Streamlining Prescription Onboarding with Specialty Expedite

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As CVS Health looks to transform health care and contribute to a better, more efficient system, we are looking at ways to leverage and improve the use of technology to improve quality of care and patient outcomes.

This is especially important in specialty pharmacy and why we’ve introduced Specialty Expedite.Specialty Expedite is available exclusively for providers who use compatible electronic health record (EHR) systems including Epic Systems and others that participate in the Carequality Interoperability Framework. All data sharing and usage complies with applicable privacy laws. Patients receive real-time prescription status updates only after providing consent to CVS Specialty. Our connected capability transforms prescription onboarding for our CVS Specialty patients, on average shortening the specialty pharmacy onboarding process to as little as three days and ultimately helping to get patients started on appropriate therapy faster.

Getting Patients the Medications They Need Quickly and Efficiently

For patients with complex medical conditions requiring specialty medications, getting started on their prescriptions quickly and efficiently is crucial to their care. But the process has not always been that simple, with patients sometimes having to wait as long as several weeks to complete the manual onboarding and prior authorization process.

Specifically, the process to get started on a specialty medication often requires physician’s offices and insurers to fax appropriate patient records and/or required approvals before a prescription can be filled, which can be time consuming but is a critical step to ensure that patients are receiving the most appropriate medication.

In addition, across the health care system, the Federal government is looking at ways to help enable and improve health information technology (IT) systems and as part of that, officials have even called for health care to be a “fax free zone by 2020.”

How It Works

Specialty Expedite works by securely gathering appropriate patient information, including insurance, lab work and diagnosis codes via a doctor’s electronic health record (EHR) system instead of sharing through fax. The process also cuts down on paperwork and phone calls, resulting in fewer errors and more efficiencies.

In addition, patients also now have the option of receiving real-time status updates via email or text, so that they can stay informed on the status of their prescriptions and any prior authorization requirements. Patients are also able to choose how they want to get their specialty medications — at their local CVS Pharmacy or though specialty mail serviceWhere allowed by law. In-store pick up is currently not available in Oklahoma. Puerto Rico requires first-fill prescriptions to be transmitted directly to the dispensing specialty pharmacy. Products are dispensed by CVS Specialty and certain services are only accessed by calling CVS Specialty directly. Certain specialty medication may not qualify. Services are also available at Long’s Drugs locations. via Specialty Connect. Research shows that when patients have more flexibility and choice, they are able to start their therapies sooner and adherence and satisfaction improves.

Helping patients with complex medical conditions get the specialty medication they need more quickly and efficiently through technology and solutions such as Specialty Expedite is one more way we are helping people on their path to better health.

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.

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Addressing Rising Drug Prices

Addressing Rising Drug Prices
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Rising drug prices hurt patients and lead to negative and costly outcomes throughout our health care system. For example, data show that 40 percent of patients do not pick up their prescriptions when out-of-pocket costs per prescription exceed $200.CVS Health Internal Analysis. Completed December 2015, Retail RxDw; Analysis Timeframe of 1/1/15 – 12/28/15 When patients don’t take their medications as prescribed, the cost to our health care system is approximately $290 billion.https://www.nehi.net/writable/publication_files/file/pa_issue_brief_final.pdf

At CVS Health, we recognize that one of the most important things we can do is to help people afford and take their medications. That’s why we’re working to improve transparency and pioneering solutions to help patients get the right medicine at the lowest possible cost.

Providing Information across Multiple Points of Care

Information about how much a drug costs is not always readily available. According to a poll sponsored by CVS Health, more than half (57 percent) of patients do not know how much a drug will cost them, and nearly as many (54 percent) believe it would be helpful to have information about the cost before they fill their prescriptions.

CVS Health is working to expand visibility into drug cost information across multiple points of care.

  • At the physician’s office: Our real-time benefits technology – used by 100,000 prescribers nationwide – enables visibility into what a patient will pay for a specific drug under their benefits plan and presents up to five lower-cost, clinically appropriate alternatives for consideration by the prescriber.
  • At the pharmacy counter: Our more than 30,000 retail pharmacists use the Rx Savings Finder tool to search for potential savings opportunities.
  • For CVS Caremark members: About 230,000 times per month, CVS Caremark members search the Check Drug Cost tool to find lower-cost, clinically appropriate alternatives to more expensive medications.

Helping Control Costs While Promoting Better Health

As a Pharmacy Benefit Manager (PBM), we use every tool at our disposal to bring down drug prices. For example, we encourage the use of lower-cost, clinically appropriate generic alternatives, which data show can lead to a 3-percent decrease in overall mortality.https://www.ncbi.nlm.nih.gov/pubmed/2522238. We offer evidence-based guidelines to help prescribers connect patients to the most cost-effective medicines, resulting in more than $2.9 billion in savings.CVS Health White Paper. Current and New Approaches to Making Drugs More Affordable. Published August 2018 We also provide point-of-sale rebates and zero-dollar copay drug list options to clients, helping to deliver savings directly to patients at the pharmacy counter.

Keeping Costs Down for Patients, Employers and Government Programs

Our PBM strategies rein in costs across the health care system and also increase access to affordable medications for patients. While brand manufacturers have increased prices on average 9.2 percent annually from 2008 to 2016,https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2018.05147 we have worked to stabilize drug costs for our clients and patients. In fact, CVS Health kept drug price growth to just 0.2 percent in 2017.

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.

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Clinical Secure Messaging Helps Improve Medication Adherence

Clinical Secure Messaging Helps Improve Medication Adherence
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Graph showing Medication adherence improved in both groups of patients who used secure messaging.
Medication adherence improved in both groups of patients who used secure messaging.
Graph showing more optimal medication adherence with secure messaging.
Optimal medication adherence improved for both groups of patients using secure messaging.
Graph showing a decrease in the first-fill drop-off rate for patients using secure messaging.
First-fill drop-off rate also decreased among patients using secure messaging.

Historically, people with complex conditions may receive telephonic or in-person support from a specially trained nurse or pharmacist with the goal of helping the patient better manage their condition(s), take their medication(s) as prescribed and improve their overall health outcomes. In this increasingly digital age, however, people are turning to technology for help with a range of things, including health care.

Recognizing this shift toward digital engagement, CVS Specialty is bringing patients innovative digital and online tools to help them better manage their conditions and access additional support online. This includes secure, two-way messaging that puts a nurse or pharmacist at the patients’ fingertips.

Powering this capability is a proprietary, company-built tool loaded with therapy- and indication-specific clinical information. Patients opt-in to receive personalized message alerts via their mobile phone asking if they are experiencing certain common medication side effects. The messages are based on clinical trial data, the drug’s label and feedback from other patients, and are timed to reach the patient when they are more likely to experience a specific side effect. The message also includes a link to enable the patient to ask the pharmacist a medication-related question.

Following the launch of this tool for patients with chronic myeloid leukemia (CML), initial results were promising, with high engagement rates and improved medication adherence, compared to more traditional support methods, including telephonic outreach.

Scaling to Other Specialty Conditions

With positive results in patients with CML, CVS Specialty quickly expanded use of this tool across all specialty conditions and recently conducted a retrospective analysis of specialty pharmacy claims and use of secure messaging in patients with rheumatoid arthritis (RA) and multiple sclerosis (MS).

These findings were recently presented at the Academy of Managed Care Pharmacy annual meeting and showed that patients with these complex conditions can also benefit from this type of digital support when compared to more traditional support methods. Specifically, patients who received the customized, secure clinical messages on topics including adherence, condition management or side effect management, every 30 days, were more likely to re-fill their prescription(s) and achieved significantly higher medication adherence than the control group. In fact, optimal adherence for patients in the study with either MS or RA receiving this digital clinical support improved by 3.82% and 2.12% points, respectively.

At CVS Specialty, the goal is to help patients on their path to better health by offering support where and when patients need it most. This data shows the promise of clinical support delivered digitally and, as part of a health care innovation company, CVS Specialty is committed to continuing to help more patients manage their diseases in a way that meets their individual needs.

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Partnering with Google Maps to Promote Safe Medication Disposal

Partnering with Google Maps to Promote Safe Medication Disposal
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Expired, unwanted or unused prescriptions can often be found in medicine cabinets in homes across the U.S. To decrease the chances that these medicines are misused, the Food and Drug Administration (FDA) recommends that they are removed from the home as quickly as possible – preferably through a drug take-back event or permanent disposal location.Disposal of Unused Medicines: What You Should Know. https://www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

As part of our enterprise-wide strategy to prevent opioid abuse, CVS Health is committed to expanding access to permanent medication disposal options in communities nationwide. Every day, consumers can dispose of unused or unwanted medicines at CVS Pharmacy stores and community locations across the country

Driving Awareness through Disposal Partnerships

At CVS Health, we believe that increasing public awareness of disposal locations can have a meaningful impact in helping to prevent the abuse of prescription drugs found in the home. That’s why we’re proud to partner with Google Maps to make it easier for consumers to find year-round medication disposal options.

Through a pilot effort, consumers can quickly search “drug drop off near me” in Google to locate permanent disposal locations in their community, such as a CVS Pharmacy or government buildings. This new search functionality will help build on the momentum of National Prescription Drug Take Back Day events hosted by the U.S. Drug and Enforcement Administration (DEA), providing an efficient way to identify permanent locations. Currently, the DEA and Google Maps are working to expand the pilot through additional location data. 

Our new partnership with Google Maps expands our existing collaborations to help ensure that consumers know how to conveniently locate safe and reliable disposal locations.

Improving Access to Safe, Reliable Disposal Units

Safe disposal is an important element in combatting drug abuse nationwide. To date, our disposal units have collected more than 305 metric tons, or 675,000 pounds, of unwanted medication. And as part of our ongoing commitment to protecting the communities that we serve, we recently committed to placing an additional 1,100 disposal units in CVS Pharmacy locations and local police departments by the end of 2019.

For more information about our efforts in the fight against opioid abuse, visit Our Commitment to Fight Opioid Abuse 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.

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Aetna Announces Attain, a Personalized Well-being Experience that Combines Health History with Apple Watch Information to Empower Better Health

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Created in collaboration with Apple, Attain by AetnaSM is a direct-to-member experience that blends activity-driven incentives and rewards with personalized health recommendations

BOSTON, Jan. 29, 2019 /PRNewswire/ -- Aetna, a CVS Health (NYSE: CVS) business, announced the launch of Attain, a unique health experience designed by Aetna in collaboration with Apple. Through the use of an Apple Watch, the Attain app will provide Aetna members personalized goals, track their daily activity levels, recommend healthy actions, and ultimately reward them for taking these actions to improve their well-being. Reward opportunities include the ability for eligible users to earn their Apple Watch through their participation in the program.

This launch builds on the 2016 collaboration between Aetna and Apple in which 90 percent of participants reported a health benefit from their use of Apple Watch. Aetna has deep clinical experience, engaging its members across their health care needs from wellness to chronic disease. Apple consistently delivers highly personalized products in a simple yet elegant fashion that prioritizes privacy and data security and helps people live their best lives. The Attain app is the first of its kind designed specifically to offer users a personalized experience that combines their health history with the power of the Apple Watch to help them achieve better health and well-being.

The Attain app is expected to be available in the Apple App Store in Spring 2019. More information can be found at www.AttainbyAetna.com

Attain consists of four main pillars:

Achieve Activity Goals: Health ambitions are not one size fits all, and neither are Attain's customized activity goals. Attain provides participants with personalized daily and weekly activity goals, based on their age, sex and weight. Attain's definition of activity is not restricted to steps taken, and includes other activities measured by the Apple Watch, such as swimming and yoga.

Sustain Everyday Health: Attain offers weekly challenges, where participants earn points for taking actions that improve their overall health and well-being. Challenges may include getting more sleep, increasing mindfulness and improving nutrition.

Receive Personalized Health Notifications for Key Health Moments: Attain recommends personalized healthy actions based on an Aetna member's health history as well as their Apple Watch sensor data. Created in collaboration with a team of doctors, the recommendations are based on clinical guidelines. At launch, healthy action notifications will include reminders to meet activity goals, get vaccinations such as the flu shot, notifications to refill medication prescriptions when they're scheduled to run out, suggestions to visit a primary care physician if they have not had a recent office visit, and the availability of a lower-cost option for scheduled lab tests and imaging such as MRI scans.

Earn Rewards: As they complete their activity goals and recommended healthy actions, participants earn reward points, which can be redeemed to defray the cost of the Apple Watch or for gift cards to popular national retailers.

Attain will bring all of this into a unified health experience, providing it to Aetna members in a single app on a device they may already own and use regularly. Participation requires that Aetna members have an iPhone 5S or later and an Apple Watch Series 1 or later.

"From fitness enthusiasts, to casual gym-goers, to parents who get all their exercise by keeping up with their kids - we designed Attain for everyone," said Alan Lotvin, M.D., Executive Vice President of Transformation for CVS Health. "We understand that you don't need to be a personal trainer or work out several hours a day to be healthier. We're designing Attain to be personalized and clinically relevant to where each individual is in their health journey. This is an ambitious challenge, and we will adapt and improve over time to create the best experience for our members."

After users have joined Attain, they will have the additional option to share their Attain program data and health history with Apple, enabling Apple and Aetna to collaborate, and over time, continue to improve the Attain experience. Through analytics and machine learning, the collaboration will lead to new features for Attain, offering more personalized recommendations designed to give greater context and decrease barriers to health care.

"We believe that people should be able to play a more active role in managing their well-being. Every day, we receive emails and letters from people all over the world who have found great benefit by incorporating Apple Watch into their lives and daily routines," said Jeff Williams, Apple's COO. "As we learn over time, the goal is to make more customized recommendations that will help members accomplish their goals and live healthier lives."

User privacy and data security are at the heart of Attain. A completely voluntary program, members determine what information they want to share and can discontinue using Attain at any time. All Attain health data is encrypted on the device, in transit, and on Aetna and Apple's servers, where it will be stored in a highly secure environment using industry-leading practices fully in compliance with HIPAA. Information from this program will not be used for underwriting, premium or coverage decisions.

The Attain rewards platform builds off a program developed by Vitality Group, a model that has demonstrated that incentives linked to the Apple Watch are associated with increased, sustained activity. A recent study from RAND corporation found an average 34 percent increase in activity levels for participants using the rewards platform incorporated in Attain with Apple Watch, compared to those without these incentives - leading to an additional 4.8 days of activity per month.

Interested Aetna members are encouraged to sign up at www.AttainbyAetna.com to be notified when the App becomes available for download.

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 more than 9,800 retail locations, approximately 1,100 walk-in medical clinics, a leading pharmacy benefits manager with approximately 93 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a leading stand-alone Medicare Part D prescription drug plan. CVS Health also serves an estimated 39 million people through traditional, voluntary and consumer-directed health insurance products and related services, including a rapidly expanding Medicare Advantage offering. This 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.

SOURCE CVS Health

The Attain by Aetna app will allow users to monitor their activity on a daily and weekly basis, tracking their progress against their weekly goals along the bottom.

The Attain by Aetna app will present users with everyday health tips and challenges, as well as reminders for things like refilling prescription medication. Download now

The Attain by Aetna app will present users with everyday health tips and challenges, as well as reminders for things like refilling prescription medication.

The Attain by Aetna app will present users with everyday health tips and challenges, as well as reminders for things like refilling prescription medication. Download now

The Attain by Aetna app will give users the opportunity to redeem their points from a variety of popular retailers.

The Attain by Aetna app will present users with everyday health tips and challenges, as well as reminders for things like refilling prescription medication. Download now

Media Contact: 

Ethan Slavin
SlavinE@aetna.com
860-273-6095

Investor Contact:

Michael P. McGuire 
michael.mcguire@cvshealth.com 
401-770-4050

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CVS Health Testing New HealthHUB Store Format

CVS Health Testing New HealthHUB Store Format
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When CVS Health completed its acquisition of Aetna in November 2018, it set a bold course to transform the consumer health care experience in America. Today, the combined company is taking an important step in its work with the introduction of HealthHUB® locations at CVS Pharmacy stores in Houston, Texas. 

“We believe that transforming the consumer health care experience begins with creating a new front door to health care,” said Alan Lotvin, chief transformation officer for CVS Health. “Our new HealthHUB locations are just that — helping to elevate the store into a convenient neighborhood health care destination that brings easier access to better care at a lower cost.” 

The company is piloting a total of three HealthHUB® locations in Houston that offer a broader range of health care services, new product categories, digital tools and on-demand health kiosks, trusted advice and personalized care. With the new format over 20 percent of the store is now dedicated to health services, including new durable medical equipment (DME) and supplies and new product and service combinations for sleep apnea and diabetes care.

With personalized Pharmacy support programs and MinuteClinic services, the HUB team is improving care for patients managing chronic conditions, with a focus on recommending next best clinical actions and driving medical costs savings.

The new store format also includes a variety of pathways to nutritional health with one-on-one and group counseling delivered by an in-store licensed dietitian, as well as access to a free weight loss digital app.

Acting as the connection point inside the HealthHUB® is the Care Concierge, a newly established professional responsible for customer engagement, including educating customers about our new service offerings, helping them navigate the in-store services and events, and connecting them to our in-store providers. To date, customers accepted help from our Care Concierge in more than 95 percent of recorded interactions, with 50 percent resulting in engagement with another HealthHUB® provider or offering.

The design of the HealthHUB® also includes community spaces and digitally enabled offerings. Wellness Rooms are available for CVS professionals and community partners to host group events, including health classes, nutritional seminars and benefits education. There are Learning Tables that include iPads for customers to explore health and wellness apps, as well as shop our expanded product selection on cvs.com. And there are On-Demand Health Kiosks that help customers measure and track their blood pressure, weight and BMI.

“Most of the time, I would run into the CVS Pharmacy when I was sick or just needed a few convenience items,” said Jacqueline Haynes, a longtime CVS Pharmacy customer and Houston resident. “I was quite surprised with all of the health and wellness products, support services and community events inside the store. HealthHUB makes you want to be healthy and stay healthy.”

CVS Health is encouraged by its early results and customer response to HealthHUB®. The company says it will continue to pilot the Houston-based locations, with the goal of continuing to innovate and test to determine the right mix of products and services that can impact patient health while being scalable.

“We have a sense of urgency about the need to bring real change to health care,” said Kevin Hourican, EVP, CVS Health and president of CVS Pharmacy. “What’s clear to us is that it will take more than incremental steps to fix what is broken in the health care system. That’s why we’re excited about how the combination of CVS and Aetna can begin to establish an innovative health care model that will create an entirely new consumer experience and help people on their path to better health.”  

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.

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Health Care Innovators: New Players Meet Long-Established Regulations

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POLITICO Health Care Innovators: New Players Meet Long-Established Regulations, sponsored by CVS Health, explored how disruption and innovation are bringing new opportunities to improve health care. Tom Moriarty, CVS Health Chief Policy and External Affairs Officer and General Counsel, kicked off the event with a timely discussion about how the combination of CVS Health and Aetna is challenging the status quo in health care.  

Following opening remarks, an expert panel addressed how innovations are shifting the center of care, increasing patient engagement and improving health outcomes. The panel discussion was anchored in the belief that established health care companies are disrupting the industry from within. Among the experts, there was consensus that these companies have the expertise and reach to enhance how consumers experience health care.

Experts included:

  • Peter Basch, MD, MACP, Senior Director, IT Quality and Safety, Research, and National Health IT Policy, MedStar Health

  • Jay Desai, CEO & Co-Founder, PatientPing

  • Ann Hwang, MD, Director, Center for Consumer Engagement in Health Innovation, Community Catalyst

  • Mona Siddiqui, MD, MPH, Chief Data Officer, U.S. Department of Health and Human Services

View a video of the full POLITICO Health Care Innovators panel discussion.

A New Center of Care

Dr. Basch emphasized the importance of thinking beyond brick-and-mortar facilities, such as hospitals and the physicians’ office, so that we are able to meet patients where they are and when they need us. He encouraged health systems to not only consider themselves as physical sites of care, but distributed care networks supported by accessible solutions, such as home care, retail health clinics and technology. By doing so, our health care system will be better positioned to evaluate what is right for a patient and their particular condition.

Expanding access to local community-based care is a critical component of new and innovative distributed care networks. Saddiqui noted that 80 percent of the time, care that patients seek in a hospital setting could be administered at an alternative site. “In these instances, it is absolutely critical to have care in the community and in the home.” As an example, the panel referenced how retail health clinics, including MinuteClinic, can provide patients with meaningful touchpoints and complement primary care in between doctors’ visits.

Making Care Both High-Tech and High-Touch

Mobile health has evolved from specialized devices to now being integrated into common devices like smartphones. These technologies provide patients with the ability to monitor their health and share important information with their health care providers who can follow up by phone, virtually or in-person based on the information received and the patient’s circumstance. Joanne Kenen, POLITICO Executive Health Care Editor and panel moderator, referred to this trend as “marrying high-tech and high-touch.”  

To illustrate this concept, Kenen shared an example of an 85-year-old patient living with diabetes and asked how basic technology could make a difference in her health care. Desai explained that by inputting information in her smart phone, she can ensure that information is shared across the full care continuum – enabling her providers to create treatment plans tailored to her specific health and lifestyle needs. This type of integration between technology and a patient’s care team is key to the new model of care CVS Health is leading through its combination with Aetna.

Aligning Payment Models to Improve Patient Outcomes

Payment models that focus on improving long-term health rather than simply treating an illness are an important strategy in improving patients’ quality of care. Panelists agreed that payment models must address the social and economic factors of care, which oftentimes lead to chronic conditions. To achieve this, greater alignment across the health care system is needed.  “Currently, the health care system is going in two different directions,” said Hwang. “For example, on one side we’re focusing on coordinated care and specific patient outcomes, and on the other we’re still rewarding volume over outcomes.”

At CVS Health, we believe that a focus on outcomes improves health and contains costs by connecting patients to the right care at the right time. We implement value-based management programs to target the most costly and complex disease states to help improve individuals’ health outcomes.

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.

The panel of experts at the POLITICO event
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Looking Ahead: 2019 Health Care Trends

Looking Ahead: 2019 Health Care Trends
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The year 2018 was a transformative one for CVS Health as the enterprise played a lead role in advancing positive change in the health care system through our combination with Aetna and the launch of innovative solutions, such as Rx Savings Finder, MinuteClinic video visits and our PBM’s Guaranteed Net Cost pricing model. As we build on this momentum, we reviewed some of the trends that are expected to move the health system forward this year.

Experts suggest that three key trends will shape the industry in 2019:

  1. The use of analytics to inform care;
  2. Growing demand for digital health tools; and
  3. Increased focus on value-based care.

 

The Use of Analytics to Inform Care

This year, experts predict that data analytics will continue to evolve and improve care. For example, analytics capabilities have the power to promote earlier intervention and create efficiencies in health management.https://hceg.org/healthcare-executives-rank-the-top-10-for-2019/ This trend will also be supported by the expanded use of artificial intelligence (AI), which can quickly and seamlessly help patients and their providers identify appropriate care or treatment.https://consultqd.clevelandclinic.org/cleveland-clinic-unveils-top-10-medical-innovations-for-2019/?_ga=2.27776436.927803239.1540401678-1723484835.1539897327

As a newly combined company with Aetna, CVS Health will be able to couple digital analytics with face-to-face interactions to develop more personalized treatment plans for patients.  Furthermore, our partnership with Buoy Health – a technology company that utilizes advanced AI – provides consumers with real-time health assessments and then refers them to one of our 1,100 MinuteClinic locations nationwide, if appropriate.

Growing Demand for Digital Health Tools

Experts see digital health as a key area that will increasingly support chronic disease management and the aging population. According to Forbes, expansion of digital health technology will be spurred by the growing use of wearable devices, telehealth platforms and mobile health applications in 2019.https://www.forbes.com/sites/reenitadas/2018/11/13/top-8-healthcare-predictions-for-2019/#2e71122a700e

CVS Health aims to transform the consumer health care experience through a combination of digital tools and – importantly – complementing that technology with high quality, easily accessible care. Our model delivers integrated care, while offering consumers the ability to interact with trusted and familiar health care experts where they are. It also arms consumers with convenient, easy-to-use technology that enables them to manage their care at any time from any place.

Increased Focus on Value-Based Care

Experts predict that the volume of value-based care models will continue to grow in 2019, as the industry focuses on reining in costs while improving outcomes. These models will increasingly prioritize quality data and risk-sharing frameworks to make health care more efficient and patient-centric.https://hceg.org/healthcare-executives-rank-the-top-10-for-2019/ At CVS Health, we believe that a focus on outcomes can help avoid unnecessary costs by connecting patients to the right care at the right time.

CVS Health’s value-based purchasing is part of our commitment to helping patients access appropriate medicines at the lowest cost. Additionally, our value-based management programs are targeted at the most costly and complex disease states, aiming to help control spend and improve health.

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.

In your opinion, which 2019 health care trend has the greatest potential to impact quality of care?

Choices
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Leaders on the Road: Key Themes from 2018 Events

Leaders on the Road: Key Themes from 2018 Events
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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.

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

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

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