Comprehensive new support program helps plan members manage pulmonary arterial hypertension and lower costs
Primary pulmonary arterial hypertension (PAH) is a rare but serious lung disorder in which the blood vessels in the lungs narrow, raising blood pressure in the pulmonary artery far above normal levels. Since this artery carries oxygenated blood to the lungs, untreated PAH can have serious repercussions, including heart failure.
CVS Health is now providing critical support to PAH patients who are members of the AccordantCare Rare program. Accordant team members work with payors and providers to help make sure members living with rare, complex diseases have the support they need, which can translate into happier members and lower costs. Members have access to a personalized care team with a dedicated registered nurse, as well as medical professionals who understand the challenges of complex disease management, all backed by the expertise of a medical advisory board.
Challenges in treating and managing PAH
PAH is a complex condition with serious, detrimental impact on the daily routines of those who live with it — and treatment regimens are complicated and expensive. For patients already dealing with the challenges of a serious pulmonary condition, the realities of treatment — complex dosage instructions, possible side effects, and navigating a complicated health system — can be overwhelming, and can lead to lower treatment adherence, worsened outcomes, and unnecessary costs.
People living with PAH face steep health care costs, with the average yearly spend totaling over $40,000. Emergency department visits for serious complications including arrhythmias, pulmonary embolisms, and cardiac arrests account for 36 percent of this total. Proper condition management can help avoid such dangerous and expensive complications. Visits to the emergency department are all too common, with nearly 70 percent of all patients needing emergency care within the last two years.Accordant Data Warehouse, 51 clients, 2018-2020 data. While the total number of people living with PAH is small, such high health care costs can add up quickly for payors and members.
People living with PAH can benefit from a support structure that provides consistent, frequent touchpoints to help ensure treatment adherence and early identification of potential complications. When PAH is properly and consistently managed, people living with it can feel better, see improved health outcomes, and may be less likely to experience dangerous events that require costly emergency care.