Care Management

Improving Health Outcomes.
Increasing Effectiveness and Efficiencies.

Healthcare spending is on the rise

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.

National healthcare spending growth is projected to average 5.7% from 2020 to 2027, reaching nearly $6.0 trillion total.

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Our 360-Degree Approach to
Care Management

Utilization Management

Providing the right patients with the right care in the right setting — every time.

Case Management

Identifying and improving outcomes for high-risk, high-cost beneficiaries.

Care Coordination

Leveraging cross-disciplinary insights to create a full-scope view of patient health.

Pharmacy Management

Increasing pharmacy efficiency, accountability and compliance with expert guidance.

Employee Assistance Program

Supporting employee wellness and productivity with comprehensive services.

Absence Management

Tracking and analyzing employee absences to identify trends and opportunities.

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Kepro

Utilization Management

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A Patient-Centered Approach to Utilization Management

Government sponsored healthcare programs  need forward-looking solutions that will improve health outcomes and reduce costs for complex, high-risk and high-cost beneficiaries. Kepro's Utilization Management solution is your first line of defense in managing rising healthcare costs.

We meet the unique needs of each beneficiary while balancing federal, state and client specific requirements. Our patient-centered approach aligns with today's healthcare trends and strengthens the patient-physician relationship.

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Kepro

Case Management

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Improve Health Outcomes Decrease Episodic Health Events

Kepro's Case Management solution leverages patient data to help providers identify high-risk, criteria-driven beneficiaries.

Our software provides a tailored methodology to meet patient needs and drive healthier choices and behaviors. These recommendations are built upon evidence-based practice and member-centric programs that improve health outcomes and reduce the number of episodic health events.

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Kepro

Care Coordination

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Engaging Members with Data-Driven Care Coordination

Kepro’s care coordination approach is data driven combined with on-going client engagement. Our focus on healthcare trends and technology-driven solutions creates cost savings for our clients through innovations and automation that lead to analysis and timely interventions.

Driving these efforts are our Health Intelligence team, which are staffed with clinical and analytical experts. We provide reporting and analytic services to support clients’ operations and are responsible for report production and distribution, business intelligence presentations, and quantitative analysis for conducting evaluations and studies on healthcare programs.

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Kepro

Pharmacy Management

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Our suite of pharmacy management systems and strategic recommendations help government sponsored healthcare programs improve processes, maintain compliance, and make timely decisions based on current market trends

Prior Authorization Services

As drug regimens increase in complexity, cost and risk, robust Prior Authorization (PA) systems are essential for controlling cost. Our fully-automated PA system ensures appropriate utilization with consistent and unbiased outcomes.

Drug Utilization Review

Our Retrospective Drug Utilization Review (RDUR) solution is a comprehensive toolkit that includes expert clinical services, extensive system capabilities, and robust data analysis to help government agencies determine their program’s drug use trends and gaps in care.

Clinical Advisory Services

With a team of expert clinical advisors, we can help government agencies navigate ever-expanding prior authorization and drug utilization review criteria, manage pharmacy spend and improve patient outcomes.

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Employee Assistance Program (EAP)

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Passionate About Changing Behaviors

Our goal is simple: Improve the health of those we serve. The Kepro Employee Assistance Program (EAP) brings clinical and organizational excellence to our customers through a boutique of services designed to improve employee emotional wellness and enhance individual and organizational performance.

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Kepro

Absence Management

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Tracking, Analyzing and Reducing Employee Absences

Kepro’s sophisticated tracking program provides employers with detailed absence management tracking and reporting. We analyze absence trends for an employer's population and provide recommendations on programs the employer can implement to reduce absenteeism and improve productivity.

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