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Committed to Helping Health Plans Grow

Health plans need a proven partner with the scale and commitment to help achieve their growth goals. Our experts provide innovative, strategic solutions that align with each plans’ unique business priorities in commercial and regulated markets.
Meeting with healthplan client

Our business: Never stop improving yours

We work as an extension of your team, combining deep expertise with a thorough understanding of your plan and member challenges, helping you save money, drive growth and improve health outcomes – now and in the future.
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Managing cost and quality
Investing to solve your toughest health care challenges means partnering with you to test new solutions that help meet the needs of your clients and plan populations.
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Innovating in specialty pharmacy
We excel in helping plans prepare for the future of high-cost specialty regimens, all while providing advanced, specialized care for patients with rare, complex and chronic conditions.
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Getting better, together
Dedicated account teams and strategists, with a best-in-class approach to implementation, are aligned to help meet your plan’s growth goals in all of your business lines.
In their own words
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Janae McAfee
Highmark
I really try to think about Express Scripts not as a vendor relationship, but as more of a partnership. It’s very collaborative in nature, and we have a common goal for growth, to win together.

Delivering value for those you serve

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Commercial
We help you grow and retain your commercial carve-in business, uncovering opportunities to position pharmacy as an affordability lever to drive revenue. By combining prescriber and patient-behavior analytics with drug and network data, we apply actionable insights that improve predictability and health outcomes.
Medicaid
Our flexible Medicaid service model helps to keep you compliant with federal and state regulations; optimize your plan financials; and improve clinical and HEDIS quality outcomes for your members. We understand both the nuances of your market and regulatory challenges, and your need for high-touch support.
Medicare
Regulations and market dynamics that are constantly in flux demand an agile partner to help you grow, win and lead in regulated markets. You can rely on our team of Medicare market strategists to provide you with actionable insights to help improve Star Ratings, achieve quality measures, drive greater affordability and ensure compliance.
Health Insurance Exchanges
In an unpredictable marketplace, exchange members need the right tools at the right time to actively participate in their own health care. Our toolbox includes formulary support; benefit compliance; regulatory support; and market development strategies to help complement your overall objectives in this market.
91% 91%
of Medicare beneficiaries we serve are in 4-Star or better plans
44% 44%
of the Medicaid plans we support had a negative drug trend in 2018
Services & Solutions

UNCOMMON SOLUTIONS FOR AN UNCERTAIN LANDSCAPE
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A 360° view. A 180° change.
Health Connect 360SM offers an in-depth view across the health care continuum, facilitating total care coordination while lowering costs and improving outcomes.
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Specialty copay assistance
SaveonSP utilizes plan design changes to identify select drugs as non-essential health benefits, enabling maximum savings and reducing plan and member costs.

Health Connect 360: Better health outcomes. Guaranteed.

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