Healthcare is constantly evolving. Maintaining the status quo isn’t enough to stay ahead in the face of challenges that many community-based plans face to day — and in the future. By putting innovation to work for health plans, patients and providers, we’re redefining how health care can and should function — now and in the future. This is your dedicated site to explore topics that may be of interest to you, as well as a destination for future materials.
Let's define the future of health care together
of health plans Express Scripts partners with spent less per person on prescription drugs in 2019
health plan commercial drug trend in 2019 (compared to 2.3% overall trend for commercial plans managed by Express Scripts)
plans participating in our SaveOnSP specialty patient assistance solution experienced a -5.2% specialty drug trend vs. 12.3% trend for nonparticipating plans
Client Story: One Health Plan's Implementation Success
There's a saying that goes, "do what you did in the beginning of a relationship, and it will never end." We couldn't agree more, which is why we always place great care and emphasis on the implementation experience, ensuring our teams — and yours — feel prepared and confident to take care of members with as little impact as possible. Hear from CareSource about a recent implementation success they experienced in working with us.
Client Story: Delivering Medicare Growth and Excellence
Yusuf Rashid of Community Health Plan of Washington shares how our partnership and collaboration helps to drive growth and deliver on Medicare compliance excellence for the plan.
Client Story: Helping Highmark Remain Competitive
Janae McAfee of Highmark Blue Cross Blue Shield shares how a partnership built on a foundation of trust and collaboration helps develop an innovative and strategic roadmap that can inform your organization’s future.
Deep Expertise in Regulated Markets
As a local health plan, you know and understand your market well. However, many of our clients rely on our unique resources, expertise and perspective as a result of helping a large portfolio of health plans just like yours. While you may be experiencing a certain regulatory change or challenge for the first time, chances are we’ve already helped another plan navigate a very similar challenge. Our job and focus is to help your plan be successful – from proven best practices and unbeatable expertise – and turn every challenge into an opportunity to help your plan.
Medicare drug trend in 2019
Medicaid drug trend in 2019
Of the Medicare members we support are in 4-star or better plans
Delivering A Better Experience, Better Outcomes - Guaranteed
As a health plan, you may have deep clinical knowledge and resources to continue to optimize your member experience and manage your population, but results aren't guaranteed. Health Connect 360 is the industry's only fully guaranteed, outcomes-based clinical approach that offers an unprecedented in-depth view of your healthcare environment at the member-level. Refreshed continuously with insights from patients, prescribers, pharmacists and payers, while utilizing machine learning processes, this new clinical model fully integrates all parts of the healthcare continuum, while also helping health plans improve clinical, financial, Star Ratings and/or HEDIS goals.
As of April 2020, we have more than 30 plans enrolled in Health Connect 360, and 23% of the enrolled plans are Medicare health plans.
By 1/1/2021, the Health Connect 360 platform will be supporting 8M lives.
Of 2019 pilot clients continued with Health Connect 360 in 2020.
More to explore: Trending topics
Drug Trend: Trend Contributors
What drives drug trend? Take a look at the top drug trend contributors from our 2019 Drug Trend Report.
Public Policy Analysis
View a report focusing on 2020 U.S drug pricing policy recommendations from Express Scripts.
5 Ways Health Care Will Change
We continue to keep a close eye on five trends that are making waves in health care, resulting in titanic shifts that plan sponsors seek expert help to navigate.
Mental Health in America
See how COVID-19 is making an impact on the mental health of plan members. Plus gain more data and insights in our America’s State of Mind report.
Navigating the Digital Health Landscape
As the country is faced with crisis, many plans are leaning in to digital and virtual strategies. Here are five factors to consider when navigating today's digital health landscape.
Fertility-focused benefits
61 percent of individuals believe that infertility is more stressful than unemployment or divorce. Are your groups demanding greater fertility-focused benefits? If so, this may be why.
Our commitment to health plans: Delivering best-in-class health services to make health care more simple, predictable and affordable
Simple
Your members' needs may be complex, but their experience shouldn't be. We're committed to simplifying and personalizing engagement with members to ensure they have access to the clinical expertise and supportive care that will lead to better outcomes for all.
Predictable
The future of health care is looking at the whole person and managing care at the individual level. What if you had a more holistic view of each individual and your population as a whole - with guaranteed results on the clinical outcomes that matter to you?
Affordable
Lowering costs for your plan while providing high-quality care for your members shouldn't require compromise. We have programs and tools to help you successfully manage costs while helping your members improve their health and well-being.