Creating a better future with Highmark
Your established strategic partner for over 25 years
We have partnered together to make health care better for Highmark clients and members.
Total gross cost of non-specialty net of rebates PMPM drug trend for 2019!
Approximate benefit attributes that Highmark controls directly via the Automated Group Load. Allows systematic creation of / requests for / changes to benefit designs. Zero restrictions on the number of unique benefit designs allowed.
Approximate Highmark custom projects/initiatives supported each year. 100% under budget (projected cost communicated to Highmark) since 2017. Supported by two unique roles created specifically for Highmark (Business Systems Implementation Manager and Senior Account Manager of Project Alignment).
A Special Message for Highmark
Committed to continued growth for Highmark
With Highmark, Express Scripts' Market Development support has evolved at a challenging and strategic pace to be the success it is today. Over the years, our priority has been growth strategies to help to solve the key areas standing in the way of your organization’s growth. Market Development partnered with Highmark on: the first strategic pricing workshop in 2018, the first broker and pricing workshop in 2019, as well as, finalist presentation collaborative evaluation to ensure consistency and efficacy in the current market. Our alignment to Highmark growth is apparent in key wins such as Allegheny County Schools Health Insurance Consortium (ACSHIC). We are adding traction with team support, additional training modules, and competitive intel to help ensure you win new business now, and years to come.
Highmark & Express Scripts: a winning partnership
I love the trust we have together and how you challenge us in a collaborative way. Highmark is always at the top in terms of best practices – this has helped us both grow and advance. We couldn’t be more grateful for the partnership we have forged with you!
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Unmatched expertise to support your Medicare population
For Highmark 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. The regulated markets team has industry-leading insight and the ability to influence the Medicare benefit via our business relationships with health plan industry associations, the National Council for Prescription Drug Programs (NCPDP), Express Scripts’ trade associations, and other relevant groups.
in approximate Direct and Indirect Remuneration (DIR) from tailored regional network support in 2019, and trending towards $40M for 2020 based on Q1, 2020.
percent prescription drug event (PDE) acceptance rate; above 2019 industry average of 99.94 percent.
in pharmacy savings from 2016-2019 through successful RationalMed interventions.
Empowering you to make health care affordable, predictable, and simple
We are committed to continuing to partner together to improve the health care experience for everyone, so Highmark can make innovative leaps in the industry.
New! $2M Innovation Council
Express Scripts is investing in our partnership to create and fund a joint Research and Innovation Council focused on initiatives that benefit the shared goals of our organizations of improving patient care and reducing costs.
$4.9M in savings opportunities
Via the successful launch of MediCUBE®, in combination with a dedicated academic detailer, who over the past six months identified these savings opportunities within the FIPR, Population Health and Clinical UM areas.
$998 per claim savings
In 2020, Highmark has delivered an average of $998 per claim savings with $60k* in total savings for your four enrolled ASO clients.
$2.4M in payment to Highmark
From enrollment in the suite of value-based SafeguardRx programs in 2019.
Ensuring Highmark members have affordable access to vaccines
Providing members with convenient, reliable access to vaccines can help save lives and reduce the chance of spreading diseases to others, saving both your members and your plan in downstream medical costs.
Real-time benefit access for physicians
Improving digital engagement with physicians working with Highmark is crucial. Giving physicians visibility into their patients' formulary coverage, medical costs and therapeutic options help them make the best clinical and cost efficient prescribing decisions.
Memorable moments
We've shared a lot of great memories together over the years. Take a look at a few of our favorites.
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.
I am so proud of the accomplishments our two companies have achieved together over a relationship that spans over 25 years, and am excited to think about what’s next for us, as we continue to drive innovation in health care with flexibility and dedication. We have established a strong foundation, and it is my sincere hope that we can continue to build upon that.
Ensuring you’re prepared for the future
Today, we stand ready to help you deliver sustained health care affordability by providing an offer that delivers significant value to Highmark of over $445 million over the life of the deal.
Innovation Roadmap
Looking ahead, there is tremendous opportunity to affect change in our industry while tackling some of the greatest health care opportunities. We are laser-focused on creating innovative solutions that tackle these difficult challenges. Take a look at the Innovation Roadmap for more insights into what’s coming next.
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.
Meeting the demands of diabetes care
Beginning July 1, 2020, we are expanding our Patience Assurance Program beyond insulin by including additional diabetes therapies. To ensure Highmark receives the best value from implementing this program, funds collected from these programs will not be included in the calculation of rebates and rebate guarantees.
A Message for Highmark from Dave Queller
What the Highmark + Express Scripts relationship means to us
