IPRO Wins Regional Medicare Quality Innovation Contract

Jul 23, 2014, 14:00 ET from IPRO

LAKE SUCCESS, N.Y., July 23, 2014 /PRNewswire-USNewswire/ -- IPRO has won an historic, five-year award as the Medicare-funded Quality Innovation Network (QIN) contractor for the states of New York and South Carolina and for the District of Columbia. Under a new arrangement that begins August 1, state-based Quality Improvement Organizations (QIOs) will be replaced by regional QIN contractors, focusing on hospital and nursing home quality improvement, care transitions, drug safety, disease self-management and better primary care through enhanced health information technology. The IPRO-led entity will be known as the Atlantic Quality Innovation Network or AQIN. 

The award—which includes subcontracts with the Delmarva Foundation for Medical Care of Columbia MD and the Carolinas Center for Medical Excellence of Columbia SC—is one of 14 regional QIN contracts. The Centers for Medicare & Medicaid Services (CMS) made major changes to the QIO program in 2014, electing to separate quality improvement activities from medical case review. Two other contractors, Ohio-based KePRO and Maryland-based Livanta, LLC, will be responsible for reviewing all Medicare beneficiary appeals and quality of care complaints beginning August 1. 

"We're pleased that CMS has chosen to broaden IPRO's quality improvement leadership beyond New York to include South Carolina and the District of Columbia," said IPRO Chief Executive Officer Theodore O. Will. "We look forward to this new opportunity to improve care for a greater number of our nation's seniors."

Now celebrating its 30th anniversary as a leading healthcare quality improvement non-profit, Lake Success NY-based IPRO holds contracts with federal, state and local government agencies, as well as corporate clients, in more than 33 states and the District of Columbia.

This material was prepared by IPRO, the Medicare Quality Improvement Organization for New York State, under contract with the Centers for Medicare & Medicaid Services, (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS policy. 10SOW-NY-AIMS6-9-14-04

For more information about IPRO, please visit http://qio.ipro.org