Care Management

Services, Initiatives and Tools that Complement — Not Compete — with Your Benefits Plan.

The complexity of chronic, complex and rare conditions, and the expense associated with them can be challenging for payors. 

Chronic conditions account for the vast majority — 90 percent  of health care spending in the United States; one in two Americans have one. 

Up to 9 percent of total payor costs related to rare and complex conditions are driven by up to 3 percent of plan members.

Annual costs for patients with these conditions are seven times higher than the average member.

Often, care is made more challenging because 50 percent of patients leave a doctor’s office not understanding what they have been told, with one in three adults lacking sufficient knowledge of their condition to effectively manage their own care

Chronic condition care
Identify the right opportunity to enable proactive engagement and create individualized interventions, reducing spend and preventing overall cost escalation.

Pharmacy Advisor

  • Optimizes adherence

Health Advisor

  • Reduces unnecessary ER visits, and out-of-network and non-preferred facility utilization
  • Drives positive behavior change

Transform Diabetes Care

  • Reduces A1C
Rare and complex condition care
Identify members with opportunity for better management and support.

AccordantCare

  • Decreases ER visits
  • Decreases hospitalizations
  • Reduces health care spend

Chronic condition care
Identify the right opportunity to enable proactive engagement and create individualized interventions, reducing spend and preventing overall cost escalation.

Pharmacy Advisor
  • Optimizes adherence

Health Advisor

  • Reduces unnecessary ER visits, and out-of-network and non-preferred facility utilization
  • Drives positive behavior change

Transform Diabetes Care

  • Reduces A1C

Rare and complex condition care
Identify members with opportunity for better management and support.

AccordantCare

  • Decreases ER visits
  • Decreases hospitalizations
  • Reduces health care spend

Well-managed patients with chronic conditions like diabetes, have about the same health risks as the general population. However, uncontrolled patients have a higher risk of serious complications and severe symptoms.

The CVS Health Care Management Portfolio is a configurable collection of services, initiatives and tools that complement, not compete, with your benefits plan.

Individualized care driven by data
Our advanced analytics work harder for you and your members. This enables us to deliver timely interventions tailored to members' specific communication preferences and complexity of care. It enables 1:1 connections and interoperability throughout our ecosystem.

  • Medical data
  • Pharmacy data
  • Behavioral data
  • Lab data

1:1 connection
1:1 connections are made through collaboration and counseling with our vast number of trusted pharmacists, nurses, CVS HealthHUB resources, and through our connected technology.

  • Pharmacists
  • Nurses
  • CVS HealthHUB locations
  • Connected technology
Rare and complex
We identify members with opportunity for better management and support.
  • Trusted clinicians
  • Local convenient care delivery and locations
  • Engagement
  • Data connectivity

Individualized care driven by data
Our advanced analytics work harder for you and your members. This enables us to deliver timely interventions tailored to members' specific communication preferences and complexity of care. It enables 1:1 connections and interoperability throughout our ecosystem.

  • Medical data
  • Pharmacy data
  • Behavioral data
  • Lab data

1:1 connection
1:1 connections are made through collaboration and counseling with our vast number of trusted pharmacists, nurses, CVS HealthHUB resources, and through our connected technology.

  • Pharmacists
  • Nurses
  • CVS HealthHUB locations
  • Connected technology

Rare and complex
We identify members with opportunity for better management and support.

  • Trusted clinicians
  • Local convenient care delivery and locations
  • Engagement
  • Data connectivity

The CVS Health Care Management Portfolio offers you a partnership with added benefits. With CVS Health, you keep what you like and add what you need. This lowers costs and improves health outcomes.

Want to learn more about our care management programs? Ask Us

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