Star Ratings

Current 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 standards, but we can help. We have partnered with our business affiliate, UHealthSolutions, to develop Star Rating enhancement services that focus on key criteria used to measure plan performance. Our resources include more than 80 clinical pharmacists, a customer service contact center, a university-based survey research division, and data analytics capabilities. Our expertise includes:

  • Medication adherence strategies
  • Medication therapy management (MTM)
  • High-risk medications
  • 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

UMass Medical School and UHealthSolutions 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.