Combination Creates Premier Quality Improvement and Care Management Organization
HARRISBURG, PA - KEPRO, Inc. (“KEPRO”), a leading quality improvement and care management organization, in partnership with Consonance Capital Partners ("Consonance"), a leading healthcare private equity fund, announced that they have acquired APS Healthcare from Universal American.
The combination will enhance KEPRO’s ability to provide a comprehensive and high quality set of service offerings through an integrated approach to medical management – an area that will continue to experience strong growth as a result of shifting reimbursement models and changing regulatory requirements. The company’s wide breadth of services will continue to include member centric care management solutions, physical and behavioral health utilization management, employee assistance and absence management programs, as well as other offerings such as pre-admission screening and resident reviews.
Joseph Dougher, President and Chief Executive Officer of KEPRO, said, “APS Healthcare has built a reputation as a leader in medical management and together, KEPRO and APS Healthcare are dedicated to providing additional value through differentiated programs that truly meet our customers’ specific needs. The culture and values of both companies are well aligned, and APS Healthcare will bring a wealth of expertise to the combined company. We are excited to partner with APS Healthcare to continue to provide outcomes-focused solutions to reduce unnecessary healthcare utilization and optimize care quality for all of our customers.”
Stephen McKenna, Managing Partner of Consonance Capital Partners, said, “APS Healthcare has a long history of providing customers with high quality services that help improve outcomes while lowering costs, and I am confident that the complementary industry-leading expertise KEPRO brings will enable the combined company to continue to grow and further solidify its longstanding commitment to its customers.”
Consonance Capital Partners was advised by Latham & Watkins, LLP and Foley & Lardner LLP.
About Consonance Capital
Consonance Capital Partners invests in private companies in the lower middle market of the U.S. healthcare industry with an emphasis on businesses driving efficiency, cost containment and high quality clinical care to patients. Consonance Capital Partners founders, Mitchell Blutt, MD, Benjamin Edmands, Stephen McKenna, and Nancy-Ann DeParle, partnered together for over a decade while at JPMorgan Partners and its successor and predecessor entities, and have over 70 years of combined experience in private equity investing, primarily within healthcare. Consonance Capital Partners participates in growth equity, leveraged buyout, and recapitalization transactions and is currently investing out of a $500 million fund. The private equity fund is associated with Consonance Capital Management, a healthcare-focused long/short public equity manager, and together Consonance Capital has over a billion dollars of assets under management. For more information, visit www.consonancecapital.com.
About APS Healthcare
APS Healthcare, headquartered in Mechanicsburg, PA, is a leading provider of specialty healthcare solutions. APS delivers customized, integrated healthcare solutions that help people engage in behaviors that optimize their health status. By uniting all participants in the healthcare landscape – individuals, practitioners and payers – APS Healthcare improves overall health and reduces total healthcare expenditures. Read More
Harrisburg, PA, May 6, 2015 - The United Mine Workers of America Health and Retirement Funds (the “Funds”) selects KEPRO, Inc. to provide medical management services.
Core components of the medical management services include: utilization management functions to ensure services provided to beneficiaries are medically necessary and provided in the most appropriate clinical setting, disease and geriatric case management, and health and wellness services. The overall goal of the Funds’ Medical Management Services Program is to integrate all current programs and provide program enhancements and other innovative strategies to improve the care delivered to beneficiaries while simultaneously lowering the cost of care.
"We have a long history of designing innovative solutions to meet the health care demands of similar challenging populations and, moreover, delivering measurable results and improvements. We admire the Funds’ members for their long history of hard work and dedication, and we believe they deserve the very best. We are excited and eager to begin our work with the Funds’ leadership, its members, and the providers,” said KEPRO President and CEO, Joseph Dougher.
About the Funds
The Funds is a group of multi-employer plans that provides health and retirement benefits to retired coal miners and their eligible dependents. The Funds has been in existence since 1946. At present, the Funds provides pension benefits to over 90,000 beneficiaries and health benefits to nearly 30,000 beneficiaries. Read More
In order to participate in the Medicare program, federal law requires certain providers to have a Memorandum of Agreement (MOA) with a Quality Improvement Organization (QIO). MOAs are informational and outline the QIO’s and provider’s responsibilities during the review process.
Medicare providers in the Centers for Medicare & Medicaid Services (CMS) Areas 2, 3 and 4 (District of Columbia, Delaware, Florida, Georgia, Maryland, North Carolina, South Carolina, Virginia, West Virginia, Alabama, Arkansas, Colorado, Kentucky, Louisiana, Mississippi, Montana, North Dakota, New Mexico, Oklahoma, South Dakota, Tennessee, Texas, Utah, Wyoming, Iowa, Illinois, Indiana, Kansas, Michigan, Minnesota, Missouri, Nebraska, Ohio and Wisconsin) need to return a signed MOA to KEPRO by July 31, 2014.
Please download the MOA form and return the signed document to KEPRO by July 31, 2014:
We also request that you download the Provider Update form and return the completed form with your MOA so that we can update our records and better serve you.
Read more about MOA requirements. Read More