Creating a better future with BCBS of Michigan

Your established strategic partner for over 20 years

We have partnered together to make health care better for Blue Cross Blue Shield of Michigan's clients and members.
$100M $100M
Of network management savings in 2019.
-6.6% -6.6%
Non-specialty book of business pharmacy trend in 2019.
7 7
Consecutive years of your MAPD plan achieving a 4 star rating.

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BCBSM Sales and Market Development in action

Market Development is pleased to support BCBSM's sales efforts for a number of years. We have continually evolved and developed to ensure BCBSM meets its goals to deliver on the reality of the value of integration.

Together we continuously improve and adopt pharmacy benefit best practices.

Promote the adoption of pharmacy strategies that support full medical and pharmacy continuum of care through the solutions assessment.

Conduct Annual Competitive Intelligence Reviews and create Battlecard Summaries to best understand market competitors.

Worked to create the first ever custom Group Level Reporting Package.

Continue to improve the RFP Process that includes an assigned Market Development Proposal Writer, cloud based RFP response data base, and group level price bid reviews.

Collaborate on pricing for all group bids.
Over 46K new commercial lives added in 2019
New Commercial Lives Added in 2019…and we wont stop here
Click the link below to access your personalized growth report to learn about more of the outstanding work our teams have accomplished together.
$16M estimated earnings in 2020
Continuing to drive additional revenue
With over 500K lives now in market-based pricing, this partnership has helped support commercial lives growth and is expected to drive earnings of $16M in 2020.
Value of integration
Aligned in the battle against carve-out
We are always looking for additional ways to help you tell your story. Our new Value of Integration research paper is the first of many to come, to help ensure you have the best ammunition to tell your carve-in story and keep your edge.
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Kim Foerster, Director Pharmacy Sales
Elevate 2019
We are very engaged with Express Scripts Market Development, we use them on every bid. In fact we just worked together to secure a new 40,000 life group.

Established operations

For the last 20+ years, we have worked to ensure that our systems and platforms are well-equipped to support the needs of your clients and their members.
17 17
Formularies supported.
240+ 240+
Custom projects completed in 2019.
75+ 75+
Uniquely customized member materials.

Empowering you to make health care affordable, predictable, and simple

We are committed to continue to help strengthen your relationships with providers to improve costs, outcomes and experiences for them and your members. Together we will continue to partner to improve the health care experience for everyone, so BCBS Michigan can make innovative leaps in the industry.
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Continuing to push for more value on your behalf
Express Scripts used its size, scale and ability to move market share to drive $718M in rebates for BCBSM in 2018.
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Identifying more savings opportunities
Academic Detailing uses targeted interventions to drive down costs and improve quality metrics. Our pharmacists collaborate regularly with BCBSM to expose opportunities to unlock new value.
Unmatched expertise to support your Medicare population
For BCBSM's Senior Markets, Express Scripts offers industry-leading regulated markets expertise and compliance support to help you compete and win. Our heavy investment in regulated markets backed, by a staff of dedicated experts specialized in these markets, provides an extra layer of support for you and your account team to stay compliant and cost-competitive in these highly complex markets. Express Scripts has been excited to support the creation and launch of joint venture partnerships to advance in the Medicare Advantage space. We have partnered with Covantage to provide competitive landscape data, CMS application support, bid support and now are embarking on the implementation for two new joint ventures effective 2021.
$52M $52M
in approximate DIR payments for 2018 and 2019 combined, with the movement to using the Medicare Preferred Value Network (MPVN).
60+ 60+
audits completed since 2018.
99.99 99.99
percent prescription drug event (PDE) acceptance rate for BCBSM 2019; well above 2019 industry average.
Dave Queller
Dave Queller
President, Express Scripts
Michigan is a second home to me, and I take great pride in the partnership we have built with Blue Cross Blue Shield of Michigan. We’ve accomplished a lot together over the last twenty years. One thing has remained constant, and that is our mission to improve the health, well-being and peace of mind of those we serve. It is my greatest hope that we have the opportunity to continue delivering on our shared goal to make health care better for many years to come.

Flexible industry leading solutions

Learn more about flexible industry leading solutions designed to help you solve challenges in the most needed areas of health care.

Ensuring you’re prepared for the future

Expectations from members have never been higher. Providers are demanding a more consistent experience. Technology and market forces continue to evolve rapidly. Looking ahead, we're invested in making sure that, together, we're prepared to work toward affordable, predictable and simple care for your clients and their members.
Mental health impacts whole body health
Members with anxiety, depression and insomnia are two times more likely to have a coexisting chronic physical condition according to the Anxiety and Depression Association of America. Read more about our latest solution, inMynd, which supports your members with treatment for anxiety, depression and insomnia on their own terms.
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Commitment to staying on the cutting edge
We are always exploring new technology and ideas to continue bringing you the best in health care. In a rapidly changing industry, this is crucial. It ensures that you have access to the latest advancements so you can lead the market with your innovative health care strategies.
COVID-19: keeping you informed
Check our latest COVID-19 book of business insights and visit our COVID-19 Information Center for resources, information, and helpful links to keep you up-to-date and informed of this rapidly evolving situation.
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COVID-19

“Coming together is a beginning, Staying together is progress, And working together is success.” - Henry Ford

Our goal is to help your organization continue to move forward in the marketplace. Below, your account team shares what partnership with BCBSM means to them.
Matthew Holmes
Matthew Holmes, MBA, RPh, Senior Director
Partnership is the ability to work with another party to overcome challenging obstacles and achieve aspirational goals that would not be attainable working independently.
David Drenski
David Drenski, RPh, Senior Account Executive
I am proud to come to work every day committed as a trusted partner to Blue Cross Blue Shield of Michigan, helping to provide affordable, innovative health care.
Amish Amin headshot
Amisha Amin, MA, Account Executive
Commitment. Teamwork. Integrity. Cooperation. These are just a few words that quickly come to mind of how our collective teams work together. The teams come together to get the task done – whether it is at midnight when the clock strikes 12 on the New Year to run test claims, or, whether it is working extended, long hours for audit support, contract review, etc. The commitment to ensure success in all that we do is a true partnership.
Kenneth Spicuzza
Kenneth Spicuzza, RPh, Senior Clinical Account Executive Accredo
I believe that a successful partnership needs to be mutually beneficial and closely managed with an emphasis on trust. As the newest member of the BCBSM Account Team, I am excited to work with a health care industry leader like BCBSM. I am certain that this partnership will prove to be educational for me and I look forward to working together to overcome your specialty challenges.
Marc Giannetti
Marc Giannetti, Senior Clinical Account Executive
Partnership is working together to create solutions that work for all.
Paul Purcell
Paul Purcell, Operations Director
To me, partnership is having the ability to depend upon one another in a moment’s notice without hesitation to accomplish the mission. As partners, we look after one another, and are able to have honest conversations that challenge ourselves for excellence.
Janice Grochal
Janice Grochal, Market Development Director
100% COMMITTED to helping BCBSM to WIN.
Philip Mueller headshot
Phil Mueller, Senior Clinical Account Executive
Partnership to me is shared values working towards a common goal.
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Meet the rest of your team
Want to learn more?
If you would like more information about anything on this site or have any questions, please click the button below to reach out to your account team.
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