Evolving the Population Health Management Paradigm

Chief Medical Officer Dr. Troyen Brennan recently delivered a keynote address at HLTH 2018, a health care innovation conference, where he focused on our commitment to improving health outcomes for patients living with costly and sometimes debilitating diseases.

Currently, the cost of managing complex diseases places a burden on our health care system. In fact, just five percent of the U.S. population drives approximately 50 percent of total health care spend, accounting for more than $50,000 per patient each year.

The majority of these patients have common chronic conditions which, when unmanaged, can result in significant medical complications. In addition, when patients experience transitions in care from the hospital to a home setting, more than 40 percent of resulting hospital readmissions are preventable, totaling more than $17 billion in avoidable costs in Medicare alone.

At CVS Health, we believe that delivering a highly personalized health care experience, tailored to a person’s unique health care needs, can support the primary care medical home while improving patient outcomes and lowering costs.

A Healthier Future

We share in the responsibility to create a healthier population and a better, more sustainable health care system, and our goal is to do this by removing unnecessary costs through high quality and coordinated care.

As part of this responsibility, we are using our unique enterprise assets, including a combination of data-driven insights and advanced digital capabilities along with the convenience of our retail-based care, to help change current paradigms for addressing population health management.

We’re piloting retail-based programs focused on three target groups of patients, including:

  • Those with five common chronic diseases (diabetes, hypertension, hyperlipidemia, asthma and depression);
  • Fragile patients who disproportionately drive a large percentage of total health care costs; and
  • Patients transitioning from a hospital setting, who require focused care to prevent readmissions and avoidable costs.

Improving Community Access to Care

 CVS Health is looking to narrow the distance between patients in their everyday lives and the caregiving facility by leveraging digital data and making health care accessible in convenient community locations.

This includes new ways to coordinate health care interventions at CVS Pharmacy and MinuteClinic; improved health monitoring and data collection in patient’s home through biometric tools; and embedded connectivity with patients’ primary care providers to complement and enhance preventive care. For example, a connected glucometer could help monitor a patient’s blood sugar and send an alert to a CVS Health provider for intervention if a patient’s levels are too high. In addition, telemedicine technology can help fill the gaps between in-person visits to a local CVS Pharmacy or primary care provider.

For more information about CVS Health’s efforts to improve access to quality care across the nation, visit our Quality & Access information center and the CVS Health Impact Dashboard. To stay informed about the latest updates and innovations from CVS Health, register for content alerts and our bi-weekly health care newsletter.