Express Scripts FoundationResearch & Consumerology
Advanced Adherence Solutions
Adherence to a medication regimen is the extent to which patients take medications as prescribed by their healthcare providers. Simply put, it means getting your prescription filled, following the dosing instructions and renewing and refilling your prescription as directed.
Medication adherence is critical to improving member health and reducing financial waste. As detailed in our Drug Trend Report, failure to take medications as prescribed costs the U.S. more than $300 billion annually.
To improve adherence, Express Scripts collaborates with healthcare providers and other professionals across the healthcare spectrum, focusing on maintenance medication patients who are at elevated risk of having poor adherence in the future. Our proprietary, award-winning predictive models estimate each individual's risk for nonadherence, up to a year in advance. Our programs help identify and intervene with patients who need help maintaining their adherence. Tailored interventions encourage adherence through a patient-centered approach.
Our advanced application of the behavioral sciences allows us to test and optimize our programs to achieve the best results. We are currently piloting programs using pharmacy claims data and behavior management interventions to understand which adherence solutions help patients activate their intentions to adhere.
Our adherence solutions focus on gaps in clinical therapy or discontinuation of therapy where standard treatment guidelines recommend specific treatment durations or long-term treatment. Through member and physician interventions, our solutions target underutilization and aim to improve health outcomes and drive out wasteful spending.
Through a tailored, personalized approach, our advanced adherence solutions encourage patients to practice healthy habits for better health and lower medical costs.
