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: Health is the starting point for progress and potential
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.
Express Scripts is now part of 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.
The results are in
The changes we've all had to navigate, and the way consumers have responded in the wake of COVID-19 will shape the future of the health care landscape as we know it. Our research yielded insights that offer an opportunity for business leaders and health care decision makers to work together to elevate heath for every member, for every plan, for all.
Health care comes home
As COVID-19 has normalized virtual health and digital care solutions in an environment where advancements in technology and consumers' demand for digital both grow seemingly at the speed of light, how can health care decision makers and health plan leaders keep up in terms of offering members the tools they need to stay healthy, in a way that is safe and fits into their day-to-day routine?
Solidifying the mind-body connection
COVID-19 has underscored the connection between physical, mental and social health. While many consumers are currently engaged in some form of wellness activities, the focus on their health has inspired many to take a more proactive approach to their whole well-being.
The cost-care conundrum
Keeping health care costs down remains a constant priority for both consumers and decision makers. In fact, it's a dilemma that affects nearly every plan: How is it possible to do more with less, while still providing high quality, low cost, and high-touch care?
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.
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.
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.
of plans say they do not have the pharmacy resources or support personnel needed to meet their growth goals1
revenue realized by a client after the first year of working with our market development team to optimize their pharmacy go-to-market team
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
See how we helped a client reach their growth and retention goals
We've supported many clients in reaching their growth and retention goals, powered by our dedicated market development team, who guides your marketing, sales and cross-functional teams and educates on pharmacy to convey the value of integration and differentiators of your plan.
Learn how we helped a client grow their Medicare business
We offer the guidance and support necessary to help our clients improve in quality outcomes and Star ratings.
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.
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.
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?
Your trusted Medicare partner
We're squarely focused on the quality metrics that are important to you and know that our support will help you move the needle on becoming market-leading – today and in the future. Through our clinical programs, network strategy, formulary management and levers designed specifically for regulated markets, we want to be your partner of choice.
Enabling progress through data and technology
We help 1.4 million physicians make the best prescribing decisions by providing a more complete view of the patient and enabling greater opportunities for the whole person. Hear from Chief Physician Officer, Dr. Lynne Nowak, about how we connect with providers to ensure they have the information and tools needed to provide the best care and optimized outcomes for members.
Enabling progress through data and technology
Our data-driven tools and technologies help remove barriers to care and offer a simpler, better experience for physicians and their staff and patients.
Enabling progress through data and technology
Our data-driven tools and technologies help remove barriers to care and offer a simpler, better experience for physicians and their staff and patients.
Enabling progress through data and technology
Our data-driven tools and technologies help remove barriers to care and offer a simpler, better experience for physicians and their staff and patients.
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.
condition-specific centers of excellence, with 15 focused on specialty conditions
home infusion nurses across all 50 states in the U.S.
increase in medication adherence achieved through Accredo’s holistic rare disease patient care
Supporting your members where they need it most
Health care needs are as individualized as the members who make up your population. For those with complex conditions, we believe the best care comes from specialists – not generalists, and our model includes individual centers of focused expertise, dedicated to serving them. Hear more from Brian Seiz, Senior Vice President of Specialty on how we approach specialty through the Accredo specialty pharmacy.
Simplifying specialty for physicians
Ensuring physicians' access to information they need for their patients' specialty medication prescriptions is always of utmost importance, but in the face of a global pandemic, providing the tools they need is even more crucial. Learn how MyAccredoPatients.com is simplifying the physician experience.
Hear from our specialty patients
30 million Americans are living with a rare disease – almost as many as are living with diabetes. Patients living with these conditions are the sickest of the sick and the rarest of the rare. Administering treatment for these conditions is complex, requires repeated educations and can cause anxiety, which may be compounded by concern around health care benefits and financial pressures. Hear from a caregiver of an Accredo patient about her experience working with our Rare Diseases Therapeutic Resource Center (TRC) to care for her daughter.
Hear from our specialty patients
For patients with peripheral arterial hypertension (PAH), specialized care is essential to preventing severe, and in some cases, life-threatening symptoms. Hear from a real PAH patient about her experience living with this condition and receiving care from Accredo.
Hear from our dedicated staff
Listen to an Accredo nurse explain their comprehensive process for helping specialty patients learn to live with their condition, educate and provide treatment.
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.
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.
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.
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
Simple
We make it easier for the people we serve to get the care they need
References
1. 2019 survey of Express Scripts Elevate conference attendees
2. “Assessing COVID-19’s Impact on Women’s Attitudes and Behaviors toward Family Planning,” Online survey among 2,000 women with employer-sponsored insurance, Evernorth, November 2020
3. Assessing Perception of and the Need for Enhanced Fertility Solutions,” Quantitative Research Study, Express Scripts, March 2020
1. 2019 survey of Express Scripts Elevate conference attendees
2. “Assessing COVID-19’s Impact on Women’s Attitudes and Behaviors toward Family Planning,” Online survey among 2,000 women with employer-sponsored insurance, Evernorth, November 2020
3. Assessing Perception of and the Need for Enhanced Fertility Solutions,” Quantitative Research Study, Express Scripts, March 2020