Primary Care Payment Reform (PCPR), an alternative payment pilot program of MassHealth with learning collaborative support from UMass Medical School, demonstrated that behavioral health integration is a necessary component of whole-person care and a complex, but highly accomplishable task.

Our team partnered with UMass Memorial Medical Center’s Urology and Anesthesiology departments on a pilot patient-centered, physician-led, multidisciplinary team-based system of coordinated care for the surgical patient. The goals were to improve the patient experience, improve health care and reduce costs.

UMass Medical School’s UHealthSolutions Inc. staffs the call center for MassOptions, a resource for services to help elderly residents, individuals with disabilities and their caregivers. Administered by the Massachusetts Executive Office of Health and Human Services, MassOptions is funded through a portion of a $135 million Centers for Medicare & Medicaid Services grant.

This resource provides at-a-glance information about the approaches of 15 other states with established or pending community health worker certification systems. The table reveals commonalities and wide variability across state systems, which is an evolving process and may change with time. 

We manage all program administration activities for the Massachusetts State Supplement Payment program, a federally mandated cash assistance program, saving the state more than $20 million per year.

Clinical Pharmacy Services has expertise in medication adherence strategies, prescriber outreach, clinical guideline development, pharmacy analytics, formulary management, pharmacoeconomic analysis and patient-centered medical homes. Our team develops and implements management strategies to contain overall costs and promote optimal therapeutic outcomes for Hepatitis C patients.

In 2014, Vermont Health Connect (VHC) selected UMass Medical School to conduct a customer satisfaction and experience evaluation for the state of Vermont’s health insurance marketplace. In addition to getting an in-depth understanding of the VHC customer experience during the second open enrollment period, our team helped VHC identify areas where it was performing well in serving its customers and where it could improve.

As part of the Massachusetts Patient-Centered Medical Home demonstration, an evaluation was necessary to understand how much practices transformed to become medical homes. Using our survey research expertise, we provided quantitative data to inform the evaluation.

A primary care practice group was interested in achieving Distinction in Patient Experience Reporting by the National Committee for Quality Assurance. Using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Patient-Centered Medical Home survey, our team conducted the surveys, analyzed the data, and submitted the results on behalf of the client.

This presentation to grantees of Blue Cross Blue Shield of Massachusetts Foundation's Connecting Consumers with Care program explains the phenomena of health insurance churn.