Thread regarding CVS layoffs

Ideas for cost savings

I am too low on the totem pole to have my voice be heard on some ideas to reduce costs, so hopeful someone higher on the pole can raise these for me. Some of these ideas may already be in play. I do not know.

To help us recoup money and meet analysts’ expectations while stopping the cycle of layoffs, a combination of short-term cost-saving measures and long-term strategic initiatives is essential. Here are some strategies that could be effective:

  1. Operational Efficiency and Streamlining:
  • Process Optimization: We could focus on optimizing internal operations by eliminating redundancies, streamlining workflows, and automating repetitive tasks. This could involve investing in more advanced technology to reduce administrative overhead, improving supply chain efficiency, and reducing non-essential spending.
  • Consolidating IT Systems: The integration of IT systems between CVS and Aetna could lead to significant cost savings. By consolidating platforms, reducing the number of legacy systems, and leveraging cloud services, we could lower operational costs. We have a lot of redundant systems.
  1. Improving Pharmacy Benefits Management (PBM):
  • Negotiating Better Dr-g Prices: As one of the largest PBM providers, we could further leverage its market position to negotiate better prices with dr-g manufacturers. Lowering the cost of prescription dr-gs and improving PBM margins would significantly contribute to profitability.
  • Promoting Generic Medications: Increasing the promotion and use of generic medications over brand-name dr-gs could result in lower costs for both the company and consumers, making CVS a more attractive option for customers.
  1. Expanding Healthcare Services:
  • Leveraging MinuteClinic and HealthHUB: CVS should focus on expanding its healthcare services by scaling up its MinuteClinics and HealthHUBs. This would make us more competitive in the growing primary care market, increasing patient volume and driving new revenue streams from medical services.
  • Telehealth Expansion: As telehealth continues to grow in popularity, CVS could expand its telemedicine services, offering more remote consultations through MinuteClinic, Aetna., Oak Street and Signify. This would allow us to capture more patients and lower operating costs associated with physical clinics.
  1. Mergers & Acquisitions:
  • Targeted Acquisitions in Healthcare: Instead of massive acquisitions that dilute focus, we should consider smaller, strategic acquisitions that can complement our existing services, such as telemedicine, home care, or specialized health services.
  • Divesting Non-Core Assets: If we have underperforming or non-core business units, selling or spinning them off could provide a quick cash infusion and allow management to focus on their core businesses of healthcare and pharmacy.
  1. Employee Engagement and Retention:
  • Investing in Employee Training and Well-Being: The layoffs can seriously damage employee morale, which in turn impacts productivity and customer service. We could invest in employee training, wellness programs, and career development, increasing loyalty and productivity, thereby reducing turnover and improving service quality.
  • Reskilling for Future Growth: Rather than laying off employees, the company could implement reskilling initiatives to transition workers into high-demand roles such as IT support, digital services, or healthcare.
  1. Repricing and Subscription Models:
  • Revamping Loyalty Programs: While we already have an already a loyalty program, it could revamp and better leverage its membership programs (like CarePass) by providing more value to consumers while driving repeat business. For instance, exclusive discounts on prescription dr-gs or virtual consultations could enhance loyalty and drive incremental sales.
  • Subscription Healthcare Services: Offering subscription models for healthcare services could provide a steady revenue stream. For instance, Aetna could offer bundled insurance packages with CVS healthcare services like regular screenings, telehealth consultations, and pharmacy benefits.
  1. Customer-Centric Innovations:
  • Home Delivery and E-Commerce: Expanding home delivery services, especially for prescription dr-gs and wellness products, could help us compete with online retailers like Amazon Pharmacy. Building a stronger online presence would cater to the growing demand for convenience, driving customer retention and new revenue.
  • Health Data Analytics and AI: We can leverage data analytics to personalize care, optimize patient outcomes, and improve preventive care. Offering better patient outcomes through predictive analytics could drive savings in healthcare costs.
  1. Health Insurance Premium Adjustments:
  • Adjust Premiums Strategically: Aetna could consider adjusting health insurance premiums for specific plans, particularly those with a strong track record of generating high claims. By tweaking risk assessments, Aetna could optimize profitability while maintaining customer satisfaction.
  1. Addressing Regulatory Concerns and Compliance:
  • Proactive Regulatory Compliance: Ensuring proactive compliance with evolving healthcare regulations can prevent costly fines and improve trust with regulators and customers, protecting our reputation and bottom line.
  1. Enhancing Collaboration Across Business Segments:
  • Integrated Health and Pharmacy Solutions: CVS and Aetna should enhance collaboration between our healthcare, pharmacy, and insurance arms, offering integrated solutions that provide cost savings to consumers, which could boost customer satisfaction and increase enrollment in Aetna plans, as well as drive more foot traffic to CVS stores.

These initiatives, combined with a focus on employee morale and well-being, could help us to regain financial stability and reduce the need for layoffs. Balancing short-term cost savings with long-term investment in growth and employee engagement will be crucial to the success of these strategies.

In addition to the strategies mentioned above, we can also significantly reduce costs by optimizing our real estate portfolio. Many of the company’s office buildings, originally designed for hundreds or thousands of employees, now sit largely unused due to remote work becoming the norm. Instead of forcing employees back into these underutilized offices, we could consider:

  1. Selling or Subleasing Unused Properties:
  • We could sell office buildings or sublease spaces that are no longer needed. With the growing adoption of remote work, maintaining large office spaces for a small fraction of employees is no longer financially viable.
  • Reducing our physical footprint in expensive commercial real estate markets could provide immediate capital from sales or subleases, which could be reinvested in critical business areas.
  1. Letting Leases Expire:
  • Instead of renewing leases on office spaces that aren’t being fully utilized, we could allow those leases to expire. This would eliminate ongoing costs associated with maintaining unused facilities, including utilities, cleaning, and security.
  • This approach could be particularly effective in cities where commercial real estate is extremely expensive, providing immediate cost relief.
  1. Consolidating Offices:
  • For teams that do need to collaborate in person, we could consolidate multiple locations into fewer, more strategically located hubs. These hubs could serve as collaboration spaces for essential in-person work while minimizing overall real estate costs.

Real estate is often one of the largest overhead expenses for large corporations, and cutting down on commercial real estate could save us millions of dollars each year. This reduction would not only help recoup money but also align with the evolving work environment where many employees prefer the flexibility of working from home.

In combination with other operational and strategic changes, this move would help improve financial stability and reduce the need for future layoffs.

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| 1163 views | | 17 replies (last October 4, 2024) | Reply
Post ID: @OP+1uPS8ReR

17 replies (most recent on top)

There are great thoughts here. As a former consultant for CVS many of these are being attempted however my experience is the attention span is limited and before progress can be made they switch gears. There are a lot of less than quality people in senior positions. Dr-g prices negotiations if people knew the truth they would be angry. We will just say the PBM format is hurting the general public not helping. That’s why it’s under so much scrutiny right now.

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Post ID: @mah+1uPS8ReR

Get rid Karen and John Legend concerts.

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Post ID: @awq+1uPS8ReR

I wanted to add outside vendors like PWC who were hired on as consultants for those programs did absolutely nothing that would make a difference. Their fee for just one consultant was several hundred thousand. They still could not over come the change management barrier.
Now we have Quest Analytics, another vendor messing around with data.
I've seen so many vendors fubar our Aetna data. We spend millions on vendors for low quality when all we would have to do is train our own people and retain them.
I am sick and tired of being the FTE who trains the vendors on our systems and dysfunctional processes to do the job, just to have them Fubar it up because they know nothing of the business, our dysfunctional systems and data

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Post ID: @yrs+1uPS8ReR

Ideas are cheap. Execution is priceless.

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Post ID: @zgr+1uPS8ReR

OP - ignore the negative comments. Everyone is just angry right now.

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Post ID: @hbe+1uPS8ReR

I agree with the stopthebullying. There is enough bullying can we put it at a minimum here. If stopthebullying and solutionguy (or gal) really want an open discussion is there another platform we can take this to? For instance Reddit? Less trolls there.

Until then I am going to write my thoughts down here because solutionguy (or gal) was compelling and thoughtful.

I don't know much about the CVS side of the business honestly but what solutionguy (or gal) what they wrote seemed intelligent and logical. I commend you for learning both sides of the business CVS & Aetna. Perhaps if there was more education and training for both sides we would be more collaborative, friendly, and willing to listen to each other.
From my personal experience internal Aetna employees are just as ignorant to Commercial Enterprise, and Government (Medicare and Medicaid) sectors and can use a good dose of education as well.

I can only speak on a few of solutionguy (or gal)'s bulletpoints so here we go:

  1. Operational Efficiency and Streamlining:
    • What makes you think nobody has tried & attempted this?

Process Optimization:

  • On the Aetna side its been tried & attempted many times.
  • - Ex: ABX 2020 Lean Six Sigma initiative, Provider Experience, centralization of operations (PDS, HP, Regional Network Mgnt), NextGEN program (MEDICARE & MEDICAID initiative that then morphed into COMET program (MEDICAID ONLY), then just NextGEN (MEDICARE only), then another "centralization" to create MPOS. They've spent so many millions of dollars for those programs and nothing to show for it.
    Consolidating IT Systems:
  • You can not consolidate systems without clean data integrity, data standardization, and standard processes practices.
  • - Internally to Aetna they've been trying to consolidate their multiple systems and clean their data for years.

Hence NextGen program, COMET program. They've spent millions the last three years and still can't get their sh-t together because the leadership CEO, VP, Sr Execs are clueless to the "business" to head-up these multi million dollar programs. Finally the "business" Sr Executive Jennifer Gallagher-Daughtery left and maybe just maybe something will be achieved. See R0355774 Executive Director, Medicaid Provider Experience Standardization.

  1. Addressing Regulatory Concerns and Compliance:
    • This one just infuriates me. Aetna's culture is to turn a blind eye to the regulations and CAPs. It's just apart of doing business, the pro quo. The buck never stops with anyone.

• Proactive Regulatory Compliance: Ensuring proactive compliance with evolving healthcare regulations can prevent costly fines and improve trust with regulators and customers, protecting our reputation and bottom line.

  • - There has to be standard process practices in place for "proactive regulatory compliance".
  • - Nobody at Aenta truly monitors regulatory and legislation compliance. The Compliance dept is a sh-t show. They don't follow-up with the health plans to figure out why they don't get their-selves off of CAPs. Much-less to monitor if the health plans have measures around their regulations. That goes for all seventeen states Aetna currently has lines of business with.

I am going to stop now. I wanted to address a few more of the bullet-points but I am just finding it infuriating. Bottom line, if Aetna did a GAP analysis they would find all operations dysfunctional.

Every day I had colleagues scratching their heads on how in the world does Aetna make a profit and that's pre and post CVS.

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Post ID: @tff+1uPS8ReR

@psj+1uPS8ReR it’s an anonymous message board. When it is anonymous you will get 90% trolls. No one should expect much truth or productivity here. You don’t even know if they work for CVS.

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Post ID: @yur+1uPS8ReR

You asked ChatGPT how a healthcare company can save money and you think anyone will care? Oh my god the quality of current employees....

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Post ID: @ial+1uPS8ReR

But why post it on a board that is supposed to be about layoffs? It won’t go anywhere. This board is now seen as a place where a few people bi--h and complain. No executives looks at this and takes it seriously.

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Post ID: @ovq+1uPS8ReR

Anyone who commented negatively on this person’s post should be ashamed of yourself. This person shared their thoughts, and yet someone had the nerve to basically call them d-mb and ridicule them. At least they are trying to come up with potential solutions or spark ideas that might lead to more productive discussions. The real issue at CVS is the leadership’s toxic, bully-like mentality. People don’t speak up because they’re consistently met with criticism rather than constructive feedback. None of us has a perfect answer, but if we collaborated instead of constantly tearing each other down, we might actually be able to work towards a meaningful solution.

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Post ID: @psj+1uPS8ReR

Every single job will go overseas this is an International Corp. They don't need no jobs in the US can replaced. As long as you can get Prison free labor and if professional why pay?

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Post ID: @srf+1uPS8ReR

Yes, I used AI to find ways to eloquently state what I was thinking. The thoughts are my own. At least I am not coming on this site to complain or bash anyone. I am trying to find cost saving strategies. I don’t know what will work, but rather by trying to get my thoughts down on paper, maybe it will spark an idea that someone can build on. Putting someone down for their thoughts and ideas is the reason why no one in the company ever wants to speak up to begin with. I don’t need to be patronized when I just want to help. I want the layoffs to stop and for the culture to improve. So instead of telling me how stupid my ideas are, why don’t you spend some energy in coming up with ideas to help.

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Post ID: @kef+1uPS8ReR

I can see why you are low on the totem pole.

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Post ID: @vzv+1uPS8ReR

Love the health insurance premium adjustment solution…adjust premiums for plans that have had higher claims? Wow, ground-breaking idea there! Let’s set up a whole company Actuarial, Finance and Underwriting meeting and see if they’ve thought of this before

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Post ID: @zml+1uPS8ReR

AI generated.

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Post ID: @nmj+1uPS8ReR

You spent a lot of time on this....I will simplify...You can't put 5 lbs of sh-t in a 2 lb bag. Don't need a $200 per hour consultant to give you a fancy report. Think of the national deficit. Think of new arrivals needing money. It is going to break. Just kick that can down the road.

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Post ID: @ogp+1uPS8ReR

Your ideas are vague at best. Seems like you are trying to sound smart.

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Post ID: @pmm+1uPS8ReR

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