Reimagining diabetes treatment

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Managing diabetes can be complex. Achieving and maintaining one’s best health for this chronic condition, which causes higher than normal blood sugar levels, depends on a person’s ability to monitor symptoms, manage complicated medication regimens, control blood glucose and practice healthy behaviors.

“There are 50 different things — or maybe more — that a person with diabetes could be doing at any time to best manage their condition,” says Stella Wong, Senior Director for Product Development at CVS Health. “It's overwhelming.”
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In the U.S., more than 34 million people live with diabetes and deal with these challenges, according to the Diabetes Research Institute Foundation. And only about 23 percent of people with Diabetes have it under control, says Peter Simmons, RPh, Vice President of Chronic Care Optimization. “Given the array of solutions available, that's a shame. We feel like we can do better.”

To do that, CVS Health created a proactive, integrated and holistic plan that reimagines diabetes treatment for its members. The goal is to reduce the complexity of self-management and improve health outcomes for plan members with diabetes — while preventing its onset.

Available with Caremark and Aetna benefit plans, the Transform Diabetes Care program uses CVS Health data insights and analytics to create personalized care plans for individuals across five clinical areas. The plan can be communicated through local CVS pharmacists and HealthHUB® professionals, digitally and virtually. Members are provided myriad tools to support their personalized care plan.

Peter Simmons, Vice President of Chronic Care Optimization for CVS Health.
“We always seek to be consumer-centric, consider how to deliver care locally and make care as simple as possible for customers and patients,” says Peter Simon, CVS Health’s VP Chronic Care Optimization.

The data also allows CVS Health to identify gaps in care and respond to patient needs before they arise. This proactive approach sets it apart from most other treatment plans, says Kyle Smith, head of CVS Health Transformation Marketing. “I think that's the most compelling thing about the work that we're doing.”

The program also utilizes a Pharmacist Panel to help patients stick to their plans, says Pharmacy Services Market Support Coach Rebecca Rice. “Pharmacists continue the conversation with their patients about their health while building trust and rapport,” she says.

“We think about our purpose every day: how we can help people on their path to better health,” Simmons says. “We always seek to be consumer-centric, consider how to deliver care locally and make care as simple as possible for customers and patients, especially those managing chronic conditions such as diabetes.”

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Amidst a pandemic, consumers say they want accessible, affordable and technology-enabled health care, new CVS Health study finds

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Path to Better Health Study also reveals desire for digital health care solutions to support chronic care, mental health needs.

WOONSOCKET, R.I. — The American health care system is undergoing a period of rapid transformation. In recent months, the COVID-19 pandemic has exposed new challenges and opportunities to accelerate advances in health care delivery, solve for systemic health inequities, dramatically improve care outcomes, and better meet consumer expectations for convenience and affordability.

With a global pandemic as the backdrop, CVS Health (NYSE:CVS) fielded the 2020 Path to Better Health Study, where consumers and providers were asked for their thoughts on the state of health care and how they are navigating this evolving landscape. While certain attitudes may have evolved as a result of COVID-19, the study reveals that consumers need more accessible, personalized and technology-driven health care than ever before and are seeking simplicity in the way they engage in their own health.

The use of technology and data analytics in health care is reaching new heights, and the pandemic is accelerating the adoption of digitally based solutions. Consumers are eagerly embracing tech, especially when it comes to communicating with their providers. Forty-eight percent said they would be more likely to communicate with health care professionals if they were able to do so through digital messaging (up from 41% in 2019), via telehealth (32%, up from 19% in 2019) and through virtual office visits such as Skype or FaceTime (29%, up from 20% in 2019). Additionally, 40% of consumers said they would be very likely to receive care for mental and behavioral health virtually.

"The pandemic has forced countless Americans to rethink their approach to health and explore different avenues of care," notes Larry Merlo, CEO of CVS Health. "Whether in the community, in the home or in the palm of their hand, people are discovering new ways to conveniently and affordably address their health care needs, including mental and behavioral health. We expect these changes will transform the way care is delivered moving forward."

The need to manage chronic conditions and mental health concerns is clearly top of mind for many consumers. A significant number of people indicated that members of their households are struggling with high blood pressure (41%), obesity (35%), mental illness (28%) and diabetes (17%).

Addressing mental health concerns is also of growing importance, especially among those aged 18 34 and 35 50, where social isolation is a top concern. For example, 44% of those aged 18 to 34 and 45% of those aged 35 to 50 indicated they no longer have a desire to be social, while only 29% of those aged 51 to 64 said the same. This resembles the 2019 findings, in which 48% of those 18 to 34 and 45% of those 35 to 50 reported they did not have a desire to be social, versus 35% of people aged 51 to 64.

The desire for accessibility is pushing people to explore new avenues of care. While a majority (62%) of consumers still go to their primary care physician (PCP) to treat a minor illness or injury, nearly one-third (31%) are likely to visit a non-emergency walk-in clinic. This is up from 2019, in which 59% of consumers reported going to their PCP for a minor illness or injury, while 28% said they would visit a non-emergency walk-in clinic. Digital solutions such as telemedicine are also growing in popularity with both patients and providers.

Most consumers (92%) said it is very or somewhat important that health care be convenient a factor that has only become more critical as a result of COVID-19.

About one-third (35%) of people said health care costs are an obstacle to staying healthy, and close to half (49%) have not visited a doctor when they had a minor illness or injury due to cost. Despite cost emerging as a top barrier to care, it is not often a topic of discussion between patients and health care providers. Two-thirds of patients (66%) said their PCP and other health care providers had not asked about the "affordability" of health care and/or discussed resources to assist with these costs, up slightly from 64% in the 2019 Path to Better Health Study.

Other highlights from the study include:

  • Health care providers are increasingly turning to digital tools and technologies to care for and connect with their patients. Telemedicine is of particular interest, with 40% of providers saying it is very valuable for communicating with patients, up from 22% in the 2019 study. The future outlook for incorporating predictive analytics or artificial intelligence into provider practices also looks strong, with more than one-third (39%) indicating they already have or are very or somewhat likely to integrate these technologies into their practices within the next several years.

  • Providers are expressing the need for additional support for important community resources, but access is improving. For example, many providers said they have fair or poor access to substance abuse counselors (56%) and mental health counselors (50%), down from 63% and 55% in our 2019 study, respectively.

  • Many providers are experiencing burnout symptoms. Three-fourths (75%) of all providers said they feel burned out very frequently, frequently or sometimes. About one-quarter (27%) said the main cause of burnout is time spent documenting care/electronic record systems, followed by administrative/management requirements/paperwork (25%).

Read the full study.

About the study

The Path to Better Health Study by CVS Health, first released in 2018 and called the Health Ambitions Study, was conducted in March 2020 and included two surveys fielded by Market Measurement, a national market research consulting firm. The consumer survey comprised 1,000 participants 18 and older, located throughout the U.S. It also oversampled 12 metropolitan statistical areas Atlanta, Austin, Boston, Cleveland, Dallas, Houston, Los Angeles, New York City, Philadelphia, Providence, Hartford, San Francisco, Tampa and among two ethnic groups: African American and Hispanic people. The survey of 400 providers focused on primary care physicians and specialists with at least two years' experience, as well as nurse practitioners, physician assistants and pharmacists.

About CVS Health

CVS Health employees are united around a common goal of becoming the most consumer-centric health company. We're evolving based on changing consumer needs and meeting people where they are, whether that's in the community at one of our nearly 10,000 local touchpoints, in the home, or in the palm of their hand. Our newest offerings from HealthHUB locations that are redefining what a pharmacy can be, to innovative programs that help manage chronic conditions are designed to create a higher-quality, simpler and more affordable experience. Learn more about how we're transforming health at www.cvshealth.com.

Contacts

Kathleen Biesecker
bieseckerk@aetna.com
703-472-8466

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Path to Better Health Study 2020

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CVS Health’s 2020 Path to Better Health Study finds that consumers are seeking a more accessible, affordable and technology-enabled health care experience than ever before. 

The American health care system is undergoing a time of accelerated innovation and transformation. Consumer expectations for convenient and personalized health care support, coupled with the exploding use of technology and data analytics, are just several trends driving critical change. The unprecedented COVID-19 pandemic has also provided an opportunity to further advance health care delivery and utilization to better meet the needs of our patients, our customers and our communities.

According to our 2020 Path to Better Health Study, now in its third year, consumers and providers are hungry for this care transformation and want health solutions that meet them where they are — in store, in home and in hand.

cvs heart

40%

of consumers said they would be very likely to receive care for mental and behavioral health virtually.

71%

of consumers indicated they were greatly concerned with treating chronic illness due to cost. 

81%

of providers reported that they always, often or sometimes recommend that their patients establish health goals during routine office visits.

Importance of accessibility and affordability

Delivering accessible, high-quality care at any time is a key health care priority — and has become even more significant during the COVID-19 pandemic. According to our study, consumers agree, with 92% indicating that it was very or somewhat important that health care be convenient. 

We found that people’s desire for accessibility is pushing them to explore new avenues of care. While a majority of consumers still go to their primary care physician (PCP) to treat a minor illness or injury, nearly one-third of consumers are likely to visit a non-emergency walk-in clinic.

Consumers are receiving routine support for minor illnesses or injuries at several sites of care: 62% report visiting their primary care physician; 31% report using emergency walk-in clinics; 18% report visiting a hospital emergency room; and 15% report visiting community health clinics.

“Consumers are demanding convenience and ease in how they access health services. Technological solutions have the power to simplify health care and significantly expand the ways we deliver it,” said Larry Merlo, CEO of CVS Health, adding that COVID-19 has provided an unprecedented opportunity to accelerate transformation and drive lasting and systemic change in the American health care system. “Our growing local presence and expansion of virtual care, telemedicine, and other omnichannel programs will be critical to meeting the health needs of our members and customers, both during and after the pandemic.” 

Affordability is also top-of-mind for consumers. About one-third (35%) of people said health care costs are an obstacle to staying healthy, while close to half (49%) have not visited a doctor when they had a minor illness or injury due to cost, suggesting that consumers could use additional support in this area.


Increasing appetite for technology-enabled care

The use of technology across the health care continuum has been rising at a rapid rate. As a result of COVID-19, the pace of technological transformation will only quicken and greatly influence the future of care delivery. 

Our study shows that people want to use technology to enhance communication with their health care providers, by adopting tools like digital messaging, telemedicine and virtual office visits. Among providers, their use of digital technologies to care for and connect with patients is also expanding. Telehealth is of particular interest, with 40% of providers saying it is very valuable for communicating with patients, up from 22% in our 2019 study.

The use of digital tools to facilitate communication between patients and providers is on the rise. Digital messaging among consumers is up 7% from 2019 with an overall usage of 48%. Among providers, digital messaging is down 2% from 2019 but overall usage is at 36%. Telehealth services, have shown a 14% increases among consumers, with a 32% overall usage rate. Among providers, usage of telehealth services increased 18% with a 40% usage overall.

Our Path to Better Health Study also found that:

  • Mental health is of critical concern for consumers, especially among those aged 18 to 34 and 35 to 50, with the issue of social isolation being a top concern.
  • Consumers, as well as their friends, family and other household members, are struggling with chronic conditions, including high blood pressure, obesity, mental illness and diabetes. 
  • Health care providers still need more support in accessing important community-based resources, such as nutritionists and social workers, but this access is improving. 
  • Many providers are experiencing burnout symptoms at least some of the time. 
  • Awareness of and involvement in value-based care models is growing.
A woman sits at a dining room table eating a salad and a piece of bread while quietly smiling and reading a tablet computer.

Methodology 

The Path to Better Health Study by CVS Health, first released in 2018 and called the Health Ambitions Study, was conducted in March 2020 and included two surveys fielded by Market Measurement, a national market research consulting firm. The consumer survey comprised 1,000 participants 18 and older, located throughout the U.S. It also oversampled 12 metropolitan statistical areas — Atlanta, Austin, Boston, Cleveland, Dallas, Houston, Los Angeles, New York City, Philadelphia, Providence, Hartford, San Francisco, Tampa and among two ethnic groups: African Americans and Hispanics. The survey of 400 providers focused on primary care physicians and specialists with at least two years’ experience, as well as nurse practitioners, physician assistants and pharmacists.

A woman in gray athletic clothes stretches and practices yoga poses in a very light and bright room. The photo is set inside of a CVS Health® heart on a red background.
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Expanding precision oncology care

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Tech entrepreneurs talk as much about working “on their business” as working “in their business” — another way of saying that innovating is as important as working on the day-in and day-out needs for a business to succeed. While the daily demands of patient care take a majority of their focus, oncologists, like smart tech executives, see technological advances and innovative oncology therapeutics as essential to improving the patient journey.

Today’s health care environment includes expanding the use of precision medicine, genomics, and technology, as well as increasing access to appropriate treatments to help improve patient experiences and outcomes. 

Precision medicine and the role of genomics

The late Clayton Christensen, renowned author and Harvard Business School professor who wrote at length on “disruptive innovation,” noted that precision medicine could aid in driving down health care costs without compromising quality or outcomes. Oncology evidence-based guidelines have been shown to improve treatment, outcomes, and costs by quickly starting patients on the most effective treatment, often with fewer side effects and less treatment time.https://ascopubs.org/doi/pdf/10.1200/JOP.17.00091

CVS Health’s Divisional Head of Enterprise Oncology Dr. Roger Brito describes the company’s precision approach that employs disruptive innovation: “The critical period between diagnosis and starting on therapy is an incredibly stressful and scary time for a patient. The ideal situation is to formulate the optimum treatment plan and get the patient started on the appropriate therapy as soon as possible.” 

Still, with approximately 700 updates in 24 months across 59 different National Comprehensive Cancer Network (NCCN) treatment and supportive care regimens, and a 63 percent expansion in oncology drugs in development in the last decade (IMS Health, R&D Focus, IMS Institute for Healthcare Informatics, May 2016.), applying the most current therapies in daily practice is difficult for many oncologists.

“Keeping up with all of the changes in treatment, like the rapidly expanding oncology drug pipeline and evolving clinical guidelines for cancer treatment, can be very challenging for oncologists. 60% of community oncologists regularly use cancer pathwaysHigh-quality oncology clinical pathways are detailed, evidence-based treatment protocols for delivering cancer care to patients with specific disease types and stages. When properly designed and implemented, oncology pathways can serve as an important tool in improving care quality and reducing costs. https://www.asco.org/practice-policy/cancer-care-initiatives, so there is an opportunity to better support them in delivering the latest in cancer care,” says Brito.

On top of that, consider the exciting opportunity to enhance precision medicine with the latest genomics science and technology. “Identifying the genomic landscape of an individual patient’s tumor enables oncologists to treat the root cause specifically and more effectively,” says CVS Health’s Transformation Vice President for Complex Chronic Disease Anne Claussen.

CVS Health’s analysis suggests that broad-panel genomic sequencing may result in cost savings, and a pilot is underway that will explore this in depth.

With little debate over the efficacy of genomic testing, many wonder why 60 percent of advanced cancer care patients receive no genetic testing.https://www.foundationmedicine.com/blog/uncovering-insights-in-pancreatic-and-prostate-cancers “There are currently 125 approved cancer drugs and 86% of those in late-stage development that require genetic testing, yet few eligible patients receive a companion lab test. And even when advanced testing is administered, patients often receive the less comprehensive single gene mutation test, which does not provide a patient’s complete genetic profile,” says Claussen.

Testing a patient’s tumor, looking at DNA and RNA sequencing, and pairing that data with a patient’s health information is complicated and requires expertise in pharmacogenomics to interpret. Further, oncologists also need experience and training with such data to explain results to their patients. Here again, time is critically important to get the patient on the appropriate therapy as soon as possible.

Using technology to speed and expand support

CVS Health is building on its experience and bringing together capabilities across our health plan and pharmacy businesses to make precision medicine and genomics more accessible while easing adoption for oncologists with our Transform Oncology Care program.

Claussen stated, “We are proactively partnering with oncologists to develop and enhance our oncology care solutions by facilitating frequent, two-way feedback and providing reporting that highlights opportunities and gaps to improve health outcomes.”

CVS Health is helping oncologists employ broad-panel gene sequencing tests with the latest NCCN treatment and supportive care guidelines that help in the selection of the most precise and appropriate treatment regimen based on the patient’s clinical and genetic profile. Additionally, providers are notified of applicable clinical trials that their patients may qualify to participate in. “Here is where we see the power of precision medicine and evidence-based tools such as our Transform Oncology Care program, which allows providers to request an authorization online and receive approval within minutes. Patient anxiety is eased because they will get their treatment in a timely manner, and the provider’s process flow is streamlined, resulting in a much better patient experience,” explains Dr. Brito.

Transform Oncology Care strives to provide targeted strategies for every step of the cancer care journey.

Read the infographic.

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Keeping connections in a distanced world to transform chronic care

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By Jonathan Mayhew, Executive Vice President, Chief Transformation Officer, CVS Health

Four months ago, chronic care was one of the nation’s biggest health challenges, affecting more than half of all American adults and driving 90 percent of health care spending according to the Centers for Disease Control and Prevention. Four months ago, new tools for helping people better manage and even prevent chronic conditions were expanding our ability to reach people early and often, connecting them with our local care teams, local community resources and virtual capabilities to support everyday decisions between regular doctors’ visits. Whether individuals chose to seek support at home, at work, in the pharmacy, online, or through a combination of all these options – these increased connections and intervention in chronic care would help prevent emergency room visits and hospital readmissions, improve health outcomes and lower costs.

Today, I still believe increased support and connections are key to fighting chronic disease, which is still a top health care challenge. But our world is different in many ways than it was four months ago. We are managing and looking to recover from a grueling pandemic, which has disproportionately impacted minority and underserved populations. Many people with chronic conditions have already delayed care due to fear of contracting COVID-19 in a health care setting.  In the months ahead, stopping in at your local pharmacy or visiting a doctor may not sound as appealing as it once did. For some, it will be non-starter.

At CVS Health, we understand that. Still, it is critical for those suffering or at risk of chronic conditions to continue regular care. And our approach to helping individuals with chronic conditions, which includes innovative touchpoints and groundbreaking data analysis, reflects the evolving needs of our customers, including a new reality shaped by the pandemic.

Combining physical, digital and virtual for more support options

Our past and real-time experience tells us that, particularly during stressful times, individuals at home need expanded options for accessing support for everyday decisions related to diet and exercise as well as medical and behavioral health care. While we will continue to expand our brick-and-mortar HealthHUB® locations to provide in-person health and wellness care, pharmacy services and retail goods, we also are accelerating and expanding our digital presence and integrating new virtual capabilities into our care management programs.

Recently, we have expanded the ways customers can engage with a CVS pharmacist, MinuteClinic® clinicians, or HealthHUB concierges (where available) to receive services. So, while an individual may not travel to see her pharmacist – she can still speak live over the phone or engage through an app and, afterward, have her medications delivered to her home. Additionally, through expanding telehealth capabilities, many individuals can access doctors to address medical and behavioral health concerns. No matter their preference, individuals have an array of options to stay connected.

Within our care management and condition management programs, we are making sure that, in addition to traditional telephone support, care managers can provide support using telehealth services and, when it is deemed safe to do so, still visit with individuals in their homes.  

Data is the game changer

Data will make these options even more effective. In the past, when the topic of data and analytics was raised related to care or condition management, it typically meant relying on claims data exclusively. Today, CVS Health is not only able to bring together a broader set of data from prescription claims and medical claims, but we also combine that data with lab results, electronic health record data and information from medical devices and wearables where permitted. As we’ve seen in Korea and multiple other countries, along with some efforts in the U.S. to track COVID-19, this approach provides a much more comprehensive understanding of what is happening with an individual and within a community. And because we are able to aggregate and analyze this data in real time, the insights we can generate for care managers, nurse practitioners, pharmacists and doctors (as part of referrals and ongoing care coordination) are actionable and make health care simpler for individuals. This kind of data fuels our Pharmacist Panel program which notifies our pharmacists of potential gaps in care or preventive care opportunities based on medical, pharmacy and lab data. This expanded view makes it even easier for pharmacists to proactively engage members in relevant, impactful and timely one-on-one conversations about how best to manage their chronic conditions. And this outreach is delivered through member-preferred channels like text, email or telephone.

Moving to a comprehensive approach to condition management

Unmatched data and multiple connection capabilities allow CVS Health to break away from the one-size-fits-all approach to chronic condition management. For example, most diabetes management programs today focus on just two modes of support -- monitoring blood glucose and managing issues of lifestyle and comorbidities – mostly through virtual reporting and telephone coaching.

Our comprehensive approach to diabetes care for Aetna members and CVS Caremark customers focuses on three additional areas for a total of five impact areas. In addition to monitoring blood glucose and managing lifestyle issues, we aim to ensure individuals also are receiving the recommended annual health screenings, adhering to medications and taking the right medications to manage their diabetes and any other conditions. Whether an individual is seen by a CVS pharmacist, a care manager, or MinuteClinic nurse practitioner online or in person, each will have an integrated view of the individual’s health needs in these five clinical impact areas. They will all be on the same page regarding medications, test results and care plans. This not only leads to more effective management of diabetes and other chronic conditions but also reduces the frustration patients often experience when care is disconnected and uncoordinated.

Taken together, improved interactions and data-fueled insights paint a picture of complete end-to-end condition management with many options for engagement and support. That is what is needed to improve our standard of care for diabetes and other chronic conditions. With integrated care teams, digital and virtual solutions and data technologies, we can stay connected to more people, on their terms and comfort levels, and help them to more successfully manage their chronic health conditions today and well into the future.

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How telehealth connects patients to care

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Through virtual visits we’re helping more people on their path to better health. For many, it’s a new kind of care.

Adam Pellegrini Portrait
"As the country reopens, telehealth will play an important role providing health care,” says Adam Pellegrini, Senior Vice President, Transformation Consumer Innovation and Enterprise Virtual Care.

As COVID-19 began to spread, ChuckName changed to protect patient privacy. , a 62-year-old chef with a heart condition, sheltered-in-place at his partner’s remote Colorado ranch. After developing a fever, cough and upper respiratory symptoms, Chuck scheduled a telehealth visit, which allows patients to virtually consult a doctor by video chat or by phone. 

Like 90% of Americans before the pandemic, Chuck had never tried telehealth services. Now, with health insurers temporarily waiving co-pays and the federal government easing regulations, telemedicine may have reached a tipping point.

“I had a lot of anxiety,” says Chuck. “That stress was alleviated knowing that I could be in the middle of nowhere and feel like I have a doctor right there by my side.”

As the country reopens, telehealth will play an important role providing health care, says Adam Pellegrini, Senior Vice President, Transformation Consumer Innovation and Enterprise Virtual Care, CVS Health.

“We are focused on how we can help the consumer navigate to the right care for the right medium in a way that has the best health outcome.”

Like Chuck, nearly three-fourths of respondents in a 2020 survey would consider using a telehealth service if they had COVID-19 symptoms, and two-thirds say the pandemic increased their willingness to try telehealth in the future.

In the first quarter of 2020, virtual visits though MinuteClinic® locations grew about 600% over the same quarter in 2019. Aetna also experienced a dramatic increase in daily telehealth engagements. 

Going forward, telehealth will be an integrated part of an individual’s overall health care journey, says Pellegrini, citing CVS Health’s unique combination of Aetna’s broad network of health care providers and its nearly 10,000 retail pharmacies in communities across the United States. 

“Because of the holistic approach we have with our assets, we can actually map a patient’s entire care process to make it as seamless and as frictionless as possible,” says Pellegrini.

“Early action keeps people healthy, which benefits patients, doctors, and insurers,” says Justin Steinman, Vice President, Commercial Products, for Aetna. “If we can get you to care quickly because telemedicine is convenient, it’s going to be a win-win-win for everybody.”

Chuck, now 100% recovered, expressed enthusiasm for new ways to use telemedicine. “It’s exciting that even during a stressful time, I’ve had an experience like this open me up to a possible paradigm shift in my connection with the medical community,” he says. “Sometimes real good comes out of tough times.”

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Home care dietitians improve tube feeding patient outcomes

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Coram’s research highlights the critical role home care dietitians play in decreasing tube feeding intolerance and improving nutrition outcomes

Home-based health care continues to gain traction as an option for people living with a variety of chronic conditions. In fact, home infusion care can be a safe and cost-effective treatment alternative when compared to the same care provided in an in-patient or hospital setting. Coram CVS Specialty Infusion Services (Coram) is leading the way in home infusion care and parenteral (intravenous) and enteral (tube feeding) nutrition with a team of skilled home care Registered Dietitians, who can address nutrition intolerance, assess adequacy of hydration in feeding regimens, and address associated patient questions.

To advance the knowledge of health care practitioners and improve care for patients, Coram is actively involved in home nutrition care research. This research includes evaluating the impact of transitioning nutrition care from the hospital to the home and the benefits of home-based parenteral and enteral nutrition in certain populations.

Coram dietitians Nicki Bray, MS, RD, LDN; Sarah Allen MS, RD, LDN; and Caitlin Wendecker, RD, CNSC, recently conducted research to evaluate the efficacy of home care dietitian recommendations in addressing reported enteral nutrition intolerances, and the critical role home care dietitians play in creating interventions to improve nutrition outcomes. They shared their findings in their abstract, Home Care Dietitian Intervention Effectiveness to Reported Intolerance.

When patients are sent home from the hospital with little additional support and potentially poor tolerance to tube feedings, their outlook and compliance with their home tube feeding regimen may be impacted. Identifying and effectively addressing intolerance will increase a patient’s compliance and improve nutrition outcomes.

Coram conducted a retrospective review of adult patient records that reported intolerance within 48 hours of start of care. This retrospective review supported the important role of home care dietitians in evaluating and managing tube feeding intolerance, with dietitian interventions effective for 72% of patients by day 30 and 91% of patients by day 60. Without appropriate intervention by a dietitian, patients may be at risk for poor nutrition outcomes such as gastrointestinal distress, malnutrition, weight loss or underfeeding.

Home enteral nutrition patients are also at increased risk for dehydration due to inadequate fluid administration, and Coram dietitians explored this in an additional abstract, Adequacy of Flushing Orders in Home Enteral Nutrition Patients, by Katrina Sesler, MS, RD, CNSC; Rebecca Caldwell, MS, RD, LDN; and Laura Kashtan, RD, which reviewed patients’ water flushing orders at discharge from facility to home care. From a retrospective chart review of adult patients, Coram dietitians noted that discharge flush orders are missing or are inadequate for a considerable number of home enteral nutrition patients. Individualized recommendations and early patient contact by a dietitian may be important to prevent dehydration in these patients.

Early intervention by home care dietitians can help patients address tube feeding intolerance, assess hydration levels, improve therapy compliance and address patient questions and concerns. This support can help improve patient outcomes, potentially preventing hospital readmission at a time when hospital resources are stretched due to the increasing rate of COVID-19 admissions. Measures to help patients remain home and avoid hospital readmission are always valuable, but today they are critical.

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CVS Health Announces Changes to Support Innovation and Growth

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WOONSOCKET, R.I. CVS Health (NYSE: CVS) today announced a series of leadership assignments to support the company's continued focus on innovation and strategic growth.

"We have set a clear and bold path for CVS Health to be the most consumer-centric health company and transform the way care is delivered, and we have laid a strong foundation for growth following more than a year of successfully integrating the Aetna business," said Larry J. Merlo, President and CEO, CVS Health. "As we continue to innovate and execute we will stay close to the markets we serve and respond to the needs of our clients. The assignments announced today place our leaders in areas where their unique experience and deep business relationships will help us deliver on our core growth initiatives and transformation strategies."

CVS Health leadership assignments include:

  • Alan Lotvin, M.D., Executive Vice President at CVS Health, has been appointed President of CVS Caremark, and will also have oversight of CVS Specialty and CVS Kidney Care. Lotvin has deep experience in the pharmacy benefit management (PBM) business, with expertise in specialty pharmacy. With the growing importance of specialty medicines and gene therapy management, he is uniquely positioned to lead the company's next wave of growth in this area. Lotvin previously led CVS Health's transformation efforts.

  • Jonathan Mayhew has been appointed Executive Vice President, Transformation, and will be responsible for the transformation product portfolio. Mayhew has diverse health care experience, most recently serving as Senior Vice President for the Aetna Markets organization. He has a demonstrated track record of building and growing businesses to serve needs in the marketplace and is uniquely positioned to bring CVS Health's
    transformation products to life across the company's open access platform.

  • Alec Cunningham has been appointed Executive Vice President and Chief Operating Officer for the Aetna business and will lead an expanded organization that will focus on Medicare Advantage and government programs overall an area of growing importance. Cunningham joined CVS Health last year from Concerto Healthcare, a leading provider organization that serves dual-eligible, Medicare, Medicaid, and complex medical needs patients.

  • Derica Rice, Executive Vice President and President, CVS Caremark, will depart CVS Health. Derica will remain with the company through February to help ensure a seamless transition.

"I want to thank Derica for his leadership during a period of significant growth and evolution for our PBM business, and wish him the best in his future endeavors," said Merlo. "I am confident we are driving a sea change in how our key stakeholders think about us, and how consumers partner with us to take control of their health. These new assignments will accelerate that process."

About CVS Health

CVS Health employees are united around a common goal of becoming the most consumer-centric health company in the world. We're evolving based on changing consumer needs and meeting people where they are, whether that's in the community at one of our nearly 10,000 local touchpoints, in the home, or in the palm of their hand. Our newest offerings from HealthHUB locations that are redefining what a pharmacy can be, to innovative programs that help manage chronic conditions are designed to create a higher-quality, simpler and more affordable experience. Learn more about how we're transforming health at http://www.cvshealth.com.

Cautionary Statement Concerning Forward-Looking Statements

The Private Securities Litigation Reform Act of 1995 provides a safe harbor for forward-looking statements made by or on behalf of CVS Health Corporation. Statements in this press release that are forward-looking include our statements concerning the impact of leadership assignments on our ability to deliver on our growth initiatives and transformation strategies and our future responses to the needs of our clients. By their nature, all forward-looking statements involve risks and uncertainties. Actual results may differ materially from those contemplated by the forward-looking statements for a number of reasons as described in our Securities and Exchange Commission ("SEC") filings, including those set forth in the Risk Factors section and under the section entitled "Cautionary Statement Concerning Forward-Looking Statements" in our most recently filed Annual Report on Form 10-K and in our most recently filed Quarterly Report on Form 10-Q.

You are cautioned not to place undue reliance on CVS Health's forward-looking statements. These forward-looking statements are and will be based upon management's then-current views and assumptions regarding future events and operating performance, and are applicable only as of the dates of such statements. CVS Health does not assume any duty to update or revise forward-looking statements, whether as a result of new information, future events or otherwise, as of any future date.

Investor Contact

Valerie Haertel
CVS Health
401-770-4050
Valerie.Haertel@CVSHealth.com

Media Contact

T.J. Crawford
CVS Health
212-457-0583
CrawfordT2@aetna.com

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Addressing out-of-pocket costs for diabetes patients

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Rising costs are a burden for too many people living with diabetes today. Patients with a high-deductible health plan shoulder all of their medication costs while in the deductible phase of their insurance, which means they may be forced to make difficult decisions about whether they can afford their medications and fill their prescription.

Recent data reveal there is uncertainty on how to manage and predict the out-of-pocket costs associated with diabetes management. For example, nearly one-third of patients (32 percent) do not feel they have the resources needed to manage their own out-of-pocket costs. To address this challenge, CVS Health is working to eliminate member cost as a barrier to medication adherence.

Improving medication affordability and adherence

Improving diabetes outcomes while reducing costs is a priority for CVS Health. We recently launched RxZERO to enable employers and health plan sponsors to leverage formulary and plan design approaches to offer all categories of diabetes medications at zero dollar out of pocket for their members without raising costs for the plan sponsor or increasing premiums or deductibles for all plan members. The new plan design enables plan sponsors to eliminate member out of-pocket costs for the entire diabetes therapeutic area — including oral medications for Type 2 diabetes — and fully adhere to American Diabetes Association standards.

“Traditionally, the focus of affordability for diabetes medications has been on insulin, which is the cornerstone of therapy for the five percent of people with diabetes who are living with type 1 diabetes. However, the new CVS Caremark solution expands affordable options to include the entire range of diabetes medications — improving affordability for the 95 percent of people with diabetes who are living with type 2 diabetes.”

— Troyen A. Brennan, M.D., M.P.H., is Executive Vice President and Chief Medical Officer of CVS Health

CVS Caremark analysis shows that members taking branded diabetes medications spend on average, $467.24 out-of-pocket per year, with nearly 12 percent spending over $1,000 annually.

A comprehensive approach to diabetes management

A person living with diabetes is required to take many tasks to manage their therapy annually. To make disease management affordable, accessible and local, CVS Health offers numerous programs to help people with diabetes effectively manage their condition and stay on track with their prescribed treatment plan.

We provide supportive care at our HealthHUB locations to complement the care that patients receive from their primary care physicians. Our HealthHUB model provides a first-of-its-kind community-based store that offers a broader range of health services, new product categories, digital and on-demand health tools and trusted advice. In these locations, people living with diabetes are able to receive the coordinated care and services they need all within our own four walls.

A photo of a woman testing blood sugar with finger prick.
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CVS Health Debuts First HealthHUB Locations to Serve Greater Philadelphia and South New Jersey Communities

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13 HealthHUB locations in CVS Pharmacy stores will help make chronic disease management and overall health and wellness more simple, convenient and affordable

Innovative new store model delivers a differentiated consumer health experience

PHILADELPHIA — Individuals and families across Philadelphia and south New Jersey can now experience health care that is simple, convenient and affordable with the debut of HealthHUB, CVS Health's [NYSE: CVS] new store design in 13 CVS Pharmacy locations across the community. During a ribbon-cutting event at the company's HealthHUB location at 1937 Macdade Boulevard in Folsom, PA, the community celebrated the new, innovative store format that features a broader range of health care services to help patients better manage chronic conditions; more products and services focused on overall health and wellness; and trusted advice and personalized care, all with the ease of walking into a local CVS Pharmacy.

"We are delivering real change to the health care system," said Alan Lotvin, M.D., Chief Transformation Officer for CVS Health. "Through HealthHUBs, consumers are at the center of an unmatched retail health experience. The HealthHUB products and services are designed specifically with the consumer's health needs, challenges, and goals in mind, so that they can easily receive coordinated, personalized care in a familiar, neighborhood location."

CVS Health began piloting HealthHUB locations last year in Houston, Texas to overwhelming customer satisfaction. The introduction of 13 HealthHUBs in Philadelphia and South New Jersey is part of the company's strategy to scale the program nationally with plans to have up to 1,500 locations operating throughout the U.S. by the end of 2021.

"I am pleased that more Pennsylvanians will have access to quality, affordable health care through CVS HealthHUB," said U.S. Senator Bob Casey (D-PA). "Health care is a critical issue for so many of us, and I will continue to fight for access to health care until everyone has coverage to meet their needs."

"Expanding access to health care services is a goal that everyone can get behind," said U.S. Senator Pat Toomey (R-PA). "I appreciate CVS investing in the health of Pennsylvanians by launching HealthHUB locations across southeast Pennsylvania."

For many Americans, health care can be difficult to navigate. At a time when chronic disease continues to grow in prevalence and impact in the U.S., patients are also facing complexities and fragmentation when seeking the right care. Today, one in two Americans has at least one chronic illness, with data showing that close to $500 billion of the costs associated with chronic disease are avoidable.http://www.fightchronicdisease.org/sites/default/files/TL221_final.pdf What's more, nine out of 10 (91%) patients say they need more help with chronic disease management.https://cvshealth.com/sites/default/files/cvs-health-improving-chronic-disease-care-and-outcomes.pdf The HealthHUB store format was developed to help people manage chronic conditions more conveniently and affordably by improving the overall patient experience and featuring a wide array of health and wellness products, clinical services and expertise.

"The care concierge team is the true selling point of the new HealthHUB format," said Edward Kirshner, whose family frequents the Folsom, PA location for their prescription medications, vaccinations and wellness products. "They go out of their way to help us meet all our health care needs."

Among the key features incorporated in a HealthHUB include:

Greater Selection of Health and Wellness Products

  • Shop hundreds of products such as health devices that sync to your mobile phone, aromatherapy, fitness essentials, durable medical equipment, sleep apnea products and more.

More Personalized Support at CVS Pharmacy

  • Education and counseling for patients with chronic conditions, helping to identify their next best action that enables better health outcomes and reduces medical costs.

  • Pharmacist-led diabetes education counseling and smart device coaching for select blood glucose monitors.

  • Smoking cessation plans for patients and caregivers to help patients quit smoking.

Expanded Services at MinuteClinic

  • Services for minor illnesses and injuries, as well as immunizations, wellness and health checks.

  • Screening, treatment and monitoring for chronic conditions such as high blood pressure and high cholesterol.

  • Annual diabetic exam, including retinopathy screening.

  • End-to-end sleep apnea solution, including sleep assessment by an independent third party provider.

  • Suite of services to help manage common health conditions for young adults.

  • Phlebotomy services in conjunction with a MinuteClinic visit.

Access to In-Store Community Programs

  • Wellness rooms for group events such as health screenings, nutritional and lifestyle coaching, and benefits education.

  • Learning table for customers to explore health and wellness apps and shop our expanded assortment of products on CVS.com.

HealthHUB locations will also feature an on-site Care Concierge team responsible for customer engagement, including educating customers about new service offerings, helping them navigate in-store services and events, and connecting them to a team of providers.

"This is an innovative step to connecting more people to the high-quality health care they deserve and the personalized support they need," said State Senator Tim Kearney. "I applaud CVS Health for investing in our communities and providing affordable solutions rooted in our neighborhoods."

CVS Health has 53 HealthHUB locations operational in five states, including Florida, Georgia, New Jersey, Pennsylvania and Texas. The company plans to bring its HealthHUB store format to 17 states in the first part of 2020 as part of its national expansion.

The HealthHUB locations in Philadelphia and South New Jersey include:

  • 6501 Harbison Avenue, Philadelphia, PA 19149

  • 1034 Second Street Pike, Richboro, PA 18954

  • 870 E. Baltimore Pike, Kennett Square, PA 19348

  • 3930 West Chester Pike, Newtown Square, PA 19073

  • 2400 Butler Pike, Plymouth Meeting, PA 19462

  • 3265 County Line Rd, Chalfont, PA 18914

  • 1937 MacDade Blvd., Folsom, PA 19033

  • 840 Valley Forge Rd., Lansdale, PA 19446

  • 835 Old York Rd., Jenkintown, PA 19046

  • 3015 E. Lincoln Highway, Thorndale, PA 19372

  • 508 High Street, Mounty Holly, NJ 08060

  • 3110 Route 38, Mount Laurel, NJ 08054

  • 824 Black Horse Pike, Runnemede, NJ 08078

Added Lotvin, "Our company has long focused on ways to bring effective tools, resources and solutions to our communities in order to improve health care for individuals and their families. With HealthHUB, we are taking that commitment to the next level."

Visit our website to learn more about products and services available through our HealthHUB locations. For downloadable photos and videos, visit our HealthHUB media resource center.

About CVS Health

CVS Health is the nation's premier health innovation company helping people on their path to better health. Whether in one of its pharmacies or through its health services and plans, CVS Health is pioneering a bold new approach to total health by making quality care more affordable, accessible, simple and seamless. CVS Health is community-based and locally focused, engaging consumers with the care they need when and where they need it. The Company has approximately 9,900 retail locations, approximately 1,100 walk-in medical clinics, a leading pharmacy benefits manager with approximately 102 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year and expanding specialty pharmacy services. CVS Health also serves an estimated 38 million people through traditional, voluntary and consumer-directed health insurance products and related services, including rapidly expanding Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company believes its innovative health care model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.

Media contact

Joe Goode
401-770-9820
781-799-6048 (cell)
Joseph.Goode@CVSHealth.com

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