Research-based synthesized Action Plan • Not an official CVS Health publication
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2. Comprehensive Execution Framework
Workstream
Specific actions
Accountable functions
Control / output
Aetna margin
recovery
Improve medical-cost management,
utilization controls, network economics and
pricing discipline while monitoring member
access and quality.
Health Care Benefits
leadership; clinical
operations; actuarial
Medical-cost and margin
dashboard
CostVantage
Maintain and scale cost-based pharmacy
reimbursement with defined markup and
dispensing-fee mechanics.
Pharmacy / PBM leadership;
commercial product; finance
Contract and reimbursement
migration controls
Pharmacy
modernization
Optimize store formats, pharmacy
operations and customer-service
workflows around prescription and health
needs.
Retail Pharmacy; consumer
operations
Footprint and productivity
roadmap
Administrative
simplification
Expand automation and digital workflows
for authorization and related administrative
processes while maintaining clinical
safeguards.
Aetna operations;
digital/product; clinical
governance
Turnaround-time and exception
reporting
Integrated care
Connect payer, PBM, pharmacy and
care-delivery data and services where
doing so improves coordination and
consumer experience.
Enterprise technology; care
delivery; Aetna; Caremark
Connected-care workflow map
Consumer
experience
Simplify benefit navigation, pharmacy
interactions, scheduling and digital support
across CVS Health touchpoints.
Digital product; consumer
experience; retail
Experience and engagement
scorecard
Technology &
analytics
Use data and automation to improve
forecasting, claims/admin workflows, care
management and operational productivity.
Enterprise technology;
analytics; AI/data teams
Model and automation
governance
Selective growth
Direct investment toward durable
healthcare demand, access and
strategically valuable sites/services rather
than low-return footprint expansion.
Corporate strategy; finance;
retail/care leadership
Investment hurdle and portfolio
review
Execution sequence:
diagnose medical-cost and operating drivers
→
simplify policies/processes
→
standardize data
→
automate
repeatable work
→
measure consumer, clinical and financial outcomes
→
scale what works.
