading neuroscience specialists and subspecialists within the community—offering a high-quality, cost-effective alternative to high-cost health systems.
Reduced Wait Times
Shorten appointment wait times for members requiring neurological, neurorehabilitation, and therapy services, including Physical, Occupational, and Speech Therapy.
Extensive Network Coverage
A robust neuroscience network serving Miami-Dade and Broward Counties, and soon adding Palm Beach County to continue delivering comprehensive inpatient and outpatient care.
Existing Patient Reach
Already treating a significant portion of insurance organizational membership in hospital settings—our goal is to extend this care into our clinical practices through formal contractual arrangements.
Coordinated, Value-Based Care
Our 360° care coordination model is supported by experienced, robust teams involved in third-party administration, information technology, telemedicine, and provider network management.
Broad Payer Capability
Fully equipped to serve major Managed Care Service Organizations, self-funded plans, Medicare and Medicaid HMOs, commercial insurance, international health plans and Affordable Care Act (ACA) members.
International Patient Services
Experienced in serving international patients—particularly from the Caribbean—seeking neuroscience care in the United States, with opportunities for enhanced collaboration through contracted arrangements.
PRICE vs VALUE
PRICE
VALUE
Enhanced outcomes & cost efficiency
Meet Our Leadership Team
Kester J. Nedd, D.O.
Founder, Chairperson & CEO
Dr. Nedd is a board-certified neurologist with subspecialty training in neurological rehabilitation and trauma and is the former head of neurotrauma and rehabilitation at University of Miami/Jackson Memorial Health Systems. Dr. Nedd has extensive experience in managing specialty networks, third-party administration services, health information technology, care coordination, and value-based healthcare. He is also the founder and CEO of Design Neuroscience Center, JIPA Network, MedAdmin Solutions, and Network TPA.
Pamela Youssef, MD
Chief Medical Officer, ISA
Dr. Youssef is a board-certified neurologist and President of Design Neuroscience Center, currently practicing as a neurohospitalist and serving as head of neuroscience center growth strategy at HCA Florida Kendall Hospital. She completed her neurology residency at the Medical College of Wisconsin.
Khan Nedd, MD
Board Member and Advisor, ISA
Dr. Khan Nedd is a board-certified internist with extensive experience as a hospitalist and infusion therapy specialist. He serves as President of the Board of Trustees for the W.K. Kellogg Foundation and holds board positions with Hope Network, the Grand Rapids African American Health Institute, Key Green Solutions, and Hospice of Michigan. Passionate about building inclusive and collaborative work environments, Dr. Nedd has dedicated much of his career to addressing healthcare disparities and advancing diversity through research, leadership, and advocacy.
Ritesh Kaushal, MD
Medical Director, ISA
Dr. Ritesh Kaushal is president of Advanced Neuroscience Institute. He is a neurointerventionalist based in South Florida, specializing in stroke and cerebrovascular diseases, including intracranial vessel occlusion, cerebral artery disease, aneurysms, AVMs, and other complex neurological disorders. He also specializes in interventional pain management. Dr. Kaushal is affiliated with Palmetto Hospital, Hialeah Hospital, North Shore Medical Center and Florida Medical Center. With extensive expertise in interventional neurology and neurocritical care, he has authored over 50 publications and contributed to numerous international presentations and book chapters. Dr. Kaushal is a member of the American Heart Association and is dedicated to empowering patients with the knowledge they need to make informed decisions about their care.
Tabassum Khan, MD, MBA
VP, Revenue Cycle Management & Network Administration, JIPA Network
Dr. Khan brings extensive experience in healthcare facility financial operations, including contracting, revenue cycle management related to billing and collections, and chargemaster development and implementation. She has played a key role in the implementation of Cerner systems at major hospitals and has been actively involved in the development and execution of key performance indicators (KPIs) focused on IT system adoption, change management, and operational efficiency.
Debbie Shumake
Executive Vice President and Director of Operations, MedAdmin Solutions, Inc. and Network TPA, LLC, Head of Third-Party Administration, Network Management & Contracting, ISA Network & JIPA Network and COO, JIPA Network
Ms. Shumake brings over 35 years of experience in claims management for Indemnity, PPO, and POS products with companies including ITT Hartford, Lincoln National, Jefferson-Pilot Life, American United Life, and SouthCare, as well as managing delegated managed care and capitation claims for regional and national health plans such as Aetna, BCBS, Humana, CIGNA, CarePlus, AvMed, Simply, and Medicare/Medicaid. She has extensive expertise in TPA infrastructure management, including standards development, site reviews, quality control, workflow and process implementation, case management, claims analysis, payment oversight, and privacy compliance. Additionally, she is experienced in subrogation and claims administration from reinsurance, including rate analysis, claims auditing, filings, and financial reconciliations for individual groups, state associations, and national plans.
Wiebe Boer, PhD
Chief Growth Strategy Officer, ISA Network and JIPA Network
Dr. Boer began his consulting career at McKinsey & Company and Boston Consulting Group, where he advised Fortune 500 companies on growth strategies and organizational transformation. He later held senior leadership roles at the Rockefeller Foundation and the Tony Elumelu Foundation, and served as CEO of All On, a Shell-funded renewable energy investment platform in Nigeria. With more than two decades of leadership experience across five countries and multiple sectors, including consulting, philanthropy, higher education, and renewable energy, Dr. Boer brings a global perspective and a deep expertise in mobilizing private capital for public good and corporate growth and development.
Leonce Limousin
Chief Technology Officer, ISA Network and JIPA Network
Mr. Limousin brings extensive experience and deep expertise in the development and management of HIPAA-compliant software systems, with a focus on optimizing healthcare data processing and enhancing system reliability. He is a leader in the development, implementation, and management of health information management systems, including third-party administration and insurance management platforms, as well as systems supporting revenue cycle management, electronic data interchange (EDI), and electronic medical records (EMR).
Kesan Buddy
VP of Operations, Planning & Business Development, JIPA Network
Ms. Buddy brings more than a decade of executive experience in healthcare operations and strategic leadership across the United States, Latin America, and the Caribbean. She is recognized for her expertise in operations management, revenue optimization, strategic planning, deal structuring, and regulatory compliance. Since 2019, Ms. Buddy has played a central role in the development and implementation of National Health Insurance Systems Provider Network Organizations. Leveraging her expertise in care coordination and care management systems, she has driven significant cost containment and cost avoidance across health insurance and clinical operations.
Rick Peraza, MBA
Practice Administrator, Design Neuroscience Center and Advisor to ISA Network
Mr. Peraza brings more than 20 years of experience in healthcare management and operations across diverse practice settings, overseeing complex, multi-location organizations with a wide range of ancillary services. He is deeply passionate about coaching, training, and team building, with a strong focus on process improvement and organizational growth.