Kepro provides technology-enabled services for priority populations to help them remain in the community of their choice. We partner with government and private healthcare payers to maximize healthcare quality, improve accuracy and increase efficiency. Kepro was founded by physicians from the Commonwealth of Pennsylvania Medical Society in 1985, at the request of the Centers for Medicare & Medicaid Services (CMS) to serve as the state’s Quality Improvement Organization (QIO). This clinical leadership continues today and enhancing clinical outcomes for government healthcare programs remains at the core of our organization. We are a leading provider in the industry with 35 trusted years of experience and deep clinical expertise. We use our understanding to provide service offerings unique to the market with the ability to connect the right comprehensive solutions of tailored services to the specific populations of our clients across a broad spectrum of healthcare management needs. Our capabilities provide program beneficiaries with access to vital services and outcome impact through our agile and innovative whole person-centered approach. Creating health solutions for the vulnerable population of our partners across the continuum of physical, behavior, social, and pharmacy health. Today, we serve more than 300 clients including federal, state, and local governments. With 14 offices and over 1,100 employees across the United States, Kepro has improved the lives of more than 77 million beneficiaries nationwide.
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View Companies using WP EngineWho is the CEO of KEPRO?
Leslie Cannon is the CEO of KEPRO.
Who are the decision makers in KEPRO?
The decision makers in KEPRO are Leslie Cannon, Joe Dougher, Michelle Dickerson, etc. Click to Find KEPRO decision makers emails.
What services does Kepro offer for chronic care management?
Kepro provides comprehensive chronic care management services designed to support individuals with long-term health conditions. Our approach includes personalized care plans, regular health assessments, and coordination with healthcare providers to ensure that patients receive the necessary support and resources. We utilize technology to monitor patient progress and facilitate communication between patients and their care teams, ultimately aiming to improve health outcomes and enhance the quality of life for our clients.
How does Kepro's independent medical review process work?
Kepro's independent medical review process involves a thorough evaluation of medical necessity and appropriateness of care. When a healthcare provider or payer requests a review, our team of qualified medical professionals assesses the case based on established clinical guidelines and best practices. The review process is designed to ensure impartiality and transparency, providing a detailed report that outlines the findings and recommendations. This service helps to resolve disputes and ensures that patients receive the care they need.
What industries does Kepro support with its services?
Kepro supports a variety of industries, primarily focusing on healthcare payers, including government programs such as Medicaid and Medicare, as well as private insurance companies. Our services are tailored to meet the needs of healthcare providers, case managers, and organizations that serve priority populations. By partnering with these entities, we aim to enhance care delivery, improve patient outcomes, and ensure compliance with regulatory standards.
Can Kepro assist with prior authorization and utilization management?
Yes, Kepro offers prior authorization and utilization management services to help healthcare payers streamline the approval process for medical services and treatments. Our team reviews requests for authorization to ensure that they meet clinical guidelines and medical necessity criteria. By utilizing data-driven insights and evidence-based practices, we help reduce unnecessary delays in care, improve efficiency, and ensure that patients receive appropriate services in a timely manner.
What is biometric screening and how does Kepro implement it?
Biometric screening is a health assessment that measures key health indicators such as blood pressure, cholesterol levels, and body mass index (BMI). Kepro implements biometric screening as part of its health risk assessment (HRA) services, providing organizations with valuable data to identify health risks within their populations. This information is used to develop targeted interventions and wellness programs aimed at improving overall health and preventing chronic diseases among individuals.
How does Kepro ensure quality improvement in healthcare services?
Kepro is committed to quality improvement through a systematic approach that includes ongoing monitoring, evaluation, and enhancement of healthcare services. We utilize data analytics to track performance metrics, identify areas for improvement, and implement evidence-based practices. Our quality oversight programs involve collaboration with healthcare providers to ensure compliance with regulatory standards and to foster a culture of continuous improvement, ultimately enhancing the quality of care delivered to patients.