AvMed: Health is the starting point for progress and potential

From where you sit in the organization, you probably realize health care is more complicated than it should be. Health plans partner with us because we have the scale, passion and commitment to help them grow in a rapidly changing and increasingly competitive environment. Our experts provide innovative, strategic solutions based on your plan's unique priorities. We believe health is the starting point for progress and potential. Let's embrace our relentless passion and define the future of health care – together.
AvMed
Scott Fitzgibbon
Scott Fitzgibbon
Vice President, Health Plan Sales
I am looking forward to learning more about the AvMed 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 health services portfolio, Evernorth, we are better positioned than ever to support your clients, and to create a better experience for your team, members and providers.
Health Care in Focus
COVID-19 has challenged our health care system like no other. But we're always looking ahead, identifying ways to redefine what's possible. We polled consumers and plan sponsors across the U.S. to assess the state of health care in the years ahead.
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Evernorth insights: Health Care in Focus
Glen Stettin
Glen Stettin, MD
Chief Innovation Officer, Evernorth
In the next decade, we are going to see health care change dramatically, and we believe technology will plan an even greater role in a person's care than ever before.
Eva Borden
Eva Borden
Vice President, Behavioral Health, Evernorth
The impact of the pandemic on mental health will be long-lasting, and there is an urgent need to expand easy and timely access to care. Through Evernorth, we are delivering a more coordinated approach to health services that will make it easier for people to get the care they need, when they need it.
Dr. Wig
John Wigneswaran, MD
Chief Medical Officer, Evernorth
Better care and better outcomes are rooted in greater choice, affordability and access, and we can bring all of these to people with the greatest needs.

Building a winning go-to-market team

We support your value proposition that an integrated medical and pharmacy benefit substantially reduces total cost of care and improves member health when compared to carving out pharmacy benefits. How can you realize the full potential of this story to reach your plan's growth initiatives? It all comes down to effectively managing your sales, finance and cross-functional teams, and ensuring understanding of the importance of pharmacy being essential to fully conveying your unique value proposition.
60% 60%
of plans say they do not have the pharmacy resources or support personnel needed to meet their growth goals1
$30M $30M
revenue realized by a client after the first year of working with our market development team to optimize their pharmacy go-to-market team
15K 15K
lives carved-in for a client who secured their first pharmacy-only win after forming a pharmacy sales team including new sales, account management and broker relations
Powering your success and growth in regulated markets
To grow and serve your Medicare population, you need a pharmacy benefits partner with proven regulated markets expertise, data-driven insights and innovative solutions.
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Powering your success and growth in regulated markets

Medicare market analysis: Key insights and findings

When we visited AvMed in 2019, we brought some market insights relative to your competitive position within the Florida Medicare landscape. 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. With more data and information about your plan, these become more detailed and deep – adding in supplemental benefits analysis, Star Ratings opportunities and more.
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Review rate of increase of drug coverage to stay competitive

We previously discussed how your percentage of covered drugs was lower than the competition and how that may impact enrollment as well as quality ratings.  We see that your percentage of covered drugs has increased 3% from 2019 to 2021.  While it’s great to see this number increasing, it’s still lower than the market average.  

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Evolve formulary strategy to maximize Quality Bonus Payments

Looking at your 2021 Star Ratings, we see getting access to needed drugs is a 2.  If that single measure would have been a 4, we estimate you would have been a 4 Star Plan and garnered roughly $11M in QBP.  Getting access to needed drugs is partially driven by formulary make-up.  How has your strategy evolved since we last spoke?

See how we treat specialty differently

For patients with complex or rare conditions treated by a specialty medication, missing even a single dose of medication is simply not an option – a concern that has become even more prevalent in the wake of COVID-19.
20+ 20+
condition-specific centers of excellence, with 15 focused on specialty conditions
600+ 600+
home infusion nurses across all 50 states in the U.S.
27% 27%
increase in medication adherence achieved through Accredo’s holistic rare disease patient care
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Jenica
TRC Nurse
I love being an Accredo nurse and teaching my patients how to use their injectable medications. I make sure each of my patients is comfortable and can administer their medications successfully.
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Marsha
National Clinical Support Center Nurse
Accredo nurses are not just there for a shift, a doctor's visit, a hospital stay or a procedure. We're committed to our patients through their long, complicated and advanced disease. It's humbling when patients express how relieved they are that we 're here for them 24 hours a day, 7 days a week.
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Lisa
Field Nurse
I'm grateful for the gift of being allowed into a patient's home during one of the most vulnerable times in their life and having the opportunity to help them on so many levels. The intimate bonds we forge are priceless – an immeasurable reward for the work I do as an Accredo nurse.

Aligned with AvMed, we'll deliver world-class health services to make health care more affordable, simple and predictable.

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Affordable
We build on our leading, differentiated position to lower the total cost of care
Predictable
We take surprise out of the system and help people make informed health care choices
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Simple
We make it easier for the people we serve to get the care they need
Learn more
We're committed to helping health plans grow. I look forward to continuing the conversation about how we can help your plan achieve your desired clinical and financial goals. Please reach out to me if you have any questions.
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