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Kepro

Full company profile

uuid0009bef

Namestring
Kepro
Legal namestring
Acentra Health
Websiteurl
kepro.com
Company typeenum
Private
Founded yearint
1994
Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
1,001–5,000
akta.pro rankint
HeadquartersNashville, United States
HQ citystring
Nashville
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
Medicaid management systems, government healthcare solutions, care management services, claims processing platform, clinical eligibility assessments
Industry2 codes
1Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP)
CodeHLAEAEAJPrimaryYes
2Employee Assistance Programs (EAP) Management
CodeHLAEAHABPrimaryNo
NAICS code2 codes
  • Computer Systems Design and Related Services54151
  • Other Scientific and Technical Consulting Services54169
SIC code2 codes
  • Services-Health Services8000
  • Hospital & Medical Service Plans6324
Product category
Government Healthcare IT Services and Solutions
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model2 records
1Government Healthcare IT Contracts
TypeManaged Services
Description

Acentra Health generates revenue through contracts with state Medicaid agencies, federal healthcare programs (CMS), and government healthcare organizations. The company provides MMIS platforms, clinical services, and technology solutions on a contractual basis.

acentra.com
2Healthcare Administration Services
TypeProfessional Services
Description

Revenue from providing claims processing, utilization management, care coordination, quality oversight, and other clinical and administrative healthcare services to government healthcare programs.

acentra.com
Marketing channels6 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels3 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Pricing details1 tier
1Government Healthcare Solutions - Contract-based pricing
ModelOtherBilling cadenceMulti-year contract
Notes

Quote-based / Not publicly disclosed. Solutions are provided through government procurement contracts and contractual agreements with state Medicaid agencies and federal healthcare programs.

acentra.com
GTM typeB2B
B2B
Offering typeServices
Services
Brand1 of 3 records shown
1Atrezzo
Description

Technology platform offered by Acentra Health

acentra.com
+2 more records
Core offering1 text field

Kepro (operating as Acentra Health) provides technology-enabled care management and government healthcare solutions, including a proprietary Medicaid Management Information System (MMIS) platform (evoBrix X) for high-volume claims and encounter processing, alongside clinical services such as care coordination, utilization management, provider enrollment, behavioral health assessments, and quality oversight. Offerings are delivered primarily through multi-year contracts with state Medicaid agencies and federal healthcare programs like CMS.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 3 values shown
  • Streamlined provider enrollment process with cloud-based solution eliminating previous manual processes
+2 more records
Product overview1 text field

Acentra Health (formerly Kepro) operates as a healthcare delivery systems and solutions provider offering a platform-plus-modules architecture. The core proprietary platform is evoBrix X, a configurable, modular MMIS platform that powers high-volume claims processing, financial management, and reporting. Additional technology products include Atrezzo and eCAMS HCE. Solutions span Advanced Processing Solutions (claims/encounter processing), Clinical Services & Solutions (care delivery, assessments, behavioral health), Data Analytics (with ML/fraud detection), Provider Solutions (enrollment, credentialing), Care Management (carceral care, coordination, pharmacy, utilization), Quality & Compliance (CMS waiver, standard of care review), and Employee Assistance Programs.

Product and service8 records
1evoBrix X
CategoryMedicaid Management Information System (MMIS) Platform
Description

Configurable, modular Medicaid Management Information System (MMIS) platform for high-volume claims and encounter processing, financial management, and reporting. Built for state Medicaid agencies and federal healthcare programs with rapid integration and deployment options.

2Atrezzo
CategoryHealthcare Technology Platform
Description

Healthcare technology platform within Kepro's portfolio for improving healthcare delivery systems and clinical-administrative workflows for government healthcare programs.

3eCAMS HCE
CategoryHealthcare Technology Platform
Description

Healthcare technology platform for clinical and administrative workflow management, included in Kepro's technology portfolio for healthcare delivery systems and solutions.

4Provider Solutions (Provider Screening, Enrollment & Engagement)
CategoryProvider Services
Description

Provider screening, enrollment, credentialing, revalidation, and engagement services for healthcare providers enrolled in state Medicaid programs.

5Care Management Services
CategoryCare Management Services
Description

Care management solutions including carceral care, care coordination, pharmacy management, and utilization management for government healthcare program beneficiaries.

6Clinical Eligibility & Assessments
CategoryClinical Eligibility Services
Description

Clinical eligibility assessments including Level of Care Assessments, Preadmission Screening and Resident Review (PASRR), Behavioral Health Needs Assessment, and Application Processing Center services.

7Quality & Compliance Services
CategoryQuality & Compliance Services
Description

Quality oversight and compliance services including CMS Waiver Support, Standard of Care Review, and Managed Care Oversight for Medicaid programs.

8Employee Assistance Program (EAP)
CategoryEmployee Wellness Services
Description

Employee Assistance Program services supporting employee wellness and productivity programs for government and organizational clients.

Scale indicator2 records

Each record includes

Type, Value, Description, Source

Partnership1 partner
Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2021-10-01
Description

Kepro completed the acquisition of eQHealth Solutions, LLC on October 1, 2021. The acquisition aimed to enhance Kepro's population health management and technology solutions, expanding its services and expertise in healthcare delivery systems for government programs.

Recent move6 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight5 records

Each record includes

Type, Description

Peers10 records
TypeBroad incumbent
Description

Global IT services company with a public sector healthcare practice that delivers MMIS modernization, claims platforms, and analytics for state Medicaid programs; broader portfolio than Acentra but overlapping core offerings.

TypeBroad incumbent
Description

Large IT services and consulting firm with dedicated healthcare and public sector practices; competes with Acentra on state Medicaid modernization, platform integration, and analytics work.

TypeBroad incumbent
Description

Largest healthcare technology and services platform, with a state Medicaid management information systems (MMIS) business that directly competes with Acentra's evoBrix X platform. Overlaps in claims processing, analytics, and care management for government programs.

TypeBroad incumbent
Description

Federal-focused consulting arm of Accenture delivering large-scale healthcare technology and transformation programs for CMS and state agencies; competes for federal mission support and state modernization work.

TypeDirect peer
Description

Major MMIS and Medicaid technology vendor serving numerous state agencies; competes head-to-head with Acentra for state Medicaid platform RFPs and offers adjacent services in care management and quality oversight.

TypeDirect peer
Description

Government services firm providing eligibility, clinical assessment, and program operations for state Medicaid and federal health programs, directly overlapping Acentra's care management and clinical eligibility services.

TypeDirect peer
Description

Professional services firm with a health, public sector, and analytics practice that delivers Medicaid policy, quality oversight, and program evaluation services to federal and state clients — overlapping Acentra's quality and compliance offerings.

TypeDirect peer
Description

Medicare and Medicaid administrative contractor providing claims processing, customer service, and utilization management services to federal and state government healthcare programs.

TypeEmerging player
Description

Behavioral health and managed care services subsidiary of Centene; competes with Acentra's behavioral health assessment, EAP, and managed care oversight offerings for government clients.

TypeDirect peer
Description

Government services and healthcare technology provider with a sizable Medicaid and public-sector health business. Competes with Acentra in claims processing, eligibility, and member/contact center services for state agencies.

Market position
Strengths5 records

Each record includes

Headline, Details, Source

Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat5 records

Each record includes

Type, Details

Key risks6 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers6 records

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment3 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile2 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
Yes
API detail
Has APIbool
No

Docs URL, Description

AI capability3 records

Each record includes

Type, Description, Source

AI maturity
App detail

Has app

Feature3 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles4 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

Subsidiaries1 record

Each record includes

Name, Acquired on, Relationship type, Type, Business focus

Compliance4 records

Each record includes

Name, Class, Description

Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A5 records

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Kepro

Government Healthcare IT Services and Solutionskepro.com

Kepro firmographics

Firmographics
Name
Kepro
Legal name
Acentra Health
Website
https://kepro.com
Company type
Private
Founded year
1994
Operating status
Operating
Headcount range
1,001–5,000 employees
Ownership category
akta.pro rank

Kepro industry classification

Industry
Product category
Government Healthcare IT Services and Solutions
NAICS
Computer Systems Design and Related Services (54151), Other Scientific and Technical Consulting Services (54169)
SIC
Services-Health Services (8000), Hospital & Medical Service Plans (6324)
akta.pro primary industry
Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP) (HLAEAEAJ)
akta.pro secondary industry
Employee Assistance Programs (EAP) Management (HLAEAHAB)

Keywords

  • Medicaid management systems
  • Government healthcare solutions
  • Care management services
  • Claims processing platform
  • Clinical eligibility assessments

Where Kepro is headquartered

Location

Headquarters

HQ city
Nashville
HQ country
United States
HQ region
North America

Offices1 record

Markets served

Kepro business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

  1. Government Healthcare IT Contracts: Acentra Health generates revenue through contracts with state Medicaid agencies, federal healthcare programs (CMS), and government healthcare organizations. The company provides MMIS platforms, clinical services, and technology solutions on a contractual basis.
  2. Healthcare Administration Services: Revenue from providing claims processing, utilization management, care coordination, quality oversight, and other clinical and administrative healthcare services to government healthcare programs.

Pricing tiers

ModelBillingPrice
OtherMulti-year contractGovernment Healthcare Solutions - Contract-based pricing

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Kepro product offering

Product offering

Core offering

Kepro (operating as Acentra Health) provides technology-enabled care management and government healthcare solutions, including a proprietary Medicaid Management Information System (MMIS) platform (evoBrix X) for high-volume claims and encounter processing, alongside clinical services such as care coordination, utilization management, provider enrollment, behavioral health assessments, and quality oversight. Offerings are delivered primarily through multi-year contracts with state Medicaid agencies and federal healthcare programs like CMS.

Product overview

Acentra Health (formerly Kepro) operates as a healthcare delivery systems and solutions provider offering a platform-plus-modules architecture. The core proprietary platform is evoBrix X, a configurable, modular MMIS platform that powers high-volume claims processing, financial management, and reporting. Additional technology products include Atrezzo and eCAMS HCE. Solutions span Advanced Processing Solutions (claims/encounter processing), Clinical Services & Solutions (care delivery, assessments, behavioral health), Data Analytics (with ML/fraud detection), Provider Solutions (enrollment, credentialing), Care Management (carceral care, coordination, pharmacy, utilization), Quality & Compliance (CMS waiver, standard of care review), and Employee Assistance Programs.

Differentiator

Problem solved

Functional benefit

Brands

  • Atrezzo: Technology platform offered by Acentra Health
  • evoBrix® X
  • eCAMS® HCE

Products and services

  • evoBrix X Configurable, modular Medicaid Management Information System (MMIS) platform for high-volume claims and encounter processing, financial management, and reporting. Built for state Medicaid agencies and federal healthcare programs with rapid integration and deployment options.
  • Atrezzo Healthcare technology platform within Kepro's portfolio for improving healthcare delivery systems and clinical-administrative workflows for government healthcare programs.
  • eCAMS HCE Healthcare technology platform for clinical and administrative workflow management, included in Kepro's technology portfolio for healthcare delivery systems and solutions.
  • Provider Solutions (Provider Screening, Enrollment & Engagement) Provider screening, enrollment, credentialing, revalidation, and engagement services for healthcare providers enrolled in state Medicaid programs.
  • Care Management Services Care management solutions including carceral care, care coordination, pharmacy management, and utilization management for government healthcare program beneficiaries.
  • Clinical Eligibility & Assessments Clinical eligibility assessments including Level of Care Assessments, Preadmission Screening and Resident Review (PASRR), Behavioral Health Needs Assessment, and Application Processing Center services.
  • Quality & Compliance Services Quality oversight and compliance services including CMS Waiver Support, Standard of Care Review, and Managed Care Oversight for Medicaid programs.
  • Employee Assistance Program (EAP) Employee Assistance Program services supporting employee wellness and productivity programs for government and organizational clients.

Quantifiable outcome

  • Streamlined provider enrollment process with cloud-based solution eliminating previous manual processes
  • +2 more outcomes

Companies that use Kepro

Customer profile

Named customers6 records

Segments3 records

Ideal customer profiles2 records

Kepro technology and API

Technology

Technology focussed Yes

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

AI capability3 records

Feature3 records

Kepro partnerships and signals

Strategic signal

Partnerships

One partnership is on record.

  • eQHealth Solutions, LLCcoreStrategic or Co-development Partner · 1 October 2021Kepro completed the acquisition of eQHealth Solutions, LLC on October 1, 2021. The acquisition aimed to enhance Kepro's population health management and technology solutions, expanding its services and expertise in healthcare delivery systems for government programs.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Kepro competitors and assessment

Company assessment

Broad incumbents

  • DXC Technology: Global IT services company with a public sector healthcare practice that delivers MMIS modernization, claims platforms, and analytics for state Medicaid programs; broader portfolio than Acentra but overlapping core offerings.
  • Cognizant (Public Sector / Healthcare): Large IT services and consulting firm with dedicated healthcare and public sector practices; competes with Acentra on state Medicaid modernization, platform integration, and analytics work.
  • Optum (UnitedHealth Group): Largest healthcare technology and services platform, with a state Medicaid management information systems (MMIS) business that directly competes with Acentra's evoBrix X platform. Overlaps in claims processing, analytics, and care management for government programs.
  • Accenture Federal Services: Federal-focused consulting arm of Accenture delivering large-scale healthcare technology and transformation programs for CMS and state agencies; competes for federal mission support and state modernization work.

Direct peers

  • Gainwell Technologies: Major MMIS and Medicaid technology vendor serving numerous state agencies; competes head-to-head with Acentra for state Medicaid platform RFPs and offers adjacent services in care management and quality oversight.
  • Maximus: Government services firm providing eligibility, clinical assessment, and program operations for state Medicaid and federal health programs, directly overlapping Acentra's care management and clinical eligibility services.
  • ICF International: Professional services firm with a health, public sector, and analytics practice that delivers Medicaid policy, quality oversight, and program evaluation services to federal and state clients — overlapping Acentra's quality and compliance offerings.
  • Noridian Healthcare Solutions: Medicare and Medicaid administrative contractor providing claims processing, customer service, and utilization management services to federal and state government healthcare programs.
  • Conduent: Government services and healthcare technology provider with a sizable Medicaid and public-sector health business. Competes with Acentra in claims processing, eligibility, and member/contact center services for state agencies.

Emerging players

  • Magellan Health (Centene): Behavioral health and managed care services subsidiary of Centene; competes with Acentra's behavioral health assessment, EAP, and managed care oversight offerings for government clients.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

Kepro social profiles

Digital presence

Kepro compliance and trust

Trust signal

Compliance4 records

Kepro financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Kepro leadership team

Management profile

Number of profiles

Profiles4 records

Kepro subsidiaries and ownership

Company hierarchy

Subsidiaries1 record

Kepro funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

Kepro M&A and investment

M&A and investment

M&A5 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Kepro

What does Kepro do?

Kepro (operating as Acentra Health) provides technology-enabled care management and government healthcare solutions, including a proprietary Medicaid Management Information System (MMIS) platform (evoBrix X) for high-volume claims and encounter processing, alongside clinical services such as care coordination, utilization management, provider enrollment, behavioral health assessments, and quality oversight. Offerings are delivered primarily through multi-year contracts with state Medicaid agencies and federal healthcare programs like CMS.

Is Kepro a public or private company?

Kepro is a private company. It is classified as unknown and is currently operating.

When was Kepro founded?

Kepro was founded in 1994. It employs 1,001 to 5,000 people.

Where is Kepro based?

Kepro is headquartered in Nashville, United States, in the North America region.

How does Kepro make money?

Two revenue lines are on record. Government Healthcare IT Contracts are the primary driver. The others are healthcare Administration Services.

Who are Kepro's main competitors?

Broad incumbents on record are DXC Technology, Cognizant (Public Sector / Healthcare), Optum (UnitedHealth Group) and Accenture Federal Services. Direct peers are Gainwell Technologies, Maximus, ICF International, Noridian Healthcare Solutions and Conduent. Magellan Health (Centene) is listed as an emerging player.

Does Kepro have an API?

No public API is recorded for Kepro.

What industry is Kepro in?

Kepro's product category is Government Healthcare IT Services and Solutions. Its primary akta.pro industry code is HLAEAEAJ, Managed Care Entity Administration for Medicaid (MCO/PHP/PIHP/PAHP), with a secondary code of HLAEAHAB, Employee Assistance Programs (EAP) Management. Its NAICS code is 54151 and its SIC code is 8000.

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Live signals
AcentraCNSI and Kepro are Now ‘Acentra Health’CNSI and Kepro have officially rebranded as Acentra Health following their merger completed in December 2022. The new entity serves state Medicaid agencies and federal partners, managing over $26 billion in annual payments for more than 140 million beneficiaries.PR NewswireCNSI and Kepro are Now 'Acentra Health'CNSI and Kepro have officially rebranded as Acentra Health following the completion of their merger in December 2022. The combined entity serves state and federal partners, managing over $26 billion in annual payments for more than 140 million beneficiaries across all 50 states. The organization is backed by the global investment firm Carlyle.PR NewswireCNSI and Kepro Announce Merger to Create Leading Healthcare Solutions CompanyCNSI and Kepro have announced an agreement to merge, creating a combined entity led by CNSI CEO Todd Stottlemyer and Kepro President Susan Weaver. The transaction involves Apax Partners exiting its investment in Kepro while Carlyle remains as the backing firm for the new organization. The merger is expected to close in December 2022, with the combined company rebranding in early 2023.CarlyleCNSI and Kepro Announce Merger to Create Leading Healthcare Solutions CompanyCNSI and Kepro have announced an agreement to merge, creating a combined healthcare solutions company led by CNSI CEO Todd Stottlemyer and Kepro President Susan Weaver. The transaction is backed by Carlyle, which will retain ownership as Apax Partners exits its investment, with the deal expected to close in December 2022. The merged entity aims to leverage technology and clinical expertise to improve health outcomes for government-sponsored agencies and payers.PR NewswireKepro Appoints Dr. Sherrie Artman Crittle as Chief Human Resources OfficerKepro appointed Dr. Sherrie Artman Crittle as its Chief Human Resources Officer to lead the company's HR functions and talent strategies during a phase of continued growth. Dr. Crittle brings over 25 years of experience in healthcare HRIS and previously held senior HR roles at Centerpointe Behavioral Health Systems and other organizations. This appointment aims to support Kepro's mission and strengthen its commitment to HR practices.PR NewswireKepro Completes Acquisition of eQHealthKepro has completed the acquisition of eQHealth Solutions, LLC to expand its population health management and technology solution portfolios. The transaction involves combining Kepro's existing services with eQHealth's cloud-based SaaS technology and community-based services. Financial advisors Synergy Advisors and Coker Capital facilitated the deal.PR NewswireKepro Appoints Benjamin C. Adams as Chief Financial OfficerKepro appointed Benjamin C. Adams as its new Chief Financial Officer, effective September 7, 2021, to lead the company's finance organization and strategic mergers and acquisitions. Adams brings over 25 years of healthcare finance experience, having previously served as CFO at RxSense LLC and held senior roles at major investment banks. This leadership change supports Kepro's continued growth in providing technology-enabled services for government-funded health programs.PR NewswireKepro Appoints Jay Toth as Chief Growth OfficerKepro announced the appointment of Jay Toth as Chief Growth Officer, effective November 2, 2020, adding him to the company's executive leadership team. Toth brings over 17 years of experience in Health & Human Services and technology, having spent more than 15 years at Microsoft in various leadership positions. In this role, Toth will lead Kepro's business development, marketing and communications, and government relations strategy to support the company's growth objectives in the government healthcare sector.PR NewswireKEPRO Appoints John Malanowski as Chief People OfficerKEPRO announced the appointment of John Malanowski as Chief People Officer, effective July 22, 2019. Malanowski brings over three decades of global HR executive experience in healthcare and technology sectors, most recently serving as interim CHRO at Virence Health Technologies and UT Southwestern Medical Center. In this role, he will lead all HR activities including talent management, leadership development, and compensation and benefits across the 1,400-employee enterprise.PR NewswireKEPRO to Provide Preadmission Screening and Resident Review (PASRR) Level I Screenings and Level II Evaluations and Determinations to the State of FloridaKEPRO has been awarded a contract by the Florida Agency for Health Care Administration to provide PASRR Level I screenings, Level II evaluations, and resident reviews. This agreement delegates KEPRO as the vendor for assessing individuals with serious mental illness or intellectual disabilities prior to nursing home admission in Florida.