The keys to transforming metabolic health

Metabolic health has been in the spotlight as demand for glucagon-like peptide 1 receptor agonists, or GLP-1s, has grown. These medications have proven highly effective at treating type 2 diabetes and obesity, and recently gained approval to help reduce cardiovascular events. Additional indications are expected.

The efficacy of GLP-1s isn’t the only thing garnering national attention. They are also very expensive, which presents a challenge for plan sponsors. We developed The Caremark Guide: Transforming Metabolic Health to be a comprehensive reference for payors who want to provide coverage for clinically appropriate metabolic health therapies in a way that makes sense for their business.

The guide focuses on three keys that are crucial to optimal GLP-1 strategy:

• Coverage – important considerations to inform your approach
• Cost – utilization management strategies that can help rein in spend
• Care – how personalized clinical and nutrition support can boost clinical efficacy and may even help some members avoid medication

It also links to additional resources, including:

• What is metabolic health? Learn more in our Insights post, Metabolism Matters: Building a Blueprint for Improved Outcomes
• Case study: Smart logic PA in action – Our smart logic PA solution helps limit coverage for off-label use of GLP-1s approved to treat type 2 diabetes.
• Weight management member journeys – View a series of videos to see what the CVS Weight Management program can look like for your plan members.
• Case study: How deprescribing helps members and plan sponsors – See how our diabetes deprescribing program helped California’s Valued Trust cut costs and improve health outcomes
• Checklist: Navigating the growing market for GLP-1 management – Here are some questions to consider if you’re considering a carve-out solution.

We hope these resources can help inform your metabolic health strategy. To learn more about customizing an approach for your unique population, contact your account team for an opportunity analysis.