CVS Pharmacy Benefits Manager (PBM) Has a Conflict-of-Interest with Its Health Hub Clinics

CVS Health Hubs Could Be an Amazing Value for ASO Employer Clients and Medicare Advantage Plans.

However, CVS' Current PBM Business Has Conflicting Priorities with these Health Hubs.

CVS Health is Opening In-Pharmacy Primary Care Clinics Called Health Hubs.

The Goal of the Health Hubs is to Give Customers Easier Access to Healthcare, Have Them Receive Better Care and All at a Lower Cost.

CVS Health Has Plans to Open 1,500 Health Hubs by 2021 in Boston, Dallas-Fort Worth, Maryland, North Carolina, Ohio and Virginia.

The Conflict-of-Interest Arises Because the CVS Health PBM Makes More Money the More Prescriptions that are Written and the More Expensive Prescriptions that are Written.

Therefore the Healthcare Providers at the CVS Health Hubs Have to Make a Choice Between Writing No Prescription or a Less Expensive Generic Prescription for a Patient and Lowering the CVS PBM's Revenue OR Writing an Expensive Brand-Name Prescription and Charging the Patient and Their Employer's Health Insurance Plan a lot of Money and Helping the CVS PBM Increase Its Revenue.

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[IudexGaming]

Two years later pbm is about to get gutted on the coming Monday. Watching this to understand why CVS caremark is getting hit

[michaelterranova]

This is very interesting stuff. Thank you! Love your channel!

[avinavdhakal]

The answer to this is data. The way they leverage data across to build new slew of data products is going to help them. It would be interesting to see a video on that

[achievecarerpm-ccm]

It’s obviously a conflict of interest for a Health Plan to have a PBM company and also counter productive for an MA plan that is supposed to be cost effective. Unfortunately it’s not very likely that anyone will oppose them or point out the obvious.

[sustainmeds]

That is the price for a 30 day supply of Duexis
😅

[stlcards]

You bring up an interesting point as it relates to a potential conflict of interest with prescription advantages going to CareMark; however, as an advisor to self-funded plan sponsors, most clients have implemented strategies to remove drugs like Duexis - which are Low Clinical Value and as you pointed out, have many lower cost OTC available. Thanks for the explanation.

[keeperzero]

That boy don't know drug mix from from pancake mix