Solutions for Public Programs

Public programs are increasingly under pressure – from rising health care costs, the growing number of uninsured, an aging population, the alarming prevalence of chronic conditions, and a shrinking tax base. Administrators must carefully balance the need to rein in program costs with ensuring that enrollees are receiving medically necessary, quality care.

We provide prior authorization, utilization management, medical necessity appeals, and care management solutions that address the acute, chronic, and complex health care needs of your recipients. We improve the appropriate utilization of government services in a cost-effective manner.

Our solutions:

• Prior Authorization and Utilization Management
• Appeals
• KePRO Wellness
• Case Management
• Chronic Care Management
• Maternity Management

We are one of the most experienced public program medical management vendors in the nation. In 2010, KePRO reviewed over one million cases and delivered at 12:1 return on investment for our public program clients.

KePRO is also a full participant in the GSA Advantage! Program under the Multiple-Award Schedule (MAS).

To learn more about KePRO’s public program solutions, call 1.800.222.0771. Or contact our business development professionals directly.