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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