News

KEPRO Awarded West Virginia’s Contract for Medicaid Program Assistance

HARRISBURG, PA – KEPRO announced today that the West Virginia Department of Health and Human Resources (DHHR) has awarded its contract to KEPRO for administrative and consultative services for three DHHR bureaus and eleven programs that serve West Virginia’s Medicaid, social services and charity care members.

“We are thrilled to continue serving the state of West Virginia and its citizens,” said Joe Dougher, President and Chief Executive Officer. “We will continue to ensure that West Virginia’s Medicaid, social services and charity care recipients receive the healthcare they need when they need it through enhanced state program efficiencies and effectiveness.”

KEPRO provides administrative, clinical and consultative services to the West Virginia DHHR’s Bureau for Medical Services, Bureau for Children & Families, and the Bureau for Behavioral Health & Health Facilities. Since 2000, KEPRO has been helping the state serve more than 500,000 members and 30,000 providers to ensure citizens are getting the right care, at the right time and in the right setting.

This new contract will provide additional opportunities for KEPRO to assist with innovative programs, such as the Health Homes program developed in 2014 that provides a comprehensive system of care coordination for Medicaid members with chronic conditions. In addition, KEPRO will be assisting with the implementation of a new transportation program for Medicaid members and restructuring the Child Residential Programs to be more community focused.

KEPRO, a leading quality improvement and care management organization, offers innovative and outcomes-focused solutions to reduce the utilization of health care resources and optimize quality of care for public and commercial clients. Tailored programs maximize members’ quality of life, and realize greater cost savings for members and clients.

To learn more about the services and solutions KEPRO offers, visit www.kepro.com.

You can also get health tips, information about our organization or learn about exciting job opportunities by following us on Twitter, on  Facebook or on LinkedIn.

 

Media Contact: Jamie Kopko, Director of Corporate Communications, JKopko@Kepro.com, 717.564.8288 x7076

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APS Healthcare is Now KEPRO; West Virginia’s Medicaid Program Assistance Enhanced with Change

HARRISBURG, PA – APS Healthcare announced today that it will be serving the citizens of West Virginia as KEPRO, leveraging expertise and continuing its partnership with the West Virginia Department of Health and Human Resources (DHHR).

“This change really emphasizes our dedication to providing additional value to meet our customer’s and their member’s specific needs,” stated KEPRO President and CEO Joseph A. Dougher. “KEPRO continuously delivers on our promise of providing Intelligent Value and this new website and its functionality does just that.”

KEPRO provides administrative, clinical and consultative services to the West Virginia DHHR’s Bureau for Medical Services, Bureau for Children & Families, and the Bureau for Behavioral Health & Health Facilities. Since 2000, KEPRO has been helping the state serve more than 500,000 members and 30,000 providers to ensure citizens are getting the right care, at the right time and in the right setting.

As part of the rebranding initiative KEPRO unveiled the new website, http://wvaso.kepro.com that includes enhanced usability and content to further assist West Virginia’s members and providers, alike.

The new website provides quick and easy access to essential information and programs to assist members and providers in getting the resources they need. The site is enhanced with richer online content that is easy to navigate. The new website will be updated on a regular basis to ensure that content is always up-to-date and accurate.

In May of 2015, APS Healthcare was acquired by KEPRO, a leading quality improvement and care management organization. The combination has enhanced KEPRO’s ability to provide comprehensive and high quality service offerings through an integrated approach and customized solutions.

KEPRO, a leading quality improvement and care management organization, offers innovative and outcomes-focused solutions to reduce the utilization of health care resources and optimize quality of care for public and commercial clients. Tailored programs maximize members’ quality of life, and realize greater cost savings for members and clients.

To learn more about the services and solutions KEPRO offers, visit www.kepro.com.

You can also get health tips, information about our organization or learn about exciting job opportunities by following us on Twitter, on  Facebook or on LinkedIn.

Media Contact: Jamie Kopko, Director of Corporate Communications, JKopko@Kepro.com, 717.564.8288 x7076

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KEPRO Awarded TRICARE Quality Monitoring Contract, Expanded Services

HARRISBURG, PA – KEPRO announced today that it has been selected as the Defense Health Agency’s (DHA) TRICARE Quality Monitoring Contractor (TQMC) by the Department of Defense, TRICARE Monitoring Activity. As the TQMC, KEPRO will provide independent, impartial health care evaluations for Military Health System beneficiaries.

“We are thrilled to continue serving the DHA and TRICARE recipients,” said Joe Dougher, President and Chief Executive Officer. “We will continue to ensure our active duty and retired service men and women and their families receive the quality healthcare they need, when they need it.”

Through this new contract, KEPRO will be expanding its current scope of work by managing the integration of direct and purchased care delivery systems to ensure efficient and effective delivery of healthcare services. KEPRO will conduct comprehensive healthcare facility reviews and audits at 54 Military Treatment Facilities worldwide.

In addition, KEPRO will be conducting reviews and clinical quality studies to measure and evaluate quality performance to identify and incorporate healthcare best practices in both systems. KEPRO will also be supporting the Military Health System in achieving their Quadruple Aim of readiness, population health, cost effectiveness and patient’s experience of care.

Since 2011, KEPRO has assisted the DHA TRICARE Management Activity and the TRICARE Regional Offices by providing an independent, impartial evaluation of health care provided to more than 9.4 million Military Health System beneficiaries. In addition, KEPRO measures and identifies superior health care services and provides comprehensive and timely reviews to ensure appropriate levels of health care for all beneficiaries.

To learn more about KEPRO’s TRICARE work, visit http://tricare.kepro.com/.

KEPRO, a leading quality improvement and care management organization, offers innovative and outcomes-focused solutions to reduce the utilization of health care resources and optimize quality of care for public and commercial clients. Tailored programs maximize members’ quality of life, and realize greater cost savings for members and clients.

To learn more about the services and solutions KEPRO offers, visit www.kepro.com.

You can also get health tips, information about our organization or learn about exciting job opportunities by following us on Twitter, on  Facebook or on LinkedIn.

 

Media Contact: Jamie Kopko, Director of Corporate Communications, JKopko@Kepro.com, 717.564.8288 x7076

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Find an Answer

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