Health plans are looking for differentiation in care management delivery, seeking
to offer leading edge services that will satisfy customers, grow business and improve
their bottom line. Their clients – employers, public programs and members – are
looking to control costs and improve member health outcomes.
Supporting Health Plan Care Management Programs
Health plans are seeking partners who can support their care management activities
for members with acute, chronic and complex health care needs. KePRO provides best
in class expertise to enhance health plans’ in-house management efforts, and can
provide partial or complete outsourcing of specialty care management programs. KePRO
has supported numerous health plans, TPAs Blues Plans and insurers by providing
or supporting case management, second level appeals and medical necessity reviews,
advanced analytic solutions, complex case management and specialty case management
services such as cancer management and treatment plan validation, high risk maternity
management, and end of life management. We help health plans reign in costs, lower
trend and improve outcomes for their clients by integrating quality improvement
and care management programs.
Health Plan Solutions
KePRO provides a comprehensive portfolio of integrated care management solutions
to help health plans effectively manage the total population needs of their clients.
Click here to view our services.
Improving Health Outcomes and Reducing Health Care Costs
KePRO’s care management model is physician directed and clinically driven, built
on evidence-based guidelines. We transform data into action. By utilizing our powerful,
proprietary analytic engine and advanced technology solutions, KePRO identifies
member level as well as total population health risk. We will support your objective
to ensure members receive the right care, at the right time, in the right setting.
KePRO
Since 1985 KePRO has provided solutions for over 17 million
members. Our clients have included:
- Many of the nation’s largest third party administrators, insurance companies, Blues
Plans, hospital systems and health plans
- Medicare (CMS), numerous state Medicaid agencies, federal agencies, TRICARE and
other government organizations.
To learn more about how KePRO’s clinically driven, evidence based solutions can
support your membership across the care continuum and reduce their health care costs,
call our Business Development professionals at 1.800.222.0771, or
email us today.
