More than two years since its launch, pharmacy benefit manager (PBM) CVS Caremark’s Transform Diabetes Care program has helped PBM members better control their diabetes through a combination of highly personalized member support and coaching focused on improving medication adherence and better control of HbA1c. In fact, more than 50 percent of members with uncontrolled diabetes who enrolled in the program have moved to a controlled status and, on average, members have improved HbA1c by 1.2 percentage points.
Transform Diabetes Care Program Expansion Details
Building on this success, CVS Caremark is announcing an expansion of its Transform Diabetes Care program to focus on prevention and early identification of diabetes, as well as the launch of a new program, focused on hypertension, a common comorbidity of diabetes. Both use an advanced analytics engine (pharmacy, medical and lab data) to identify and enroll members who may have pre-diabetes and those who have hypertension.
Expanding Transform Diabetes Care to also focus on prevention
About 34 percent of adults have prediabetes, and approximately 90 percent of prediabetics don’t know they have it. CVS Caremark’s analytics engine will analyze pharmacy and medical data to identify those at risk for developing diabetes and intervene with a lifestyle-focused program. As part of that, eligible members will receive connected digital scale, a CDC-approved app-driven prevention program and health coaching with experts across a range of specialties (nurses, dieticians, exercise, behavioral). Members also can engage with practitioners at CVS Minute Clinics – offering a 360-degree member-centric approach to care coordination. The overall goal is to help reduce incidence of diabetes in a given population by 58 percent in three years.
New focus on hypertension
Given that hypertension is twice as frequent in diabetes patients, CVS Caremark will use its analytics engine to identify and intervene with members enrolled in Transform Diabetes Care who also have hypertension, through its new Transform Hypertension Care program. These members will receive a connected blood-pressure cuff, which will automatically capture blood pressure readings and store them in a secure, personal profile; an app-based hypertension management program including digital coaching, weekly challenges, and education; as well as access to specialized experts on demand for personalized condition management and support. In addition, members can access two annual metabolic visits at MinuteClinic with no out-of-pocket cost including screenings, education, targeted physical exams, and treatment initiation as needed, to help prevent the onset of complications.
CVS Health’ Continued Investment in Diabetes Care
The U.S. health care system traditionally has focused on treating people who already have chronic conditions given the high costs if not managed appropriately. However, now, payers are looking more and more at prevention to head off high costs associated with chronic conditions such as diabetes. That’s why CVS Health continues to invest in programs across their enterprise that focus on enhancing clinical outcomes and lowering costs, such as this expanded Transform Diabetes Care and new Transform Hypertension Care program. Transform Diabetes Care demonstrates that CVS is moving to integrate the latest innovations in digital health, connected devices and one-on-one, high-touch personalized support.
For more information on the CVS Transform Diabetes Care Program, click here.