We are Kepro.

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.

Today, we serve more than 300 clients including Federal, state, and local governments. Over the past 35 years Kepro has partnered with government sponsored healthcare programs across the country to support their mission of providing efficient, high quality and well-coordinated care to the priority populations they serve. Our health-focused solutions optimize our partners care outcomes and reduce their cost through the implementation of our proprietary, integrated platform, data analytics, and clinically driven services in the areas of quality oversight, care management, and assessments and eligibility.

Kepro is 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, behavioral, social, and pharmacy health.

With 18 offices and over 1,500 employees across the United States, Kepro has improved the lives of more than 77 million beneficiaries nationwide.

Kepro has 30 years’ experience working with Medicaid agencies and other state healthcare and social service programs. We offer forward solutions to help states achieve their goals for improved health outcomes, administrative efficiencies, and cost savings.

Kepro works with Federal agencies to deliver solutions that are focused on enhancing clinical outcomes and improving patient centered outcomes. Our current clients include: 

• U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS)
• U.S. Department of Health and Human Services, Health Resources and Services Administration (HRSA)
• U.S. Department of Defense, Defense Health Agency – TRICARE 

Kepro delivers Care Management services to over 200 employers across various industries and sizes including universities, state and government agencies, as well as financial institutions, hospital systems, manufacturers, unions, technological clients, retailers, and other public and private sector employers.