Health plans partner with us because we have the scale, passion and commitment to help them grow in a rapidly changing and increasingly competitive environment. Our experts provide innovative, strategic solutions that align with your plan's unique priorities. We believe health is what makes progress possible. Let's embrace our relentless passion and define the future of health care – together.
Security Health Plan of Wisconsin
Health care is more complicated, more fragmented and more costly than it needs to be. We're changing all of that. Being part of the solution to transform health care as we know it – is a vision we can all get behind. Working together, we can take on your toughest challenges, expose opportunities to reduce costs and increase profitability and help you prepare for what's next.
Introducing 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 changes we're all had to navigate, and the way consumers have responded to health care in the wake of COVID-19 will shape the future of the health care landscape 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 plan, 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 currently engaged in some form of wellness activities, the focus on their 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?
In the next decade, we're going to see health care change dramatically, and we believe technology will play and even greater role in a person's care than ever before.
The impact of the pandemic on mental health 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.
Better care and better outcomes are rooted in greater choice, affordability and access, and we can bring all of these to people with the greatest needs.
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.
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 employer1
of respondents would change jobs, or encourage their partner to do so, for pregnancy, fertility and adoption coverage1
of respondents would change jobs, or encourage their partner to do so, for pregnancy, fertility and adoption coverage2
Leveraging strong Medicare experience to serve you
With extensive knowledge and experience, our team is equipped to help you take the very best care of your members. Our support model is tailored to your needs, and focused on alignment and collaboration.
Medicare market analysis: Key insights and findings
We operate on a belief that insights can lead to better action, and our Medicare strategists will equip you with market analyses for growth planning and insight-driven conversations focused on enrollment trends, Star Ratings trends, competitive market benefits and other aspects. These analyses can be done at the state level, service area level, or county level to meet your needs. An initial look generated some insights for conversation.
Your MAPD service area still has a member affinity for PDP
This preference holds true despite solid MAPD growth year-over-year. Have you considered a PDP offering to familiarize those members with the Security brand? We offer white-label services, making this a near-term reality with limited effort from your team.
60% of enhanced MAPD plans in your MAPD service area offer preferred pharmacy networks
While Security does not offer this currently, have you considered a preferred network or or performance-based network option? These provide great opportunities to generate dollars to buy down premium; and members show tolerance for these designs in your service area.
$0 premium plans make up 1/3 of MAPD plan offerings
Although these plans account for a low percentage of your service area, $0 premium plans experienced net year-over-year growth of 30%, whereas plans with a premium experienced a net loss year-over-year. Having plans both with and without premiums in your MAPD service area, those with a premium are mostly above the service area average as well, making opportunities to reinvest in the plan key to your growth.
Client story: Growing one plan's Medicare business
We offer the guidance and support needed to help our clients improve in quality outcomes and Star ratings.
Client story: implementation and innovation success
Hear about a real clients’ experience implementing their plan and their clients with Express Scripts.
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 years3
projected medical spend in 2023 – a 33% increase from $96B in 20184
Aligned with Security Health Plan of Wisconsin, we'll deliver world-class health services with a singular focus: to make health care more simple, affordable and predictable
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.
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?
Simple
Your members' needs are 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.
References:
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
3. Express Scripts book for business data
4. 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. “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
3. Express Scripts book for business data
4. 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