New Aetna care packages help members recovering from COVID-19 to heal at home

Bottom of the article

Being hospitalized with COVID-19 can be an intense and frightening experience, as patients and their families cope with the diagnosis and treatment and focus on the best path to recovery.

As the scope of the coronavirus pandemic continues to expand, Aetna is showing its commitment to help support and protect its members who have been through this experience with a new initiative focused on the healing process.

Aetna has developed Healing Better COVID-19 care packages that arrive to members’ homes within a few days once they are discharged from the hospital with a confirmed COVID-19 diagnosis.Distribution is dependent on recent hospital discharge for COVID-19 diagnosis and supply availability. As of April 15, more than 1,200 kits have been mailed.

“Patients are facing fear and uncertainty upon being discharged from the hospital; it can be difficult to keep track of everything that’s being communicated to them,” said Dr. Daniel Knecht, vice president, Health Strategy and Innovation. “Delivering these care packages directly to members’ doorsteps is an opportunity for us to go beyond what most people would traditionally expect from their health insurer, especially at such a vulnerable time.”

A COVID-19 care package, provided to members through the Aetna Healing Better program.

The packages include CVS Health store brand personal care items and informational content adapted from Centers for Disease Control and Prevention guidelines on how to best manage symptoms and prevent the spread of COVID-19. Additional resources include access to the Aetna COVID-19 microsite and emotional support, including information on the 24/7 Resources For Living crisis hotline.

“By partnering across the organization, we are pleased to provide in-demand CVS Health products that reflect our commitment to going the extra mile for the people we serve,” said Mike Wier, senior director, Omnichannel Merchandising, CVS Health.

A cross-functional collaboration between Aetna and CVS Health Marketing, Commercial Product, Strategy, and Clinical colleagues led to the creation of the care packages. The group led a proactive approach to reach members by taking into consideration immediate and long-term member needs. The program will continue for a limited time.

“We’re committed to helping members heal better,” said Justin Steinman, vice president, Commercial products, Aetna. “There are still so many unknowns about COVID-19, and we understand that for many people hospitalized with the virus, it’s not uncommon to worry about the road to recovery. The care packages won’t solve everything, but we’re hoping these deliveries help members focus on recovering.”

Aetna’s Healing Better COVID-19 care packages are an extension of the Healing Better program, which helps members who schedule hip or knee replacement surgery to prepare for the surgery and navigate recovery. Resources for this program include proactive outreach from care managers; personalized education on recovery resources such as assisted mobility devices; mental and physical health support resources; pain management options; and a pre-surgery care package.

Visit our COVID-19 resource center to learn more about how CVS Health is responding to the coronavirus.

A COVID-19 care package, provided to members through the Aetna Healing Better program.
Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
22
Display Hero
Off
Campaign
CSR Pillars
Audience

POLITICO Q&A with Dr. Lotvin: A New Front Door to Care

Bottom of the article

Dr. Alan Lotvin, Executive Vice President and Chief Transformation Officer for CVS Health, recently sat down with POLITICO to highlight how our recently integrated company is transforming the future of consumer health services and addressing needs in chronic disease care.

The conversation centered on the importance of advancing our health care system to meet consumers where they are and when it is convenient for them. According to Dr. Lotvin, “A lot goes into building a consumer-centric health care model. The first part of it is a recognition that we have to organize a health care system around and for the benefit and convenience of consumers.”

Here are four takeaways from his discussion with POLITICO:

  • Managing conditions requires expanded touchpoints care. It can be difficult to improve patient engagement with just three or four doctor visits per year — underscoring the importance of interacting with patients on a more frequent basis. According to Dr. Lotvin, “What we're trying to do is bring more personalized services into people's homes and communities at a point in time when it's convenient for them to interact with us, but also in a way that is on their terms. When they call us to fill a prescription or walk into one of our stores, they're primed to think about their health, and they tend to be very receptive to messages that are promoting health.”

  • Improving patient health is critical to help manage growing costs. According to Dr. Lotvin, the best way to lower total health care costs is to improve overall health. If we can help patients prevent conditions such as diabetes or high blood pressure, we are able to avoid the expenses that are incurred from managing these conditions over an extended period of time. Dr. Lotvin noted that we must first provide better access to more coordinated care and then take steps to ensure that patients are receiving their care in the most efficient setting.

  • Strengthening care coordination begins in the community. Dr. Lotvin shared the example of a diabetes patient to highlight the importance of providing coordinated, high-quality health care services all under one roof. Anyone living with diabetes should have several annual exams and evaluations. These patients are typically required to visit several sites and providers, which can lead to fragmentation. Through our new HealthHUB model, we’re doing more to ensure that these exams and evaluations can all be done within our own four walls and we can help patients identify the next best action.

  • Analytics are key to improving health care outcomes. Through analytics, we are able to turn insights into meaningful health care actions. According to Dr. Lotvin, the acquisition of Aetna provides the company with the opportunity to analyze health care challenges in a more holistic manner and then identify how we can address them at the community level.

The full Q&A can be viewed here.

For more information about CVS Health’s efforts to improve care across the nation, visit our News & Insights page and the CVS Health Impact Dashboard. To stay informed about the latest updates and innovations from CVS Health, register for content alerts and our Leaders in Care newsletter.

A mother and child enjoying a coloring book activity.
Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
6
Display Hero
Off
CSR Pillars
Audience

Larry Merlo: Improving and Simplifying Care for Medicare Advantage Beneficiaries

Bottom of the article

Today, more than one-third of Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans and research consistently shows that seniors value the supplemental benefits available through these plans.https://www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage

As seniors continue to seek more personalized care, Larry Merlo, President and Chief Executive Officer for CVS Health, joined the 2019 MA Summit to highlight how CVS Health is uniquely positioned to address the challenges of health care access, quality and costs for older Americans.

Merlo was interviewed by Allyson Schwartz, President and Chief Executive Officer for the Better Medicare Alliance, who inquired about how the combination of CVS Health and Aetna is bringing care closer to the home, making the health care system easier to navigate and improving health outcomes.

Below are three key takeaways from their discussion. 
    

  • Meeting beneficiaries where they are: As an example of how the combined company is expanding access to care locally, Merlo shared insights on the early success of our HealthHUB pilot program in Houston — a new, community-based health destination that offers a broader range of health products and services.

    According to Merlo, what beneficiaries will experience at a HealthHUB is unique. For example, their visit will often start with a conversation with a care concierge who plays a critical role in engaging them as they arrive, informing them about in-store services and helping them find the right solutions for their individual needs.

  • Making benefits easier to use: To ensure health care works better for beneficiaries, Merlo highlighted the importance of eliminating the system’s complexities. Consider the beneficiary who just had knee-replacement surgery. Typically, the patient has the procedure and has limited communication with the provider afterwards. He or she enters an uncoordinated post-op environment and is left mostly alone to coordinate transportation after the operation, prescription pickup and arranging delivery of additional medical devices for the home.

    According to Merlo, this is where the combination of CVS Health and Aetna makes a real difference. For example, we’ll make sure his or her surgeon is in-network, conduct a home assessment to ensure safety post-operation and help coordinate prescriptions.

  • Expanding touchpoints to care: Helping beneficiaries stay adherent to their care plans requires enhanced communication and consultations. Given our footprint in 10,000 communities nationwide, Merlo highlighted how CVS Health is able to serve as a frequent and convenient resource to beneficiaries. For example, a patient might see her physician four to five times a year, but is likely to see a pharmacist as many as 18-24 times in the same year. Merlo noted that older adults tend to have more than one chronic condition and may take multiple medications. Therefore, our pharmacists can help seniors better manage their daily medication regimens.

    According to Merlo, helping beneficiaries take their medicines on-time and as directed is critical to reducing unnecessary ER visits and hospitalizations — as the cost of non-adherence totals $300 billion annually.

For more information about CVS Health’s efforts to improve care across the nation, visit our News & Insights page and the CVS Health Impact Dashboard. To stay informed about the latest updates and innovations from CVS Health, register for content alerts and our Leaders in Care newsletter.

Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
0
Display Hero
Off
CSR Pillars
Audience

Personalized and protected: Health and wellness for the globally mobile

Bottom of the article
The cover artwork of the "Personalized and Protected: Health and wellness for the globally mobile" report.

From vital signs to MRI results, and from wearable fitness trackers, genome sequencing to family history and more, health care consumers and their records are awash with data.

Accessing, analyzing and using that data can be difficult when the information is spread across disparate databases. What’s more, consumers who have been faced with countless data breaches in recent years are wary of who should have access to that data.

“More data has been created in the past two years than in all previous years combined,” says Aetna International Chief Information Officer Alan Payne. “Humans can’t comprehend this level of data, and this has driven innovations like cognitive computing and artificial intelligence.”

What are the potential solutions to ensure that consumers’ health and wellness benefit from all this health data?

In a new study, Aetna International examines the impact big data could have on the delivery of quality health care and explores some of the large and small ways that impact is already being felt.

Read more information here.

Hide Media Contacts (Sidebar)
No
Press Release
Hide Share
Off
"Likes" Count
0
Display Hero
Off
Campaign
Audience

Listen, simplify, improve: Aetna One Advocate builds on member response

Bottom of the article

Digital tools have proven to be valuable advancements in helping consumers manage and improve their health. Still, for some — when health is more complicated — nothing beats personal interaction with a trusted advisor who can listen, help simplify and inform health care decisions.

Earlier this year, combined clinical and service support through Aetna One® Advocate (A1A) was introduced to large, self-insured customers specifically to provide members with a single, trusted advisor when they needed one.

“We do not expect consumers to be experts in all facets of the health care system — from cost to policy to procedures — to effectively manage their health,” says Jason Clement, vice president of Aetna One Advocate. “Rather, we are combining our collective expertise behind the scenes to give consumers a simpler, seamless experience provided by innovations in both digital technologies as well as in one-on-one support.”

The A1A program is designed to ease members’ burdens of managing their health and their benefits. In addition to a robust collection of personalized and mobile tools, A1A members also have a dedicated advocate who reaches out to members about their health and whom members can reach directly as well. With a swivel of a chair, the advocate can access the expertise of a co-located, multidisciplinary team of nurses, pharmacists, dieticians, doctors, social workers, and network specialists. Together this team collects, reviews and connects information end to end to help members access care and get the most from their benefit plans.

“More than just answering questions, the team gets to know the members and considers many factors including personal preferences and goals, barriers, cost, site of care, and community resources,” Clement says. “Several members have told us they were surprised by the depth of support and delighted to have someone proactively looking out for their best interests.”

By building relationships with members, advocates help address customary issues such as improving medication adherence and coordinating member care plans, including disability. Many times, however, the advocates provide members with help they didn’t know they needed or had. For example, one member called to compare the cost of lab tests. The advocate noticed that the lab order indicated the tests as diagnostic rather than preventive wellness, which would be covered by the health plan. The advocate called the provider, who confirmed the order was not accurate and provided a new one, resulting in more than $150 in unexpected savings for the member. Another advocate helped a member qualify and enroll in a clinical trial that he believed was not possible.

Investing in what we don’t know to do better

To learn more about what concerns members, frustrates them, delights them and most importantly what’s missing, Aetna has enlisted the capabilities of Topbox, makers of cloud-based customer experience analytics software. Topbox technology will analyze and deliver a unified view of all member interactions, from contact center calls, emails chats, feedback on the website and surveys.

“The unstructured data contained in all these organic conversations represents a wealth of information on customers’ expectations, and how to better meet them. Topbox will help identify recurring service requests or concerns, and pinpoint their root causes, so that Aetna can address them and continue to improve the overall customer experience of the A1A program,” says Chris Tranquill, CEO of Topbox.

Improving the health care journey

Learning more directly from members about their health care journey across Aetna business areas and local health care communities will help Aetna improve and deliver new digital capabilities and one-on-one support. Transforming the health care system and experience for members requires transformation in member support. Investing in building ongoing relationship with members and customized solutions informed by analytics, access and expert knowledge is essential to make planning for and accessing health care easy and most effective for members.

Hide Media Contacts (Sidebar)
No
Press Release
Hide Share
Off
"Likes" Count
1
Display Hero
Off
Audience

Five Things to Know: Getting Vaccinated at CVS Pharmacy

Bottom of the article

Across the country, in nearly 10,000 communities nationwide, our customers turn to their local CVS Pharmacy to help lead them on a path to better health, not only through our prescription services, but our innovative assortment of health-focused products and services as well.

One of those services is vaccinations. Administered in all of our retail locations nationwide by a certified immunizer and by a nurse practitioner at our MinuteClinic locations, our vaccination offerings go well beyond the annual influenza shot. And since no appointment for vaccinations is required, CVS Pharmacy is a convenient and reliable place for customers to get CDC-recommended vaccines when and where they need them.

Here are some things to know before heading to a local CVS Pharmacy for a vaccination.

1. We offer more than just flu shots.

While vaccine availability may vary by state, all of our CVS Pharmacy and MinuteClinic locations offer most of the vaccinations commonly recommended by the CDC, including pneumonia, MMR (measles, mumps, and rubella), meningitis, and Hepatitis A and B.

Additionally, your pharmacist is an excellent resource for information about what vaccinations are appropriate for your age group.

An appointment for a vaccination is not required, but we do recommend that calling the store first to confirm that the vaccination you’re looking for is in stock.

2. Customers of most age groups can receive vaccinations in our stores.

At CVS Pharmacy, vaccinations are available for adolescents, adults and seniors, while at MinuteClinic, children as young as 18 months can receive certain vaccinations. Call your nearest location to talk to the pharmacist about what vaccinations are right for your age group and what’s available at that location.

3. Talk to your Pharmacist or Nurse Practitioner prior to your vaccination.

Before administering your vaccination, the immunizing pharmacist or nurse practitioner will want to know about any medical conditions you might have, any previous reactions to vaccines, and your medication history if you fill your prescriptions at another pharmacy. They will also be able to advise on any side effects that may result from your vaccination.

4. Most vaccinations are covered by prescription insurance.

In many instances, your vaccination will be covered by either your pharmacy benefit manager or your health insurer, depending on your plan and whether you go to a CVS Pharmacy or MinuteClinic for your shot.

If you’re paying out of pocket, your pharmacist can provide pricing information.

5. Your vaccination can be added to your medical record.

Following your vaccination, with your permission, CVS Pharmacy or the MinuteClinic practitioner can notify your primary care physician so that the shot is added to your medical record.

For more information about vaccinations offered at CVS Pharmacy and MinuteClinic, as well as location-specific availability, visit cvs.com/pharmacy or minuteclinic.com/services.

Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
6
Display Hero
Off
Campaign
CSR Pillars
Audience

Moriarty Discusses Community Health Innovation at Wall Street Project Economic Summit

Moriarty Discusses Community Health Innovation at Wall Street Project Economic Summit
Bottom of the article

Tom Moriarty, EVP, Chief Policy and External Affairs Officer and General Counsel, recently sat down with civil rights activist Rev. Jesse Jackson Sr. at the 22nd Annual Wall Street Project Economic Summit to highlight how our newly combined company can accelerate the improvement of health care for individuals and families across the country.

Moriarty emphasized how the path to better health and stronger communities can be achieved through local support and targeted engagement. At CVS Health, we know how much human interactions matter. The millions of patients we interact with every day each have unique backgrounds and needs. Every day, we utilize our community footprint to build trust with patients on a personal level.

Addressing Local Barriers to Care

Today, approximately 30 to 40 percent of physician-ordered lab tests aren’t completed – oftentimes as a result of lab and testing facilities not having extended hours and lacking access from public transportation routes. Moriarty emphasized how CVS Health can help patients achieve better health by expanding access to testing and monitoring in the communities where they live and work.

Complementing Primary Care

Due to inadequate access to care, it can be difficult for patients to locate the coordinated care and health services they need to get and stay healthy in between doctor visits. CVS Health serves 10,000 communities nationwide with more than 9,800 retail stores and 1,100 walk-in clinics and we’re pursuing new ways to elevate our retail stores as a local health care destination. 

Through the introduction of HealthHUB® locations at CVS Pharmacy stores in Houston, Texas, we have the opportunity to serve as an extension to primary care. With personalized pharmacy support programs and MinuteClinic services, the HealthHUB pilot is improving care for patients managing chronic conditions with a focus on recommending next best actions and driving medical costs savings.

Moriarty shared several examples of how the HealthHUB pilot will provide meaningful and frequent touchpoints to care. For a patient living with diabetes, we can be there more frequently to provide counsel on lifestyle and dietary needs. In the case of respiratory disease, a respiratory therapist will be on-site to help patients track their conditions and provide them with personalized counsel. These interactions will help coordinate care across a patients’ full care teams.

Improving Health Outcomes and Lowering Costs

About 80 percent of current medical spend is on chronic conditions, such as diabetes and cardiovascular disease. At the same time, the number of Americans impacted by these conditions continues to grow.

Moriarty shared how the pharmacy can help prevent these conditions and improve population health by serving as a first line of defense in the community. Our newly combined company will deliver a unified strategy aimed at making a measurable impact on the health of communities nationwide. Through our Building Healthier Communities initiative, CVS Health will make significant investments in the areas of managing chronic disease, including the expansion of Project Health to provide more screenings for the social determinants of health that affect personal well-being and the broader community, such as education, housing and access to fresh food.

For more information about CVS Health’s efforts to improve access to quality care across the nation, visit our Quality & Access information center and the CVS Health Impact Dashboard. To stay informed about the latest updates and innovations from CVS Health, register for content alerts and our bi-weekly health care newsletter.

Tom Moriarty and Reverend Jesse Jackson shake hands.
Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
0
Display Hero
Off
Assets
CSR Pillars
Audience

Roll Call Live: Empowering Patients as Partners in Health Care

Roll Call Live: Empowering Patients as Partners in Health Care
Bottom of the article

With the expansion of high-deductible health plans (HDHPs), patients are taking on more responsibility in deciding what options work best for their budgets and health care needs. Roll Call Live’s “Empowering Patients as Partners in Health Care,” sponsored by CVS Health, explored consumer-driven health care – examining where progress is being made and where opportunities for improvement still exist.

The event included two keynote conversations by policymakers, an expert panel discussion and remarks by Tom Moriarty, CVS Health Chief Policy and External Affairs Officer and General Counsel, who highlighted solutions for improving prescription drug affordability.

Other participants included:

  • Joseph Antos, PhD, Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute

  • Brian Blase, National Economic Council’s Special Assistant to the President for Economic Policy

  • David Blumenthal, MD, MPP, President of The Commonwealth Fund

  • Representative Donald McEachin (D-VA)

Participants highlighted three potential solutions to help empower patients as consumers: enhancing meaningful price transparency information; providing greater benefit flexibility for HDHPs associated with health savings accounts (HSAs); and expanding personalized care. 

Providing Meaningful, Transparent Information to Empower Decision-Making

As steps are being taken to increase transparency, experts believe it is important to make sure that information about health care benefits and costs is actionable for consumers. For example, Rep. Donald McEachin emphasized that transparent cost information alone isn’t enough – it must direct patients to effective care at a lower cost.

As David Blumenthal pointed out, “price information is as complicated as the health needs of the individual consuming the care,” and therefore, information should be presented clearly and be specific to a patients’ benefit plan. Supporting this, Joseph Antos explained that for information to be useful, it needs to be tailored to what patients care about – “for example, what they will actually be paying for at the pharmacy counter.”

Finding opportunities to increase transparency that improve health care decision-making is a top priority at CVS Health. Our solutions, including the Rx Savings Finder and real-time benefits, provide greater transparency from the point of prescribing to the point of sale with actionable results that are saving patients money.

Making HDHPs Work Better for More Patients

As the number of patients enrolled in HDHPs continues to grow, there are opportunities to improve how these plans work for patients, particularly those managing a chronic disease. Brian Blase outlined how the Administration is considering a proposal that would permit HDHPs associated with HSAs to cover more services, such as providing insulin at no cost to patients. Blase referred to this concept as “one possible way to help use insurance design to drive value by empowering patients as consumers of health care.” 

At CVS Health, we advocate changing the rules governing HSAs to give HDHPs the option to cover all prescription drugs — including generic and brand drugs — outside the deductible. That way, patients can access these drugs for little or no copay if that is how the plans want to structure their benefit. CVS Health also works with PBM clients to offer preventive drug lists for many common chronic diseases, including diabetes and heart disease, making it easier to access and afford care that puts people on a path to better health.

Connecting Patients to High-Value, Personalized Care

Incentivizing personalized care delivery that meets patients’ specific health needs can reduce costly complications and improve outcomes. The experts agreed that in the era of consumer-driven health care, more can be done to connect patients to the right care at the right time. David Blumenthal noted, “Insulin for diabetics is high-value care…hypertensive treatment, hypolipidemics for elevated lipids, exercise programs for people who are post-heart attack. These things are proven life-savers, and they shouldn’t be treated the same way as an unnecessary MRI for back pain.”

Whether it’s delivering preventive services that help keep people healthy or supporting chronic disease patients in adhering to their medications, we help connect patients to high-value care when and where they need it.  

For more information on how CVS Health is working to expand access to more affordable and effective health care, check out our Cost of Care information center and the CVS Health Impact Dashboard. To stay informed about the latest updates and innovations from CVS Health, register for content alerts and our bi-weekly health care newsletter.

The stage at the Roll Call event
Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
0
Display Hero
Off
CSR Pillars
Audience

Leaders on the Road: Key Themes from 2018 Events

Leaders on the Road: Key Themes from 2018 Events
Bottom of the article

Throughout 2018, CVS Health leaders participated in industry-leading events and public forums to address some of the most pressing issues in our health care system. From Washington to Los Angeles, our leaders shared their vision for transforming the consumer health experience by making health care more local, easier to navigate and more affordable.

Key themes included:

Bringing Care Closer to Home

Serving as the front door to health care in 10,000 communities nationwide, CVS Health has long been committed to connecting patients to care when and where they need it. In 2018, our leaders highlighted how our combination with Aetna will build on this commitment by integrating care delivery at a local level and making our touchpoints to care more accessible and convenient.

Improving Care Coordination and Connectivity

Health care can be fragmented for many Americans, which can impose barriers for patients across various settings. In 2018, our leaders emphasized the need to improve connectivity and communication across the care continuum to help patients and their providers better manage conditions. 

  • Larry Merlo at Town Hall Los Angeles: “Today, nearly 70 percent of Americans across the country live within three miles of a CVS Pharmacy. You can walk right in and see a pharmacist to get information about your prescription or a nurse practitioner at one of our more than 1,100 MinuteClinics to get chronic condition monitoring or a lab test, with the results sent directly to your primary care doctor.”
  • Tom Moriarty, EVP, Chief Policy and External Affairs Officer, and General Counsel, at a POLITICO Health Care Innovators event: “Health IT is key to getting past the fragmentation we see in health care. If you come into a MinuteClinic or are seen anywhere else in the CVS world, we can port that information back to your physician, or back to the health care system that serves as your primary care center.”

Addressing Rising Drug Costs

Nearly eight in ten Americans express concerns about prescription drug costs and the impact on their families’ budgets. At CVS Health, we recognize that one the most important things we can do is to help people take their medications, which improves overall health and lowers costs. Our leaders emphasized why integrating digital tools that enhance price transparency and expanding access to generics and biosimilars are key in our efforts to connect patients to the right medicine at the lowest possible cost.

  • Larry Merlo at the Aspen Ideas Festival, Spotlight Health: “We’re in the process of embedding our patients’ plan designs into [their] EHR so when the physician goes and puts a prescription in, he or she will be able to see the patient’s out of pocket costs, and up to five alternative [prescription medications] and the costs associated with each.”
  • Tom Moriarty at the POLITICO Pro Summit: “There are a number of solutions that we can implement today within the existing statutory and regulatory framework to reduce overall prescription drug costs in the system and for patients while also driving improved health outcomes through increased adherence.”

For more information about CVS Health’s efforts to improve access to quality care across the nation, visit our Quality & Access information center and the CVS Health Impact Dashboard. To stay informed about the latest updates and innovations from CVS Health, register for content alerts and our bi-weekly health care newsletter.

General Counsel Tom Moriarty speaks at a POLITICO event
Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
0
Display Hero
Off
Audience

By the Numbers: The State of U.S. Health Care

By the Numbers: The State of U.S. Health Care
Bottom of the article

With a presence in 10,000 communities nationwide, CVS Health is focused on bringing positive change to Americans’ health care. As part of this effort, we are committed to understanding how Americans perceive the current system and identifying potential solutions to their most pressing needs.

CVS Health recently partnered with Morning Consult to gauge how Americans view aspects of the health care system. Consistent with findings from our 2017 survey, more than half of Americans (59 percent) believe that the health care system does not work well for them. And while 87 percent are currently satisfied with their health plans, most say they would like their care to be less expensive, simplified and more innovative.

At CVS Health, we believe that by putting patients at the center of their health care, we have the ability to improve engagement and drive down costs. As we work to transform health care, we’ll continue to seek opportunities to reduce the complexity and cost burdens that Americans face today.

Addressing Rising Health Care Costs

The cost of care is cited as the primary reason Americans don’t believe the health care system is working well, with just 31 percent of Americans reporting that their health care is affordable. What’s more is that 41 percent of Americans rank the affordability of prescription drugs as their most pressing concern with the health care system – a seven percentage point increase from 2017. At CVS Health, we recognize that one of the most important things we can do is help people adhere to their medications, which improves overall health and lowers costs.

As a pharmacy benefit manager, we work diligently to negotiate discounts from drug manufacturers, and to deploy a variety of tools to ensure our members receive high-quality pharmacy care at the lowest possible cost. For example, drug price growth for our own clients was only 0.2 percent on a per capita basis in 2017, despite list price inflation of nearly 10 percent.

We have also deployed solutions to expand visibility into prescription drug costs to ensure patients are getting the most appropriate medicine at the lowest cost – starting at the point of prescribing and culminating at the pharmacy counter. Our real-time benefits program gives prescribers access to covered benefits and the price patients will pay out-of-pocket under their benefits plan for a specific drug, providing average savings of $120-$130 per filled prescription. In our 9,800 CVS Pharmacy locations nationwide, our Rx Savings Finder tool helps patients save $420 annually by enabling our pharmacists to review their prescription regimen, medication history and benefit plans to identify the lowest cost, clinically appropriate medication available.

Making Health Care Easier to Use

Navigating health care can be complex. Sixty-eight percent of Americans state that the current system is confusing or difficult. We believe that health care cannot be simplified with a one-size-fits-all approach. The integration of CVS Health and Aetna will enable us to make health care more personal and easier to use for patients. 

Through our combination of data and expertise, we can make an often complicated and confusing system more connected and simple. By fully integrating Aetna’s medical information and analytics with CVS Health’s community locations, we’ll have a strengthened ability to provide Americans with counseling and guidance they need to need to navigate their health care.

For example, when a patient living with a chronic disease comes to pick up their medications, we will be there with additional resources and counsel to help them better manage their overall health and well-being in a much more coordinated fashion.

Innovative Solutions for the Future Health Care System

When asked about the future health care system, 47 percent of Americans believe it is important to develop innovative health care solutions. By delivering the combined capabilities of CVS Health and Aetna, we have the ability to transform Americans’ health care experience and build healthier communities through a new health care model that is more patient-centric and less expensive.

For more information about CVS Health’s efforts to improve access to quality care across the nation, visit our Quality & Access information center and the CVS Health Impact Dashboard. To stay informed about the latest updates and innovations from CVS Health, register for content alerts and our bi-weekly health care newsletter.

Patient explaining shoulder pain to doctor.
Hide Media Contacts (Sidebar)
No
Article
Hide Share
Off
"Likes" Count
0
Display Hero
Off
CSR Pillars
Audience