KePRO Named TRICARE Quality Monitoring Contractor

Will provide independent review and evaluation of health care provided to Military Health System beneficiaries

Jun 26, 2010, 10:27 ET from KePRO

HARRISBURG, Pa., June 26 /PRNewswire/ -- The Department of Defense, TRICARE Monitoring Activity named the Keystone Peer Review Organization, Inc. (KePRO) as the TRICARE Quality Monitoring Contractor (TQMC). KePRO, a national quality improvement and care management organization serving public and commercial markets, delivers solutions that address some of the largest health care cost drivers. The company will provide independent, impartial evaluation of the health care provided to the Military Health System beneficiaries.

KePRO recently began the implementation phase of this large, national contract. Beginning on April 1, 2011, KePRO will:

  • Evaluate "best value health care" as defined in the TRICARE Operations Manual.
  • Measure, evaluate, and identify superior quality health care services and recommend means to transfer successes.
  • Provide comprehensive and timely reviews that are consistent with all TRICARE requirements, to ensure receipt of appropriate levels of health care for all beneficiaries.

"This is a very exciting opportunity for KePRO," said Joseph A. Dougher, Chief Executive Officer. "We look forward to working with TRICARE to ensure that Military Health System beneficiaries receive good quality, medically necessary care."

The contract, which has a one year base period and four option years, will be administered from KePRO's Harrisburg, Pennsylvania headquarters. KePRO will be hiring 20 new employees to support these efforts.

About KePRO

KePRO is a care management and quality improvement organization servicing commercial and public clients. Since 1985, the company has touched the lives of over 18 million members.  KePRO is successful because it stays abreast of industry trends and evidence-based guidelines to design products that address the biggest health care cost drivers, and interventions that fit the busy lifestyles of the members it serves. In 2009, KePRO reviewed over 1.1 million cases, delivering a 9:1 return on investment for its clients.

Headquartered in Pennsylvania, KePRO also has offices in Florida, Maryland, Ohio, Tennessee, Texas, and Virginia. For more information, visit