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Larry Merlo
Former President & Chief Executive Officer, CVS Health

Karen S. Lynch, EVP, CVS Health & President at Aetna & Larry Merlo, President and CEO at CVS Health

🎥 Oct 28, 2020 📺 HLTH ⏱ 22m 👁 2473 views
"Driving Innovation in the New Health Care Landscape" - Karen S. Lynch, EVP, CVS Health & President at Aetna & Larry Merlo, President and CEO at CVS Health with moderator Debra Richman, Managing Director, Alvarez & Marsal
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About Larry Merlo

Larry Merlo, former President and CEO of CVS Health, stated that the company was prepared to begin administering COVID-19 vaccinations within 48 hours of receiving a vaccine allocation. He said that CVS had been working with Operation Warp Speed and the CDC, and that the company's first involvement would be in long-term care facilities, with 10,000 healthcare professionals ready to administer the vaccine. Merlo also noted that CVS had conducted over seven million COVID-19 tests and had built mobile kiosks to bring testing to underserved communities. Merlo discussed CVS Health's acquisition of Aetna, describing it as an opportunity to create a new healthcare platform that is simpler and less expensive for consumers. He said that the combination of CVS and Aetna would allow the company to become more of a healthcare destination, addressing chronic disease management and reducing overall healthcare costs. Merlo also addressed the opioid crisis, stating that CVS would "vigorously defend" its actions and that the company was not "on the hook" for the crisis.

Source: AI-verified profile updated from Larry Merlo's recent appearances. Browse all interviews →

Transcript (20 segments)
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Deborah Richmond0:30
Hi, I'm Deborah Richmond. It's my pleasure to introduce you to two outstanding thought leaders in our industry: Larry Merlo and Karen Lynch. I'd like to first introduce Larry Merlo. Larry is President and Chief Executive Officer of CVS Health, a Fortune 5 company that touches more than 100 million people each year through its unique combination of assets, including nearly 10,000 retail locations and more than 1,000 walk-in medical clinics, a leading pharmacy benefit manager, a major healthcare benefits provider, as well as a dedicated senior pharmacy care business and expanding specialty pharmacy services. I'd also like to introduce Karen Lynch as Executive Vice President of CVS Health and President of Aetna Business Unit. Karen has led the organization's response to COVID-19 across its retail, PBM, and healthcare benefits businesses, leveraging the full scope of the company's resources and capabilities for its 300,000 employees, 22 million medical members, and millions of other customers who rely on CVS Health every day.
Larry, I'd like to begin with my first question to you. Larry, the COVID-19 pandemic presented a crisis of unprecedented scope. What did this mean for CVS Health, a company that touches consumers and the healthcare system in a number of ways? And how do you think about your role in supporting Americans during this time?
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Larry Merlo1:54
Well, Deborah, thanks for the question, and it's great to be here with everyone. Look, as we think about all of the things that we're prepared for, and I think every company in America has things like disaster recovery plans, a common denominator for those plans is often times they're geographically concentrated, they're time-based in that they have a beginning, they have an end. And you know, this is very different what we're experiencing with the pandemic. It's coast to coast, quite frankly, it's across the globe. And as we sit here in this tremendous period of uncertainty, it certainly is not time-based. We don't know when it will end. And as a company, at the same time while this pandemic has been going on, we're about 20 months into transforming our business with CVS Health and Aetna coming together as one company. We have been working to become a more diversified health services company with the strategic goal of meeting people where they are in terms of providing more accessibility, making it simpler to use and access health-related services, and in doing so, help individuals achieve their best health and reduce overall healthcare costs. So the pandemic really became an opportunity to reprioritize elements of that transformation journey to deliver health services, create new solutions, and make them accessible in non-traditional settings. And said another way, it really brought our strategy to life in a much more meaningful way. And all of this points to the fact that CVS Health, our CVS pharmacies within our business unit, is much more than just a drugstore. And it really speaks to the strength of the diversification that this business model brings in terms of working across our three core businesses to drive new solutions.
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Deborah Richmond4:04
Thank you, Larry. Karen, you've led CVS Health's COVID response across all of the company's assets and businesses. There's clearly no playbook for this. How did you approach operationalizing your response with all of the uncertainty around the businesses?
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Karen Lynch4:19
Well, hi, Deborah, and hello everyone. Mobilizing a company as large and complex as CVS required a lot of tactical precision, but at the same time, we needed to make sure that we were humanizing our approach to stay true to our core values. And what we did was, our first and foremost priority was to take care of the health and safety of our employees as well as our customers. And immediately, what we did was we rapidly put up a task force of a cross-functional team all across the company. And what that led us to do was to make sure that we were mobilizing all the resources that we had to make sure that we were there. We were an essential workforce for people in the country. And we set up these guiding principles that led us to make decisions very rapidly to mobilize our resources where we needed to have them. And then we took very specific actions. We quickly established home delivery for our pharmacy. We started to think about our e-clinic capabilities to address telehealth so people didn't have to go visit doctors. We immediately liberalized policies in our healthcare benefits organizations so that people could get access to care. And then, all at the same time, we were continually innovating, as Larry talked about. We were innovating around new products and services as consumer behaviors were changing as rapidly as the virus was regionally.
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Deborah Richmond6:03
Thank you, Karen. Larry, COVID-19 caused many businesses, and we even saw whole industries, reinvent their strategies and their business models. What are the implications on your strategy almost two years after combining as one company, which you mentioned?
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Larry Merlo6:20
Well, Deborah, a lot of this goes back to where we started the conversation. Our journey has been to bring a new kind of healthcare company to the marketplace, and the pandemic has accelerated our transformation. And that is allowing us to meet the needs of our communities, our customers, our clients in very meaningful ways. And we are seeing a very dramatic shift towards what I'll call multi-channel integrated health delivery. We've used the word omnichannel as it's related to commerce for the last few years. I think we're now defining what omnichannel means for health. And it really fits our strategy nicely. It's what this new company is built for in terms of meeting people where they are, whether it's in their community, in their home, or in the palm of their hand. And it's interesting, Deborah, a lot of people have talked about the future, questioning the future of bricks and mortar. And we're building this intersection between digital or virtual offerings and our physical assets to create a more holistic experience, an end-to-end experience. We were talking to someone not that long ago, and they used a phrase that stuck with me. They said, 'Larry, when you think about healthcare, it is a contact sport in that eventually there's many things that you can start digitally, you can be treated, diagnosed digitally, but eventually in healthcare, you have to touch someone.' And we also know that many of the healthcare experiences are very personal in nature, and people want to be able to have that face-to-face interaction. And all of what we're talking about here underscores that our strategy is the right one, not just in meeting some of today's new needs, but those new needs will become new normals and really help to define the future of healthcare.
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Deborah Richmond8:31
Thank you, Larry. It really is a story of an integrated model, I agree with you. Karen, you had noted the pandemic has changed consumer behavior in many ways. Examples are contactless payments, home delivery, a much broader reliance on digital technologies. We clearly see the application in healthcare. How permanent do you think these trends are, and how do you think they'll define the future of healthcare going forward?
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Karen Lynch8:56
Yeah, Deborah, it's a really great question. And throughout the whole pandemic, we have created new ways, new opportunities for people to access care, and people have been embracing them. And they've become normalized. And so yes, I believe that this will be the new normal and these trends will continue. If you think about telehealth, that's probably the biggest change and the most dramatic change that we saw throughout this pandemic. And what people have come to expect is that they didn't have to sacrifice quality for convenience. And so that will be something that people will continue to do. But as Larry mentioned earlier, that's one part of your access to healthcare. It's one part. People will want to access healthcare digitally, they'll do it through telehealth, but there also has to be a point in time where they have to show up somewhere. And we've built a company that we're in the communities and we can have that care on delivery. But people have also changed the way they do shopping. Online, everything's coming to your home, and that will probably be a permanent change. And one of the changes in healthcare will be the delivery of home services, more in the home than we've ever seen before. So the permanent changes you can expect to see is more telemedicine, which is terrific because it will give access to rural communities. You'll get more access to mental health where we have a very much of a shortage of providers. You'll see more home health services being done in the home. And then you'll see things that have to be done in locations done in more convenient stores like a CVS store, for example. And I say that shamelessly, but we'll have the opportunity to do vaccines and testing and diagnostic testing. You can't do that sometimes at home. So those changes will stay permanent, and I think there will continue to be transformational changes in the healthcare industry post-pandemic as well.
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Deborah Richmond11:00
Great, thank you so much. We've certainly seen that COVID-19 has exposed existing challenges in the healthcare environment, and they must be prioritized. Larry, given your significant presence in communities, and CVS has been focused on addressing social determinants of health for some time, how has the importance of that work been underscored by COVID-19? And when it comes to addressing social determinants and racial disparities, where do you see the greatest needs, and how do you see yourself working to address them?
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Larry Merlo11:36
Well, Deborah, it's a great question. And there's absolutely no question that the pandemic has hit Black and Brown communities especially hard. And this has been further magnified by an overdue reckoning of racial inequality across all aspects of our society. And at CVS Health, we have long recognized that how long you live are often shaped by where you live. And analysis has shown that social determinants of health, whether you're describing housing, education, employment, access to healthy food, healthy living, that they are linked to increased risks of COVID-19 infections and unfortunately death. Our reach into communities across the country and the established trusted relationship we have built with community health organizations has allowed us to act quickly to be an important part of the solution. And we have leveraged those existing relationships to quickly build a system to provide testing solutions to some of the more underserved, hardest-hit communities across the country. And as we've done that and look at the positivity rates of COVID, we've seen it more than two times the positive infection rate of state averages, just as an example of what we've seen. Other examples, since 2015, CVS Health and our foundation have provided more than $10 million in grants to the National Association of Free and Charitable Clinics and its members. And it's these clinics that have become a primary site of care for many community members that have been affected by COVID-19. Deborah, as we think about what's next, I also see the importance and the role that we can play in fostering reliable public health information. And you look at some of the data that's coming out from the research that's being done, we've seen several polls that now speak to the African-American communities as being the least likely to say that they would get a COVID-19 vaccine once it becomes available. And the partnerships that I alluded to with community health organizations and experts, together we can help promote the importance of inoculation across all communities in an effort to achieve herd immunity. And then, Deborah, one of the things that I think we're particularly proud of, it's something very new. We have been a founding partner of the Black Information Network. It is a new news service from iHeartRadio that was dedicated to providing a trusted source of news coverage with a Black voice and perspective. So Deborah, just wrapping up on this theme, as an organization, we've committed about $600 million to build on existing programs to make new investments to address racial inequality and social determinants of health in Black communities and reinforce existing programs that have worked in terms of providing solutions. And that includes providing pathways to the workforce and creating sustainable careers. So we're quite proud of the actions that we've taken and the role that we can play again in being part of the solution.
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Deborah Richmond15:21
Great, thank you, Larry. It's certainly a very important role to play. Karen, you've described the mental health impacts of the pandemic as a deadly undertow. Can you describe for us what you mean by that, and how we can use this moment to improve how we think about, and importantly, how we treat mental health going forward?
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Karen Lynch15:40
Yeah, Deborah, it's a great question. And by undertow, I mean the deadly current that can't be seen, and it can feel like isolation, anxiety, depression, fear, uncertainty, all of which most Americans have felt throughout the entire pandemic. And the mental health crisis that we're in can be just as deadly as the virus itself if we don't address it. And I think we all recognize that mental health is something that people are fearful of talking about, and they're fearful of getting access to the services that they need. As we've been going through this pandemic, this is the number one topic that employers, that people across America are talking about. I don't think you can pick up a newspaper, you can't go on TV to hear about the challenges that are occurring relative to mental health. Access is a critical area that we have been addressing throughout the pandemic. We increased access by opening up all of our mental health nurse lines and behavioral health lines to all the front-line workers across the U.S. We opened it up to anyone that felt like they were suffering so they had somewhere to have a voice. And right now, we're working very closely with our employer community because this is, as I said, top of the list of all of their healthcare needs. And everyone's trying to figure out how do we make sure that people are getting the care they need. And if there's one silver lining to this whole pandemic as it relates to mental health, it's that it has become part of the conversation, and it has become something that people are interested in finding solutions. And clearly, as a company, we're committed to finding those solutions and making sure that people have access. As a matter of fact, in January, we'll be putting social workers in several of our health hubs so that people have access to mental health. It's important for all of us to keep the spotlight on mental health as we continue to go through this pandemic and afterwards.
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Deborah Richmond18:05
Great, thank you, Karen, and that's excellent. And we can only think about the impact being magnified as the pandemic continues with the length of the pandemic. Thank you. Larry and Karen, while none of us can predict exactly how and when this pandemic will end, I'd like to spend our remaining time talking about how you're positioning the company to support the nation's recovery efforts and what's on the horizon as both of you think about your role in getting the country back to a new normal as we move forward.
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Larry Merlo18:38
Well, Deborah, first of all, I know I speak and our entire executive management team, we could not be prouder of our 300,000 CVS Health colleagues. You think about the challenges that we've had as a country and in our professional lives as well as the impact that it's had in our personal lives. And our colleagues have stepped up in unbelievable ways to be an important part of the solution in the communities that we serve across the company. And they truly have brought our purpose of helping people on their path to better health to life in meaningful ways. And for that, we can't thank them enough for their commitment to our organization. Yeah, Deborah, I think back to your question. A lot of it goes back to, I think we've established this theme that we have a diversified business model and the breadth and strength of those assets and the strategy that we're well on our way, it does allow us to continue to lead and to respond to the challenges and the opportunities as they arise. And we touched on the role of telemedicine today, we touched on the role of testing. And I think we're all keeping our fingers crossed and let's speak with a bit of optimism that our scientists will find the vaccine and continue to pursue treatments for COVID. And we will play an important role in that distribution strategy to achieve widespread access for millions of Americans across the country. And I think we've demonstrated that with what we've been able to do in terms of standing up testing solutions in communities across the country. And it's hard to believe that almost 4 million people now have been tested at CVS pharmacies across the country. And I will say, as we think about that vaccine, members of our CVS Health team have been involved in the various task forces that have been formed that are responsible for planning both the distribution and administration of the vaccine once it's available. And Karen, I'll flip it over to you.
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Karen Lynch21:20
Yeah, and just to add to that, Deborah, I think we all agree that the health of our economy and education system is wholly dependent on the health of workers and our students. And as Larry mentioned, we're very involved with vaccines, but we also have developed return-to-work, return-to-school testing. We are really pushing on flu shots so that people can stay healthy throughout the latter half of this year and free up hospital beds for those who have coronavirus. And we need to continue to look for more and innovative ways to help with the health of our economy. And as Larry mentioned, we're positioned to do that.
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Deborah Richmond22:03
Great, thank you. Yeah, it's an important role, and obviously you've pivoted very effectively and successfully as the market has demanded and has changed around you. Larry and Karen, that's it for our questions today. Thank you so much for sharing your valuable insights with us today. It's been great speaking with you as always. Thank you.
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Larry Merlo22:21
Thank you. Thank you, Deborah.
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Karen Lynch22:22
Thank you. Thanks.
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Deborah Richmond22:22
Thank you.