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FAQ Public And Commercial

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Why should I consider a focused specialty case management program such as Oncology?

Cancer care costs are projected to skyrocket to $173 billion in year 2020, a 39 percent increase from 2010 (Mariotto et al. 2011. Projections of the cost of cancer in the United States: 2010-2011. J Natl Cancer Inst, 103:1-12.). Average treatment cost per patient can range from $14,000 with no surgery or chemotherapy, to $123,000 for patients receiving both surgery and chemotherapy; the overall average cost per patient is $49,000 (Fitch and Pyenson, 2011. Benefit Designs for High Cost Medical Conditions. Millman Res Report).

KEPRO offers an aggressive oncology management solution to decrease treatment costs, improve overall health outcomes, and preserve each participant’s dignity during this difficult time. We help participants with a cancer diagnosises understand their treatment options and plans, and empower them to work with their healthcare providers to make informed decisions and maintain control of their lives for as long as they are able.

Our nurses work as an extension of the provider, helping the participant navigate the complexities of the healthcare system. They also help participants understand their provider's recommendations and treatment plans and seek a second opinions, if appropriate. Our primary nurse model assesses individual needs and coordinates services in order to meet goals set in collaboration with the Care Team and treating physician. Participants are taught signs and symptoms and how to manage them, improving their quality of life and clinical outcomes and avoiding/managing complications. Participants and family also benefit from assistance with end of life decisions at the appropriate time/when they are ready to address them, including helping family participants cope and support the care and/or end of life decisions of the participant.

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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