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      Maximize your savings through the power of integration

      From the Editors

      Briefing

      The Power of Integration

      Learn more about how the power of integration can work for you.

      Read the white paper (PDF)

       

      The truth is, a sound pharmacy benefit strategy cannot be carved out. Niche vendors that offer various carve-out services may promise dramatic savings, but their claims are overstated. Pharmacy carve-out arrangements raise the risk of cost increases and unexpected fees, and can bring administrative complexities that no payor wants to navigate. And carve-outs often lead to poor member outcomes and experiences due to lack of access and critical support.

       

      Our connected model means that our programs work together to help optimize value:

       

      Up to

      47% savings on overall pharmacy spend with full program adoption1

      96% 

      member satisfaction2

       

      Integration helps connect care across every step in therapy to maximize savings and improve member outcomes.

       

      Harness the power of integration

      Improving the specialty experience through integration

      See how we created a more connected experience for a large national employer 

      Comprehensive savings: A Checklist

      Understand the key performance indicators that help drive value for payors and plan members 

      Maximize cost savings through connectivity

      Learn how being connected in care is key to controlling your specialty costs 

      Evaluate carve-out claims

      Ask these important questions as you look to balance clinical integrity, member experience and financial outcomes. 

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      Discover additional insights

      • 1 Up to 47% savings on overall pharmacy spend and $103 PMPM with full program adoption. 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.​​

      • 2 96% member satisfaction: Member Experience Survey - CVS Caremark, 2022. P1012460822

       

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