Our expertise is as varied as our workforce, which includes more than 300 professionals who bring their own skills and experience to healthcare quality improvement. We bring clinical, administrative, data analytics, and advanced technology perspectives to your project.
Through its work with the Centers for Medicare & Medicaid Services (CMS) as well as departments of health in more than 20 states, IPRO spearheads data-driven initiatives that advance national health quality goals and improve care across the continuum for providers, stakeholders, and patients.
IPRO’s skilled and experienced team of physicians, nurses, public health experts, administrators, pharmacists, data analysts, and quality improvement specialists work side-by-side to offer targeted quality improvement assistance to small, rural, and critical access hospitals as well as nursing homes, clinics, and other providers. Our technical support helps providers ensure the delivery of safe, high-quality, patient-centered care for all Medicare and Medicaid beneficiaries.
Work with IPRO to develop, implement, and maintain transparent, accessible quality measurement reporting tools. These tailor-made tools will meet your legislative and administrative requirements, while remaining user-friendly, cost-effective, and compliant with accessibility law.
IPRO has performed tens of thousands of reviews for medical necessity and appropriateness and has extensive experience handling appeals of denial of care and payment. IPRO makes objective determinations on appeals covering the full range of disputes among enrollees, providers and health plans such as eligibility, contract interpretation, medical necessity, and experimental/investigational treatment.
The Center for Program Evaluation works with state Medicaid programs as well as other public health programs to conduct independent program evaluation using comprehensive mixed-method, qualitative and quantitative investigations to help manage and advance their missions. Program evaluation is on the cutting edge of healthcare quality improvement as Medicaid patient-centered programs strive to reduce costs while assuring quality. These models of care shift the paradigm for patients and often necessitate ongoing monitoring to ensure beneficiaries are able to access the full range of healthcare services they require.
The Center for Performance Measurement at IPRO is an interdisciplinary team that brings a broad and deep range of experience to performance measurement activities. With deep subject matter expertise in Medicare, Medicaid, infection measures, patient experience, sepsis, performance improvement, and Healthcare Effectiveness Data and Information Set (HEDIS)-like measures, our experience spans providers, hospitals, health plans, external quality review contracts, physician advisors, MIPS, and more.
IPRO is a non-profit organization that works with government agencies, providers and patients to implement innovative programs that bring policy ideas to life. For 40 years we’ve made creative use of clinical expertise, emerging technology and data solutions to improve the way the healthcare system works. IPRO holds contracts and consulting agreements with federal, state and local government agencies, as well as private-sector clients, in 32 states and the District of Columbia.
Across nearly 100 state and federal programs in 32 states, IPRO makes creative use of clinical expertise, emerging technology, and data solutions to make the healthcare system work better.
HEADQUARTERS:
1979 Marcus Avenue
Lake Success, NY 11042-1072
Phone: 516-326-7767
Toll Free: 800-852-3685
Fax: 516-328-2310
TTY: 800-662-1220 or 711
