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.
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.
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.
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.
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.
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.
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.