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UHealthSolutions celebrates 15 years of serving Medicare and Medicaid populations, health plans

 
 

UHealthSolutions employees celebrate the organization’s 15th anniversary in April.

In the 15 years since its inception, UHealthSolutions, the nonprofit business affiliate of UMass Medical School, has grown from managing the Massachusetts pharmaceutical assistance program to delivering high-performance, customized health care solutions to a variety of clients nationwide.

UHealthSolutions, known as Public Sector Partners prior to 2011, was launched in 2001 when it assumed responsibility for all of the operational components of the state pharmaceutical assistance program, Prescription Advantage. Today it provides business process outsourcing, contact center resources, consulting services and Star Rating Enhancement to health plans—customized solutions for health care organizations and the populations they serve.

“It’s exciting to reach this milestone,” said Jeff Auger, director at UHealthSolutions. “I expect UHealthSolutions to continue to grow incrementally, year by year.”

In recent years, UHealthSolutions has developed expertise in helping people access benefits and services, focusing on its extensive call center resources.

“We’re pretty well-positioned to grow our call center business,” Auger said. “It’s been good for us to be able to concentrate our focus over the last couple of years.”

UHealthSolutions works closely with Clinical Pharmacy Services, a unit of Commonwealth Medicine. The two teams developed a Star Rating Enhancement services package to help health plans increase their Medicare Star Rating and save money through medication adherence; member and prescriber outreach; and data management and analytics.

In November, UHealthSolutions launched a referral service through its call center for MassOptions, anew, free state service aimed at connecting the elderly and individuals with disabilities and their caregivers with long-term services and support.

UHealthSolutions’ member outreach initiatives have been successful because the organization uses data to show the days and times when it has the most success reaching people.

In fiscal 2015, UHealthSolutions handled more than 630,000 calls, and more than 100,000 pieces of mail correspondence.