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A strategic shift that can lower chronic condition costs

 

As chronic conditions continue to drive the majority of medical and pharmacy spend*, taking an integrated approach to chronic condition management helps members get and stay healthier—which supports management of total cost of care.

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Reaching across the continuum

Coordinating data, programs and engagement across the care continuum for interconnected cardiometabolic conditions helps payors reduce fragmentation and better manage the cost of care.

Using data to improve outcomes

We combine proprietary pharmacy and medical claims data with personalized digital support for a cohesive chronic condition management strategy.

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Slowing cost growth

Chronic conditions place significant pressure on healthcare spending. Pharmacy and medical claims data insights identify key opportunities for earlier intervention. With proactive guidance, plans may reduce avoidable utilization and control costs more effectively.

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Improving medication adherence

If medications aren’t taken as prescribed, expenses often increase quickly. Pharmacy-led clinical programs and personalized support across the metabolic spectrum help members stay on track. This can limit health complications while minimizing waste and costs.

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Connecting care delivery

When coordination breaks down, duplication and gaps can add financial stress. By combining data with clinical expertise and outreach, we integrate services across the care continuum. Plans manage complex needs cohesively instead of working in silos.

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Boosting member engagement

Low engagement remains one of the biggest barriers to better outcomes. Using data-driven segmentation, we tailor high-touch and digital support to meet each member where they are. Targeted communication helps drive consistent participation over time.

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Want to spend less and inspire healthier members?
Let us help you find the best solutions. 

 

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  • *FOR CHRONIC CONDITIONS SPEND SOURCE: https://www.cdc.gov/chronic-disease/data-research/facts-stats/index.html. May 2026.

  • *FOR 90% SOURCE: ASMBS fact-sheet. https://asmbs.org/resources/type-2-diabetes-and-metabolic-surgery-fact-sheet/. Accessed May 20, 2026.

  • *FOR 2 in 3 EMPLOYEES SOURCE: CVS Caremark Member Experience survey, 2025.