STATE WORK

EQRO

From New York State, with among the nation’s highest percentage of Medicaid enrollees, to North Dakota, which has among the lowest, IPRO helps ensure that the quality of care provided to Medicaid Managed Care enrollees meets established standards. Beyond serving as the External Quality Review Organization (EQRO) in 11 states, IPRO, through its Center for Program Evaluation and Center for Performance Measurement, works with state Departments of Health to design and implement performance improvement projects (PIPs), create condition specific registries and public reporting portals, and more.

Utilization Review

IPRO has extensive experience providing services that ensure that care rendered to patients is appropriate, necessary, and meets professionally recognized standards of care. With more than 20 years’ experience conducting retrospective review and other cost containment programs, IPRO provides state agencies with the expertise and tools to ensure successful implementation of utilization review.