Rising costs are a burden for too many people living with diabetes
today. Patients with a high-deductible health plan shoulder all of their
medication costs while in the deductible phase of their insurance, which means
they may be forced to make difficult decisions about whether they can afford
their medications and fill their prescription.
Recent data reveal there is uncertainty on how to manage and
predict the out-of-pocket costs associated with diabetes management. For
example, nearly one-third of patients (32 percent) do not feel they have the
resources needed to manage their own out-of-pocket costs. To address this
challenge, CVS Health is working to eliminate member cost as a barrier to
medication adherence.
Improving
Medication Affordability and Adherence
Improving
diabetes outcomes while reducing costs is a priority for CVS Health. We recently launched RxZERO to enable employers
and health plan sponsors to leverage formulary and plan design approaches to
offer all categories of diabetes medications at zero dollar out of pocket for
their members without raising costs for the plan sponsor or increasing premiums
or deductibles for all plan members. The new plan design enables plan sponsors
to eliminate member out of-pocket costs for the entire diabetes therapeutic
area — including oral medications for Type 2 diabetes — and fully adhere to
American Diabetes Association standards.
“Traditionally, the focus of affordability for diabetes
medications has been on insulin, which is the cornerstone of therapy for the
five percent of people with diabetes who are living with type 1 diabetes.
However, the new CVS Caremark solution expands affordable options to include
the entire range of diabetes medications — improving affordability for the 95
percent of people with diabetes who are living with type 2 diabetes.”
— Troyen A. Brennan, M.D., M.P.H., is Executive Vice President and
Chief Medical Officer of CVS Health
CVS Caremark analysis shows that members taking branded diabetes
medications spend on average, $467.24 out-of-pocket per year, with nearly 12
percent spending over $1,000 annually.
A
Comprehensive Approach to Diabetes Management
A person living with diabetes is required to take many tasks to
manage their therapy annually. To make disease management affordable,
accessible and local, CVS Health offers numerous programs to help people with
diabetes effectively manage their condition and stay on track with their
prescribed treatment plan.
We
provide supportive care at our HealthHUB locations to complement the care that
patients receive from their primary care physicians. Our HealthHUB model provides a first-of-its-kind
community-based store that offers a broader range of health services, new
product categories, digital and on-demand health tools and trusted advice. In
these locations, people living with diabetes are able to receive the
coordinated care and services they need all within our own four walls.
For more information about CVS
Health’s efforts to improve care across the nation, visit our News
& Insights page and the CVS Health Impact Dashboard. To stay informed
about the latest updates and innovations from CVS Health, register for content alerts and our Leaders in Care
newsletter.
01.29.20
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