WOONSOCKET, R.I., March 22, 2018 /PRNewswire/ -- CVS Health (NYSE:
CVS) announced today that its pharmacy benefits manager (PBM) CVS
Caremark was accredited by NCQA in Utilization Management (UM).
NCQA Utilization Management Accreditation is a quality assessment
program that focuses on consumer protection and customer service
improvement. Standards recognize that organizations that apply for
accreditation have open access networks, and can improve service
quality and utilize customized structures to meet purchaser
needs.
"At CVS Caremark, we are pleased to maintain our NCQA
Utilization Management Accreditation, which we've held continuously
for the past several years," said Jonathan
Roberts, Chief Operating Officer of CVS Health. "This
accreditation affirms that our program provides high quality
service and care to our PBM clients and their members as we strive
to ensure that members access clinically appropriate and cost
effective therapies to help improve health outcomes and lower
costs."
The CVS Caremark Utilization Management Program is designed to
encourage the appropriate and effective use of medications,
identify optimal drug use and promote cost-effective drug benefit
plan designs for our clients. The program is based on
evidence-based drug information, published guidelines, consensus
statements and standards of medical practice.
"Achieving Utilization Management accreditation from NCQA
demonstrates that CVS Health has the systems, process and personnel
in place to conduct utilization management in accordance with
the strictest quality standards," said Margaret E. O'Kane, President of NCQA.
The Accreditation Survey includes a rigorous evaluation
conducted by a team of physicians and managed care experts. An
independent review oversight committee of physicians analyzes the
team's findings and assigns an accreditation status based on the
organization's performance against standards. NCQA has
reviewed and accredited CVS Health's Utilization Management
functions only. For complete details on the scope of this review,
visit www.ncqa.org.
About CVS Health
CVS Health is a pharmacy innovation
company helping people on their path to better health. Through its
more than 9,800 retail locations, more than 1,100 walk-in medical
clinics, a leading pharmacy benefits manager with more than 94
million plan members, a dedicated senior pharmacy care business
serving more than one million patients per year, expanding
specialty pharmacy services, and a leading stand-alone Medicare
Part D prescription drug plan, the company enables people,
businesses and communities to manage health in more affordable and
effective ways. This unique integrated model increases access to
quality care, delivers better health outcomes and lowers overall
health care costs. Find more information about how CVS Health is
shaping the future of health at www.cvshealth.com.
About NCQA
NCQA is a private, non-profit organization
dedicated to improving health care quality. NCQA accredits and
certifies a wide range of health care organizations. It also
recognizes clinicians and practices in key areas of performance.
NCQA is committed to providing health care quality information for
consumers, purchasers, health care providers and researchers.
Christina
Beckerman
CVS
Health
(401)770-8868
christina.beckerman@cvshealth.com
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SOURCE CVS Health