"If not now, when?" A seemingly innocuous question, but one that provokes a lot of contemplation, and one that continually drives our passion to solve the problems others don't, won't or can't. While there may never be a good time for change, there's always a right time. With open collaboration and unbiased guidance, we deliver flexible solutions for every business, for every person, for all.
Welcome, Health Transformation Alliance
Thank you, HTA, for considering us as your pharmacy and health services partner. We are supporters of your mission to disrupt the health care status quo to deliver better health outcomes, while continuing to provide affordable, high-quality health care. We have the expertise, passion and commitment to serve the HTA and deliver on the goals for your member companies and plan members. Together, we can provide more affordable, predictable and simple health care for all.
Health makes progress possible
Health is the starting point for progress and potential. And, the health of your members is our number one focus. We are pleased to share our ideas, recommendations and transformational, transparent offer to the HTA and its member companies.
HTA's Finalist Presentation
We're excited to share more about how we can partner with the HTA and its member companies.
A Truly Transformative Offer
We recognize the HTA and its member companies need an offer that is unique, transparent and transformative.
Real results, real value: $315M in annual pharmacy savings
Our approach to clinical excellence is to unlock value for members and plans and drive progress by bringing people and capabilities together. Based on the complete data set provided by the HTA, the insights below reveal that the HTA could save up to $315M in annual pharmacy savings based on our review of your data. The real value; however, also is returned back to your plan and member companies by having a healthier population.
of your current spend is on specialty medications, totaling $650M. Combined, our SaveonSP copay assistance program and Medical Channel Management solution are estimated to save you $109.8M.
up to 10% or $188M of your current plan spend could be saved by reducing unnecessary spend with specialty and traditional utilization management.
of your plan spend is in top therapy classes such as inflammatory conditions, diabetes, multiple sclerosis, Asthma/COPD, cancer, Hepatitis C and rare conditions.
of your population is at risk of drug therapy-related hospitalizations and other adverse events. Our RationalMed solution provides safer use of medications and enhanced care, lowering the rate of adverse events and hospitalizations. This solution can save your plan $9.2M.
of nonadherence is due to behavioral issues such as procrastination or forgetting. Nonadherence to diabetes, high blood pressure and asthma within your population is costing the HTA between $348 -$2,622 in annual gap values per nonadherent member. Closing these adherence gaps could save your plan $6.7M.
HTA members are at risk for long-term utilization of opioids and more than 7,000 HTA members are at risk of addiction. The HTA could realize $30M in medical cost avoidance with Advanced Opioid Management.
A leadership team designed to deliver
We are one team with one focus, and that's to support you. We would be honored to serve you and take great care of your members and member companies. Learn more about the leadership and account teams for the HTA.
A personalized experience with better outcomes – guaranteed
Health Connect 360 is the industry's first outcomes-based model of care that guarantees clinical targets and connects patient touch-points across the care continuum. A more highly personalized clinical care experience improves engagement, ensuring better health outcomes. From medication adherence for at-risk patients to safe opioid management and beyond, Health Connect 360 will facilitate medication and care coordination, which will lower the total cost of care.
Tackling difficult-to-manage conditions
SafeGuardRx combines specialized clinical support, condition-specific patient engagement tools and effective cost containment strategies. This translates to lower downstream medical and prescription costs.
Greater access and cost predictability for insulin
For people with diabetes, insulin can be as essential as air. The Patient Assurance Program ensures eligible people with diabetes in participating plans pay no more than $25 for a 30-day supply of insulin. It's a simple pathway to more affordable, predictable medicine costs.
Case study: Diabetes remote monitoring
By using rigorous data analytics and clinical insights, diabetes remote monitoring identifies patients who are on the path toward a diagnosis of diabetes or coronary heart disease, then supports them on their journey to better health and lowers their risk of experiencing COVID-19 complications.
Case study: Pulmonary remote monitoring
Our pulmonary remote monitoring program is increasingly important to patients because COVID-19 infection can cause lasting lung damage. This vetted digital tool allows patients to optimally manage their asthma and COPD by ensuring they use an inhaler as directed, minimizing the chances of lung damage and other severe complications.
Case study: Weight loss and lowered Rx doses
Beyond the clinical advantages of remote monitoring, we are seeing significant health savings for clients and their members, reducing the cost of medical care for patients with hypertension and associated chronic conditions like diabetes.
Get a sneak peek of our innovation Lab
We would love to host you at The Lab in the future. Below is a sample agenda, which we will work together to customize based on your needs and interests.
Innovation comes to life at The Lab
The Lab is more than a state-of-the-art research facility. It’s a shared space – a collective for collaboration, ideation and innovation – where we gather with our clients and industry leaders to solve the toughest challenges in the health care system. Every day, we reimagine what’s possible and push the boundaries of what’s expected.
Engaging physicians differently to drive better results
We help 1.4 million physicians make the best prescribing decisions by providing a more complete view of the patient and enabling greater opportunities for whole person health. Hear from Chief Physician Experience Officer, Dr. Lynne Nowak, about how we connect with providers to ensure they have the information and tools needed to provide the best care and optimized outcomes for members.
Providing physicians with real-time access into patient-specific information
Our data-driven tools and technologies help remove barriers to care and offer a simpler, better experience for physicians and their staff and patients.
Electronic prior authorization (ePA)
According to AIS Health, only 31% of physicians reported knowing if a prior authorization was required while prescribing a medication. With Real-Time Benefit Check and ePA, that information is much more evident and streamlined.
Real-time benefit check
Removing barriers to care and helping physicians make better clinical and cost-effective decisions – in real time – right from their office.
Making specialty simple for physicians during COVID-19
MyAccredoPatients.com is a prescriber portal where physicians and office staff can get the information they need for their patients’ specialty medication prescriptions. It offers tools that are even more crucial now than ever before as we manage through this global pandemic.
Supporting your members wherever, whenever they need it most
Health care needs are as individualized as the members who make up your population. For those with complex conditions, we believe the best care comes from specialists – not generalists – and our model includes individual centers of excellence across key therapeutic areas. Hear from our specialty pharmacy leader, Brian Seiz, about how we approach specialty differently.
Patient story: Meet Tina Jones
For patients with peripheral arterial hypertension (PAH), specialized care is essential to preventing severe, and in some cases, life-threatening symptoms. Hear Tina's story about living with this condition and what she values about the care she receives from Accredo.
Patient story: Meet Rachel Daniels
Thirty million Americans live with a rare disease, which is just about as many who live with diabetes. These patients are the sickest of the sick and rarest of the rare. Administering treatment is complex, requires repeated education, and can cause anxiety, which may be compounded by concerns around health care benefits and financial pressures. Hear Rachel's story about her experience as a caregiver for her daughter and her interactions with our rare disease center of excellence.
A richer specialty benefit with room to plan and grow
Patients need their specialty medications, and your member plans need 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.
HTA member portal powered by Evernorth Control Center
Dynamic, self-serve portal built for the HTA and it's member companies for access to on-demand reporting, benchmarking, training, news and more.
Summary reports and a streamlined experience
Through Trend Central, summary reports and a streamlined experience enables the HTA and its member companies to easily identify trends, analyze budgets and costs, and monitor key performance indicators.
Leveraging data to gain population insights
You can compare key metrics for your population against peer benchmarks. Populations, peer data and time period options can be easily customized.
Using data to understand social determinants of health
Understanding the social barriers that affect a patient's ability to afford, access and effectively self-administer medication is essential to achieving proper medication utilization, which enables positive patient outcomes.
Using data to understand social determinants of health
We believe that understanding social barriers that affect a patient's ability to afford, access and effectively self-administer medication is essential to achieving proper medication utilization which enables positive patient outcomes.
Intelligence at your fingertips
In this uncertain time, we provide actionable insights and analytics that can help your member companies make informed decisions about return to workplace strategies and understand unique risks to help them plan ahead.
A first-class mobile app
Member experience when filling and refilling prescriptions plays an important role in access to medications and adherence. Express Scripts members have a first-class app to help them manage their health everywhere, anytime.
Digital experiences and demos
Mobile App Experience Demo
Take an interactive demo of our highly rated mobile app (4.7/5.0 stars) to see how simple the mobile experience is. Please use Chrome of Firefox for the best experience.
Open Enrollment Web Demo
Learn more about managing your pharmacy benefits through our open enrollment demo. Please use Chrome or Firefox for the best experience.
Digital Tools and Analytics
Administering your benefit is easy with real-time, web-based reporting and analytics as well as access to news, resources, industry information, user guides, trainings and more.
Sample materials prepared for the HTA
Sample Implementation Project Plan and Timeline
Over the past three years, we have averaged an implementation satisfaction rate of 98% from our new clients. Our experienced teams are thorough and skilled in seamlessly implementing large and complex plans. Review a sample implementation plan for more details.
Sample Strategic Planning Review
We are your health services partner to help you innovate, transform, close gaps in care and deliver clinical excellence to positively impact your plan and members. We're your strategic partner to ensure your success today and in the future – not just manage your claims.
Sample Member Communications
Timely, proactive and comprehensive communications matter. View sample member communications such as ID cards, FAQs and letters.
Sample Reporting
We supply robust and timely reporting metrics to ensure you have a clear line of sight to what's going on with your plan at all times.
Implementing with minimal impact and positive return
Taking care of your members and member companies is our number one focus. See how we cover the basics with sample materials, and view the case study to learn how we go beyond to ensure a smooth implementation with as little disruption as possible.
Implementing with minimal impact and positive return
Taking care of your members and member companies is our number one focus. See how we cover the basics with sample materials, and view the case study to learn how we go beyond to ensure a smooth implementation with as little disruption as possible.
Customer story: Land O' Lakes
Emily Maher of Land O'Lakes shares her experience working with Express Scripts and underscores her excitement for increased personalization in health care to help her organization achieve its overall goals.
Customer story: Magna International
Jen Adkins of Magna International comments on clinical programs that have helped employees in her organization as well as her plan achieve improved outcomes.
Explore additional solutions
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Healthy Ways to Work
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FamilyPath℠
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.
inMynd℠
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.