Kepro provides technology-enabled services for priority populations to help them remain in the home or community of their choice. We partner with government and private healthcare payers to maximize healthcare quality, improve accuracy and increase efficiency. We were founded by physicians and clinical expertise remains at the core of our organization.
We are laser focused on enhancing quality outcomes for government sponsored healthcare programs and data informs our clinical competency. Our results drive real change across the full healthcare spectrum. Independent and impartial healthcare evaluations to elevate services and maximize budgets. Over 35 years of delivering innovative solutions to government sponsored healthcare programs.
We are laser focused on enhancing quality outcomes for government sponsored healthcare programs and data informs our clinical competency. Our results drive real change across the full healthcare spectrum. Independent and impartial healthcare evaluations to elevate services and maximize budgets. Over 35 years of delivering innovative solutions to government sponsored healthcare programs.
Services
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.
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.
Kepro offers care management solutions to improve the health and quality of life of vulnerable populations, while reducing costs for government sponsored healthcare programs. Our mission is to improve lives through healthcare quality and clinical expertise.
We are a nationally recognized provider of healthcare management solutions in both state and federal government, as well as commercial clients, providing prior authorization, utilization and specialty review, and case and disease management services.You can apply today by filling out our Peer Reviewer Application and sending the completed application to our secure fax number at 833-887-7413.
We are a nationally recognized provider of healthcare management solutions in both state and federal government, as well as commercial clients, providing prior authorization, utilization and specialty review, and case and disease management services.You can apply today by filling out our Peer Reviewer Application and sending the completed application to our secure fax number at 833-887-7413.
According to the Centers for Medicare and Medicaid Services (CMS), national healthcare spending is projected to grow by an average of 5.7% between 2020 and 2027, reaching nearly $6.0 trillion by 2027. To manage this growth, government sponsored healthcare programs need forward-looking solutions that will improve health outcomes and reduce costs for complex, high-risk and high-spend beneficiaries.
Helping you improve the health of your beneficiaries while decreasing episodic health events. When individuals have complex, comorbid or ongoing care needs, Kepro Case Management can help coordinate their treatment plan. We use data to identify high-risk, chronically ill and other criteria-driven individuals in your program.
Our member-centric care coordination program begins with a thorough understanding of the multifaceted needs of each patient. A primary case manager (PCM) will then assess the scope and complexity of the member's healthcare needs using standardized guidelines, proprietary tools and compassionate, open discussion.
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