News

KEPRO Awarded Oregon’s Medicaid and Medicare Management Programs

HARRISBURG, PA – KEPRO announced today that the Oregon Health Authority (OHA) has awarded KEPRO its statewide contract for care coordination for the Medicaid fee-for-service population, as well as integration and evaluation services for the 1915i behavioral health waiver program.

“KEPRO has been committed to delivering quality healthcare to Oregonians for the past seven years,” said KEPRO President and CEO Joseph A. Dougher. “We’re excited to continue our partnership with the State of Oregon and to build upon our work to improve member outcomes, program efficiencies and cost-saving innovations.”

With the new contract, KEPRO will also provide disease and intensive care management, a nurse triage and advice line, and independent assessments. The program emphasizes coordination of care and collaboration with local healthcare providers; as well as early intervention with clients at high risk for health issues.

Eligible Oregonians can access a telephonic nurse advice line 24-hours-a-day, which connects clients with referrals to essential community providers and facilitates the establishment of a medical home — a primary care health provider who provides preventive medical services, and care for chronic or acute health issues. Locally-based health coaches will monitor and evaluate the participant’s progress, help eliminate barriers to care, and encourage behavior changes which will improve health outcomes and reduce overall costs.

OHA Health Systems Division, Provider Clinical Support Manager Trevor Douglass shared, “Since 2009, KEPRO has been a valued partner in assisting OHA to achieve the triple aim. KEPRO’s efforts have made a positive impact on the quality of life for many of our citizens through better coordination of care.”

For seven years, KEPRO has worked with the OHA to provide care coordination for fee-for-service Medicaid and fee-for-service Dual-eligible clients. KEPRO has saved the State of Oregon $85 million over the past six years, including $23.4 million in fiscal year 2014-2015 alone. The program is available to more than 120,000 individuals.

To learn more about the Oregon Health Plan Care Coordination Program, visit www.OHPCC.org.

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. To learn more about KEPRO, visit www.KEPRO.com.

Media Contact: Jamie Kopko, Communications Coordinator

Email: JKopko@Kepro.com

Phone: 717.564.8288 x7076

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APS Healthcare is Now KEPRO; Oregon’s Medicaid and Medicare Management Programs Enhanced with Change

HARRISBURG, PA – APS Healthcare announced today that it will be serving the citizens of Oregon as KEPRO, leveraging expertise and delivering on the promise to build healthier communities in partnership with Oregon Health Authority. 
As part of the rebranding initiative KEPRO unveiled the updated website, www.OHPCC.org that includes enhanced usability and content to further assist Oregon Health Plan Care Coordination members in getting the care they need, when they need it. 
“This change really emphasizes our dedication to providing additional value to meet our client’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 the updated website and its functionality does just that.” 
The new website provides quick and easy access to essential information and programs to assist members in getting the resources they need to make better health decisions. The site is enhanced with richer online content that is easy to navigate. The website will be updated on a regular basis to ensure that content is always up-to-date and accurate. 
Since 2009, KEPRO has worked with the Oregon Health Authority to provide care coordination for fee-for-service Medicaid and fee-for-service Dual-eligible clients. KEPRO has saved the State of Oregon $85 million over the past six years, including $23.4 million in fiscal year 2014-2015 alone. The program is available to more than 120,000 individuals. 
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. 
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; Florida’s Preadmission Screening and Resident Review Program Enhanced with Change

HARRISBURG, PA – APS Healthcare announced today that it will be serving the citizens of Florida as KEPRO, leveraging expertise and continuing its partnership with the Florida Department of Children and Families to build healthier communities through the Preadmission Screening and Resident Review (PASRR) program to ensure individuals receive appropriate care.

Since 2007, APS Healthcare has been supporting the state in ensuring that no individual with a serious mental illness is inappropriately placed in a nursing home by completing PASRR Level II evaluations and determinations. When nursing home level of care is found to be needed, the program will work to ensure that the patient’s mental health needs are also met.

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

“This change really emphasizes our dedication to providing additional value to meet our client’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.”

The new website provides quick and easy access to essential information and programs to assist individuals, families 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.

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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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