Improving how members find care lowers your spend
Health Advisor helps members find in-network care and change certain behaviors — like staying up-to-date on screenings, immunizations or avoiding multiple hospital visits — to get better outcomes and help lower your costs. Site of Care and Medical Cost Avoidance are both Health Advisor products that educate members on cost-effective care and make it convenient for them.
Proactive outreach inspires better outcomes
Proactively communicating with members on the most efficient and effective options for the care they need helps manage costs.
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40% of ER visits are avoidable
Visiting urgent care instead can save ~$2,500 per member*
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+$30k savings
on average* when closing readmission gap
Helping change member habits can lower costs
Site of Care
Empowering members by educating them on more cost-effective options is key to keeping spend down. Even in-network options can have unnecessarily high costs. So rather than visiting the hospital for minor surgeries, testing, or physical therapy, members are educated on other options — like swapping from frequent high-cost in-network facilities to a non-hospital lab for lab work.
Medical Cost Avoidance
Using convenient and connected retail and digital touchpoints, we can prompt behavior change that helps members get basic preventative care like immunizations, screenings, and other critical health needs. With this panoramic outreach, tailored to member preferences and behaviors, we can improve engagement and close gaps in care — like a 5% increase in breast cancer screenings*, and 5% reduction in unnecessary hospital re-admissions.*
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*FOR 40% OF ER VISITS AND SAVINGS PER MEMBER SOURCE: Uscher-Pines L, Pines J, Kellerman A, et al. Deciding to visit the emergency department for non-urgent conditions: A systematic review of the literature. National Health Institutes. Accessed December 11, 2025.
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*FOR +$30K SAVINGS ON AVERAGE WHEN CLOSING READMISSION GAP SOURCE: Population Health exec summary. CVS Health Analytics. Data from 2021 to 2022. Published 2023. Savings projections are based on CVS Health data. Actual results may vary depending on benefit plan design, member demographics, programs implemented by the plan and other factors.
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*FOR 5% INCREASE IN BREAST CANCER SCREENINGS SOURCE: CVS Health®. CVS Health analytics. Published 2022. Data from 2018 and 2019. Actual results may vary depending on benefit plan design, member demographics, programs implemented by the plan and other factors.
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*FOR 5% REDUCTION IN UNNECESSARY HOSPITAL READMISSIONS SOURCE: CVS Health®. CVS Health analytics. Published 2023. Data from 2021 to 2022. Savings are projections based on CVS Health® data. Actual results may vary depending on benefit plan design, member demographics, programs implemented by the plan and other factors.
