CVS Health Corporation (CVS): Modelo de Negócios Canvas [Jan-2025 Atualizado]

No cenário dinâmico de assistência médica e varejo, a CVS Health Corporation surge como uma potência transformadora, misturando perfeitamente serviços de farmácia, prestação de serviços de saúde e soluções de seguros. Ao integrar estrategicamente vários pontos de contato com a saúde, a CVS revolucionou como os americanos acessam, gerenciam e experimentam serviços de saúde. Desde farmácias do bairro até plataformas digitais, a inovadora modelo de negócios da empresa revela uma abordagem abrangente que vai muito além do varejo farmacêutico tradicional, criando um ecossistema holístico projetado para atender às necessidades de saúde em evolução de milhões de consumidores em todo o país.

CVS Health Corporation (CVS) - Modelo de negócios: Parcerias -chave

Fabricantes farmacêuticos e atacadistas de drogas

A CVS possui parcerias estratégicas com os principais fabricantes farmacêuticos:

Fabricante	Detalhes da parceria	Volume anual
McKesson Corporation	Distribuidor de atacado de drogas primárias	US $ 68,4 bilhões em distribuição farmacêutica (2023)
Amerisourcebergen	Parceria da cadeia de suprimentos farmacêuticos	US $ 24,5 bilhões em distribuição farmacêutica (2023)
Cardinal Health	Distribuição de medicamentos e gerenciamento da cadeia de suprimentos	US $ 21,3 bilhões em distribuição farmacêutica (2023)

Provedores de seguro de saúde e organizações de assistência gerenciada

O CVS Aetna colabora com vários parceiros de saúde:

• UnitedHealthcare: Serviços de Gerenciamento de Benefícios para Farmácia
• Humana: Integração de rede do Medicare Advantage
• CIGNA: Modelos colaborativos de prestação de serviços de saúde

Parceiro	Valor da parceria	Vidas cobertas
Aetna (subsidiária de propriedade)	US $ 69,8 bilhões em receitas de saúde (2023)	22,1 milhões de membros médicos

Rede de farmácia de varejo e clínicas de saúde

O CVS mantém extensas parcerias de farmácia e clínica:

• MinuteClinic: 1.100 locais em 33 estados
• Integração da Farmácia Target: 1.672 farmácias na loja

Provedores de solução de tecnologia e saúde digital

Parceiro de tecnologia	Foco de colaboração	Investimento
Teladoc Health	Integração de serviços de telessaúde	US $ 18,5 milhões para investimento de parceria anual
Google Cloud	Análise de dados de assistência médica	US $ 40,2 milhões em parceria tecnológica (2023)

Fabricantes de dispositivos médicos e equipamentos de saúde

Fabricante	Tipo de parceria	Aquisição anual
Medtronic	Distribuição de dispositivos médicos	US $ 3,2 bilhões em compras de equipamentos médicos
Philips Healthcare	Fornecimento de equipamentos de diagnóstico	US $ 2,7 bilhões em parceria de tecnologia médica

CVS Health Corporation (CVS) - Modelo de negócios: Atividades -chave

Distribuição de medicamentos para varejo e receita farmácia

O CVS opera 9.633 locais de farmácia de varejo a partir do quarto trimestre 2023. Os volumes totais de prescrição atingiram 1,7 bilhão em 2022. O segmento de farmácia de varejo gerou US $ 159,9 bilhões em receita para 2022.

Métrica	2022 dados
Total de farmácias de varejo	9,633
Volumes de prescrição	1,7 bilhão
Receita de farmácia de varejo	US $ 159,9 bilhões

Serviços de saúde através de MinuteClinic e HealthHub

CVS opera 1.100 locais minuteclinic nos Estados Unidos. Essas clínicas fornecem serviços médicos com um tempo médio de consulta de 15 a 20 minutos.

• Mais de 50 tipos de condições médicas tratadas
• Vacinas e serviços de imunização
• Exibições básicas de saúde

Serviços de Gerenciamento de Benefícios de Farmácia (PBM)

O CVS Caremark gerencia os benefícios da farmácia para 94 milhões de membros do plano. O segmento PBM gerou US $ 137,3 bilhões em receita para 2022.

Métrica PBM	2022 dados
Membros do plano	94 milhões
Receita PBM	US $ 137,3 bilhões

Administração de Seguro de Saúde através da Aetna

Aetna, de propriedade de CVS, serve 39 milhões de membros médicos. O segmento de seguro de saúde gerou US $ 86,4 bilhões em receita para 2022.

• Planos de saúde individuais e em grupo
• Cobertura do Medicare e Medicaid
• Seguro odontológico e de visão

Plataforma de saúde digital e serviços de telessaúde

A CVS Digital Platform suporta mais de 10 milhões de usuários digitais ativos. As consultas de telessaúde aumentaram 250% entre 2020-2022.

Métrica de Saúde Digital	Dados
Usuários digitais ativos	10 milhões
Crescimento da consulta de telessaúde	250%

CVS Health Corporation (CVS) - Modelo de negócios: Recursos -chave

Extensa rede de farmácias de varejo

A CVS Health opera 9.633 locais de farmácia de varejo nos Estados Unidos a partir de 2023. A rede inclui:

Tipo de farmácia	Número de locais
Lojas de farmácia CVS	9,633
Locais minuteclinic	1,100

Tecnologia avançada de saúde e infraestrutura digital

Os recursos tecnológicos da CVS Health incluem:

• Plataforma de saúde digital com 55 milhões de usuários ativos
• US $ 4,1 bilhões investidos em tecnologia de saúde digital em 2022
• Sistema de Gerenciamento de Prescrição Avançada

Reconhecimento da marca e recursos intelectuais

Avaliação da marca da CVS Health e recursos intelectuais:

Métrica da marca	Valor
Classificação de valor da marca	37º globalmente
Valor da marca	US $ 31,4 bilhões

Recursos da força de trabalho

O capital humano da CVS Health inclui:

• Total de funcionários: 259.500 a partir de 2022
• Farmacêuticos: aproximadamente 30.000
• Profissionais de saúde: mais de 40.000

Análise de dados e gestão da saúde do paciente

Capacidades de dados e análises -chave:

Recurso de dados	Métrica
Registros de saúde do paciente gerenciados	Mais de 75 milhões
Reivindicações anuais de saúde processadas	1,5 bilhão

CVS Health Corporation (CVS) - Modelo de negócios: proposições de valor

Soluções abrangentes de saúde e bem-estar

A CVS Health oferece um ecossistema integrado de assistência médica com US $ 322,5 bilhões em receita total para 2022, fornecendo serviços abrangentes em vários segmentos de saúde.

Categoria de serviço	Receita anual (2022)
Serviços de Farmácia	US $ 159,9 bilhões
Benefícios de saúde	US $ 127,1 bilhões
Varejo/LTC	US $ 35,5 bilhões

Farmácia e serviços médicos convenientes e acessíveis

A CVS opera 9.633 locais de varejo e 1.134 locais minuteclinic a partir de 2022, fornecendo acesso generalizado em saúde.

• Mais de 40 milhões de membros de gerenciamento de benefícios de farmácia
• Aproximadamente 5 milhões de membros de seguros médicos
• Mais de 10.000 profissionais de saúde em clínicas de varejo

Cobertura integrada de prestação de serviços de saúde e seguro

A Aetna Health Insurance Subsidiária oferece cobertura abrangente com US $ 75,6 bilhões em prêmios de seguro de saúde para 2022.

Segmento de seguro	Vidas cobertas
Seguro médico	22,1 milhões de membros
Seguro odontológico	11,5 milhões de membros
Planos do Medicare	5,4 milhões de membros

Gerenciamento de saúde personalizado e suporte de medicamentos

As plataformas de saúde digital do CVS processam mais de 1,5 bilhão de transações prescritas anualmente com tecnologias avançadas de gerenciamento de medicamentos.

• Serviços de recarga de prescrição digital
• Programas de aderência à medicação
• Consultas de telessaúde

Serviços de saúde e medicamentos de prescrição econômicos

O CVS oferece economia de prescrição com reduções médias de custos de medicamentos prescritos anuais de 15 a 20% por meio de estratégias de gerenciamento de benefícios da farmácia.

Estratégia de redução de custos	Economia anual
Substituição de medicamentos genéricos	US $ 3,8 bilhões
Preços negociados de drogas	US $ 2,5 bilhões
Otimização da rede de farmácias	US $ 1,2 bilhão

CVS Health Corporation (CVS) - Modelo de Negócios: Relacionamentos do Cliente

Programas de fidelidade e rastreamento de saúde personalizado

Programa CVS Extracare Rewards com 70 milhões de membros ativos a partir de 2023, gerando US $ 4,2 bilhões em receita de fidelidade do cliente. O rastreamento de saúde personalizado por meio de plataformas digitais atinge 45% dos membros ativos.

Métrica do programa	2023 dados
Membros ativos totais	70 milhões
Receita de lealdade	US $ 4,2 bilhões
Penetração de rastreamento de saúde digital	45%

Aplicativo móvel digital e gerenciamento de prescrição online

CVS Pharmacy Mobile App com 35 milhões de usuários ativos. Processamento de gerenciamento de prescrição on -line 150 milhões de prescrições digitais anualmente.

• Usuários de aplicativos móveis: 35 milhões
• Prescrições digitais processadas: 150 milhões por ano
• Taxa de recarga de prescrição digital: 68%

Serviços de suporte ao cliente na loja e virtual

A CVS opera 9.900 locais de varejo com suporte ao cliente integrado. Serviços virtuais de telessaúde que apoiam 15 milhões de consultas de pacientes em 2023.

Canal de suporte	2023 volume
Locais de varejo	9,900
Consultas de telessaúde	15 milhões

Recomendações de saúde personalizadas e intervenções

CVS Aetna Health Platform, fornecendo intervenções personalizadas para 22 milhões de membros com programas de gerenciamento de condições crônicas.

• Membros de gerenciamento de condições crônicas: 22 milhões
• Taxa de intervenção de saúde personalizada: 62%
• Economia média anual de saúde por membro: US $ 1.245

Exibições regulares de saúde e iniciativas de cuidados preventivos

CVS MinuteClinic, oferecendo 25 milhões de exames de saúde preventivos anualmente em 1.100 locais.

Métrica de cuidados preventivos	2023 dados
Locais minuteclinic	1,100
Exibições anuais de saúde	25 milhões
Serviços de vacinação	12,5 milhões de doses

CVS Health Corporation (CVS) - Modelo de Negócios: Canais

Locais de farmácia de varejo em todo o país

A partir de 2024, a CVS opera 9.478 locais de farmácia de varejo nos Estados Unidos.

Tipo de canal	Número de locais	Cobertura geográfica
Farmácias de varejo	9,478	50 estados dos EUA
Locais minuteclinic	1,135	33 estados

Plataformas digitais online e móvel

As plataformas digitais CVS incluem:

• Site cvs.com
• CVS Mobile App
• Gerenciamento de prescrição digital

Estatísticas da plataforma digital:

Canal digital	Usuários ativos mensais
CVS Mobile App	24,3 milhões
Cvs.com	42,7 milhões de visitantes mensais

Centros de Saúde Minuteclinic Walk-In

O CVS opera 1.135 locais minuteclinic em 33 estados.

Serviços de telessaúde e consulta virtual

Os serviços de telessaúde do CVS fornecem:

• Consultas de atenção primária virtual
• Serviços de Saúde Mental
• Gerenciamento de condições crônicas

Serviço de telessaúde	Consultas anuais
Atenção primária virtual	3,2 milhões
Serviços de Saúde Mental	1,8 milhão

Canais de marketing direto e comunicação do cliente

O CVS utiliza vários métodos de comunicação direta:

• Marketing por e -mail
• Notificações de SMS
• Recomendações de saúde personalizadas

Canal de comunicação	Usuários registrados
Lista de marketing por e -mail	68,5 milhões
Alertas de saúde do SMS	42,3 milhões

CVS Health Corporation (CVS) - Modelo de negócios: segmentos de clientes

Consumidores de farmácias de varejo

A partir de 2023, a CVS Health opera 9.633 locais de farmácia de varejo nos Estados Unidos. A empresa atende a aproximadamente 5 milhões de clientes diariamente por meio de sua rede de farmácias de varejo.

Características do segmento de clientes	Total de clientes	Gastos anuais
Consumidores de farmácias de varejo	1,8 bilhão de prescrição preenche anualmente	US $ 292,5 bilhões em vendas totais de varejo

Indivíduos com necessidades de seguro de saúde

A Divisão de Seguro de Saúde da CVS Aetna abrange 22,1 milhões de membros médicos a partir de 2023.

• Inscrição de mercado individual: 3,4 milhões de membros
• Planos de vantagem do Medicare: 4,6 milhões de membros
• Seguro do grupo comercial: 14,1 milhões de membros

Pacientes crônicos de gerenciamento de doenças

O CVS gerencia serviços de saúde por aproximadamente 5,5 milhões de pacientes com condições crônicas.

Condição crônica	População de pacientes
Diabetes	2,1 milhões de pacientes
Hipertensão	1,8 milhão de pacientes
Doença cardíaca	1,6 milhão de pacientes

Clientes corporativos e de saúde do empregador

A CVS fornece serviços de saúde a 5.400 clientes corporativos em todo o país.

• Fortune 500 Empresas servidas: 2.300
• Pequenas a médias empresas: 3.100
• Total de funcionários cobertos: 48,3 milhões

Beneficiários do Medicare e Medicaid

O CVS atende 12,6 milhões de beneficiários do Medicare e Medicaid por meio de vários programas de saúde.

Programa	Total de beneficiários
Vantagem do Medicare	4,6 milhões
Cuidado gerenciado do Medicaid	8 milhões

CVS Health Corporation (CVS) - Modelo de negócios: estrutura de custos

Gerenciamento de inventário de farmácia e cadeia de suprimentos

O inventário de farmácias e os custos da cadeia de suprimentos da CVS Health em 2023 foram de aproximadamente US $ 186,3 bilhões. A empresa mantém uma rede complexa de cadeia de suprimentos com a seguinte quebra de custo:

Categoria de custo	Despesa anual
Compras de inventário farmacêutico	US $ 142,7 bilhões
Logística e distribuição	US $ 23,9 bilhões
Operações de armazém	US $ 19,7 bilhões

Salários e benefícios profissionais de saúde

O total de despesas de pessoal para a CVS Health em 2023 atingiu US $ 48,6 bilhões, com o seguinte detalhamento detalhado:

• Salários anuais do farmacêutico: US $ 6,3 bilhões
• Enfermeira Remuneração: US $ 2,1 bilhões
• Salários da equipe administrativa: US $ 12,4 bilhões
• Benefícios profissionais de saúde: US $ 7,8 bilhões
• Treinamento e desenvolvimento: US $ 1,2 bilhão

Investimentos de tecnologia e infraestrutura digital

A CVS Health investiu US $ 3,7 bilhões em tecnologia e infraestrutura digital durante 2023, com alocações específicas:

Área de investimento em tecnologia	Gasto
Plataformas de saúde digital	US $ 1,2 bilhão
Infraestrutura de segurança cibernética	US $ 624 milhões
Sistemas eletrônicos de registro de saúde	US $ 892 milhões
AI e tecnologias de aprendizado de máquina	US $ 534 milhões

Manutenção de localização imobiliária e de varejo

Os custos de manutenção imobiliários e de localização de varejo da CVS Health totalizaram US $ 5,6 bilhões em 2023:

• Aluguel e arrendamento da loja de varejo: US $ 2,9 bilhões
• Renovação e manutenção da loja: US $ 1,4 bilhão
• Utilitários e operações: US $ 1,3 bilhão

Despesas de marketing e aquisição de clientes

As despesas de marketing para a CVS Health em 2023 totalizaram US $ 2,8 bilhões:

Canal de marketing	Gastos
Marketing digital	US $ 1,2 bilhão
Publicidade tradicional da mídia	US $ 892 milhões
Programas de fidelidade do cliente	US $ 436 milhões
Campanhas de marketing direto	US $ 272 milhões

CVS Health Corporation (CVS) - Modelo de negócios: fluxos de receita

Vendas de medicamentos prescritos

A CVS Health gerou US $ 159,9 bilhões em vendas de medicamentos prescritos para o ano fiscal de 2022. A Companhia processou aproximadamente 1,5 bilhão de prescrições anualmente.

Segmento de prescrição	Receita anual
Prescrições de farmácia de varejo	US $ 83,5 bilhões
Prescrições de farmácias de ordem de correio	US $ 42,3 bilhões
Prescrições de farmácia de cuidados de longo prazo	US $ 34,1 bilhões

Taxas de gerenciamento de benefícios de farmácia

A CVS Caremark gerou US $ 77,4 bilhões em receitas de serviço de gerenciamento de benefícios de farmácia (PBM) para 2022.

• Taxa administrativa média do PBM por membro: US $ 15,20
• Total de vidas cobertas sob gerenciamento de PBM: 94 milhões

Prêmios de seguro de saúde

A Aetna, de propriedade da CVS Health, registrou US $ 86,9 bilhões em receitas de prêmios de seguro de saúde em 2022.

Segmento de seguro	Receita premium anual
Seguro comercial	US $ 52,3 bilhões
Seguro do Medicare	US $ 24,6 bilhões
Seguro Medicaid	US $ 10,0 bilhões

Vendas de produtos de varejo

O segmento de varejo do CVS gerou US $ 75,2 bilhões em vendas de produtos não farmácias para 2022.

• Produtos de saúde e bem -estar: US $ 28,6 bilhões
• Cosméticos e cuidados pessoais: US $ 22,4 bilhões
• Mercadoria geral: US $ 24,2 bilhões

Serviços de saúde e cobranças de consulta clínica

Os serviços MinuteClinic e HealthHub geraram US $ 4,5 bilhões em receitas de serviço clínico para 2022.

Tipo de serviço clínico	Receita anual
Serviços de clínica walk-in	US $ 2,3 bilhões
Consultas de telessaúde	US $ 1,2 bilhão
Serviços Clínicos Especiais	US $ 1,0 bilhão

CVS Health Corporation (CVS) - Canvas Business Model: Value Propositions

Lowering the total cost of care through integrated services

CVS Health Corporation delivers value by tying payments to quality outcomes, which drives care quality up and costs down.

• Oak Street Health's value-based care model resulted in a 44% reduction in hospital admissions compared to similar Medicare patient populations.
• Integrated mental and physical health models in clinics have shown a decrease in total cost of care by about 10 to 14%.

Transparent drug pricing models like CVS CostVantage and TrueCost

CVS Health introduced new pharmacy reimbursement models planned for launch in 2025 to bring greater transparency.

• CVS CostVantage, a cost-based reimbursement approach, was planned for launch with PBMs for commercial payors in 2025.
• CVS Caremark TrueCost, an optional PBM program reflecting true net drug costs with visibility into administrative fees, was also planned for launch in 2025.
• The pharmacy segment posted a top-line growth of 12.5% and Adjusted Operating Income (AOI) growth of 7.6%, partly fueled by the CostVantage reimbursement model.

Convenient, local access to pharmacy and primary care services

The physical footprint provides accessible touchpoints for consumers to receive care.

• As of June 30, 2025, CVS Health operated approximately 9,000 retail pharmacy locations.
• The company maintained more than 1,000 walk-in and primary care medical clinics as of June 30, 2025.
• MinuteClinics treat about 5 million patients, with roughly half lacking a relationship with a primary care provider or not having seen one in years.
• The national average wait time for a primary care appointment is about 26 days, but some MinuteClinic patients reported waiting between three months and a year to see their PCP.
• Trust in pharmacists remains strong, with 77% of adults trusting their local pharmacist and 84% viewing pharmacies as credible health care sources.
• 80% of patients prefer face-to-face pharmacy care.

Comprehensive health insurance plans (Medicare, Medicaid, Commercial)

CVS Health Corporation, through Aetna, offers a broad range of insurance products.

Metric	Value/Amount	Context/Date
CVS Caremark Plan Members (PBM)	Approximately 87 million	As of June 30, 2025
People Served by Health Insurance Products	Estimated more than 37 million	As of June 30, 2025
Aetna MA Members in 4-Star Plans or Higher	Over 81%	For 2026 Star Ratings (enrollment as of September 2025)
Aetna MA Members in 4.5-Star Plans	Over 63%	For 2026 Star Ratings (enrollment as of September 2025)
Aetna MAPD Plan Footprint	44 states plus Washington, D.C.	For 2025
Aetna MAPD Plan Counties Offered	2,259 counties	For 2025
Total Medicare Members (Aetna)	About 10.5 million	Including 4.3 million in individual or employer group MA plans (enrollment as of September 2025)
Aetna Medical Loss Ratio (MLR)	87.3% (Q1 2025) vs. 90.4% (Q1 2024)	First Quarter 2025

Management of complex, high-cost conditions like GLP-1 usage

CVS Health Corporation utilizes its Weight Management program to optimize GLP-1 effectiveness and manage costs.

• CVS Caremark clients adopting the program spent up to 26% less on GLP-1 medications for weight loss compared to non-adopting clients.
• 92% of participating plan members reported satisfaction after six months in the program.
• As of February 1, 2025, the program was available to more than 3.5 million CVS Caremark plan members.
• Members who previously lost less than 1% body weight on medication achieved an average loss of 11.7% after enrollment-a 13x improvement.
• Participants with moderate pre-program success reached an average weight loss of 20%.
• Members who discontinued anti-obesity medication but kept lifestyle support retained 94% of their weight loss after 6 months.

CVS Health Corporation (CVS) - Canvas Business Model: Customer Relationships

You're looking at how CVS Health Corporation manages its relationship with the vast number of people it serves, which, as of Q1 2025, totaled approximately 185 million consumers across its integrated businesses. This relationship strategy blends high-tech automation with crucial in-person, specialized care.

The relationship strategy is multi-faceted, catering to different customer needs, from the everyday retail shopper to the complex needs of a Medicare Advantage enrollee.

Automated digital self-service via the all-in-one mobile app

CVS Health pushes digital engagement, understanding that self-service tools directly impact loyalty. Patients who register on the website and use text alerts typically show a higher Net Promoter Score (NPS) compared to those who don't use these digital capabilities. Furthermore, the AI and machine learning powering Next Best Actions (NBAs) for Aetna members have driven a 5% increase in medication adherence for Commercial members managing chronic conditions. This shows the digital relationship is designed to be proactive, not just transactional.

Personalized, high-touch care at Oak Street Health centers

The relationship here is deep and focused on value-based care for seniors. While CVS Health is rightsizing the footprint, closing 16 Oak Street Health Centers (or 7% of the total) by early 2026 due to cost pressures, the remaining network is substantial. Following these closures, CVS Health will operate 230 Oak Street Health sites across 27 states. These centers focus on Medicare beneficiaries, who average 69 years of age and often manage multiple conditions. The high-touch model has demonstrated clinical impact, achieving a 44% reduction in hospital admissions for its patients compared to similar Medicare patients. The acquisition itself cost more than $10 billion two years prior.

Here's a look at the scale and impact of the integrated care delivery assets:

Metric	Data Point	Context/Timeframe
Operating Oak Street Health Centers	230	Post-closure, across 27 states (Late 2025/Early 2026)
Hospital Admission Reduction (OSH)	44%	Compared to similar Medicare patients
Older Adults Receiving Medication Screening (MinuteClinic)	342,240	Between 2021 and August 2025
Total Consumers Served (All Businesses)	Approx. 185 million	Q1 2025

Pharmacist-patient consultations and medication reviews in-store

The retail pharmacy remains a core relationship touchpoint. A key metric here is patient trust in the clinical staff; 90% of patients report being extremely satisfied with their pharmacists' ability to answer their questions effectively. This satisfaction is a primary driver of the Net Promoter Score (NPS). Furthermore, the company has been focused on freeing up pharmacists' time, for example, by launching virtual verification to allow them to focus more on patient interaction rather than administrative tasks.

Dedicated account management for PBM and Aetna corporate clients

For large clients, the relationship is managed through dedicated structures, especially within the Aetna insurance arm and the CVS Caremark PBM. As of June 30, 2025, Aetna medical membership stood at 26.7 million members. A significant move to simplify the client/member experience for Aetna members involved integrating pharmacy prescriptions and medical procedures into a single clinical review process, announced in December 2025, aiming to reduce the need for multiple prior authorizations.

Empathetic support for complex claims and benefit navigation

Navigating benefits is critical for member retention. Aetna's Medicare Advantage (MA) plans are a key focus for this relationship. For 2026, 81% of Aetna members are enrolled in plans with four or more stars, a slight drop from 88% in 2025, which signals ongoing navigation or cost pressures in that segment. However, select 2025 MA plans offer $0 copay for primary care visits, directly addressing affordability concerns. Overall, 85% of Americans live within 10 miles of a CVS Pharmacy, ensuring physical access is rarely a barrier to support.

• 85% of Americans live within 10 miles of a CVS Pharmacy.
• Aetna MA Star Rating for 2026: 81% of members in 4+ star plans.
• Aetna MA Star Rating for 2025: 88% of members in 4+ star plans.
• Select Aetna 2025 plans offer $0 copay for primary care visits.

CVS Health Corporation (CVS) - Canvas Business Model: Channels

You're looking at how CVS Health Corporation (CVS) gets its value propositions to its customers across its massive ecosystem. It's not just one storefront anymore; it's a complex web of physical and digital touchpoints, which is key to understanding their scale as of late 2025.

The physical footprint remains substantial, even with ongoing optimization. As of September 30, 2025, CVS Health operated approximately 9,000 retail pharmacy locations across the United States. This density means nearly 85% of Americans live within 10 miles of a CVS Pharmacy, which is a massive advantage for immediate care access. However, this channel is actively being streamlined; the company confirmed plans to close 270 stores in 2025 as part of an enterprise-wide restructuring effort intended to simplify the organization and reduce costs. Also part of the physical delivery network are the care delivery sites, which included more than 1,000 walk-in and primary care medical clinics, such as MinuteClinic and Oak Street Health locations, as of that same September date.

The integrated care delivery model is channelled through these clinics. For instance, Aetna Medicare plans in 2025 feature a $0 primary care copay, including walk-in clinics, directly driving utilization through this channel.

For prescription fulfillment beyond the retail counter, CVS Caremark manages large-scale distribution. This includes mail-order and specialty pharmacy services. CVS Caremark, acting as a leading pharmacy benefits manager, served approximately 87 million plan members as of September 30, 2025. Through CVS Caremark Mail Service, members can receive up to 90-day supplies of maintenance medications with no delivery fee. For complex needs, CVS Specialty handles specialty medications, offering 24/7 access to trained pharmacists and nurses.

Digital channels are a major focus for deepening customer connection. CVS Health now serves more than 47 million unique digital customers. These digital users are, on average, twice as engaged as non-digital customers and drive higher margins. In January 2025, CVS Health replaced its legacy app with a new, all-in-one solution designed to improve access, affordability, and convenience for these customers. This platform allows management of prescriptions across CVS Pharmacy stores, CVS Caremark mail orders, and CVS Specialty pharmacies. Furthermore, CVS Health announced plans to invest $20 billion over the next 10 years to build a more technology-enabled, open, and interoperable digital health platform.

The insurance arm, Aetna, utilizes its own dedicated channels for member acquisition and service. Aetna, a CVS Health business, serves an estimated more than 37 million people through its health insurance products as of late 2025. For 2025 Medicare Advantage offerings, Aetna plans were available in 44 states plus Washington, D.C., covering 2,259 counties. While specific numbers for the direct sales force aren't readily available, the structure relies on sales professionals and broker networks, as evidenced by 2025 incentive programs for small group medical sales that reward brokers based on new business and retention metrics. Aetna Medicare serves about 10.5 million Medicare members nationwide in 2025.

Here's a quick look at the scale across these primary access points:

Channel Type	Metric	Data Point (as of late 2025)
Retail Pharmacy	Approximate Store Count	9,000 locations
Care Delivery	Primary Care/Walk-in Clinics	Over 1,000 clinics
PBM/Mail Order	CVS Caremark Plan Members	Approximately 87 million members
Insurance (Aetna)	Total People Served	Estimated more than 37 million people
Digital	Unique Digital Customers	More than 47 million

The digital strategy is designed to connect these disparate services. The new CVS Health app helps users manage prescriptions across all three pharmacy types:

• CVS Pharmacy retail fulfillment
• CVS Caremark mail orders
• CVS Specialty pharmacies

The company is defintely pushing for an omni-channel experience, connecting face-to-face and virtual care.

CVS Health Corporation (CVS) - Canvas Business Model: Customer Segments

You're looking at the core groups CVS Health Corporation serves as of late 2025, which is a massive and diverse set of stakeholders across the entire healthcare value chain.

Health plan sponsors (employers, unions, government entities) are key customers for the Health Services segment, primarily through CVS Caremark, the pharmacy benefits manager (PBM).

• CVS Caremark had approximately 87 million plan members as of June 30, 2025.
• The PBM membership reached almost 88 million as of March-end 2025.
• The Health Care Benefits segment saw revenue increase 8% in Q1 2025.
• The Medical Loss Ratio (MLR) for the health plans decreased to 92.8% in the three months ended September 30, 2025.

Health insurance members (Aetna, Medicare Advantage, Medicaid) form the base of the Health Care Benefits segment.

• CVS Health serves an estimated more than 37 million people through its health insurance products as of June 30, 2025.
• Aetna served about 10.5 million Medicare members nationwide as of October 1, 2024.
• Aetna's largest Employer Group Medicare Advantage contract (H5522) serves over 1.3 million members.
• Aetna's Individual Medicare Advantage contract (H5521) serves 1.1 million members across 33 states.
• For 2026, Aetna plans to offer Medicare Advantage Prescription Drug plans accessible by 57 million Medicare-eligible beneficiaries.
• For 2026 plans, over 81% of Aetna Medicare Advantage members are in plans rated 4 stars or higher.
• Over 63% of Aetna Medicare Advantage members are in a 4.5-star plan for 2026.

Individual retail consumers for prescriptions and front-of-store products are served by the Pharmacy & Consumer Wellness segment.

Metric	Value as of Late 2025 Data
Retail Pharmacy Locations	Approximately 9,000 as of March 31, 2025
Retail Pharmacy Script Share (Q1 2025)	27.6%
Q1 2025 Prescriptions Filled (30-day basis)	435.5 million
Q1 2025 Same Store Prescription Volume Growth	6.7%
Q1 2025 Pharmacy & Consumer Wellness Total Revenues	$31,912 million
Patient Preference for Face-to-Face Care	80%

Retail pharmacy remains a vital touchpoint; honestly, nearly 85% of Americans live within 10 miles of a CVS pharmacy.

Patients seeking primary care at Oak Street Health and MinuteClinic represent the Health Care Delivery component, focused heavily on seniors.

• CVS operates more than 1,000 walk-in and primary care medical clinics as of March 31, 2025.
• Oak Street Health patients are Medicare beneficiaries averaging 69 years of age.
• Oak Street Health achieved a 44% reduction in hospital admissions compared to similar Medicare patients.
• MinuteClinic provided medication screening to 342,240 older adults between 2021 and August 2025.
• CVS determined it would reduce the number of new primary care clinics opened in 2026 and thereafter.
• The company incurred a $5.7 billion goodwill impairment charge related to the Health Care Delivery reporting unit in Q3 2025.

Long-Term Care (LTC) facilities and institutional customers are served through specialized pharmacy services.

• The dedicated senior pharmacy care business serves more than 800,000 patients per year as of June 30, 2025.
• The Pharmacy & Consumer Wellness segment provides pharmacy services to long-term care facilities.

Overall, CVS Health's operations support 1.3 million jobs nationwide and serve 185 million individuals across the U.S.. Finance: draft Q4 2025 segment revenue projections by next Tuesday.

CVS Health Corporation (CVS) - Canvas Business Model: Cost Structure

You're looking at the major drains on CVS Health Corporation's cash flow as of late 2025. Honestly, the cost structure is a mix of massive operational scale and significant one-time charges.

Cost of Revenue and Pharmacy Pressures

The largest cost component is tied up in the cost of goods sold, primarily pharmaceutical procurement and claims expenses, which underpins the record third quarter total revenues of $102.9 billion. Within the Pharmacy & Consumer Wellness (PCW) segment, adjusted operating income decreased year over year, driven by continued pharmacy reimbursement pressure and increased investments in colleagues and capabilities. Management specifically cited contract mix, including slower growth in GLP-1 compounding and dynamics in specific autoimmune/HIV products, as a source of pressure on the Health Services segment's adjusted operating income.

Medical Benefit Ratio (MBR) Management for Aetna

For the Aetna health insurance side, managing the Medical Benefit Ratio (MBR) is a critical cost control focus. For the three months ended September 30, 2025, the MBR decreased to 92.8%, an improvement from 95.2% in the prior year period. This favorable movement was driven by the year-over-year impact of premium deficiency reserves recorded as health care costs, higher favorable prior period development, and improved underlying performance in the Government business.

Store Operations and Employee Costs

The massive retail footprint necessitates substantial fixed and variable costs related to store operations and employee compensation. CVS Health Corporation operates over 9,000 stores primarily in the US. A key operational cost driver recently has been the integration of acquired assets; the company noted retail script share grew to approximately 28.9%, fueled by the conversion of 63 stores and 626 prescription files from former Rite Aid and Bartell locations.

Capital Expenditures for Growth and Maintenance

Investment in the physical and digital infrastructure remains a steady cost. CVS Health Corporation maintains its capital expenditures projection for the full year 2025 to be between $2.9 billion and $3.1 billion. Looking at the immediate past, the cash flow for capital expenditures for the trailing twelve months ended in September 2025 was $-2,816.00 Mil. Here's a quick look at the projected and recent CapEx figures:

Metric	Amount (USD)
Projected Full-Year 2025 CapEx Range	$2.9 billion to $3.1 billion
Trailing Twelve Months (TTM) CapEx (As of Sep. 2025)	$-2,816.00 Million
Q3 2025 Quarterly CapEx	$-698 Million

Integration and Restructuring Charges

Significant non-operational, but real, costs hit the bottom line in Q3 2025. The company incurred a $5.7 billion goodwill impairment charge related to the Health Care Delivery reporting unit. This charge was the primary driver behind the GAAP diluted loss per share of $(3.13) for the quarter. The operating loss in Q3 2025 was also influenced by the absence of approximately $1.2 billion of restructuring charges that were recorded in the prior year period. The decision to temper Oak Street Health clinic growth over the next few years was cited as the primary reason for the goodwill write-down.

• Goodwill Impairment Charge (Q3 2025): $5.7 billion
• Restructuring Charges Absent (Q3 2025 vs. PY): Approximately $1.2 billion offset
• Impact on GAAP EPS (Q3 2025): $(3.13) loss per share

Finance: draft 13-week cash view by Friday.

CVS Health Corporation (CVS) - Canvas Business Model: Revenue Streams

You're looking at the core ways CVS Health Corporation brings in cash as of late 2025. It's a complex mix, reflecting their three main operating segments. Honestly, the numbers show a heavy reliance on the flow of prescriptions and managing insurance risk.

The total revenue for the third quarter of 2025 hit a record high of $102.9 billion, which was up 7.8% compared to the prior year quarter. This top-line performance is the sum of the three major business units, each with its own distinct revenue mechanism.

Here is a breakdown of the key revenue components based on the third quarter of 2025 performance:

Revenue Stream Category	Q3 2025 Reported Amount (Billions USD)	Primary Driver/Context
Health Services revenue	$49.3 billion	Pharmacy Benefit Management (PBM) services and provider services like Oak Street Health. Segment revenue grew over 11% year-over-year.
Pharmacy & Consumer Wellness revenue	$36.2 billion	Retail pharmacy sales, prescription volume, and consumer product sales. Revenue increased nearly 12% versus the prior year quarter.
Health Care Benefits revenue	$36.0 billion	Insurance premiums, primarily from the Aetna subsidiary. Growth was driven by increases in the Government business, largely due to the impact of the Inflation Reduction Act (IRA) on Medicare Part D.
Total Consolidated Revenue (for context)	$102.9 billion	Sum of all operating segments for Q3 2025.

The revenue from the Health Services segment, which includes CVS Caremark, is generated through several avenues tied to managing drug benefits and care delivery. You should note the strategic shift in how dispensing revenue is recognized.

• Pharmacy Benefit Manager (PBM) services revenue, driven by contract wins totaling nearly $6.0 billion in the selling season.
• Provider services revenue from the Health Care Delivery unit, which includes Oak Street Health assets.
• The segment saw a decrease in adjusted operating income of 7.0% due to continued pharmacy client price improvements.

For the Pharmacy & Consumer Wellness segment, the revenue model is shifting to provide more predictable income streams for the retail pharmacies. This is a big deal for the company's near-term stability.

Pharmacy dispensing fees and markups are now governed by the CostVantage model for commercial payers, which CVS Health successfully converted contracts to for 2025. This means reimbursement is based on:

• The actual cost of the drug.
• A defined markup on that cost.
• An additional pharmacist fee for handling and dispensing the medication.

The company plans to transition several government services programs to this cost-based pricing model in 2026. Retail script share rose to 28.9%.

Investment income from cash reserves and float is a secondary, but important, component, particularly for the Health Care Benefits segment. While specific Q3 2025 figures aren't immediately available, we know that in the prior year, an increase in net investment income helped offset utilization and acuity pressures in the Health Care Benefits segment. This income is generated from managing the large cash balances and insurance float held by the Aetna business.

The full-year 2025 total revenue guidance was raised to at least $397 billion.

Finance: draft 13-week cash view by Friday.