“Utilization Management”

6 result(s)
Specialty
CVS Health uses its integrated model to manage specialty spend across benefits and help positively impact clinical and financial outcomes. More
Briefing
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Care Management
Cancer therapy is evolving and new treatments are being developed at an almost breakneck pace. To help better manage care and costs for oncology, CVS Health has developed an... More
Briefing
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Specialty
CVS Health’s three-tier specialty formulary design separates the increasingly more expensive specialty therapies into three distinct copay or coinsurance categories. Paired with... More
Briefing
Female mountain biker, rolling down a hill
Care Management
Earning third-party accreditations is part of our commitment to meeting strict quality standards, and focus on ongoing improvement to helping improve patient safety and improved... More
Briefing
Icon of hammer, gavel and doctor
Public Policy
This fall, as state legislatures reconvene, they’ll consider dozens of bills aimed at restricting PBM tools like utilization management that help control costs while ensuring... More
Commentary
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Cost Management
New utilization management criteria ensure appropriate use of PCSK9 inhibitors, which can help lower bad cholesterol levels, but are significantly more expensive first-line... More
Briefing