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How does KEPRO measure performance, and what type of reporting will I receive?

KEPRO’s proprietary, integrated technology platform facilitates real-time clinical and client intelligence. It’s an evidence-based approach designed to improve savings and outcomes.

Our proprietary systems capture the majority of data in reportable fields, or can be customized to meet client-specific requirements. Our robust data warehousing can run comparative data in a number of ways. This data can be compared to national/client benchmarks, or analyze programs and make recommendations for enhancements. 

KEPRO employs a full portfolio of online, real-time health intelligence reporting services for our clients through access to data and operational intelligence, periodic reporting, and an annual summary. We also issue ad-hoc queries on limitless criteria to gain more insights.

KEPRO then tracks, trends, and evaluates financial, clinical and satisfaction/humanistic outcomes, while most programs track only financial and satisfaction/humanistic outcomes.

Financial Outcomes

Our savings methodology reports both hard and soft savings. Hard savings are derived from direct member claim cost reductions. Soft savings are associated with “cost avoidance” prevention that reduce utilization, cut member costs, improve their work productivity. 

Clinical Outcomes

KEPRO removes barriers that prevent members from managing their care and compliance. This empowerment can vastly improve the member’s clinical status and quality of life, reducing unnecessary utilization and decreasing cost for our client. Specific measures vary by program, and here are just a few examples: 

  • Care access and utilization reduction
  • Member compliance with prescribed medical care
  • Promoting the most advisable activity relative to their condition
  • Maximizing behavioral health relative to each member’s medical and mental condition
  • Utilization related to complications of the member’s condition
  • Coordination with other vendors and services

Satisfaction and Humanistic Outcomes

We track member satisfaction through participation rates and surveys. 

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Please describe KEPRO data security that ensures member information is protected.

As an organization that is charged with storing and transferring Protected Health Information (PHI), KEPRO is bound by HIPAA regulations, and is accustomed to managing the security and privacy of PHI. KEPRO currently exchanges data successfully and confidentially via secure encrypted means in support of all of our federal, state, and local government programs, and with commercial clients.

KEPRO has been implementing and supporting systems that require medical record, data security, and transmission for more than a quarter of a century, and has always placed primary importance on using systems that allow for fast and efficient connectivity, while still providing the highest level of data and system security. Our proven internal and external policies and protocols ensure compliance with state and federal laws and regulations, as well as any additional security measures you may require.

We have a stringent KEPRO Comprehensive Confidentiality Plan that governs our processes. KEPRO’s Privacy Officer, Security Officer, and the Compliance Officer have ultimate responsibility for oversight of the processes and procedures contained in the KEPRO Comprehensive Confidentiality Plan.

KEPRO's system is secure. Our information systems are secured by an in-depth strategy that utilizes multiple layers of operational, management, and technical controls to protect KEPRO assets. We also employ software programs designed to prevent unauthorized use by staff or outside entities.

All KEPRO information systems employ common security controls such as Firewalls, Anti-virus, Role Based Access, FIPS 140-2 Encryption for mobile devices, and the requirement of strong passwords. Information system users are assigned a security role based upon access requirements relevant to their positions and information/program privileges.

The HIPAA Security Rule requires entities to implement information systems that control access to healthcare and related systems. KEPRO adopts a subset of NIST 800-53 Rev 3 Security controls to maintain compliance with HIPAA. Based on these security standards, KEPRO mitigates risk to its Information system by focusing on such controls as:

  • Log-In Security. HIPAA security requires the use of secure User IDs and the use of passwords. KEPRO requires multiple account authentication processes within its information systems to verify the identities of our end-users. KEPRO's policy requires strong passwords that are changed frequently.
  • Access Control. HIPAA requires one of the following: Context Based Access, Role Based Access, or User Based Access. User Based Access is part of the Log-In Security component. KEPRO's Role Based Access gives individual users access relevant to their function in the organization.
  • Audit Trail. HIPAA requires the use of an audit trail to identify who accesses PHI. KEPRO systems track those who change the patient record, the date and time the record was modified, and the specific information changed. The system includes a read only audit trail that captures each time a system user views a case.
  • Session Time-out. KEPRO information systems account for session inactivity by locking screens after 10 minutes of inactivity.
  • KEPRO's physical space is secure. KEPRO’s computer, telephone, and hardware systems are located in climate controlled rooms with fire-suppression and electronic locking system. We allow only authorized access to the room.
  • KEPRO focuses training on confidentiality and security issues. All KEPRO employees undergo rigorous training on security and confidentiality of PHI. We have successfully provided this training to all staff regardless of their respective roles/duties.

KEPRO Headquarters

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777 East Park Drive, Harrisburg, PA 17111
Toll-free: 800.222.0771
Phone: 717.564.8288
Fax: 717.564.3862