Our Experience Includes:
- Providing healthcare quality improvement consulting services since 1984.
- Successful Centers for Medicare & Medicaid Services (CMS) Quality Improvement Organization (QIO) since 1989. Currently serving as Northeast and Mid-Atlantic CMS QIN-QIO in Maine, Vermont, New Hampshire, Massachusetts, Connecticut, New York, New Jersey, Delaware, Maryland, Pennsylvania, Virginia, West Virginia, Puerto Rico, the US Virgin Islands, and the District of Columbia.
- CMS ESRD Kidney Health Analytics and Responsive Emergency Support (KHARES) contractor, providing infrastructure, technical assistance (TA), and coordination support, and leading national emergency management for all 18 ESRD Networks across the United States.
- CMS End Stage Renal Disease (ESRD) Network since 2006; overseeing three Networks, 12 states, serving 20% of ESRD beneficiaries.
- Primary and subcontracted Medicaid External Quality Review Organization (EQRO) in 11 states.
- 18 Independent Review Organization (IRO) contracts in 15 states and the District of Columbia.
- Licensed by the National Committee for Quality Assurance (NCQA) to conduct Healthcare Effectiveness Data and Information Set (HEDIS®) Compliance Audits™.
- Network of more than 500 board-certified physician consultants.
- Employing 350 professionals including physicians, registered nurses, epidemiologists, biostatisticians, data analysts, medical record reviewers, health policy experts, programmers, systems analysts, web technology experts, and marketing/communications specialists.
IPRO’s State and Federal Contracts
We are Nationwide Medicare and Medicaid Quality Improvement Leaders
Contract Vehicles
GSA MAS Contract No. 47QRAA20D006P
- 541611 – Management Consulting (Previously PSS)
- 541511 – Web-based Marketing
- 54151S – IT Professional Services
- 54151HEAL – Health IT Services
CIO-SP3 (Hygeia Solutions Partners Joint Venture)
CMS MIDS IDIQ
CMS NQIIC IDIQ
CMS QIC IDIQ
VHA Clinical Peer Review BPA