Capital District Physicians' Health Plan

Welcome, CDPHP. From where you sit in the organization, you probably realize health care is more complicated than it needs to be. What if you could be part of the solution to transform health care as we know it – to make it more affordable, predictable and simple? We believe health is what makes progress possible. Let’s embrace our relentless passion and define the future of health care – together.
Rachel Reese
Rachel Reese
Vice President, Health Plan Sales
I am looking forward to getting to know the CDPHP team and digging in to find opportunities for us to grow together and work toward improved health care for all. With the recent formation of our new health services portfolio, Evernorth, we are better positioned than ever to support you and your clients to create a better experience for your team, members and providers.

Medicare market analysis: Key insights and findings

We operate on a belief that insights can lead to better action, and our Medicare strategists will equip you with market analyses for growth planning and insight-driven conversations focused on enrollment trends, Star Ratings trends, competitive market benefits and other aspects. These analyses can be done at the state level, service area level, or county level to meet your needs. An initial look generated some insights for conversation.
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60% of Enhanced MAPD plans in your service area are offering preferred pharmacy networks

There does not appear to be a correlation between growth or quality and plans who do not use this structure, suggesting that members are tolerant of a preferred pharmacy network. Have you considered offering a preferred or performance-based network?

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Plans with $0 premium have aggregate growth rate 10x higher than those with a premium in your service area
Although those with $0 premium make up less than half of MAPD plan offerings, the exponential growth rate they can achieve creates opportunities to reinvest dollars in the plan to drive growth.
CDPHP has the least formulary edits among your top five competitors
Within your service area, you have the lowest percentage of drugs with edits on your formulary. Is this a CAHPS strategy or an opportunity to drive member behavior and value?

Powering your growth and retention

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What it takes to win
Winning doesn't happen by accident. Applying nearly a decade's worth of data and sales expertise, we've uncovered some tried and true strategies that help our health plans win and retain – and some that don't.
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Aligned in the battle against carve out
We help you tell your integrated value story. Read our latest research of the value of integration, to help ensure you have the best ammunition to tell your carve-in story and keep your edge.
Accelerate your growth strategy
Helping you win and retain your commercial clients begins with understanding your goals and the market dynamics. Working closely with your teams, we deliver market development expertise and sales support.

Seamless implementations lead to successful partnerships

Successful implementations are the result of careful planning, constant collaboration and customized strategies that balance critical priorities for the plan with specific needs and expectations for members.

While switching providers and taking on a new implementation may cause anxiety for plan sponsors, the gain nearly always outweighs the pain.
<1% <1%
of members are affected by a formulary exclusion each year1
$1.3B $1.3B
lost each year by plan sponsors not implementing solutions involving benefit changes
99.5% 99.5%
performance guarantees met across all lines of business2

Driving health care forward through innovation

I thought our most recent information on digital health, as well as a snapshot of the innovations we've introduced to the market may be of particular interest to you, as a forward-thinking organization. Many of our solutions started as pilots in collaboration with our clients. Just imagine what we could do next – together.
Innovation timeline
Innovation to transform health care
Almost every aspect of health care is undergoing a fundamental shift, especially with the emergence of new technologies.
Navigating digital health
Navigating digital health
As more U.S. consumers and health care providers demand and adopt digital health applications, health benefits leaders are challenged with where and how to invest.
Introducing Evernorth
Elevating health means reimagining how we partner. With open collaboration and unbiased guidance, we strive to deliver flexible, focused solutions under our new health services brand and portfolio.
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Our new health services portfolio: Evernorth

Explore the latest resources and insights from Evernorth

We are committed to helping you navigate changes in the dynamic health care industry.
Employer guide
A guide to investing in better health benefits
COVID-19 has accelerated the gaps in our fragmented health care system. To help employers, we partnered with Quartz to create a guide on offering personalized and data-driven solutions to employees.
Bloomberg video
A solution for life-threatening medical errors
Medical errors are the third leading cause of death in the U.S., but connecting health care to give physicians a 180-degree view of the patient can prevent many of these mistakes.
Bloomberg infographic
Health care needs a makeover
From reducing cost and complexity to increasing quality, connected care offers tremendous potential for the U.S. health care system. We partnered with Bloomberg to illustrate the possibilities connecting health care creates.
COVID Vaccine Series
COVID-19 vaccine video series
Join John Wigneswaran, MD, Vice President and General Manager as we make sense of clinical issues affecting businesses, starting with rapidly evolving news surrounding COVID-19 vaccines.

Aligned with CDPHP, we'll deliver world-class health services with a singular focus: To make health care more affordable, predictable and simple

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We build on our leading, differentiated position to lower the total cost of care
We take the surprise out of the system and help people make informed health care choices
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We make it easier for the people we serve to get the care they need
Thank you
If you have any questions or need further information, I'm here to help!
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Thank you