“Utilization Management”

17 result(s)
Drug Pipeline
Specialty Pharmacy Pipeline: Drugs to Watch Report
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
Eliminate Waste with Indication, Weight-Based Dosing
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
Intelligent Medication Monitoring for Targeted Specialty Interventions
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
Eliminate Specialty Waste by Preventing Excess Accumulation
Supply Management Optimization helps prevent waste, lowers plan costs More
Briefing
Specialty
Enduring Specialty Cost Savings with Clinically Sound Therapy Decisions
Clinically rigorous, accredited UM, and EHR connectivity helps ensure durable denials that deliver true, lasting savings. More
Briefing
Addressing Rising Specialty Costs
Specialty
Addressing Rising Specialty Costs
Hear Prem Shah, Executive Vice President, CVS Health, addresses solutions for rising specialty drug costs. More
Video
Cost Management
Eliminating Wasteful Spend on Hyperinflated Drugs
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
Utilization Management for a Changing Specialty Landscape
Our enhanced SGM criteria generates greater efficiencies for better cost management, while improving clinically appropriate interventions. More
Briefing
Cost Management
Achieving Cost Control Goals in the "New Normal"
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
Optimizing Oncology Therapy Selection
Payors can better manage oncology costs by optimizing therapy regimen selection using evidence-based guidelines directly integrated into our proprietary Novologix platform. More
Video