From where you sit in the organization, you know health care is more complicated than it needs to be. What if you could help to accelerate the transformation of health care as we know it – to make it more affordable, predictable and simple?
HealthPartners
Learn more about 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 previous year amplified health care challenges that first emerged during the early days of the pandemic – while simultaneously giving rise to new patterns Analyzing these trends enables us to anticipate challenges, drive action and create change. In Q4 2021, Evernorth partnered with Ipsos to conduct a U.S. survey of more than 3,000 consumers with employer-sponsored health insurance, as well as 575 human resources decision-makers (HRDMs) and 58 health plan leaders (HPLs). Our analysis of the data revealed three key insights.
Demand for hybrid health care
Over the last decade, virtual health solutions have gone from fledging to full tilt – with the onset of the pandemic normalizing virtual and digital health as mainstream options for care. In fact, telehealth visits increased from 0.3% in October 2019 to 29.6% in April 2021. After the acceleration of virtual care throughout the pandemic, there are notable differences in the ways consumers are using it – and what they hope to get out of it. In many circumstances, consumers actively opt for in-person care, suggesting the need for a hybrid model that combines virtual and in-person care.
Universal emphasis on meeting behavioral health needs
As the importance of behavioral health is increasingly recognized, few dispute its strong connection to overall health, both in the medical community and the general public. It remains top of mind as a top concern. Dissonance only arises when it comes to defining and prioritizing behavioral health needs. Plan sponsors invest in solutions that individualize behavioral health success but consumers rank contextual, broader benefits, such as work life balance as much more important.
Call to collaborate on access and affordability
As concerns about health and well-being become the new standard, COVID-19 will likely have a powerful effect on members plan sponsors for years to come. In this context, members are anxious and disgruntled, expressing deep concerns about both cost and quality of health care. And while care remains more of a priority than ever, employees’ fundamental lack of trust has grown so entrenched, it has driven a shift in the market.
In the next decade, we are going to see health care change dramatically, and we believe technology will play 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.
Focus on fertility and family planning
COVID-19 changed our lives and challenged us in ways we've never expected. As a trusted health care partner to plan sponsors, we sought to understand how the pandemic has impacted women's attitudes and behaviors around family planning – as well as assess the need for related benefits. While some have predicted a baby bust, our survey of 2,000 women between ages 25-45 with employer-sponsored benefits found that most respondents who maintained health insurance also maintained their goals to build families.
of women report interest in additional fertility benefits from their insurance plan or employer3
of respondents would change jobs, or encourage their partner to do so, for pregnancy, fertility and adoption coverage3
of employers and health plans say they currently offer fertility coverage to members and employees4
Explore Evernorth solutions
inMyndSM
Advancing mental health through a behavioral health care solution that can complement your existing traditional employee assistance programs (EAPs) or other wellness initiatives with medication-focused treatments to create a holistic, comprehensive approach to mental health care.
Healthy Ways to Work
In a world dramatically changed by COVID-19, we’re helping our partners and their employees navigate new realities. Explore agile solutions focused on helping people return to a healthy, safe, and productive workplace.
Embarc Benefit ProtectionSM
Gene therapy has the potential to change lives, but even a single treatment can cost millions of dollars. Embarc Benefit Protection shields members from these high costs, so that people who need treatment can get it.
FamilyPathSM
By 2025, 10 million couples will have trouble starting a family. FamilyPath is raising the bar for fertility health by providing more comprehensive, more flexible coverage and proactive care for growing families.
Digital Health Formulary
Over 300,000 digital solutions flood the marketplace. Our Digital Health Formulary simplifies navigating the vast landscape and vets solutions for clinical effectiveness, security, compliance, value, affordability and a user-friendly experience.
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
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 education, 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 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 are 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.
Bleeding disorders: Putting patients first
Every day, our experienced team of specialists are dedicated to providing counseling and care to patients and their families. Through Accredo's Hemophilia.com website and our Bleeding Disorders Therapeutic Resource Center®, our bleeding disorder-trained clinicians are leaders in providing and advancing quality care for those living with bleeding disorders.
satisfaction rate for Accredo specialty pharmacy
around-the-clock access to pharmacists and nurses experienced in bleeding disorders
of Accredo's nurses have an IV single attempt rate in patients 5 years old and younger
Fragmented drug management strategies may be costing you
Medical drug spending is expected to increase by 33% by 2023. With specialty costs rising rapidly, you may be seeking new ways to manage spend and optimize administrative efficiencies. See how our approach to integrating medical drug management optimizes drug savings across pharmacy and medical benefits, enabling better efficiency, greater savings and improved safety.
of claims in the highest specialty spend categories are duplicating work within plans
higher specialty drug approvals vs. traditional approvals within the last 4 years5
projected medical spend in 2023 – a 33% increase from $96B in 20186
Gene therapies: Delivering on the promise of modern medicine
Gene therapies hold so much promise and potential, but also pose many challenges for plans and patients. Learn how we are bringing more affordability to these life-changing therapies through an innovative new solution.
Learn more
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References:
1. 2021 Express Scripts Drug Trend Report
2. Buck, 41st National Healthcare Trend Survey | Fielded December 2020
3. “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
4. Assessing Perception of and the Need for Enhanced Fertility Solutions,” Quantitative Research Study, Express Scripts, March 2020
5. Express Scripts book for business data
6. Research and statistics compiled from: American Hospital Association. “AHA Hospital Statistics. 2018 Edition.”; Thomson Reuters Hospital Research (Aug 2011); Analysis of American Hospital Association (AHA) Annual Survey Data, 2016, for community hospitals
1. 2021 Express Scripts Drug Trend Report
2. Buck, 41st National Healthcare Trend Survey | Fielded December 2020
3. “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
4. Assessing Perception of and the Need for Enhanced Fertility Solutions,” Quantitative Research Study, Express Scripts, March 2020
5. Express Scripts book for business data
6. Research and statistics compiled from: American Hospital Association. “AHA Hospital Statistics. 2018 Edition.”; Thomson Reuters Hospital Research (Aug 2011); Analysis of American Hospital Association (AHA) Annual Survey Data, 2016, for community hospitals