Quality Assurance and Utilization Management
We have a number of Quality Assurance and Utilization Management initiatives designed to improve quality, prevent over- and underutilization, and reduce costs. These programs include, but are not limited to:
- Medication Therapy Management (MTM)
- Concurrent Drug Utilization Review
- Retrospective Drug Utilization
Your health insurance provider wants you to have every opportunity to participate in this program when and where convenient for you. That is why we also work with other health organizations to provide MTM services on our behalf. One of these organizations may contact you about completing a Comprehensive Medication Review or other MTM services.
Partner organizations: Clinical Pharmacy Care Center – IngenioRx (833-215-1137). MedWatchers (866-536-7519), OutcomesTM – Patient Engagent Team.
* Additional partner organizations may be added if they meet our rigorous requirements to service our members.