Medicare

We Help Medicare Payors Address Growing Cost Pressures while Providing High Quality Solutions, Ensuring Compliance, and Supporting Business Growth.

Our Medicare clients grow 3x faster than the industry with >98 percent satisfaction.

98%
satisfaction with new client implementations
87%
of lives enrolled in plan achieving ≥ Stars on Drug Plan Quality Improvement
99.97%
industry-leading prescription drug event acceptance rate
98%
satisfaction with new client implementations
87%
of lives enrolled in plan achieving ≥ Stars on Drug Plan Quality Improvement
99.97%
industry-leading prescription drug event acceptance rate

Market leader in supporting Medicare Part D

CVS Health has been a leader in Medicare Part D management since its inception in 2006. We provide services to more than 16M beneficiaries across a mix of Medicare Advantage and stand-alone Medicare Part D plans.

Dedicated to supporting your Medicare growth and success


Strategic market insights

Medicare product strategy

Research and marketing solutions

Stars and quality measures

Educational outreach
Strategic market insights
Medicare product strategy
Research and marketing solutions
Stars and quality measures
Educational outreach

Innovation in programs, processes, and consultative insights focused on client growth and individual strategic business plans

  • Core operational solutions built on a foundation of compliance excellence and transparent framework
  • Stars team utilizes a data-driven approach to identify and inform improvement opportunities
  • Actuarial consultation and insight into bid strategies
  • Best practice approach to audit support – delivered perfect Centers for Medicare & Medicaid Services audit scores in 2017, 2019, 2020

How can the Health Plan Client Engagement team help support your Medicare business? Ask Us.

Data source, unless noted otherwise, CVS Health Enterprise Analytics, 2021.

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