IPRO

What IPRO does

IPRO is a national, not-for-profit healthcare quality improvement organization incorporated in 1983 and operational since 1984. Headquartered in Jericho, New York, with regional offices in Albany (NY) and Hamilton (NJ), IPRO employs more than 300 full-time professionals and maintains a network of 500+ board-certified physician consultants and subject-matter specialists spanning epidemiology, biostatistics, health informatics, pharmacy, nursing, coding, and quality improvement. The organization operates across nearly 100 state and federal programs in 32 states plus the District of Columbia, serving CMS, state departments of health, managed care plans, healthcare providers, and consumers.

The company's core offerings are organized around federally and state-mandated quality oversight. IPRO is the designated CMS Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for both Region 1 (Northeast) and Region 2 (Mid-Atlantic) under the 13th Statement of Work, with contracts running through May 2030 and covering 24% of the nation's Medicare beneficiaries. It operates four End-Stage Renal Disease (ESRD) Networks supporting approximately 60,000+ dialysis patients and 900+ Medicare-certified facilities. IPRO serves as an External Quality Review Organization (EQRO) for Medicaid managed care in 21+ states, working with more than 150 managed care plans, and is a certified Independent Dispute Resolution Entity under the No Surprises Act. Supporting technology includes an in-house software development team maintaining encounter data warehouses for multiple states, the Kidney Transplant Compare mobile application, and quality measurement and reporting systems. Strategic content assets include the Quality Watch Podcast, Healthy Insights Newsletter, IPRO-authored scholarly articles, and Project Firstline infection prevention training delivered to approximately 165,000 healthcare workers.

IPRO's revenue model is entirely contract-based and government-anchored. Primary streams are federal contracts with CMS (QIN-QIO, ESRD Networks, IDR) and state Medicaid contracts (EQRO, compliance audits, utilization review, state-directed payment assessments, state healthcare assessments). Provider-facing technical assistance and consulting engagements constitute a smaller, supplementary stream. As a 501(c)(3)-style non-profit, IPRO has no equity shareholders, no public ticker, and does not disclose revenue; pricing is set through federal and state procurement processes rather than published rates. The organization reinvests contract revenue into program delivery, content production, workforce, and SOC 2 Type 2 / HIPAA-compliant infrastructure.

Name

IPRO

Legal name

IPRO

Website

https://ipro.org

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

251–500 employees

Short description

IPRO is a national non-profit healthcare quality improvement organization serving CMS, 21+ state health departments, 150+ managed care plans, and providers across 32 states via QIN-QIO contracts, four ESRD Networks, EQRO services, and certified IDR work.

Ownership category

akta.pro rank

Headquarters

HQ city

New Hyde Park

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Federal Government Contracts: IPRO generates primary revenue through federal contracts with CMS for QIN-QIO programs (Regions 1 and 2 through 2030), ESRD Network Programs, and other healthcare quality improvement initiatives. Contract terms run through May 2030.
2. State Government Contracts: Revenue from state departments of health for Medicaid EQRO services, state healthcare assessments, compliance audits, and other quality improvement programs across 21+ states.
3. External Quality Review Organization (EQRO): IPRO serves as EQRO for multiple states, evaluating quality of healthcare services provided to Medicaid Managed Care enrollees, generating revenue through contractual arrangements with state Medicaid programs.
4. Healthcare Quality Improvement Consulting: IPRO provides consulting services to healthcare providers, including technical assistance, training programs, and quality improvement consultation for nursing homes, hospitals, and outpatient clinical practices.

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

IPRO is a non-profit healthcare quality improvement organization that delivers contracted services to federal and state governments, healthcare providers, and managed care plans. Its core offerings include the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) program for CMS Regions 1 and 2, ESRD Network Programs for End-Stage Renal Disease patients, External Quality Review Organization (EQRO) services for state Medicaid programs, Independent Dispute Resolution under the No Surprises Act, Independent Review of Appeals, and supporting digital tools such as the Kidney Transplant Compare mobile application.

Product overview

IPRO is a healthcare quality improvement organization that operates as a platform of interconnected programs and services designed to improve healthcare outcomes across various populations. The core offerings include federal quality improvement contracts (QIN-QIO, ESRD programs, EQRO services) that provide regulatory compliance and performance improvement support, along with dispute resolution services (Independent Review of Appeals, IDR). Supporting these core services are digital tools including the Kidney Transplant Compare mobile application and content resources such as the Quality Watch Podcast and Healthy Insights Newsletter. The organization functions as both a direct service provider and an advisory/educational resource for healthcare stakeholders including CMS, state health departments, providers, and patients.

Differentiator

Problem solved

Functional benefit

Brands

• Kidney Transplant Compare: Mobile application and website that empowers kidney patients to find transplant centers by providing comparative data on programs, allowing users to filter by location, medical selection criteria, outcomes, and support services.
• Quality Watch Podcast
• Healthy Insights Newsletter

Products and services

• Medicare Quality Innovation Network - Quality Improvement Organization (QIN-QIO)

Quantifiable outcome

• 24% of nation's Medicare beneficiaries served through QIN-QIO programs
• +3 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

14 partnerships are on record, tiered core, flagship and minor.

• Healthcentric AdvisorscoreStrategic or Co-development Partner · 26 March 2026Healthcentric Advisors, based in Rhode Island, serves as a subcontractor to IPRO under the CMS QIN-QIO contract for Region 1 (Northeast). Together with IPRO and Qlarant, they form a collaboration of three organizations with decades of experience serving as Medicare QIOs, providing direct technical assistance, advanced data analytics, evidence-based intervention recommendations, and customized training to healthcare providers.
• QlarantcoreStrategic or Co-development Partner · 26 March 2026Qlarant, based in Maryland, serves as a subcontractor to IPRO under the CMS QIN-QIO contract for Region 1 (Northeast). Together with IPRO and Healthcentric Advisors, they form a collaboration providing multidisciplinary teams of experienced healthcare quality improvement specialists for direct technical assistance and resources to nursing homes, hospitals, and outpatient practices.
• New York State Department of HealthcoreStrategic or Co-development PartnerIPRO was selected by New York State to implement Project Firstline, a CDC-led project bringing critical infection prevention and control training to frontline healthcare staff in NYS dialysis centers. The project is sponsored by Health Research Inc. (HRI) which administers funding for NYSDOH public health goals.
• Health Research Inc. (HRI)coreStrategic or Co-development PartnerHealth Research Inc. (HRI) administers funding to further public health goals of the NYS Department of Health and other entities. HRI sponsors Project Firstline, the CDC-led infection prevention training program implemented by IPRO in New York State dialysis centers.
• Centers for Disease Control and Prevention (CDC)coreStrategic or Co-development PartnerCDC leads Project Firstline, an initiative that has developed more than 900 educational products and training materials and hosted more than 2,400 educational events reaching approximately 165,000 healthcare workers as of December 2023. IPRO implements this program in New York State dialysis centers.
• Centers for Medicare & Medicaid Services (CMS)flagshipStrategic or Co-development PartnerCMS awarded IPRO contracts to serve as the Medicare Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for both the Northeast (Region 1) and Mid-Atlantic (Region 2) under the 13th Statement of Work. Contracts run through May 2030 and cover 24% of the nation's Medicare beneficiaries.
• Yale New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (CORE)coreStrategic or Co-development PartnerIPRO Senior Director Mary Dramitinos participates on a Technical Expert Panel for Medicaid Total Cost of Care measure development, which CORE is developing with CMS. The TEP provides guidance on measure design, methodology, and implementation considerations.
• Chronic Kidney Disease ChampionsminorStrategic or Co-development PartnerPatient advocacy group that provided direct input into the development of Kidney Transplant Compare application, ensuring the 131 data points included reflect information most important to patients.
• Health Literacy Media (HLM)coreStrategic or Co-development PartnerHLM leads the Public Education for the Living Organ Donation Reimbursement Program (LODRP) funded by HRSA. IPRO Director Caroline Sanner serves on the Advisory Board supporting this project's goal to increase awareness and equitable access to living organ donation reimbursement, particularly among medically underserved communities.
• National Kidney FoundationcoreStrategic or Co-development PartnerPartner in the Public Education for the Living Organ Donation Reimbursement Program (LODRP) alongside Health Literacy Media and Houston Methodist Hospital, working to increase awareness of and access to living organ donation financial support.
• Houston Methodist HospitalcoreStrategic or Co-development PartnerPartner in the Public Education for the Living Organ Donation Reimbursement Program (LODRP) alongside Health Literacy Media and National Kidney Foundation, contributing to outreach and education initiatives for living organ donation.
• National Association of Independent Review Organizations (NAIRO)minorStrategic or Co-development PartnerIndustry trade association dedicated to upholding integrity of medical peer review and utilization review processes. IPRO's Allison Xiong, Ph.D. serves as Chair of the Technology/AI/Cybersecurity Committee, engaging in monthly meetings with industry experts to discuss latest developments in AI and emerging technologies.
• National Association of Independent Review Organizations (NAIRO)minorStrategic or Co-development PartnerIPRO's Debora Santiago serves as Chair of NAIRO's Legislative Committee, attending monthly meetings to provide members with updates on trends and pending legislation. IPRO contributes to safeguarding important review processes through this industry association.
• Partnership for Quality MeasurementcoreStrategic or Co-development PartnerConsensus-based entity certified by CMS to bring together experts in healthcare quality improvement to endorse quality measures. Multiple IPRO employees serve on Pre-Rulemaking Measure Review (PRMR) committees including Hospital, Clinician, and Post-Acute Care & Long-Term Care Advisory Groups.

Scale indicators10 records

Recent moves6 records

Expansion highlights5 records

Emerging players

• IMPAQ International: IMPAQ International is a research and analytics firm that performs healthcare quality measurement, program evaluation, and policy analysis for federal agencies. It competes with IPRO for healthcare QI contracts but operates as a for-profit with broader international policy work.

Direct peers

• MetaStar: MetaStar is a Wisconsin-based non-profit QIO providing healthcare quality improvement, EQRO, and utilization review services to state Medicaid agencies and CMS. It is comparable to IPRO in scope, customer base (state Medicaid programs), and contract-based delivery model.
• Stratis Health: Stratis Health is a Minnesota-based non-profit QIO focused on improving healthcare quality in the Upper Midwest. It is a direct peer in CMS QIN-QIO and EQRO services with comparable customer base and contract-driven business model.
• Qlarant: Qlarant is a Maryland-based non-profit QIO that serves as IPRO's subcontractor on the Region 1 QIN-QIO contract. It provides comparable healthcare quality improvement, case review, and EQRO services to federal and state clients across multiple US regions.
• Telligen: Telligen is a non-profit healthcare quality improvement organization serving as a CMS QIN-QIO and ESRD Network operator in multiple US regions. It competes with IPRO in federal healthcare QI procurements and offers comparable population health and quality measurement services.
• Healthcentric Advisors: Healthcentric Advisors is a Rhode Island-based non-profit QIO that partners with IPRO on the Region 1 QIN-QIO contract. It offers directly comparable Medicare quality improvement, patient safety, and clinical analytics services with similar customer segments and contract structure.
• Alliant Health Solutions: Alliant Health Solutions (formerly Georgia Medical Care Foundation) is a non-profit QIO serving as a CMS QIN-QIO contractor across multiple southeastern states. It directly competes with IPRO in federal quality improvement procurements and operates an ESRD Network.
• Health Services Advisory Group (HSAG): HSAG is one of the largest US non-profit QIOs, serving as a QIN-QIO and EQRO contractor across multiple western and southwestern states. It is a direct competitor to IPRO in federal and state healthcare quality improvement procurements with comparable services.

Broad incumbents

• Centers for Medicare & Medicaid Services (CMS): CMS is the federal agency that funds and oversees IPRO's largest contracts (QIN-QIO, ESRD Networks). While not a commercial competitor, CMS shapes the regulatory environment IPRO operates within and represents the dominant counterparty in IPRO's revenue model.
• Mathematica: Mathematica is a major US policy research and data analytics firm that performs healthcare quality measurement, program evaluation, and CMS technical assistance work. It is comparable to IPRO in healthcare analytics and federal government contracts but operates more broadly across policy areas.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/IPROorg
• YouTubeyoutube.com/user/IPROdotORG
• Facebookfacebook.com/IPRO.org
• LinkedInlinkedin.com/company/ipro
• Instagraminstagram.com/ipro.1984

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles13 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about IPRO