U Utilization Management Verify eligibility, optimize reviews, and streamline appeals and grievances.
C Care Management Enable preventative care, manage medical interventions, and efficiently report on program outcomes.
M Medication Management Perform and bill medical services, ensure medications are safe and effective, and identify ways to improve care.
Q Quality Management Improve outcomes, lower costs, and adhere to standards, such as HEDIS, Stars, and PQA.
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