“Utilization Management”

16 result(s)
Specialty
Utilizing indication and weight-based dosing helps proactively and prospectively prevent inappropriate dose escalation and ultimately avoid wasteful spend More
Briefing
A smiling pharmacist talks on the phone
Specialty
Monitoring efficacy and outcomes of high cost specialty medications can help lower costs for payors More
Briefing
Eliminate Specialty Waste by Preventing Excess Accumulation | Payor Solutions | CVS Health
Specialty
Supply Management Optimization helps prevent waste, lowers plan costs More
Briefing
Specialty
Clinically rigorous, accredited UM, and EHR connectivity helps ensure durable denials that deliver true, lasting savings. More
Briefing
Addressing Rising Specialty Costs
Specialty
Hear Prem Shah, Executive Vice President, CVS Health, addresses solutions for rising specialty drug costs. More
Video
Cost Management
As part of the CVS Health hyperinflation strategy, our Outlier Pharmacy Program proactively monitors and identifies pharmacies with increased volume in claims submissions of... More
Briefing
Cost Management
Our enhanced SGM criteria generates greater efficiencies for better cost management, while improving clinically appropriate interventions. More
Briefing
Cost Management
Purpose-built formulary management and network management strategies from CVS Health are designed to help lower plan costs with minimal member disruption. More
Briefing
Care Management
Payors can better manage oncology costs by optimizing therapy regimen selection using evidence-based guidelines directly integrated into our proprietary Novologix platform. More
Video
Cost Management
Payors are projected to save on per-member-per-month costs from strategic formulary removals designed to help mitigate the effect of high-cost and hyperinflationary drugs More
Briefing