We are strong supporters of your mission to reimagine financial services for all, and understand the importance of innovation to achieve your goals. From where you sit, you probably realize that health care is more complicated than it needs to be. As a strategic health services partner committed to making health care more affordable, predictable and simple, we would be honored to serve you and your participants.
PayPal: Health is what makes progress possible
I am looking forward to getting to know the PayPal team and connecting on how we may be able to support your business. We understand that you need more than a vendor to service your claims. You need a strategic and proactive health services partner who can take on your toughest health care challenges, expose opportunities to reduce costs and increase profitability to help you plan for the future. We want to be your trusted partner to take great care of your team, your members and their families for years to come.
Thank you for taking the time to explore how we can partner to support your goals.
Capabilities Presentation
Implementation Timeline
Strategic Planning & Review Consultation
A team designed around the unique needs of health systems and aligned to their goals
At Express Scripts, our account management teams are not only focused on pharmacy but how it intertwines with all parts of your business and will be your in-house experts to keep you apprised of industry developments and work to make strategic recommendations.
Our reality: Health can't wait
The stakes are too high. The need for more affordability, predictability and simplicity in health care is too great. Our reality is that health can't wait. We are solving the problems others don't, won't or can't in order to deliver flexible solutions that enable better clinical and financial results and elevate health for all.
Patients with 1-2 chronic conditions and highly fragmented care are 14% more likely to be hospitalized
Individuals with unmet social needs are more likely to have chronic conditions, including a 60% greater prevalence of diabetes
Specialty drug spend makes up nearly 48% of pharmacy costs, and is expected to increase over the next 4 years
94% of providers lack easy access to medical information due to different EMR systems
Our latest innovations
As a forward-thinking organization, I thought a snapshot of the innovations and sneak peek of The Lab, where innovation comes to life, may be of interest to you. Many of our solutions started as pilots in collaboration with our clients. Just imagine what we could do next - together with PayPal.
Explore The lab
The Lab is a collaborative space where we innovate and ideate with clients to develop solutions that improve care and reduce costs.
Innovation to transform health care
Almost every aspect of health care is undergoing a fundamental shift, especially with the emergence of new technologies.
Navigating digital health
As more U.S. consumers and health care providers demand and adopt digital health applications, health benefits leaders are challenged with where and how to invest.
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 employer1
of respondents would change jobs, or encourage their partner to do so, for pregnancy, fertility and adoption coverage1
of employers and health plans say they currently offer fertility coverage to members and employees2
Taking on your toughest challenges
In 2020, we saved clients $45 billion through our clinical solutions. Our programs are designed to bring plan sponsors the promise of simplicity, predictability and above all, affordability. See information below on several of the solutions that may be of interest for your plan.
SaveonSP allows clients to maximize copay assistance from manufacturers, resulting in savings for clients and patients.
The SaveonSP program leverages the Affordable Care Act state benchmark requirements to reclassify certain specialty medications under the category of non-essential health benefits.
By the year 2030, 80 million Americans will have three or more chronic conditions.
SafeGuardRx covers 11 chronic and specialty conditions and deploys patient engagement tools and cost-containment strategies, to protect you from health care’s biggest budgetary threats.
The best way to keep an entire workforce healthy is through prevention.
Health Connect 360® is a clinical management model designed to keep healthy people healthy while enabling people living with chronic conditions to receive personalized clinical care support customized for their unique situation.
A richer specialty benefit with room to plan and grow
Patients need their specialty medications and your plan needs better affordability. SaveOnSP utilizes plan design changes to identify select drugs as non-essential health benefits, enabling maximum savings and reducing plan and member costs. See how it works.
Pioneering the evolution of health care
For patients with chronic and complex conditions, how do you achieve better health without tradeoffs? You need a single platform that helps your employees with better medication adherence, higher therapy completion rates and greater compliance with clinical guidelines, all while mitigating your financial risk. SafeGuardRx is our platform to continuously take on the most complex, highest cost challenges.
SafeGuardRx: Multiple Sclerosis Care Value
Delivers specialized clinical support and client savings due to increased adherence. Express Scripts shares your risk with early discontinuation reimbursements for preferred MS medications.
SafeGuardRx: Pulmonary Care Value
Unites specialized support and patient engagement tools for holistic management of asthma and COPD and lowers net cost of treatment.
An unparalleled clinical care model
Our first-of-its-kind clinical care model, Health Connect 360®, is an outcomes-based approach that leverages industry-wide, best-in-class services and allows you to place financial guarantees on clinical metrics of your choice.
Evernorth solutions
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.
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.
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.
InMyndSM
Advancing mental health with a behavioral health care solution that complements any existing traditional employee assistance programs (EAPs) or wellness initiatives with medication-focused treatments to create a holistic approach to mental health care.
Digital Health Formulary
With more than 200 new digital health solutions each day, navigating the digital health landscape is confusing, costly and time-consuming. The Digital Health Formulary helps you manage the fast-growing world of digital health.
Helpful resources to manage your plan
Explore the latest content and tools focused on helping you navigate changes in the dynamic health care industry.
The results are in
The changes we've all had to navigate and the way consumers have responded to health care in the wake of COVID-19 have shaped the future of health care as we know it. Our research yielded insights that offer an opportunity for business leaders and health care decision makers to work together to evaluate health for every member, for every employer, for all.
Health care comes home
As COVID-19 has normalized virtual health and digital care solutions in an environment where advancements in technology and consumers' demand for digital both grow seemingly at the speed of light, how can health care decision makers and health plan leaders keep up in terms of offering members the tools they need to stay healthy, in a way that is safe and fits into their day-to-day routine?
Solidifying the mind-body connection
COVID-19 has underscored the connection between physical, mental and social health. While many consumers are engaged in some sort of wellness activities, the focus on health has inspired many to take a more proactive approach to their whole well-being.
The cost-care conundrum
Keeping health care costs down remains a consistent priority for both consumers and decision makers. in fact, it's a dilemma that affects nearly every plan: How is it possible to do more with less – and still provide high quality, low cost and high touch care?
Evernorth insights: Drug Trend Report
In the face of the COVID-19 crisis, we worked together with clients to solve urgent and emerging needs with innovation, agility and focus while delivering results. See a snapshot of what we were able to help our clients achieve.
1. “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
2. Assessing Perception of and the Need for Enhanced Fertility Solutions,” Quantitative Research Study, Express Scripts, March 2020
2. Assessing Perception of and the Need for Enhanced Fertility Solutions,” Quantitative Research Study, Express Scripts, March 2020