CareMore Cal MediConnect

Utilization Management

We have a number of Quality Assurance and Utilization Management Initiatives designed to improve quality, prevent over- and under-utilization and reduce costs. These programs include but are not limited to Medication Therapy Management, Healthy Start, Concurrent Drug Utilization Review and Retrospective Drug Utilization.

Medication Therapy Management Program (MTMP)

Healthy Start program

Through our Healthy Start program, you get:

  • A head-to-toe, complete medical exam from a specially trained doctor or nurse practitioner
  • Review of your medicines to be sure they’re working the right way for you
  • A care plan just for you that covers your health and personal needs, based on advice from your care team
  • Advice on follow-up care so you know what to do to get and stay healthy
  • Onsite lab results so you don’t have to wait for answers
  • Referrals to other CareMore programs and services that could help you live better

We make sure your primary care provider (PCP) is kept up-to-date on all this information, too.

This program is not considered a benefit.