How CVS Health is transforming diabetes care

According to the Centers for Disease Control and Prevention, more than 29 million Americans have diabetes, costing the U.S. health care system nearly $322 billion each year. Managing diabetes can be hard for patients. Treatment generally requires lifestyle changes as well as complex medication and management routines.

With poor management, diabetes is likely to progress and the patient may develop co-morbid conditions, like high blood pressure and cholesterol, which can lead to costly health complications. However, studies have shown that through better lifestyle management, medication adherence and control of A1C, overall health can improve and medical costs can be significantly reduced.

To help tackle this challenge, CVS Health introduced Transform Diabetes Care™, a program available to help the company’s pharmacy benefit management (PBM) clients improve the health outcomes of their members, lower pharmacy costs through aggressive trend management and decrease medical costs by improving medication adherence, A1C control and lifestyle management.

As part of the diabetes program, members may receive:

  • highly personalized support and coaching through CVS Health consumer touch points;

  • comprehensive diabetes visits at MinuteClinic locations at no out-of-pocket cost, including A1c checks;

  • a connected glucometer, which will share their blood glucose levels with a pharmacist-led team via a health cloud, enabling the team to identify potential issues and intervene with one-on-one coaching; and

  • access to digital tools within the CVS Pharmacy mobile app, such as medication refill reminders and the ability to refill a prescription via two-way text messaging, to help reduce the complexity of daily disease management.

In addition, clients enrolled in Transform Diabetes Care will:

  • have a year-over-year drug trend guarantee in the single digits for the antidiabetic drug category, which will vary based on the plan population’s demographics and current spend profile;

  • be aligned to one of the formularies offered by CVS Caremark , which will help ensure members access the most clinically appropriate and cost effective anti-diabetic treatments; and

  • have a managed pharmacy network for drugs to treat diabetes, which consists of all CVS Pharmacy locations and CVS Caremark Mail Service Pharmacy. This will help simplify medication refills, improve coordination of care with the member’s primary care providers and help members stay engaged with their therapy and additional clinical services offered by the program. 

Transform Diabetes Care™ in Action: Putting Patients on a Path to Better Health

Here’s how Transform Diabetes Care could work. For example, a 50-year-old man has just been diagnosed with Type 2 diabetes and given a prescription, which he takes to his local CVS Pharmacy. Because his employer has signed up for the Transform Diabetes Care program with CVS Health, he can fill his medications to treat diabetes through a pharmacy network that consists of any of our CVS Pharmacy locations or through CVS Caremark Mail Service Pharmacy. He receives personalized coaching from the pharmacist on his condition and tips on how to stay adherent to his new medication.

He also receives a connected glucometer, which will help a CVS Health support team track his blood glucose via cloud connectivity. When the team notices a problem from the data that the patient has transmitted via the glucometer, they call him to help him better manage his blood glucose levels. In addition, he sets up medication reminders in his CVS Pharmacy mobile app, which also alerts him when a prescription is ready for refill and pickup. When the patient picks up his prescription, he stops by the MinuteClinic at the CVS Pharmacy to check his A1C, blood pressure and cholesterol.

This program can keep the patient’s diabetes under control, while reducing costs for himself and his employer, and putting him on a path to better health.