ForHealth Consulting at UMass Chan Medical School

08/29/2025

ForHealth Consulting will be at the Academy of Managed Care Pharmacy (AMCP) NEXUS 2025 Conference from Oct. 27-30 in National Harbor, Maryland. We hope to meet many of our colleagues there!

Learn about how our Clinical Pharmacy experts can help you achieve the highest-quality patient outcomes while ensuring the cost-effectiveness of your pharmacy benefit programs, even as expenses rise and budgets tighten.

Payers offering a drug benefit need to provide positive patient outcomes while simultaneously controlling drug costs. Our clinical pharmacy team’s innovative approach ensures that plans are providing services appropriately and effectively while also maximizing pharmacy benefit access for members.

08/28/2025

Earlier this week, ForHealth Consulting employees teamed up with colleagues across UMass Chan Medical School to fill and distribute 600 backpacks for Worcester public school students.

A big thank-you to the volunteers for supporting local kids and families!

08/27/2025

Our ForHealth Consulting SoleMates team is proud to participate in the UMass Cancer Walk to raise critical funds for cancer research.

In this video, UMass Chan Medical School Chancellor Michael F. Collins shares why your support matters. Every dollar raised directly fuels groundbreaking research and clinical trials that bring hope to adults and children facing cancer.

A gift of any size can make a difference. Join us in advancing health and healing: https://brnw.ch/21wV0mN

08/25/2025

Medicare is the largest single source of third party liability (TPL) savings for state Medicaid programs. Yet many states leave millions in potential savings and refunds untapped.

Our experts help states:

➡️ Align Medicare and Medicaid benefits for members
➡️ Strengthen coverage while reducing costs
➡️ Unlock millions in federal recoveries

With unmatched federal policy knowledge, advanced data methods, and hands-on member support, we ensure Medicaid programs capture the full value of Medicare.

Discover how we help states achieve smarter savings:

Medicare is the largest single source of third-party liability savings for state Medicaid programs. By maximizing Medicare benefits for Medicaid members, states can expand access while creating cost savings and revenue opportunities. We understand eligibility policies, procedures, and federal proces...

08/22/2025

Proud to see our colleagues at UMass Chan Medical School driving innovation that advances health equity.

From Black maternal health to diabetes and respiratory care, these partnerships are shaping a healthier, more equitable future.

Read more:

Five faculty members are assisting digital health care platform startups in developing and advancing technology aimed at addressing health issues impacting underserved communities.

08/21/2025

Public employee retirement systems require medical analysis and application of unique client organizational requirements to determine benefit applicants’ disability level.

Our Disability Determination Services provide expedited processing times, accurate decisions, and cost-effective methods to help ensure state retirement systems—and their members—receive prompt and appropriate decisions.

Learn more:

Public programs need access to clinical and vocational expertise to determine benefit applicants’ disability level. Our comprehensive disability determination services enable objective decision-making that responds to clients’ needs, drives down costs, and reduces waste.

08/20/2025

August is National Wellness Month—encouraging people to prioritize self-care and well-being.

At ForHealth Consulting and UMass Chan Medical School, we are dedicated to strengthening the health and wellness of our community. One initiative is hosting our weekly Farmer’s Market, which provides access to healthy, fresh food for our employees and students.

Farmers Market at UMass Chan

08/19/2025

It’s hard to believe, but it’s almost time for kids to go back to school, and in some states, they are already back!

Did you know that ForHealth Consulting’s School Based Services help schools secure Medicaid reimbursement for medically necessary services provided in a school setting? This is a critical source of funding for local education agencies and states. Learn more:

School Based Services (SBS) claiming is the process of securing Medicaid reimbursement for eligible services provided in a school setting. Local educational agencies (LEAs) provide medically necessary health services and various administrative activities that contribute to the well-being of students...

08/18/2025

We are inspired by our ForHealth Consulting “SoleMates” team captains who lead our team in the UMass Cancer Walk! Rachel Criggar, executive support specialist, shares why she walks in this important event:

“Since 2008, I have been navigating my journey as a survivor of Stage IV Metastatic Breast cancer. It hasn’t been easy, but the progress we’re seeing in cancer research brings me a sense of hope. We are all in this together, and each step forward serves as a powerful reminder of our resilience and hope.”

Thank you, Rachel, for sharing your journey, and to all of our SoleMates! Learn more and contribute to ForHealth's UMass Cancer Walk team: https://brnw.ch/21wV0mN

08/15/2025

08/14/2025

As comes to a close, we encourage you to learn more about how our Medicare Eligibility Enhancement Services takes a specialized, analytical approach, applying our deep understanding of federal rules and proprietary software tools to help state agency partners achieve more significant results.

Medicare is the largest single source of third-party liability savings for state Medicaid programs. By maximizing Medicare benefits for Medicaid members, states can expand access while creating cost savings and revenue opportunities. We understand eligibility policies, procedures, and federal proces...

08/13/2025

Our Medicare Premium Payment Review detects and pursues the correction of state Medicare premium overpayments.

In fact, based on our findings, SSA and CMS implemented two nationwide corrections to Medicare premium eligibility and billing systems, refunding states over $425M for inaccurate Part A premium charges. Our experts, Jen Hartman and Judy Fleischer, are at .

Connect with them and learn more about our services:

Medicare is the largest single source of third-party liability savings for state Medicaid programs. By maximizing Medicare benefits for Medicaid members, states can expand access while creating cost savings and revenue opportunities. We understand eligibility policies, procedures, and federal proces...