CVS Caremark received Health Information Products (HIP) Certification from the National Committee on Quality Assurance (NCQA), for providing comprehensive pharmacy benefits information to its members. The certification was implemented on July 15, 2020, and will go through July 15, 2022. This marks the second consecutive two-year HIP Certification from the NCQA.
This helps affirm that CVS Caremark, through our Caremark website and customer call center, provides members with the information they need to understand and optimize their pharmacy benefits. NCQA's HIP Certification is a quality assessment program that health plans can use to help evaluate health care organizations that develop and provide content, tools and services to plan members.
This certification further underscores our ability to provide accessible and accurate pharmacy benefit information to the members we serve on behalf of our clients.
“Earning NCQA’s HIP Certification demonstrates that an organization has expertise in gathering and disseminating health care information for members,” said Lisa Slattery, Vice President, Accreditation and Recognition Operations, NCQA.”
CVS Caremark provides pharmacy benefit information to members by mail, digitally and telephonically. This can include information about a member's prescriptions, drug coverage and plan design, such as in-network pharmacy locations and mail-order options.
HIP Certification is a voluntary review process in which NCQA evaluated CVS Caremark’s management of various aspects of its data collection and systems operation, and the process the company uses to continuously improve the services it provides. The HIP review includes rigorous evaluations conducted by a team of health care professionals. A national oversight committee of physicians analyzes the team's findings and determine certification based on the HIP organization's compliance with NCQA standards.
NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website contains information to help consumers, employers and others make more informed health care choices.
In the wake of the COVID-19 pandemic, employers and other benefit plan sponsors are searching for more ways to support members’ health. People are experiencing both physical and mental challenges as they cope with isolation, economic hardship, disruptions to normal work and school routines, and the virus itself.
CVS Health is making it easier for employers and health plans to meet these growing challenges with the expansion of our Point Solutions Management offering. This program enables plan sponsors to more efficiently administer apps, online trackers and other digital point solutions that support their members’ self-care routines at home.
“Digital point solutions can help people manage important wellness areas like mental wellbeing, fitness and weight loss from the safety and convenience of their own homes,” said Sree Chaguturu, MD, Chief Medical Officer at CVS Caremark. “Employers and other plan sponsors increasingly are looking for better ways to include these kinds of tools in their benefits packages — especially in light of the COVID-19 pandemic.”
The recently added solutions have passed CVS Health’s rigorous vendor evaluation process to ensure that they support health outcomes while helping to reduce costs. The five new point solutions available to CVS Caremark clients through Point Solutions Management include:
Daylight: A fully automated and highly personalized mobile app to tackle worry and anxiety, based on cognitive behavioral techniques.
Naturally Slim: An online program that uses informative videos and learning tools to teach individuals how to lose weight and improve their overall health.
Vida: A weight loss program with an app that pairs individuals one-on-one with a health coach, helping members achieve their health goals through phone and video conversations.
WW: Weight Watchers reimagined — A weight loss app providing access to food and fitness trackers, thousands of delicious recipes, and community support.
Kurbo: A digital program for children and teens ages 8 to 17 that teaches users how to make healthier choices and lifestyle changes through weekly video coaching, in-app chat, messaging, games, and educational videos.
These solutions join Hello Heart, Hinge Health, Sleepio, Torchlight, and Whil that are available to CVS Caremark clients through our Point Solutions Management program.
Point Solutions Management is a full-service offering that leverages the CVS Caremark pharmacy benefit management (PBM) infrastructure to help clients evaluate solutions, streamline vendor contracting, billing, eligibility verification and reporting. In total, ten solutions are now included as part of the program — addressing a broad range of health care concerns including chronic condition management, musculoskeletal health, stress reduction, mental health management, weight loss, and caregiver support.
This expansion is the latest in CVS Health’s ongoing innovation strategy, focused on meeting emerging client and member needs — while responding to acute concerns arising during the COVID-19 pandemic. We will continue to regularly evaluate and update the offering to include additional vendors that support improved outcomes and help lower costs across key areas of health, including fertility, financial wellness and the social determinants of health.
For plan sponsors interested in learning more about Point Solutions Management, please visit the Point Solutions Management page on our Payor Solutions website.
Undaunted by COVID-19, Jackie used the reach of CVS to get our member the medication he needed.
When the COVID-19 pandemic hit, Loren
Loren has a history of psoriatic arthritis, among other health concerns, and was taking hydroxychloroquine to control his painful symptoms. He had been using his local pharmacy to fill his medications. But after hydroxychloroquine was named as a potential treatment for COVID-19, his pharmacy told him that they had exhausted their supply and couldn’t get any more. Not knowing what else to do, Loren began rationing his medication and eventually ran out too.
Jackie DeJesus, a registered nurse case manager on the Clinical Services Care Management team reached out to Loren because she saw he was prescribed hydroxychloroquine and heard there were shortages. “He was so happy to hear from us. He was very worried that his arthritis and skin conditions would quickly worsen and, because of the pandemic, didn’t feel like he had any choices,” said Jackie. “Loren didn’t feel safe shopping around for his medication since he was following quarantine protocols, and even if he located the medication at another pharmacy, he was concerned about the safety of leaving his community.”
Jackie explained to Loren that we had dedicated CVS pharmacists who can help. She worked with Caremark customer service to not only locate the medication, but also set up a 90-day mail order delivery right to his home.
Within 48 hours, Loren started taking his prescribed dosage and was better able to control his painful symptoms. He’s now aware of the Caremark mail order option and is excited to use it for all his medications during the pandemic and beyond. He is also thrilled to have Jackie as his personal contact.
Karen Lynch said, “The Aetna case managers provide a tremendous opportunity to connect with our members and identify solutions even when they don’t know those options exist. In this case, we not only helped a member overcome physical pain, we worked across CVS Health to simplify his access to care.”
Thank you, Jackie, for bringing your heart to work to help your patients when they need it most.
CVS Caremark, the pharmacy benefit management business of CVS Health, is working with clients to implement new measures to balance the burgeoning interest in off-label use of certain medicines to treat COVID-19 pneumonia with the ongoing needs of members who use these drugs for chronic conditions. These medicines include hydroxychloroquine, azithromycin, one protease inhibitor and albuterol inhalers, which are approved for treatment of lupus, bacterial infections, HIV, rheumatoid arthritis and asthma.
“Pharmacy benefit managers play an important role at the center of the pharmaceutical supply chain,” said CVS Caremark President Alan Lotvin, M.D. “Our advanced analytics allowed us to quickly identify changes in prescribing patterns and enabled us to take proactive steps to help ensure the integrity of the supply chain. We are taking additional steps today to limit stockpiling that could result in future shortages and gaps in care. We will continue to anticipate and support the needs of our clients, who collectively provide prescription drug coverage for more than 90 million members.”
With client consent, CVS Caremark is setting appropriate limits on the quantity of each of these medicines for potential use in treating COVID-19. Members who already take these medicines for approved uses will be able to bypass the new quantity limits.
“We continue to proactively study the latest clinical literature and consider what additional measures may be needed to help facilitate access to any other newly identified treatments as they emerge during this extraordinary public health situation,” said CVS Caremark Chief Medical Officer Sree Chaguturu, M.D.
Understanding that it may be harder for members to see their health care providers during the COVID-19 outbreak, CVS Caremark is extending previously-approved prior authorizations for most medications set to expire before June 30. For example, if a current prior authorization is set to expire on May 15, the expiration date will be extended to August 15. This step will enable members to refill most medications without renewing an existing prior authorization — not only providing them peace of mind, but also helping to reduce the volume of phone calls and other administrative burdens on physicians’ offices and pharmacies.
Measures already in place to help ensure ongoing access
These additional steps build on actions previously taken by CVS Caremark to protect the drug supply and enhance members’ ability to refill and access their prescriptions from the comfort and safety of their own homes.
For example, CVS Caremark recently worked with clients to make it easier for members to refill most 30-day prescription maintenance medications earlier than usual — by waiving commonly used early refill limits, which require members to use most of the medication on hand before obtaining a refill. Since CVS Caremark announced this new policy on March 10, it has assisted more than 239,000 members in refilling their 30-day prescription maintenance medications.
In addition, most plan members have the ability to obtain 90-day prescriptions of maintenance medications delivered to their homes, or another location of their choice, at no extra charge. CVS Caremark and plan sponsors have been proactively reminding members of this plan option since the COVID-19 outbreak began. CVS Caremark expects to see a 20 percent increase in members receiving a 90-day prescription supply of prescription medicines in the coming weeks.
CVS Caremark also continues to closely monitor the global manufacturing environment. At this time, CVS Caremark does not see any disruptions to the supply chain, as a result of COVID-19, that will affect our ability to fill prescriptions.
CVS Caremark clients and other payors can access information about steps CVS Caremark has taken to support their plans and members during the outbreak, as well as useful turnkey resources for member communications, at the PBM’s COVID-19 PBM Partner Resource Center.
More information on steps that the CVS Health enterprise is taking to address the COVID-19 pandemic is available at the company’s frequently updated COVID-19 resource center.
About CVS Health
CVS Health employees are united around a common goal of becoming the most consumer-centric health company in the world. We're evolving based on changing consumer needs and meeting people where they are, whether that's in the community at one of our nearly 10,000 local touchpoints, in the home, or in the palm of their hand. Our newest offerings from HealthHUB® locations that are redefining what a pharmacy can be, to innovative programs that help manage chronic conditions are designed to create a higher-quality, simpler and more affordable experience. Learn more about how we're transforming health at https://www.cvshealth.com.
CVS Health expands Point Solutions Management with new health and well-being benefits and comprehensive evaluation process
Five new point solution vendors added following rigorous evaluation to ensure high clinical, security and business standards
Simplified contracting, lowest price and performance monitoring helps PBM clients maximize benefits and minimize spend
WOONSOCKET, R.I. — CVS Health (NYSE: CVS) today added five new health and well-being point solution vendors to its Point Solutions Management service following a comprehensive clinical, security and business evaluation process. Point Solutions Management is a full-service offering that enables CVS Caremark pharmacy benefit management (PBM) clients to simplify contracting, secure lowest price and monitor ongoing performance of third-party health care point solutions, which can help maximize their benefits program while minimizing associated spend. Newly added point solutions address health care costs and support clinical outcomes in key areas, including chronic condition management, musculoskeletal health, stress reduction and mental health management, and caregiver support.
"Plan sponsors increasingly see the value in health care point solutions for improving workforce productivity, satisfaction and overall well-being, however with so many options on the market, it can be challenging to identify trusted solutions that best meet the needs of their members," said Sree Chaguturu, M.D., Chief Medical Officer, CVS Caremark, the pharmacy benefit management business of CVS Health. "We have analyzed pharmacy and medical claims to identify where these benefits can make a difference and employ a rigorous and transparent evaluation process to assure that any vendor included in Point Solutions Management meets high standards for safety, quality and user experience at the vendor's lowest price in the marketplace."
More solutions to meet client and member needs
Five new solutions are now available through Point Solutions Management, in addition to Sleepio, a personalized digital sleep program from Big Health, which was the first participating point solution when the service launched as Vendor Benefits Management in 2019. New point solutions available to CVS Caremark clients through the service include:
Hello Heart helps members understand and improve their heart health. It offers an FDA-approved blood pressure monitor coupled with an app that tracks blood pressure readings, weight and physical activity, alerts for out-of-range hypertension, and has patient-enabled medication adherence reminders.
Hinge Health, a coach-led digital program for members with musculoskeletal conditions such as chronic back or joint pain. Hinge Health combines wearable sensor-guided exercise therapy with behavioral change through 1-on-1 health coaching and education to reduce chronic pain, opioid use, and surgeries.
Livongo (Nasdaq: LVGO), an Applied Health Signals company, offers an integrated platform and includes diabetes, hypertension, weight management, and diabetes prevention solutions. Livongo provides support through personalized coaching and connected devices including weight scales, blood glucose meters, and blood pressure monitors to deliver appropriate interventions and help improve health outcomes.
Torchlight, a caregiver support solution that guides families through the complexities of educational, financial, social, health, and legal demands related to caring for a loved one, no matter the age, stage, or concern. With a digital platform and team of expert advisors, Torchlight helps reduce stress and enhance caregiving outcomes
Whil, a digital training platform for mindfulness, stress resilience, mental well-being and performance. It addresses 12 different aspects of wellbeing and performance through
5-minute daily sessions and 250+ mini-courses. Users have access to 2,000+ video and audio sessions on demand, reinforced with ongoing tips, exercises and articles to improve employee health and happiness.
Rigorous vetting, evaluation and ongoing performance management
The CVS Health vendor evaluation and selection process starts with identifying the specific areas of health and well-being that meet the clinical and cost management priorities of CVS Caremark clients and where vendor point solutions are most likely to have a positive impact. Each selected solution then undergoes a rigorous clinical, data security, and business evaluation, which includes testing of the end-to-end consumer experience by a team of CVS Health clinicians. Once solutions are adopted by payors, the Point Solutions Management service also provides member eligibility and real-time billing verification and ongoing performance monitoring.
"As a large employer with a diverse workforce, health care point solutions are an essential component of our overall benefits package, but it can be time-consuming and costly to identify, evaluate and contract individually with each vendor," said Kristen Brown, Director of Benefits, JetBlue. "CVS Health's Point Solutions Management helps make the process easier and more efficient." CVS Caremark client JetBlue adopted Point Solutions Management in 2019 to help streamline contracting with point solution vendors and supplement their medical and pharmacy benefits.
CVS Health will continue to expand Point Solutions Management to meet growing client and member needs, including in weight loss, women's health, metabolic health, mental health and other categories that help to address social determinants of health.
For plan sponsors interested in learning more about Point Solutions Management, please visit: https://payorsolutions.cvshealth.com/point-solutions-management.
About CVS Health
CVS Health employees are united around a common goal of becoming the most consumer-centric health company in the world. We're evolving based on changing consumer needs and meeting people where they are, whether that's in the community at one of our nearly 10,000 local touchpoints, in the home, or in the palm of their hand. Our newest offerings from HealthHUB locations that are redefining what a pharmacy can be, to innovative programs that help manage chronic conditions are designed to create a higher-quality, simpler and more affordable experience. Learn more about how we're transforming health at http://www.cvshealth.com.
Company is providing impacted residents with advance prescription benefits, product donations
WOONSOCKET, R.I. — CVS Health (NYSE: CVS) is committed to filling prescriptions, providing pharmacy services and providing other assistance in Puerto Rico following the trio of catastrophic earthquakes recorded this past week. The company is providing pharmacy services to members of La Administración de Seguros de Salud de Puerto Rico (ASES) to ensure the residents of Puerto Rico have expanded access to their medications during this time of need.
"As we continue to see the aftereffects of the earthquakes that continue to ravage Puerto Rico and surrounding islands, CVS Health is committed to providing critical care and services to its residents," said Brian Bosnic, Division Vice President, CVS Health. "CVS Pharmacy has been proactively reaching out to pharmacy patients via text message and email to alert them to our offerings during this time and as the situation unfolds."
CVS Pharmacy and CVS Caremark, CVS Health's pharmacy benefit management business, have activated a process that allows pharmacists in any of the 25 stores on the island to provide one-time emergency refills of a 10-day supply of medication for plan members. Patients taking specialty medications who are impacted in the areas affected by the earthquakes will be offered alternate delivery arrangements, including the use of courier services. On-site storage and refrigeration of specialty medications is also being offered to members without power to prevent spoilage.
In addition, CVS Health has partnered with the Hispanic Federation and donated $100,000 in product to residents and first responders, including personal care items such as diapers, baby wipes, sunscreen, toothbrushes and bug repellent, as well as clean-up products such as gloves, trash bags, face masks. Further, the CVS Pharmacy located in Ponce, the closest CVS location to most damaged area, will be distributing 42 pallets of free bottled water this Saturday, January 18, 2020, beginning at 10:00 AM ET. Residents can receive one case of water on a first-come-first-serve basis. Water will be distributed at the CVS Pharmacy located at 2511 Ponce Bypass, Ponce, Puerto Rico from 10:00 AM ET until 5:00 PM ET or while supplies last.
"We're deeply grateful to CVS for their generosity and the speed in which they moved to help us provide food, care and comfort to our people in Puerto Rico, said Frankie Miranda, President of Hispanic Federation. "Thanks to their commitment and caring, we have provided help and hope to those in greatest need.
To find a CVS Pharmacy near you, visit the store locator at http://www.cvs.com.
About CVS Health
CVS Health is the nation's premier health innovation company helping people on their path to better health. Whether in one of its pharmacies or through its health services and plans, CVS Health is pioneering a bold new approach to total health by making quality care more affordable, accessible, simple and seamless. CVS Health is community-based and locally focused, engaging consumers with the care they need when and where they need it. The Company has approximately 9,900 retail locations, approximately 1,100 walk-in medical clinics, a leading pharmacy benefits manager with more than 102 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year and expanding specialty pharmacy services. CVS Health also serves an estimated 38 million people through traditional, voluntary and consumer-directed health insurance products and related services, including rapidly expanding Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company believes its innovative health care model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.
CVS Health works vigorously to expand access to high-quality, convenient and affordable women’s health care services through our MinuteClinic, retail pharmacies in communities nationwide and online or in the palm of their hand. As part of our focus on transforming the consumer health care experience, we are committed to providing women with access to the coordinated services and care they need to manage conditions and determine what is best for their health.
Providing Convenient Access to High-Quality Women’s Care
Women, who are often key in maintaining healthy families, access the health system more frequently than men, both for themselves and on behalf of their children. In turn, this means that their own health care can take a backseat to the needs of others.
Many women may find it difficult to receive care at a convenient time and location. For example, a survey conducted by Morning Consult and sponsored by CVS Health revealed that 90 percent of women consider the convenience of location important when accessing health services, while 85 percent consider flexible and extended hours important when selecting a health care facility.
Our more than 1,100 MinuteClinic locations offer a full range of essential women’s health services. These services include access to birth control, the human papillomavirus (HPV) vaccine, treatment for yeast infections and pregnancy, urinary tract and bladder infection testing. Additionally, MinuteClinic providers also help women better understand their reproductive health options and provide referrals to primary care physicians or OB/GYNs, as needed.
CVS Health also launched a MinuteClinic University Health program, aimed at addressing the health care gap when young adults leave home for school. Our MinuteClinic locations in certain geographic areas near universities and campuses offer additional services for sexual health, women’s health and well-being screenings.
Increasing Patient Access to Birth Control
Ensuring accessible and affordable medications, including birth control, is a priority at CVS Health. For example, CVS Pharmacy patients can pick up prescriptions ordered through the CVS app on their phone, online, in person at CVS retail pharmacies, or they can have their medications delivered through our home delivery program. Additionally, CVS Caremark Members can receive their prescriptions through our mail order pharmacy, and throughout our network of 68,000 retail and mail order pharmacies.
We also work with public health advocates across the country to ensure that women can be obtain a birth control prescription from their local pharmacist. Pharmacists are currently allowed to prescribe oral birth control medications through Prescriptive Authority and Collaborative Practice Agreements in 13 states and the District of Columbia – covering 2,464 CVS Pharmacy locations. And we will be able to do so in 14 more states by the end of the year.
Affordable Access in the Community
Through community partnerships and philanthropies, we are able to address some of the health challenges women face locally. The CVS Health Foundation has partnered with a variety of groups who are on the front lines of improving access to women’s health services.
For example, we’ve established a multi-year partnership with the National Association of Free & Charitable Clinics (NAFC) with grants awarded to free and charitable clinics to increase access to care, improve health outcomes and lower overall health care costs. Today, 58 percent of NAFC patients are women – and they rely on 1,400 clinics nationwide for services including breast and cervical cancer screening, maternal and infant health and much more.
Addressing Women’s Heart Health
Cardiovascular disease remains the number one killer among women and accounts for one-third of deaths annually.
Additionally, our support of the American Health Association Go Red for Women campaign, includes a new three-year, $15 million commitment to life-saving cardiovascular research and education.
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.
Our PBM business, CVS Caremark, is 100% committed to ensuring affordable access to birth control medication across our network of 68,000 pharmacies that includes national chain pharmacies, independent drugstores and mail service pharmacies.
The accusations made by The Pill Club against CVS Caremark are extremely misleading. It is not really about women’s health, for which CVS has a strong track record of providing access and care that will continue whether or not The Pill Club remains in our pharmacy network.
FACT: The Pill Club is a for-profit business masquerading as a public health service. It has raised $67 million from outside investors, including some of the largest venture capital and private equity firms in the U.S. These investments are designed to return a profit.
FACT: CVS Caremark is reimbursing The Pill Club at the exact same rate that we reimburse other pharmacies with similar business models. Yet, it is only The Pill Club that has made misleading statements on its website and to the media. The same reimbursement rate would be in effect even if The Pill Club sold other types of prescription products besides birth control.
FACT: This is not an access issue. While The Pill Club is the one threatening to stop serving its customers because its profits will no longer be as high as anticipated, there are still numerous other pharmacies in our network that CVS Caremark plan members can use that provide similar home delivery service, as well as tens of thousands of walk-in pharmacies.
FACT: Based on our data, we know that many current members of The Pill Club have used different pharmacies in the past to fill their birth control prescriptions; and former members of The Pill Club are currently using other pharmacies to mail them their medications.
It is irresponsible for The Pill Club to falsely suggest access to women’s health care is being jeopardized just so it can maximize its profits at the expense of our PBM clients. Ensuring that the pharmacies in our network are reimbursed appropriately based on their business models helps our clients provide cost-effective coverage for their members’ pharmacy care needs.
Vendor Benefit Management helps streamline onboarding and management of both digital and non-digital third-party solutions
WOONSOCKET, R.I. — CVS Health (NYSE: CVS) today announced the availability of Vendor Benefit Management, a new service developed to help CVS Caremark pharmacy benefit management (PBM) clients more easily contract, implement and manage their choice of available and emerging third-party health and wellness benefit solutions both digital and non-digital. This new service offers clients a seamless way to access negotiated pricing, standardized member eligibility verification in real-time, simplified billing and payment processing, and standardized results measurement and reporting across multiple vendors. Big Health, a digital therapeutics company, is the first participating vendor, and Sleepio, its automated, personalized digital sleep improvement program, will be available to CVS Caremark clients via Vendor Benefit Management.
"As health care continues to evolve, plan sponsors have begun looking beyond the standard medical, pharmacy, dental and vision health benefit offerings, and are increasingly considering supplemental benefits to help improve health outcomes and reduce overall medical spend," said Derica Rice, President, CVS Caremark, the PBM business of CVS Health. "We asked our clients what they needed and are now proudly easing their administrative burden so their members can more quickly and easily access these solutions that are growing in availability and importance. Our new proprietary service enables us to leverage the sophisticated infrastructure, technologies and processes we have honed as a leading PBM to further benefit our clients and their members."
Vendor Benefit Management is an open-platform service designed to help CVS Caremark PBM clients manage relationships with digital and non-digital health and wellness benefit solution vendors with which they choose to contract. Moving forward, CVS Health will be actively working to identify and onboard additional vendors to participate in the new service. This may include solutions such as smoking cessation and substance abuse support, care management solutions, medication optimization and adherence, and tools that help members navigate their benefits.
Big Health becomes first available vendor with their digital therapeutic, Sleepio
Sleepio, Big Health's personalized digital sleep improvement program, is accessible via app or web. The program is based on Cognitive Behavioral Therapy (CBT), which helps individuals make changes to improve their sleep, individualizing the program to their specific challenge. Sleepio's research is referenced in guidelines published by the American College of Physicians that recommend CBT as the first line treatment for chronic insomnia in adults, ahead of sleeping pills. To date, Sleepio has been studied in eight randomized controlled trials. Improvement in sleep is associated with better outcomes in mental health.
"Given that poor-quality sleep and insomnia affect approximately 30 percent of adults, and is a condition that can impact a wide variety of mental health conditions, we are pleased to be working with Big Health to help make their digital therapeutic product, Sleepio, more accessible," said Troyen A. Brennan, MD, Chief Medical Officer, CVS Health. "Big Health's commitment to clinical evaluation and research aligns with our focus on applying evidence-based medicine to provide our clients and their members with access to appropriate health solutions and services, and many of our clients are interested in adopting this platform to help increase member access to these types of solutions, including Sleepio."
"The scientific evidence is overwhelming that improving sleep represents a destigmatized way to improve wider mental health," said Big Health co-founder and Chief Medical Officer, Professor Colin Espie. "So it's exciting to see a leader in health care like CVS Health commit to bringing our digital therapeutic for sleep to their clients and members."
"Millions of Americans suffer from chronic physical and mental health conditions for which there are proven behavioral solutions," said Peter Hames, co-founder and CEO of Big Health. "These interventions were previously not available at scale, until the advent of digital therapeutics. We're proud to be working with CVS Health as they help to make solutions, such as Sleepio, available at scale for the first time."
As the health care industry continues to evolve at a rapid pace, CVS Health is committed to helping to meet the dynamic needs of our PBM clients through our continued effort to bring to market standardized and scalable platform solutions. As part of that, the company plans to continue to evaluate other, enhanced features for Vendor Benefit Management.
About CVS Health
CVS Health is the nation's premier health innovation company helping people on their path to better health. Whether in one of its pharmacies or through its health services and plans, CVS Health is pioneering a bold new approach to total health by making quality care more affordable, accessible, simple and seamless. CVS Health is community-based and locally focused, engaging consumers with the care they need when and where they need it. The Company has more than 9,900 retail locations, approximately 1,100 walk-in medical clinics, a leading pharmacy benefits manager with approximately 94 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year and expanding specialty pharmacy services. CVS Health also serves an estimated 38 million people through traditional, voluntary and consumer-directed health insurance products and related services, including rapidly expanding Medicare Advantage offerings and a leading standalone Medicare Part D prescription drug plan. The Company believes its innovative health care model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.
Health care continues to evolve at a rapid pace and with that has come new technological advancements and care models. This includes tools and programs to help patients manage a wide range of conditions, from insomnia to weight loss to solutions that provide disease management and medication adherence support.
To help increase access to these tools and solutions, CVS Health has introduced Vendor Benefit Management, a first-of-its-kind service that allows CVS Caremark pharmacy benefit management (PBM) clients to more easily and efficiently onboard and manage third-party vendors and make their solutions available to members.
Our Streamlined Service
Increasingly, employers are supplementing their standard benefit offerings with novel digital and non-digital health and wellness solutions. In 2018, the average employer offered 14 supplementary health care solutions from different sources, including health plans and third-party vendors.
However, the process to onboard and manage disparate vendors can be complex, resource intensive and time-consuming. Vendor Benefit Management aims to make this process easier for our PBM clients.
Specifically, the new service enables:
- A more streamlined process to onboard and manage multiple vendors
- An easy way to access negotiated pricing and standardized verification of member eligibility in real time
- Simplified and streamlined billing and payment processing
- Standardized measurement and reporting across all vendors
Big Health’s Sleep Solution
Poor-quality sleep and insomnia affect nearly 30 percent of adults and can underlie or impact a wide variety of mental health conditions. Big Health, a digital therapeutics company, is the first participating Vendor Benefit Management vendor and Sleepio, its personalized digital sleep improvement program, is now available to PBM clients via the service. The program is based on Cognitive Behavioral Therapy (CBT), which helps individuals make the changes necessary to improve their sleep problems.
Moving forward, CVS Health will be actively working to identify and onboard additional vendors to participate in the new service. This may include solutions such as smoking cessation and substance abuse support, care management solutions, medication optimization and adherence, and tools that help members navigate their benefits.
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.