We’re excited for the opportunity to work with you and show you a glimpse of what our partnership can bring to your plan and your members. Express Scripts is a strategic partner that’s ready to deliver accountability, service and satisfaction by ensuring the strong clinical, quality and financial results you and your members deserve.
Implementation
A smooth transition is crucial to the success of our partnership, so we focus on implementation as a core competency. Our proven process and years of experience allow us to handle your transition with less disruption, less wait time and more confidence.
PHASE 1: UNDERSTAND
Taking the time to fully comprehend your needs and requirements, including:
• Benefits
• Account structure
• Drug coverage
• Clinical specifications
• Eligibility
• Networks
• Clinical programs and Ancillary Services
• Benefits
• Account structure
• Drug coverage
• Clinical specifications
• Eligibility
• Networks
• Clinical programs and Ancillary Services
PHASE 2: EDUCATE
Helping your members understand their benefits with:
• ID cards
• Customized communication strategy
• Welcome materials
• Open enrollment website
• ID cards
• Customized communication strategy
• Welcome materials
• Open enrollment website
PHASE 3: ASSURE
Building confidence in our partnership through top quality data, featuring:
• Testing
• Integration
• Eligibility load reports
• Transfer file load reports
• Testing
• Integration
• Eligibility load reports
• Transfer file load reports
PHASE 4: SUPPORT
Supporting your plan every step of the way with:
• Call center preparation
• Client support
• Roles and responsibilities prep
• Key contacts lists
• Status calls and reports
• Claims monitoring
• Resolution process walkthrough
• Call center preparation
• Client support
• Roles and responsibilities prep
• Key contacts lists
• Status calls and reports
• Claims monitoring
• Resolution process walkthrough
Your Account Team
Your dedicated account management team is ready to quickly and effectively respond to your changing needs. Led by your account executive and supported by a robust service team, we work as an extension of your team, combining deep expertise with a thorough understanding of your plan and member challenges. We’re here to help your plan save money, drive growth and improve health outcomes – now and in the future.
Introducing Evernorth
Elevating health means reimagining how we partner. With open collaboration and unbiased guidance, we strive to deliver flexible, focused solutions. For every business, for every person, for all.
Your Timeline
We work all year to ensure better health for your plan and your members. While that work is taking place, here are some key events and milestones that you can look forward to.
Annual Drug Trend Report
The Drug Trend Report is our comprehensive analysis of usage and costs for the medications Americans used to get and stay healthy during the past year.
SafeGuardRx Value Announcement
Express Scripts SafeGuardRx® is a multi-program, value-based platform delivering personalized patient care, positive health outcomes and cost savings. In 2019, plans saved a total of $4.3 billion, while achieving better health and adherence for members.
SPARC Session
During this strategic planning and review consultation (SPARC), we’ll discuss key marketplace disruptors, review plan and member performance, highlight risks and provide strategic recommendations.
Outcomes Event
At this annual event we highlight our commitment to making health care simple, predictable and affordable.
Your Online Resources
From thought leadership to industry-leading events, here’s where you’ll find the information you need to stay on top of what’s happening and what’s next in health care.
Clinical Corner
Tailored services and solutions that can expose additional opportunities in pharmacy, medical and beyond.
*NEW* MediCUBE®
Have a 360-degree view of the relationships between four key areas: prescribers, pharmacies, patients, and medications.
Digital Health Formulary
Our industry-first Digital Health Formulary will allow you to manage the fast-growing arena of health technologies and interventions while improving access for patients.
Emerging Therapeutics Intervention Program
ETIP follows NCQA standards to alert members and healthcare professionals about significant safety-related drug recalls and market withdrawals.
Health Connect 360
Discover a fully guaranteed, outcomes-based clinical approach that offers an unprecedented, in-depth view of your health care environment at the member level.
RationalMed
Enable additional health and safety protection across your total population.
Advanced Opioid Management
Access new tools to help prevent abuse and guide your members through a successful recovery.
Enhanced Fraud Waste and Abuse
Identify members and prescribers who may be committing fraud or abusing the prescription drug benefit. The program is designed to help identify outliers and situations of abnormal utilization or prescribing patterns by analyzing types of prescriptions, refill patterns, and drug utilization
ScreenRx
As the industry’s first actionable adherence solution,ScreenRx combines early detection with tailoredinterventions to improve member adherence and deliver
healthcare savings.
healthcare savings.
Performance Medicaid Network
Launched in 2019, the Performance Medicaid Network is founded on value-based contracting, therefore, providers who improve set quality measures receive better reimbursement. This network uses proven strategies to create competition among pharmacies, tying positive performance to payment. By motivating pharmacies through quality measures, we can help you unlocked untapped value in your network strategy while also helping to improve your member’s health outcomes. Below are just a few improvements that the Performance Medicaid Network brought to the enrolled clients in the first year.
Increased adherence to diabetes medications
Increased adherence to blood pressure medications
Increased adherence to cholesterol medications
Client Website
Access convenient interactive tools and real-time information on our client website with your secure login. You’ll find in-depth information that will empower you to collaborate with your account team to efficiently and effectively overcome challenges and optimize your plan performance.
To access the client website please use the link below.
To access the client website please use the link below.