“Utilization Management”

19 result(s)
Cost Management
Strategies for managing drug spend for payors include helping members achieve better health and de-prescribing. More
Commentary
Cost Management
Payor strategies for specialty drug spend must strike a balance between affordability and member experience. More
Commentary
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
Drug Pipeline
Effective management strategies can help payors manage cost for a range of new treatment options in the drug pipeline. Several medications are nearing approvals for Alzheimer’s,... More
Briefing
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
Our enhanced SGM criteria generates greater efficiencies for better cost management, while improving clinically appropriate interventions. More
Briefing