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What is KePRO's philosophy and approach for managing participants?
Our approach is self-care. We empower members by increasing their health literacy, assisting with a plan, and encouraging them to collaborate with their physician(s) and other members of their healthcare team.
We recognize the uniqueness of each member and his/her care management needs. We thoroughly assess each member for physical, behavioral, and condition-specific health needs, as well as readiness to change. We take into account each member’s socioeconomic status and health literacy to identify barriers that may be preventing access to care and treatment plans and medication compliance. Our case manager works to identify benefit plan covered and community services to eliminate these barriers.
Members who identify with a person (such as a personal physician, or case manager) have significantly better health outcomes than those who see multiple providers for their health care (De Maeseneer JM, De Prins L, Gosset C, et al. Provider continuity in family medicine: Does it make a difference for total health care costs? Ann Fam Med. 2003;1:144-8.). We assign a registered nurse to serve as each members’ primary case manager, which allows us to know and address all conditions and co-morbidities, and facilitates strong relationship-building with both members and their providers.
Case managers apply theory-driven research and evidence-based tools and interventions to ensure that members successfully achieve optimal outcomes. We accomplish this through frequent communication and coordination with the member, family/care giver, provider(s), other vendors, and employer and/or community resources.
We also recognize the invaluable role of family/caregiver support in effective care and positive health outcomes, so care managers also partner with loved ones. KEPRO’s care management helps both the member and client to profit by improving self-care, quality of life, and cost savings across the entire continuum of care needs.