CVS Health to provide Real-time benefit information to help eliminate potential dispensing delays and improve patient outcomes

WOONSOCKET, R.I., 2017-Nov-29 — /EPR Retail News/ — CVS Health (NYSE: CVS) announced today (November 28, 2017) that its pharmacy benefits manager (PBM), CVS Caremark, will begin providing real-time visibility to member-specific medication costs and available lower-cost therapeutic alternatives at the point of prescribing and at the pharmacy. This enhanced visibility to the patient’s benefit across all points of care can help eliminate potential dispensing delays, improve patient outcomes through increased medication adherence and lower costs for members and payors.

“Patients often do not find out that the medication they were prescribed is not covered or has higher than expected out-of-pocket costs until they go to the pharmacy to pick up their prescription, which can result in patients not filling a prescription, non-adherence and, ultimately, higher downstream health care costs,” said Troyen A. Brennan, MD, Executive Vice President and Chief Medical Officer of CVS Health. “Making detailed, real-time benefit information available for our PBM members and their health care team, whether it’s the doctor or the pharmacist, can help streamline the patient experience and improve health outcomes while also lowering costs for both the patient and the payor.”

Through visibility to “real-time benefits,” prescribers can see specific benefit information for patients supported by CVS Caremark integrated directly into their e-prescribing workflow. Even before they prescribe a drug, prescribers will be able to see the cost of the drug based on the patient’s coverage, including the patient’s remaining deductible, when applicable, and will be able to review up to five clinically appropriate branded alternatives or therapeutically equivalent generic medications specific to the patient’s formulary coverage. Prescribers will also have visibility to requirements, such as prior authorization or step therapy, enabling them to immediately submit an electronic prior authorization request. In addition, pharmacists at all retail pharmacies within the CVS Caremark network will have visibility to the same list of clinically appropriate formulary alternatives provided to the prescriber, and beginning in early 2018, CVS Caremark members will be able to find lower-cost alternatives within the Check Drug Cost tool on Caremark.com.

At CVS Pharmacy, this information will be integrated directly into the pharmacist’s existing workflow, making it easy for them to engage CVS Caremark members about potentially lower-cost alternatives, based on the members’ specific formulary coverage. CVS pharmacists will also be able to easily request a prescription change from the prescriber when needed with a simple one-step process. Beginning in early 2018, as part of the company’s ongoing, enterprise-wide focus on helping patients save money, CVS pharmacists will also be able to see the associated out-of-pocket costs for CVS Caremark members. This will help ensure alignment with the member’s plan design and enable them to access the lowest cost medications within their benefit. For those members for whom drug cost is still a concern, the CVS pharmacist will also be able to share additional cost savings opportunities such as prescription discounts, when available.

“Across the CVS Health enterprise, we are focused on providing patients with the most convenient access to affordable medications, and this innovation enables us to provide our PBM members and their health care providers with direct, easy access to real-time benefit information throughout the health care continuum whether they are at their physician’s office or at the pharmacy,” said Jonathan Roberts, Executive Vice President and Chief Operating Officer of CVS Health. “No one else provides this level of member-specific actionable drug benefit information across so many points of care, which can help simplify and streamline the process of getting a patient on the most appropriate and affordable therapy and increase member engagement and satisfaction with their care.”

Medication cost can be a significant factor when a patient is deciding whether or not to fill a prescription. Yet, research shows that patients often feel they do not have adequate information about the use of formularies or the drugs covered by their plan. In addition, when required, the manual prior authorization process to gain necessary approvals for a specific drug from both the insurer and prescriber can be time-consuming for prescribers, patients and pharmacists. In fact, approximately 80 percent of physicians said manual prior authorization requests require extra work, rework and follow up, which can also delay the start of an important therapy or result in poor compliance. Altogether, this can result in medication non-adherence, which can lead to poor health outcomes and is estimated to cost the U.S. health care system nearly $300 billion each year.

Real-time benefit information is enabled through functionality from Surescripts and is available to any provider using an electronic health record system enabled with real-time benefits and electronic prior authorization. Real-time benefits further build on CVS Health’s use of electronic health records, to support MinuteClinic nurse practitioners and CVS Specialty’s care management programs.

About CVS Health
CVS Health is a pharmacy innovation company helping people on their path to better health. Through its 9,700 retail locations, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with nearly 90 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a leading stand-alone Medicare Part D prescription drug plan, the company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com/.

Contacts:

Christine Cramer
CVS Health
(401) 770-3317
christine.cramer@cvshealth.com

Christina Beckerman
CVS Health
(401) 770-8868
christina.beckerman@cvshealth.com

SOURCE: CVS Health

CVS Health announces CVS Caremark URAC accreditations in Health Call Center

WOONSOCKET, R.I., 2016-Nov-03 — /EPR Retail News/ — CVS Health (NYSE: CVS) announced today (Nov. 2, 2016) that pharmacy benefits manager CVS Caremark has earned URAC accreditations in Health Call Center for its Pharmacy Advisor counseling program as well as in Pharmacy Benefit Management and Drug Therapy Management. By achieving this status, CVS Health has demonstrated a comprehensive commitment to quality care, improved processes and better patient outcomes. URAC is the independent leader in promoting health care quality through accreditation, certification and measurement.

“At CVS Health, we are proud to earn accreditations from URAC in these three categories, which emphasize our commitment to providing high quality pharmacy benefit management support including coordinated patient care and outstanding customer service to our millions of members,” said Jonathan Roberts, President of CVS Caremark. “These services are especially important for our members with complex, chronic conditions who may struggle with their medication regimens and disease management.”

CVS Caremark works with employers, health insurance companies, the government and other health benefit program sponsors to design and administer prescription coverage plans. This includes formulary management, discounted drug purchase arrangements and clinical services and drug therapy management. In addition, CVS Caremark’s Pharmacy Advisor program call center offers personalized care to members with chronic conditions through a combination of targeted live outbound calls and inbound call access. Members have the opportunity to have a discussion with a clinical pharmacist about topics that include the rationale behind prescribing the medication and potential issues that may affect adherence, such as side effects.

“URAC accreditation shows that CVS Health is a pharmacy benefit management organization able to adhere to standards that cover important aspects of care such as claims processing, developing proper drug formulary and consumer access,” said URAC President and CEO Kylanne Green. “Quality policies and procedures are paramount as the price and complexity of medications rise. CVS Health chose to demonstrate their performance through URAC’s independent accreditation of their services.”

The URAC accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes through benchmarking organizations against nationally recognized standards. URAC’s Health Call Center Accreditation ensures that registered pharmacists or other validly licensed individuals perform the clinical aspects of health education services in a manner that is timely, confidential, and includes medically appropriate care and treatment advice. In addition, URAC’s Pharmacy Benefit Management Accreditation sets standards for pharmacy distribution channels, customer service and drug use management. The Drug Therapy Management Accreditation standards also assess a range of professional activities, including formulating medication treatment plans, monitoring efficacy and safety of medication therapy and enhancing medication adherence through patient education.

About URAC

Founded in 1990, URAC is the independent leader in promoting healthcare quality through accreditation, certification and measurement. URAC is a nonprofit organization developing evidence-based measures and standards through inclusive engagement with a range of stakeholders committed to improving the quality of healthcare. Our portfolio of accreditation and certification programs span the healthcare industry, addressing healthcare management, healthcare operations, health plans, pharmacies, telehealth providers, physician practices, and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.

About CVS Health
CVS Health is a pharmacy innovation company helping people on their path to better health. Through its more than 9,600 retail pharmacies, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with nearly 80 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, and expanding specialty pharmacy services, the Company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at www.cvshealth.com.

Media Contact:
Christina Beckerman
CVS Health
(401) 770-8868
Christina.Beckerman@cvshealth.com

SOURCE: CVS Health

ScriptSync now available at CVS Caremark Mail Service Pharmacy as the service marks its 1st birthday

WOONSOCKET, R.I., 2016-Sep-16 — /EPR Retail News/ — CVS Health (NYSE: CVS) launched ScriptSync , a pharmacy service that prepares patients’ eligible prescription medications so they’re ready for pickup on the same day each month, at all of the company’s retail pharmacy locations just over one year ago. In the past year, more than one million patients have been enrolled in ScriptSync at CVS Pharmacy and preliminary results demonstrate that the service, on average, improves medication adherence by between five to 10 percent. In addition, ScriptSync is now available at CVS Caremark Mail Service Pharmacy, making CVS Health the first national pharmacy provider to offer this type of service in retail and mail pharmacy channels.

“We are focused on helping patients save time while making it easier for them to take all of their medications as prescribed,” said Troyen A. Brennan, M.D., executive vice president and Chief Medical Officer of CVS Health. “With ScriptSync we can remove some of the biggest barriers to medication adherence, such as remembering to refill prescriptions and making multiple pharmacy trips each month. By aligning a patient’s prescription pickup schedule, we can improve convenience and drive adherence, and based on the high enrollment in ScriptSync, it is clear that our patients value this service.”

With the expansion of ScriptSync to CVS Caremark Mail Service Pharmacy, plan members will be able to align their refills and have all maintenance medications delivered together by mail. ScriptSync has already been available to CVS Caremark members who fill prescriptions at any CVS Pharmacy. In fact, nearly 30 percent of those enrolled in ScriptSync at retail are CVS Caremark members.

“At CVS Health, our goal is to deliver solutions that help improve health and lower costs for our customers, clients and members,” added Jonathan Roberts, executive vice president of CVS Health and President of CVS Caremark, the pharmacy benefits manager (PBM) of CVS Health. “Improving medication adherence is a major priority for our PBM clients and a seemingly small enhancement like aligning prescriptions for delivery or once monthly pick up can make a tremendous difference for patients in convenience and outcomes.”

Preliminary results, which tracked enrolled patients’ average days with medication per month using pharmacy claims data, show that ScriptSync improves medication adherence. In addition, patients also report satisfaction with the service. Previously published research from the CVS Health Research Institute found that patients with multiple medications who align their medication refills were more likely to be adherent than patients who made numerous trips to the pharmacy.

Currently, CVS Pharmacy patients with multiple maintenance medications can sign-up for ScriptSync and work with their pharmacy team to identify which prescriptions to include and select a pickup date. Patients can opt to receive a call or text message when their order is ready. In addition, once enrolled, patients or their caregivers can manage their ScriptSync prescriptions 24/7 online at www.CVS.com/ScriptSync and soon patients will be able to manage their ScriptSync prescriptions via the CVS Pharmacy mobile app. There, patients can add or remove prescriptions, check the status of an order and modify their ScriptSync pickup date as needed.

About CVS Health
CVS Health is a pharmacy innovation company helping people on their path to better health. Through its more than 9,600 retail pharmacies, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with nearly 80 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, and expanding specialty pharmacy services, the Company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.

Media Contacts:
Christine Cramer
CVS Health
(401) 770-3317
christine.cramer@cvshealth.com

SOURCE: CVS Health

CVS Caremark awarded Mail Service Pharmacy accreditation from URAC

WOONSOCKET, R.I., 2016-Apr-02 — /EPR Retail News/ — CVS Health (NYSE: CVS) announced today that pharmacy benefits manager CVS Caremark has been awarded Mail Service Pharmacy accreditation from URAC, a Washington, DC-based health care accrediting organization that establishes quality standards for the health care industry.

“At CVS Health, we are pleased to receive accreditation from URAC, which underscores our commitment to providing high quality mail pharmacy services to our millions of members who utilize this important pharmacy distribution channel,” said Jonathan Roberts, President of CVS Caremark. “Mail service pharmacy provides our members with a convenient way of getting their prescriptions and also encourages medication adherence, which is especially important for those with chronic conditions requiring maintenance medications.”

Mail Service Pharmacy is generally used by patients who require maintenance medications for chronic conditions and receive their maintenance medications in dosages of 90 day supplies or longer.URAC’s Mail Service Pharmacy Accreditation standards cover core organizational quality, customer service, communications and disclosure, drug utilization management, pharmacy operations, and a process for mail service outcomes measurement and quality improvement.

“By applying for and receiving URAC accreditation, CVS Health has demonstrated a commitment to quality healthcare,” said URAC President and CEO Kylanne Green. “Quality healthcare is crucial to our nation’s welfare and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body.”

The URAC accreditation process demonstrates a commitment to quality services and serves as a framework to improve business processes through benchmarking organizations against nationally recognized standards. The URAC standards development process is consensus driven, with industry experts serving as volunteers to establish and revise appropriate industry benchmarks.

About URAC
URAC, an independent, nonprofit organization, is a well-known leader in promoting healthcare quality through its accreditation, education, and measurement programs. URAC offers a wide range of quality benchmarking programs and services that model the rapid changes in the healthcare system and provide a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire healthcare industry. For more information, visit www.urac.org.

About CVS Health
CVS Health is a pharmacy innovation company helping people on their path to better health. Through its approximately 9,600 retail pharmacies, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with more than 75 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, and expanding specialty pharmacy services, the Company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.


Media Contact:

Christine Cramer
CVS Health
(401) 770 3317
Christine.Cramer@cvshealth.com

Christina Beckerman
CVS Health
(401) 770 8868
Christina.Beckerman@cvshealth.com

SOURCE CVS Health