How Aligning To Your Brand Purpose Can Drive New Growth Opportunities Recasting CVS for Health Care Growth
1. How Aligning To Your Brand Purpose
Can Drive New Growth Opportunities
Recasting CVS for Health Care Growth
06.05.2015
2. Agenda
Today we’ll explore how CVSHealth leveraged its new brand purpose to recast itself for greater synergy
with profitable new healthcare opportunities and partners.
About CVS
Recasting Factors: Acquisitions, Merger, The Affordable Care Act, New Brand Purpose
Living the New Brand Purpose
Financial Impact of the New Brand Purpose
Future Growth Opportunities
CVSHealth Facts
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3. About CVS
CVS, together with its subsidiaries, provides integrated pharmacy health care services in the U.S.
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7,822
retail drugstores
860
healthcare clinics
SOURCE CVS Pharmacy, http://en.wikipedia.org/wiki/CVS_Pharmacy. CVS Health Corporation, Yahoo Finance, http://finance.yahoo.com/q/pr?s=CVS+Profile
Brand Purpose (2014)
We strive to improve
the quality of human life.
4. RECASTING FACTOR: ACQUISTIONS
CVS’ Becomes “Your Neighborhood Health Service Provider”
A clear strategic growth framework helped CVS forge a transformational path, moving away from your
corner drugstore to a health services provider and positioning itself to capitalize on the 42M new health
care consumers.
SOURCE CVS Pharmacy, http://en.wikipedia.org/wiki/CVS_Pharmacy. CVS Health Corp., bloomberg.com /research/stocks/snapshot/snapshot.asp
1990 ACQUIRES
Peoples Drug, expands new
mid-Atlantic market,
Washington, D.C., Pennsylvania,
Maryland and Virginia
1994 LAUNCHES
PharmaCare, a pharmacy
benefit management (PBM)
1998 ACQUIRES
Arbor Drugs, expands into MI
1999 ACQUIRES
Soma, first online pharmacy
1997 ACQUIRES
Revco stores, expands footprint to
Ohio Valley and Southeastern US
2004 ACQUIRES Eckerd drugs stores and health services, pharmacy
benefit management (PBM) business; expands into FL, TX
7/13/2006 ACQUIRES MinuteClinic, pioneer
and largest retail-based health clinic
1/23/2006 ACQUIRES Osco, Sav-On Drugstores
also includes Health'n'Home durable medical
equipment (DME) stores; expands into
Midwest and Southwestern U.S.
8/12/2008 ACQUIRES
Long Drugs, expands
in CA and HI
2000 ACQUIRES
Stadtlander pharmacy, becomes
largest U.S. specialty pharmacy
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1990 1992 1994 1996 1998 2000 2002 2004 2006 20081990 1992 1994 1996 1998 2000 2002 2004 2006 2008
5. RECASTING FACTOR: MERGER
Fall 2006, Merger with Caremark
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During Fall 2006, Caremark Rx, a pharmacy benefits management [PBM] company, was facing fierce
acquisition from Express Scripts, an opposing PBM.
CVS/Pharmacy entered into the sale for Caremark RX, offering a cash/stock mix, board seats, and
merged with CVS's existing Pharmacare PBM, becoming the nation’s largest pharmacy benefit
management company.
To reflect the merger of two equals, CVS changes it’s name:
6. RECASTING FACTOR: THE AFFORDABLE CARE ACT
Affordable Care Act Creates New Health Growth Opportunities
The Affordable Care Act made major changes to the health insurance:
SOURCE CVS Pharmacy, http://en.wikipedia.org/wiki/CVS_Pharmacy. CVS Health Corp., bloomberg.com /research/stocks/snapshot/snapshot.asp
2010 2011 2012 2013
3/23/2010 AFFORDABLE CARE ACT (ACA)
signed into law, includes Medicaid expansion, health
insurance requirement.
42M more Americans have access to healthcare
6/28/2012 ACA
UPHELD by U.S.
Supreme Court 10/1/2013
HEALTHCARE.GOV opens
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Minimum Standards for Plans
Eliminated Pre-existing Conditions and Lifetime Limits
Individual Requirement; Tobacco Surcharge
Expanded Medicaid
No Cost Preventive Care Services for Adults,
Women and Children
Extended Dependent Coverage to Age 26
7. CVS Caremark’s Brand Purpose Didn’t Capture the
Company’s Health Focus
Brand Purpose
We strive to improve
the quality of human life.
Nationwide
Retail Drugstores
Health Clinics Nationwide Pharmacies
Durable Medical
Equipment
CVS had moved beyond “Your Neighborhood Drugstore” yet it’s Brand Purpose didn’t clearly capture
the company’s focus on improving your health.
Specialty Pharmacy
Pharmacy
Benefit Management
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8. RECASTING FACTOR: NEW BRAND PURPOSE
New Brand Purpose Clearly States A Commitment to Health
Our purpose
Helping people on their
path to better health.
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9. LIVING THE NEW BRAND PURPOSE
The $2B Aha Brand Purpose Moment: The Tobacco Decision
“Put simply, the sale of tobacco
products is inconsistent
with our purpose.” –
CVS President & CEO
Larry J. Merlo
SOURCE The Good and The Growth in Quitting, Larry Merlo, TEDxWakeForestU, https://www.youtube.com/watch?v=aM2ZtpqwYQs&list=PLvbq4puKKuEw20UM6aug-3AOmGkJ1i9zf&index=1. CVS Pharmacy, http://en.wikipedia.org/wiki/CVS_Pharmacy. CVS Health Corp., bloomberg.com
/research/stocks/snapshot/snapshot.asp
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2012 2013 2014
2/5/2014
ANNOUNCES it will
Stop Selling Tobacco Products
6/28/2012
ACA UPHELD by
U.S. Supreme Court
10/1/2013
HEALTHCARE.GOV opens
4/1/2014
8M more Consumers
have healthcare coverage
as a result of ACA
CVS Tobacco Sales
$2B in Sales
$300M in Profit
10. Announcement Sends A Clear, Purposeful Message –
“We’re Committed To Bettering Health Care”
CVS’ move to stop selling tobacco products sent a clear purposeful message to consumers clarifying the
company’s purpose and differentiating itself from its competitors and giving CVS a unique opportunity
to increase sales.
81% CVS and Non-CVS shoppers Were Aware of the CVS’ Action
76% Agree
Decision will have minimal impact
on their shopping behavior
58% Agree
Decision helps me better understand
the company’s mission and purpose
SOURCE Why CVS May Not Get Burned by Its Tobacco Decision (Part 1), March 18, 20914. http://www.gallup.com/businessjournal/167870/why-cvs-may-not-burned-tobacco-decision-part.aspxGallup. Gallup results are based on a Gallup Panel Web study completed by 5,550 national adults, aged 18 and older, conducted
February 14-21
53% Agree
Decision helps me understand
what makes CVS different from
its competition
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11. September 2014: Changes Name to CVSHealth to Reflect the
Company’s Broader Health Care Commitment
“For our patients and customers, health is everything and CVSHealth is changing the way health care is
delivered to increase access, lower costs and improve quality,” announced Larry J. Merlo, President and
CEO, CVSHealth.
SOURCE CVS Caremark Announces Corporate Name Change to CVS Health to Reflect Broader Health Care Commitment, Sept. 3, 2014, http://www.cvshealth.com/newsroom/press-releases/corporate-info-events/cvs-caremark-announces-corporate-name-change-cvs.
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12. New Brand Purpose Created New Growth Opportunities –
“Your Neighborhood Retail Health Clinic”
About 16.4 Million people have gained health insurance coverage since the Affordable Care Act became
law nearly five years ago, according to recent government estimates.
SOURCE New Obamacare Numbers: 16.4 Million Covered, http://www.cnn.com/2015/03/16/politics/obamacare-numbers-16-million-insured-rate. MinuteClinic programs and services, http://www.cvs.com/minuteclinic/services.
New Health Service Programs
Monitor and manage health conditions
Expanded Health Services
ACA covers preventive care
at no cost to the consumer
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13. CVSHealth Launches New Smoking Cessation Program Helping
Thousands Quit
Millions of Consumers received smoking cessation information at CVS/pharmacy and online Smoking
cessation counseling at CVS/pharmacy and MinuteClinic helping thousands of patients to quit for good.
Sept 2014
Launches Smoking
Cessation Program • Counseled more than 67K patients
filling a 1st RX for smoking cessation
• Consulted with thousands more
smokers seeking advice about over-
the-counter nicotine replacement
products (NRT)
CVS Pharmacists Counseled
& Consulted Consumers
Prescriptions for smoking cessation
medications have increased by 63
percent on a monthly basis in the
timeframe and visits to MinuteClinic
for smoking cessation counseling
were up 61% compared to the prior
eight months.
63% Increase in Smoking
Cessation Medications
Purchases of these products
increased 21 percent in
September through December
over the previous four months.
21% Increase in Over-the-
Counter NRT products
SOURCE CVS Health Announces Data from Smoking Cessation Outreach on One-Year Anniversary of Decision to Stop Tobacco Sales. Marketwatch.com, Feb 5, 2015. http://www.marketwatch.com/story/cvs-health-announces-data-from-smoking-cessation-outreach-on-one-year-anniversary-of-decision-to-stop-tobacco-sales-
2015-02-05
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14. FINANCIAL IMPACT OF NEW BRAND PURPOSE
Going “Cold Turkey” Turns Out To Be Profitable
Even without the $2B in sales of tobacco products, CVS managed profitable growth due to strong
growth in its pharmacy services segment, including the company’s pharmacy benefit management
company.
2014 Q3
4.5% ↓ Front-of-Store Sales*
15.7% ↑ Pharmacy Services
9.7% ↑ Net Revenues
ahead of analysts’ expectations
by more than $250M
*Excluding tobacco and the estimated associated basket sales,
front-store same-store sales would have been approximately
480 basis points (bps) higher for the three months ended
September 30, 2014 and 2013.
2014 Q4
7.2% ↓ Front-of-Store Sales*
21.7% ↑ Pharmacy Services
12.9%↑ Net Revenues
*Front store same store sales would have been approximately
800 basis points higher if tobacco and the estimated associated basket sales were
excluded from the three months ended
December 31, 2014 and 2013
2014 Full Year Results
1.2% ↑ Net Income, $4.6B
9.9% ↑ Net Revenues
13.5% ↑ Adjusted EPS, $4.49
$139.4B Record Net Revenues
$3.6B Net New client business
SOURCE CVS Health Reports Strong Profit Growth For Full Year 2014; Fourth Quarter Adjusted EPS At High End Of Company's Expectations. Marketwatch.com Feb 10, 2015. http://www.marketwatch.com/story/cvs-health-reports-strong-profit-growth-for-full-year-2014-fourth-quarter-adjusted-eps-at-high-end-of-companys-
expectations-2015-02-10
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15. FUTURE GROWTH OPPORTUNITIES
CVSHealth Becomes Health Management Company
CVS has continued it’s health care expansion through clinical affiliations and continued acquisitions,
becoming a full-service health management company.
SOURCE CVS Caremark Announces New Clinical Affiliation with MedStar Health,Aug. 27, 2014, http://info.cvscaremark.com/newsroom/press-releases/cvs-caremark-announces-new-clinical-affiliation-medstar-health. CVS Health Announces New Clinical Affiliations with Leading Louisiana and Kansas Regional Health Systems, Jan.
28, 2015, http://www.cvshealth.com/newsroom/press-releases/corporate-info-events/cvs-health. CVS Caremark Completes Acquisition of Coram Infusion Business from Apria Healthcare, Jan. 17, 2014, http://www.cvshealth.com/newsroom/press-releases/pharmacy-services-corporate-info-events/cvs-caremark-completes-
acquisition. CVS Health Agrees to Buy Omnicare in $12.7 Billion Deal, http://www.nytimes.com/2015/05/22/business/dealbook/cvs-health-agrees-to-buy-omnicare-in-12-7-billion-deal.html?_r=0
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Expands into Infusion Services
Acquired Coram for specialty infusion
and nutritional services.
CVS can better manage the cost
of specialty drugs, including
infused therapies.
Patients get better clinical
outcomes, payers see lower total
health care costs.
Clinical Affiliations
Enhancing access to high quality, affordable care
with 50 major health systems and health care
providers across the country, including:
LSU Healthcare Network in New Orleans, LA.
Shawnee Mission Health, KS.
MedStar Health, health care system
Maryland and Washington, DC, region.
Expands Prescription Distribution
In May 2015, it acquired Omnicare, a distributor
of prescription drugs to long-term care industry.
Acquisition broadens CVS’ presence in in the
specialty pharmacy business, a booming
sector of the industry.
Creates new opportunities for CVS to extend
high-quality, innovative pharmacy programs
to a broader population of seniors and
chronic care patients as they transition
across the care continuum.
16. CVSHealth Facts (2015)
SOURCE CVS At a Glance, http://www.cvshealth.com/about-us/our-purpose/cvs-health-glance.
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31 Specialty Pharmacies
that support individuals who require
complex and expensive drug therapies.
200,000 Colleagues
Employed in 46 states, the District of
Columbia and Puerto Rico.
Largest U.S. Pharmacy Based on Total Prescription Revenue
It’s retail pharmacy and pharmacy services businesses accounted for
22.6% of the nation’s total prescription revenues in 2013, according to
the 2013-14 Economic Report on Retail, Mail and Specialty Pharmacies.
68,000 Retail Network Pharmacies
Maintains a national network of nearly 68,000 retail
pharmacies, including its CVS/pharmacy stores.
25M MinuteClinic Patient Visits (as of May 12, 2015)
Its CVS/Minuteclinic nurse practitioners have seen more than
25M patients to date, with a 95% customer satisfaction rating.
70M Active ExtraCare Member Households
Its loyalty card program, ExtraCare, is the largest retail savings
and rewards program with more than 70M active member
households. ExtraCare is also the vehicle for offering its
customers value and a personalized shopping experience.
900 MinuteClinic Locations in the U.S.
CVS/Minuteclinic has more than 900 locations in 31 states
and announced plans to have a total of 1,500 clinics by 2017.
17. How Aligning To Your Brand Purpose
Can Drive New Growth Opportunities
Recasting CVS for Health Care Growth
06.05.2015
Editor's Notes
Good [morning, afternoon].
Today, I’d like to review with you a tangible example of how a company – CVS – can live by its values and align around it’s brand purpose to recast the company for new growth opportunities in health care
TALKING POINTS
CVS grew out of Rye New York retail holding company, the Melville Corporation (which was founded in 1922)
CVS at one point stood for Consumer Value Stores and at another point stood for Convenience, Value and Service.
Today, CVS is a Fortune 50 Company.
Provides integrated pharmacy health care services in the United States. And does that through nearly 8,000 retail drugstores and 900 healthcare clinics.
TALKING POINTS
Starting in 1990, CVS set out on a clear strategic growth framework. Acquiring competitors to extend its retail reach across the country and adjacent health care entities to become a health service provider.
A few key highlights1997 acquires Revco stores, expanding into the Ohio Valley and Southeastern U.S.1999 acquires Soma, the first online pharmacy2000 acquires Stadtlander pharmacy, and become the largest Specialty Pharmacy in the U.S.2004 acquires Eckerd; expanding CVS pharmacy benefit management business, and Health Services
2006 saw more activityAcquires Osco, Sav-On-Drugstores moving into Durable Medical Equipment storesAcquires MinuteClinic and moves into the health services delivery areaMerges with Caremark RX, expanding its PBM business
TALKING POINTS
A merger of two equals
The merger with Caremark was another critical factor in recasting CVS – making CVSCaremark the nation’s largest pharmacy benefit management company.
The next major factor in CVS’ recasting was the passage of the Affordable Care Act
TALKING POINTS
The Affordable Care Act (ACA) made major changes to the health insurance and put more focus on prevention and wellness and ushered in new insurance requirements like:
Individual requirement, with tobacco surcharge. Free Preventive Care that covered exams and wellness, Extending Dependent Coverage to Age 26; Expanding Medicaid to name a few.
Two requirements are key here: the Individual insurance requirement with tobacco surcharge and the Free Preventive Care.
The expansion of healthcare and the new insurance requirements meant more Consumers had access to free prevention and wellness more specifically tobacco cessation programs.
At the time of the ACA, about 45 Million Americans still smoked.
TALKING POINTS
If we take a step back and look at what CVS had assembled and how it changed it’s business.
Clearly moved beyond “your neighborhood drugstore”
Much more than it’s brand purpose: We Strive to Improve the Quality of Human Life
TALKING POINTS
CVSCaremark changes brand purpose to better align around the company’s new focus – health services provider – and its commitment to health care
Previous brand purpose: We strive to improve the quality of human life.”
NEW brand purpose: “Helping people on their path to better health.”
TALKING POINTS
Like a lot of companies, CVSCaremark faced some contradictions and inconsistencies between products it sold, its commitment to bettering health and its new brand purpose, as their CEO points out: ((clip))
TALKING POINTS
CVS’ message – stop selling tobacco products – resonated with Consumers – 81% of surveyed consumers were aware of the action
Message was clear and purposeful.
Message clarified company’s purpose
Message differentiated CVS from the national competitors like Walgreens, RiteAid, Cardinal Health, Target, Walmart and the numerous regional chains.
Message didn’t’ really change Consumer’s shopping behavior
TALKING POINTS
CVS Caremark took another step to align itself to its purposeful mission– guiding people along the path of better health – to CVSHealth.
TALKING POINTS
ACA put more focus on prevention changed health care plans, ushering in free preventive care services for Adults, Women and Children.
A few of free preventive care services include: contraception; Immunizations; Blood Pressure, Cholesterol, Type 2 Diabetes screenings and programs
The ACA’s individual health insurance requirement – and surcharge for tobacco use – is a huge opportunity to provide millions more smokers with the help they need to quit.
On May 2, 2014, the U.S. Departments of Health and Human Services, Labor and Treasury issued guidance on insurance coverage of tobacco cessation as a preventive service:Private group plans (large and small groups)Individual private plans Plans offered through State Health Insurance MarketplacesAlternative Benefit Plans
are ALL required to cover tobacco cessation as a preventive service
TALKING POINTS
CVSHealth saw the opportunity to help the 45 Million Americans who still smoke, quit with their help … and launched their Smoking Cessation program in the fall of 2014.
Their program has been successful (Sept 2014 thru Dec 2014)
CVS pharmacists counseled more than 67,000 patients filling a first prescription for a smoking cessation drug or prescription nicotine replacement therapy (NRT)
CVS pharmacists consulted with thousands more smokers seeking advice about over-the-counter NRT products.
Prescriptions for smoking cessation medications have increased by 63% on a monthly basis in the timeframe
Visits to MinuteClinic for smoking cessation counseling were up 61% compared to the prior eight months.
TALKING POINTS
CVSHealth’s move to give up revenue in the short term – tobacco product sales – for a greater long-term sustainability and success was a good move.
Initially, the move drove a drop in the front-of-store salesBut CVSHealth’s pharmacy business made up for that drop and them some
The move is a clear example of a how a company – CVSHealth – can
carry out the company’s vision to increase the value of the company
live by its values, demonstrate commitment to those values by aligning around it’s purposeful position
And bring about greater synergy with profitable new healthcare opportunities and partners.
TALKING POINTS
CVSHealth continues to expand in the health and medical space.
Through Clinical Affiliations with more than 50 major health systems and providers across the country AND continued acquisitions of companies with adjacent health services, CVSHealth has moved beyond being your neighborhood retail health clinic to Your Neighborhood Medical Clinic, the one place you can go for preventive health services and screenings, health programs – like tobacco cessation – to infusion services.
Just some facts about CVSHealth
Good [morning, afternoon].
Today, I’d like to review with you a tangible example of how a company – CVS -- can live by its values, demonstrate commitment to those values and how that move – aligning around it’s purposeful position -- can bring about a new business model and new growth opportunities.