Transform Diabetes Care

A Comprehensive Approach to Help Plan Members Manage Diabetes

The prevalence of diabetes and the cost burden it places on the nation’s health care system are well known. In addition, a patient with diabetes is required to make hundreds of annual decisions – especially for those using insulin.

Many people may not receive the support and guidance needed, particularly between quarterly or annual medical appointments. Treatment for diabetes must incorporate many facets, including clinical support, ongoing behavior change, emotional support, and use of technology.

Among members with diabetes:

29%
would benefit most from glucose monitoringG. Blair Sarbacker, Elizabeth M Urteaga. “Adherence to Insulin Therapy.” American Diabetes Association, Diabetes Spectrum, August 2016, 29(3): 166-170.
over 60%
follow a poor diet and/or lack an exercise regimenhttps://clinical.diabetesjournals.org/content/diaclin/24/2/71.full.pdf.
about 50%
do not get recommended screeningshttps://www.ajmc.com/journals/issue/2015/2015-vol21-n5/annual-diabetic-eye-examinations-in-managed-care-medicaid-population.
about 47%
aren’t optimally adherent to prescribed medicationshttps://clinical.diabetesjournals.org/content/diaclin/24/2/71.full.pdf.
about 28%
aren’t on the best-fit medication regimenhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4966497/.
29%
would benefit most from glucose monitoring1
over 60%
follow a poor diet and/or lack an exercise regimen2
about 50%
do not get recommended screenings3
about 47%
aren’t optimally adherent to prescribed medications4
about 28%
aren’t on the best-fit medication regimen5

Traditional diabetes management programs, which have changed little in the past decade, have resulted in only a quarter of U.S. patients with diabetes achieving comprehensive diabetes and cardiovascular risk factor goals. Patients who do not have their condition effectively managed are susceptible to a higher risk of serious complications, severe symptoms, and increased costs for payors.

Solving Diabetes Care Challenges

With our program and clinical experience, we know that to better help members with diabetes overcome crucial lifestyle and care management challenges, member support requires a more targeted approach.

Proactive outreach, advanced analytics, and a broader set of individualized interventions help to meet members wherever they are in their diabetes journey to improve their health and reduce overall costs.

The customized, clinical, and convenient approach helps members improve control of their disease by better achieving lifestyle and care management challenges. Transform Diabetes Care® offers:

Customized Diabetes Care Experience

Advanced analytics help identify and prioritize tailored interventions using comprehensive member data. Using pharmacy and biometric data, Transform Diabetes Care delivers key health insights to supply targeted outreach, face-to-face interventions, and actionable solutions. The advanced analytics help uncover unique challenges and determine the appropriate level of support needed to help them effectively manage their condition and stay on track.

Advanced Analytics

CheckmarkHolistic member view

CheckmarkIndividualized insights

CheckmarkPrioritized and individualized next best actions

CheckmarkOptimized engagement through intelligent outreach

Comprehensive Clinical Support

  • Monitor blood glucose
  • Lifestyle and comorbidity management
  • Guideline-driven screenings
  • Take the right medication
  • Adherence to medication

Convenient Care Delivery

In contrast to traditional condition management programs that largely rely on telephonic outreach, we reach membersSupport for non-CVS utilizers includes email, texting and/or telephonic, or face-to-face interactions (in-person or virtually) with pharmacists and care team consultations. where or when they need support through email, texting and/or telephonic, or face-to-face interactions (in-person or virtually) with pharmacists and care team consultations.

Members access local clinical support through CVS® HealthHUB® services, CVS Pharmacy®, MinuteClinic®, certified diabetes care and education specialists, and a digital app. Transform Diabetes Care can communicate with physician offices through multiple channels at various points in member therapy to help close gaps in care. Superior documentation systems improve consistency of messaging, and electronic health record (EHR) connectivity helps to coordinate support across all channels and the member’s care team.

Advanced Analytics

CheckmarkHolistic member view

CheckmarkIndividualized insights

CheckmarkPrioritized and individualized next best actions

CheckmarkOptimized engagement through intelligent outreach

Customized Diabetes Care Experience

Advanced analytics help identify and prioritize tailored interventions using comprehensive member data. Using pharmacy and biometric data, Transform Diabetes Care delivers key health insights to supply targeted outreach, face-to-face interventions, and actionable solutions. The advanced analytics help uncover unique challenges and determine the appropriate level of support needed to help them effectively manage their condition and stay on track.

Comprehensive Clinical Support

  • Monitor blood glucose
  • Lifestyle and comorbidity management
  • Guideline-driven screenings
  • Take the right medication
  • Adherence to medication

Convenient Care Delivery

In contrast to traditional condition management programs that largely rely on telephonic outreach, we reach membersSupport for non-CVS utilizers includes email, texting and/or telephonic, or face-to-face interactions (in-person or virtually) with pharmacists and care team consultations. where or when they need support through email, texting and/or telephonic, or face-to-face interactions (in-person or virtually) with pharmacists and care team consultations.

Members access local clinical support through CVS® HealthHUB® services, CVS Pharmacy®, MinuteClinic®, certified diabetes care and education specialists, and a digital app. Transform Diabetes Care can communicate with physician offices through multiple channels at various points in member therapy to help close gaps in care. Superior documentation systems improve consistency of messaging, and electronic health record (EHR) connectivity helps to coordinate support across all channels and the member’s care team.

For medication changes, members are encouraged to review any recommended changes with their health care provider. When members take actions and close the gap, their profile is updated and the entire cycle starts over again. Each intervention is intended to make it easy and clear for members to know exactly what they need to do at any given point to best manage their condition.

Integrating all these factors, Transform Diabetes Care is designed to deliver more individualized care management support based on a member’s unique needs.

Working to complement primary care, Transform Diabetes Care helps members receive the right level of support and interventions tailored to their specific needs. The program is designed to help increase the effectiveness of payors’ overall diabetes strategies, improve member health outcomes, and reduce health care costs.

*Among members with uncontrolled diabetes (HbA1c ≥ 7) engaged with a connected glucometer (testing ≥ 5x/month over three months prior to 6 and 12 month evaluations). Average HbA1c improvement measured at 6 months and 12 months following meter activation.

Unless otherwise noted, data source is CVS Health Enterprise Analytics.

Savings and clinical results will vary by plan, depending on member demographics and other factors. Client-specific modeling available upon request.

Transform Diabetes Care may not be available for all plans.

CVS Health uses and shares data as allowed by applicable law, and by our agreements and our information firewall.