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We are Kepro.

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.

Our Story

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.

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Our Values

Our values do more than hang on the wall. They live in the actions and decisions we make every day. From them we improve lives by building innovative solutions, connecting and collaborating with others, while providing the highest standard of care for those who need it most.


We are driven by a customer-first approach. We work tirelessly to improve our customer relationships, the solutions we deliver, and our company as a whole.


We are enthusiastic about the work we do and why it matters to our clients and their beneficiaries.


We are honest and ethical. We are committed to always acting with the best of intentions for our customers, partners, and colleagues.


We believe our clients are our partners and we work together to achieve the mission of their programs.


We want to help to transform the American healthcare system through new insights, technology and greater integration across programs, systems, and populations.

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Why Kepro?

Kepro delivers results to the unique needs of our clients. We differentiate ourselves by combining our deep industry knowledge, clinical expertise with innovation. We stay ahead of the curve and find new ways to solve the challenges of our clients. Selecting Kepro means you are choosing a partner who will make a profound difference to your program. 

Customer-first approach

Deep clinical expertise

Agile and flexible

Driven to maximize improve healthcare quality

Focused on quality and clinical outcomes

Technology and data driven solutions


URAC Accredited

HUM-URAC-Accreditation-Seal DM-URAC-Accreditation-Seal CM-URAC-Accreditation-Seal IRO-URAC-Accreditation-Seal-V2
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“For over 35 years Kepro has focused on the unique challenges of government sponsored healthcare programs. I'm proud of the work that we do to support vulnerable populations, and I truly believe that our clinical expertise and technology will advance the work of our clients and the populations they serve.”

— Susan Weaver, MD | Kepro, President and CEO

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Our Clients

Kepro has a successful track record of delivering results and solving the unique challenges of our clients.

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State Healthcare Programs

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.

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Our Current State Clients

Kepro provides technology-enabled healthcare management services across all 50 states through federal work and 44 states through state contracts.

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Federal Healthcare Programs

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.

What challenge can Kepro help you solve?

Set up a time to get in touch with our team of experts.