Bringing together the best of both of your great organizations, plus the national expertise we lend across the health services space, would be one powerful combination. We are a strategic pharmacy partner who will take your growth and retention goals as seriously as you do, and continually innovate to improve health and financial outcomes for your members and clients.
Sentara Health Plans
We're just getting started
We’ve thoroughly enjoyed the time spent getting to know your team and exploring how we can support your business. You need – and deserve – a strategic partner who is just as invested in the success and strategic growth of Sentara Health Plans as you are – not just a vendor who services your pharmacy claims. We look forward to digging in further with you, to take on your toughest health care challenges together.
Medicare key insights and findings
Our approach to quality and affordability
We’re squarely focused on the quality metrics that are important to you and know that our support will help you move the needle on becoming market leading, today and in the future. Through our clinical programs, network strategy, formulary management and levers designed specifically for regulated markets, we want to be your partner of choice.
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
We ensure a seamless implementations for new clients, with minimal disruption to their plans and members.
Building a winning go-to-market team
We support your value proposition that an integrated medical and pharmacy benefit substantially reduces total cost of care and improves member health when compared to carving out pharmacy benefits. How can you realize the full potential of this story to reach your plan's growth initiatives? It all comes down to effectively managing your sales, finance and cross-functional teams, and their understanding the importance of pharmacy is essential to fully conveying your unique value proposition.
of plans say they do not have the pharmacy resources or support personnel needed to meet their growth goals1
revenue realized by a client after the first year of working with our market development team to optimize their pharmacy go-to-market team
lives carved-in for a client who secured their first pharmacy-only win after forming a pharmacy sales team including new sales, account management and broker relations
Market development opportunities and insights
Client story: Delivering value and driving success
Hear from a client about what their team values in our relationship related to engaging with brokers, and what we've been able to achieve together.
Reading between the lines: What brokers are really saying
Explore our research and findings related to broker perceptions, and how Sentara can react to optimize your plan's success.
Meet your team
Our team looks forward to getting to know you and exploring opportunities to improve affordability and care for your plan and your members. Hear from Dr. Lynne Nowak, Executive Sponsor and Vice President & General Manager, Data & Provider Solutions.
Meet your team
Our team looks forward to getting to know you and exploring opportunities to improve affordability and care for your plan and your members. Hear from KC Murphy, Senior Director, Account Management.
Meet your team
Our team looks forward to getting to know you and exploring opportunities to improve affordability and care for your plan and your members. Hear from Sam Patel, Vice President of Account Management, Health Plans.
Meet your team
Our team looks forward to getting to know you and exploring opportunities to improve affordability and care for your plan and your members. Hear from Craig Morris, Senior Director, Clinical Account Management.
Meet your team
Our team looks forward to getting to know you and exploring opportunities to improve affordability and care for your plan and your members. Hear from Karen Schneider, Director of Operations, Health Plans.
I am looking forward to getting to know your teams and digging in to find opportunities for us to grow together and work toward improved health care for all. With the recent formation of our health services portfolio, Evernorth, we are better positioned than ever to support you and your clients to create a better experience for your teams, members and providers.
Diversity, equity and inclusion
Our diversity, equity and inclusion (DEI) strategy fosters a culture of belonging and equity that advances our mission to positively impact the well-being of our people and the communities we serve.
79% of employees agree that there is great DEI at our organization, outperforming other companies by more than 13%
Committed to doubling diverse supplier spend to $1B by 2025
Launched COVID-19 disparities project to slow the spread in three target markets with large Black and Hispanic populations
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've all had to navigate and the way consumers have responded to health care in the wake of COVID-19 will shape the future and health 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 elevate 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 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, high-touch care?
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.
Exposing opportunities to better support hospital and health systems’ needs
Managing a hospital system as part of your plan, we understand the added degrees of difficulty you’re facing to meet your unique affordability, revenue and patient-centric goals. Driven by data insights and leveraging industry knowledge, our team is equipped to help align decision makers and influences to support your plan, your employees and the patients and communities you serve.
Health care costs are 13% higher for hospital workers and their dependents than they are for non-hospital workers2
Health risk for hospital workers and their dependents is 8.5% higher than for non-hospital workers2
or 2/3, of hospitals are part of a health system2
Flexible clinical solutions
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.
First outcomes-based care model in the industry
What financial and clinical outcomes are sacrificed without full integration and coordination? Explore the industry's only guaranteed clinical outcomes model.
Value-based approach makes medicine work harder
See how our multi-program, value-based platform unlocks new financial value and better health outcomes.
Protecting members and preventing abuse
Americans are now more likely to die of an accidental opioid overdose than in a motor vehicle crash. How can you make sure your members are protected?
Managing trend amid a global pandemic
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.
References
1. 2019 survey of Express Scripts Elevate conference attendees
2. 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
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
1. 2019 survey of Express Scripts Elevate conference attendees
2. 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
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