Star Rating Enhancement

New standards for Medicare plans from the Centers for Medicare and Medicaid Services mean greater emphasis is being placed on customer satisfaction, medication adherence and member health outcomes. Plans that do not excel in these areas risk lower ratings, which could have devastating financial consequences.

Many Medicare plans have found it challenging to adapt to these new standards, but we can help. UHealthSolutions and its parent organization, UMass Medical School, have developed Star Rating enhancement services that focus on key criteria used to measure plan performance. Our resources include more than 60 clinical pharmacists, a customer service contact center, a university-based survey research division, and data analytics capabilities. Our expertise includes:

  • Medication adherence strategies
  • Member and prescriber outreach
  • Data management and analytics
  • Affordable Care Act implementation
  • Prevention and wellness strategies for at-risk populations
  • Customer service
  • Enrollment and eligibility

UHealthSolutions and UMass Medical School have more than 15 years of experience designing, implementing and evaluating health services programs that serve at-risk populations. We are a leader in the development and implementation of Medicare reform initiatives, and understand how these changes can affect health plans and patients. We will work with organizations to assess their greatest needs and develop solutions.

Examples of Our Solutions

Our pharmacy team achieved a high comprehensive medication review (CMR) completion rate to help one client achieve a 4-star rating for the medication therapy management Star Rating measure.