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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.
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.
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.