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Condition Management

Chronic conditions account for more than 75 percent2 of health care spending in the United States, affecting 136 million Americans.3

Managing a chronic condition like diabetes is complex for the plan and the individual plan participant. Further complicating the issue, one in five Americans is attempting to manage more than one condition, often with multiple physicians prescribing therapy.4 You can build in support for these people with proactive pharmacy care. We take a whole-person approach to care, addressing the overall risk and condition profile rather than focusing on a single condition. With an evidence-based foundation and pertinent, individualized information at point of service, our clinicians can provide crucial counseling on adherence and gaps in care. Through Accordant Health Management, plan participants receive the consistent reinforcement that helps to reduce the complications and hospitalizations that drive health care expense. Evidence-based plan design has helped many clients increase adherence and reduce costs for individuals with specific diagnoses.

How Proactive Pharmacy Care Can Help

  • Adherence and Gaps in Care Counseling

    • Available proactively and face-to-face at CVS/pharmacy locations for CVS Caremark plan participants.
    • Founded on evidence-based guidelines.
    • Has resulted in 20 percent improvement in persistence; 35 percent of consumers have accepted the offer to fill lapsed prescriptions at CVS/pharmacy stores.5

  • Accordant™ Health Management

    • Produces, on average, a 12 percent savings on medical costs.6
    • Reduces hospitalizations by an average of 16 percent.7
    • Based on national peer-reviewed guidelines such as those of the American Diabetes Association.
    • NCQA accredited for 22 conditions, 16 of which are rare.

  • Evidence-based Plan Designs

    • Provide incentives such as lower or waived copays for targeted conditions, drugs or patients as determined by plan.
    • Have increased adherence by as much as 30 percent for some conditions.8
    • Have reduced overall health care costs by as much as 16 percent for asthma.9
    • Can be modeled to project savings and impact for your organization.

  • MinuteClinic Services

    • Help to identify people at risk and those with undiagnosed disease to begin treatment earlier.
    • Convenient, affordable resource for preventive health screenings and flu shots.
    • Provides patient record to primary care provider with patient permission for better coordination of care.
    • Staffed by board certified practitioners.
  • 1 Managed Care Magazine, May 2007. “Keys to Diabetes Control?...” accessed May 21, 2008 http://www.managedcaremag.com/archives/0705/0705.diabetes.html.
    2 Causes of and Potential Solutions to the High Cost of Health Care. Web Conference, broadcast on October 10, 11, and 15, 2002. U.S. Department of Health and Human Services Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/hicosttele/
    3 Sources: Centers for Disease Control and Prevention, 2003 Data. Causes of and Potential Solutions to the High Cost of Health Care. Web Conference, broadcast on October 10, 11, and 15, 2002. U.S. Department of Health and Human Services Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/hicosttele/
    4 Causes of and Potential Solutions to the High Cost of Health Care
    5 Caremark 2008 data based on pilot program (PCI) in CVS stores
    6 2007 Accordant data
    7 2007 Accordant data
    8 CVS Caremark 2007
    9 CVS Caremark 2007 data