Addressing Rising Health Care Costs | CVS Health

CVS Health is committed to lowering health care costs while delivering high-quality care to communities across the country. Learn more: https://cvshealth.com/thought-leadership/addressing-rising-health-care-costs

1. Lowest drug trend in 5 years
by leveraging lower-cost generics, strategic formulary management and
negotiated discounts and rebates for PBM members in 2017
Just sign up for
ScriptSync and
we’ll do the rest.
Increasing medical costs impose a heavy 
burden on patients and our health care system. 
National health expenditures currently account 
for 17.9% of our GDP and are expected to 
increase to 19.9% by 2025
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. 
 Tackling Rising
Drug Prices    
Addressing Chronic
Disease Costs    
Expanding Access
to Affordable Care    
Improving Care
Coordination
Learn more at: cvshealt h.com /thought-leadership/cost-of-care
1
 Centers for Medicare and Medicaid Services data: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData
   /NationalHealthAccountsHistorical.html 
2
 IQVIA Institute: https://www.iqvia.com/institute/reports/medicine-use-and-spending-in-the-us-review-of-2017-outlook-to-2022
3
 Partnership to Fight Chronic Disease Report: https://www.fghtchronicdisease.org/latest-news/new-national-data-shows-projected-total-cost-chronic-disease-2016-2030-
  america-42 
4
 Gallup Survey: http://news.gallup.com/poll/212780/cost-healthcare-americans-top-fnancial-tconcern.aspx 
5
 OECD Report:  https://www.cnbc.com/2017/01/12/shocking-truth-20-of-health-care-expenditures-wasted-in-us-and-other-nations.html 
Solutions to help make health care more
affordable for patients and taxpayers
Addressing Rising
Health Care Costs
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CVS Health
®
 is 
committed to lowering 
health care costs 
while delivering 
high-quality care to 
communities across 
the country.
1. Rising Drug Prices
The average price of brand prescription drugs increased 58% from $231 to $364 
over the past fve years
2
.
Savings passed directly to 10M members
negotiated rebates provided at point-of-sale to 10M PBM members
~90% spent < $300 OOP
nearly 90 percent of PBM members spent less than $300 out-of-pocket for
their prescription medicines in 2017
$420 average annual savings per patient
by identifying the lowest-cost medications through our Rx Savings Finder
We’re developing comprehensive programs to 
lower drug costs for patients and payors:
2. Chronic Disease Costs 
If rates of diseases such as obesity, diabetes and heart conditions continue to rise, the cost to our health care system will reach $42 trillion between now and 2030
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.
$0 copays
on medications for many chronic diseases through preventive
drug lists offered to payor clients
Increased adherence
as much as 1.8 percentage points in 2017 by designing plans
that connect chronic disease patients to lower-cost options
$3 saved for every $1 spent
on personalized interventions for patients through our
Pharmacy Advisor program
We’re implementing solutions to help manage costly 
chronic diseases and improve outcomes for patients:
3. Access to Affordable Care
Americans rank the cost of health care as the most important fnancial problem 
facing their family
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. 
80% lower cost of care
through retail clinics (on average), compared to receiving
care through emergency rooms
Up to $3,000 savings
per at-home infusion treatment course through Coram,
compared to the same services provided in a health care facility
We’re expanding access to low-cost, high-quality 
health care in communities and in the home:
4. Care Coordination 
Waste and ineffciencies represent 20 cents of every dollar spent on health care
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50% fewer preventable readmissions
and an average of $1,300 savings per patient using pharmacist-led
medication reconciliation following a hospital stay
More than 70 collaborations
with major health systems to support joint clinical programs
and interoperable electronic health records
We’re providing savings by strengthening health 
care integration and improving ineffciencies: