Creating effective health plan growth strategies
Choosing the right strategies helps you adapt to competition in an evolving market. Let CVS Caremark be your trusted partner to help you grow while managing costs.
Collaborate to maximize your financials and improve clinical outcomes
CVS Caremark works with you as an experienced, trusted ally in the pharmacy benefits space to apply tailored, innovative strategies that help maximize your financial performance, grow your membership, strengthen your brand and control costs across medical and pharmacy benefits.
Our extensive experience working with health plans means we understand your goals, priorities and complex challenges. We can help you meet those challenges like no one else, with a unique model that promotes connections in care to lower costs and improve member outcomes and experiences.
70+ health plan clients
You can rely on our connected ecosystem to complement and enhance your offerings, wherever your members seek care – in the community, in the home or using virtual options – maximizing the impact of our programs to drive greater value for you.
- Smart cost management strategies bring up to 47% savings on overall pharmacy spend with full program adoption1
- Expert consulting helped our Medicare clients outgrow the market by 2.5x2
- More than 96% member satisfaction through integrated pharmacy and health care offerings that we create together3
Your success is our success.
We bring extensive experience working with health plans, and can create innovative, customized growth strategies that help drive down your costs while improving member experiences.
Let's work together to find a solution that works for you
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1 CVS Health Analytics, 2023. CVS Health Q4 2022 commercial cohort that have implemented ACSF (>95% of plan lives), Exclusive Specialty (>95% of plan lives), and Standard SGM (>95% of activity in standard criteria), Jan 2023–Jun 2023. Savings consider PA, Formulary, and Quantity Limit Outcomes with 0.5% pricing discount for Exclusive Specialty and full rebate yield attributed to ACSF. PrudentRx savings are actual outcomes for clients with adoption on or prior to 1/1/23 and >70% members eligible and used as a proxy for clients that currently do not have adoption. Total $ savings by program is for all commercial clients with adoption. All data sharing complies with applicable law, our information firewall and any applicable contractual limitations. Savings projections are based on CVS Caremark data. Actual results may vary depending on benefit plan design, member demographics, programs implemented by the plan and other factors. Client-specific modeling available upon request.
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2 2.5x Medicare clients outgrew the market. Client Marketplace Information (CMI) dashboard, 2023.
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3 96% member satisfaction: Member Experience Survey - CVS Caremark, 2022.
