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CVS Aetna Integration
Will this merger truly create a shift in the way healthcare is delivered?
Patients
The Business
Will this merger create a shift in the way healthcare is delivered?
Streamline care with payor, clinic/pharmacy, and PBM under one umbrella
Benefit from reduced prices for MinuteClinic visits and CVS purchases ( both prescription drug and sundries)
Manage basic care/wellness through Minute Clinics, reducing need for lengthy wait times at hospital or ER
Work within limited choices when it comes to scheduling time with a provider or filling a prescription
Cope with the perception of lower quality of care (i.e., "cheapening of healthcare")
Will this merger create a shift in the way healthcare is delivered?
Expand MinuteClinic and CVS retail pharmacy customer base by tapping into Aetna network
Add greater services to create more of a primary care model; transform most MinuteClinics into HealthHub
Incentivize Aetna members by rewarding healthy behaviors in order to decrease overall healthcare spending and insurance-related costs
Integrate consumer, patient, and insurance member data over longer term, allowing for more effective sales and marketing tactics
Navigate legal and ethical challenges that come with access to data
Avoid driving non-Aetna consumers to competing pharmacies or clinics (e.g., if non-member prices rise significantly)
Are prescription drug costs more contained because of this integration?
*2016 CMS Healthcare data
Patients
The Business
Are prescription drug costs more contained because of the
CVS Aetna integration?
Streamline inefficiencies
Reduce price of prescription drugs
Decrease doctor and ER visits
May increase cost by decreasing transparency
Unlikely that cost savings will be passed on to patients
Centralization of power and reduced competition decreases incentive to keep prices low
Are prescription drug costs more contained because of the
CVS Aetna integration?
Decreasing hand-offs in the PBM value-chain translates to increasing margins
Aetna-covered population establishes a consistent customer base
Increased foot traffic for primary care = increased foot traffic for Rx and sundries
Similar vertical integration across the industry could mean more fierce competition for their customer base
Push to become more transparent with pricing
Hospitals May Choose to Invest In
Reducing ED Wait Times
Expanded Rx Services
Insurance Services
High Revenue Specialties
Satellite Offices/
Urgent Care
Limit Providers
Streamline Care
Less Choice
Reduce Cost of Care
More Transparency
Unlikely That Cost Savings Will be Passed to Patients
Data Access (Ethical Use)
Drive Customers to their Business by Offering More Services
Reward Healthy Behaviors
Retention of Customers Who Sit Outside Value Chain