Jennifer Freedman 326-7767, Ext. IPRO also conducts quality performance audits of all HMOs participating in Medicare. In terms of other state activity, IPRO holds managed care oversight contracts in Vermont, Rhode Island, Maine and New Mexico. Under new legislation in Connecticut, health plan enrollees may request external appeals of adverse decisions made by HMOs and utilization review companies once all internal appeals have been exhausted. Across the nation, states are recognizing the need for impartial, arms-length reviews of critical health care coverage decisions.
Consumers deserve nothing less.
We applaud Connecticut for being a leader in this area. IPRO has at its disposal an extensive network of over 1,000 board certified physicians to conduct these types of reviews. Other licensed specialists include chiropractors, physical specialists, and speech therapists. IPRO's staff of over 200 professionals includes physicians, nurses, epidemiologists, biostatisticians, data analysts, health policy experts, programmers, medical records professionals and systems analysts. The organization has offices in Lake Success and Albany, New York, as well as South Burlington, Vermont.