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KEPRO NAMES JOEL PORTICE CHIEF EXECUTIVE OFFICER TO LEAD COMPANY IN NEXT PHASE OF GROWTH

Appointment of New CEO Follows Selection of Industry Leader Susan T. Weaver, MD as President

Nashville, TN – KEPRO, a leading medical management and cost containment solution provider for government and commercial payers in the healthcare sector, today announced that Joel Portice has been named the company’s Chief Executive Officer. Mr. Portice will lead the Company in its next phase of growth, as KEPRO expands its offerings while remaining committed to its mission of supporting healthcare plans and their beneficiaries. Mr. Portice succeeds Joseph Dougher, who has retired from the company.

Mr. Portice brings to KEPRO more than 20 years of leadership experience in driving business growth in the healthcare information and data analytics space. He most recently served as Chief Executive Officer of Intermedix Corporation, a data analytics and technology provider focused on delivering best-in-class revenue cycle management, practice management, and software solutions. Under Mr. Portice’s leadership, Intermedix achieved significant operational efficiencies and meaningful growth acceleration by focusing the business on specific markets, culminating in its sale to R1 RCM Inc. earlier this year.

Prior to his role at Intermedix, Mr. Portice served as President, Government Division and Corporate Development and Strategy, at HMS Holdings Corporation, and before that was President of Verisk Health (now Verscend Technologies). Mr. Portice began his career by founding two different healthcare companies: Integrity Plus Services, which he sold to UnitedHealth Group, and Enclarity, Inc., which was acquired by LexisNexis.

The KEPRO executive team also welcomed Susan T. Weaver, MD in August as the Company’s new President. Dr. Weaver will work alongside Mr. Portice to drive the commercialization of new offerings and advance the Company’s corporate strategy. She brings more than 20 years of senior leadership in healthcare innovation and operations to KEPRO, having previously served as Chief Executive Officer for innovative medication management company C3HealthcareRx and as Chief Medical Officer for Blue Cross Blue Shield of North Carolina.

Andrew Cavanna, Chairman of the KEPRO Board of Directors, commented, “Joel Portice is a seasoned executive with extensive experience growing and developing profitable businesses in the healthcare information and data analytics industry. The Board looks forward to working with Joel, Susan, and the rest of the management team as they continue to support health plans and their beneficiaries and lead the company in its next phase of growth. We would also like to thank Joe Dougher for his more than 25 years of service to KEPRO.”

Mr. Portice said, “Over more than two decades, KEPRO has built a strong franchise renowned for its ability to work in partnership with clients to simultaneously increase efficiency and improve patient outcomes. As the Company enters its next phase of growth, I look forward to working with an incredibly talented team to further expand the business and extend our range of offerings.”

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

About KEPRO

KEPRO, the nation’s largest CMS-designated quality improvement organization and care management organization, offers innovative and outcomes-focused solutions to reduce the utilization of health care resources and optimize the quality of care for public and commercial clients. KEPRO’s comprehensive, member-centric care management solutions go far beyond traditional utilization and case management by coordinating the care provided to members with acute, chronic and complex conditions across the continuum, and identifying members who are at the highest risk for future services, but have not yet had an acute event. Tailored programs maximize members’ quality of life, and realize greater cost savings for members and clients.

Headquartered in Pennsylvania, KEPRO also has offices in Alabama, Florida, Illinois, Maine, Maryland, Massachusetts, Minnesota, Ohio, Oregon, South Carolina, Tennessee, Virginia, and West Virginia. KEPRO is URAC accredited in case management and health utilization management. We are also National Institute of Standards and Technology (NIST) and Federal Information Security Management Act (FISMA) certified.

 

 

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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