Patricia Simino Boyce
(Lake Success, NY) December 9, 2015 – IPRO has won four regional End-Stage Renal Disease (ESRD) Network quality improvement contracts to support dialysis patients, families and providers in 13 states across the U.S.
Last week the U.S. Centers for Medicare & Medicaid Services (CMS), announced it was awarding five-year contracts totaling $110 million in Medicare funding to seven entities nationwide.
IPRO will be responsible for Network 1 (Maine, New Hampshire, Vermont, Rhode Island, Connecticut and Massachusetts); Network 2 (New York); Network 6 (North Carolina, South Carolina and Georgia); and Network 9 (Ohio, Indiana and Kentucky). IPRO was the incumbent ESRD Network contractor in New England and New York but is a first-time awardee in Networks 6 and 9.
“We’re pleased and grateful that CMS has renewed our contracts in New York and New England while extending our Network leadership responsibilities to two other regions of the U.S.,” says IPRO Chief Executive Officer Theodore O. Will.
The ESRD Networks, created by statutory mandate in 1978, were developed “to improve cost-effectiveness, ensure quality of care, encourage kidney transplantation and home dialysis, provide assistance to ESRD beneficiaries and providers, and increase ESRD Network Program accountability.” According to CMS, ESRD beneficiaries make up less than one percent of the Medicare population, but account for 7.1 percent of total Medicare spending
“With the assistance of our large volunteer community, our organization will be responsible for supporting 117,000 patients, 1684 facilities and 52 transplant facilities, across the four regions,” says IPRO ESRD Network CEO Susan Caponi, RN, MBA. “That translates to one-quarter of our nation’s ESRD patient population.”
A nationally recognized not-for-profit currently operating in 31 states and territories, IPRO offers a wide range of consulting services including quality improvement and assessment activities; utilization review; independent review of patient appeals; data collection, analysis and validation; anti-fraud and abuse analytics and online performance reporting for government agencies, managed care organizations and private sector clients. In addition, IPRO operates the WhyNotTheBest website, a comprehensive quality improvement resource that evaluates the performance of 5,686 acute care hospitals in the U.S.
An ISO certified organization, IPRO is headquartered in Lake Success, NY, with offices in Albany NY, as well as Connecticut, New Jersey, Pennsylvania, North Carolina and California. For more information about IPRO, please visit ipro.org.