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.
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, visitwww.KEPRO.com.