Improving Health

Physician and young boy talking in waiting room.

Overview

The challenges you face in improving the health of your members may seem daunting. From ensuring quality care while managing cost, to keeping up with emerging therapies and technology, we’re here for you.

Our programs and services are as unique and varied as your members’ health needs. We answer those needs with personalized solutions that help you and your members realize better outcomes.

Offerings

inMynd
Every mind deserves better

In a world where mental health is still a stigmatized topic, Express Scripts is disrupting the silence by bringing you inMyndSM. This new clinical program offers a thoughtful and connected solution that helps both patients and payers better recognize, treat and support mental and behavioral health conditions.

1 in 5 1 in 5
U.S. adults experience behavioral illness in a given year

Combined with medication-centric coaching, prescriber outreach and digital cognitive behavioral therapy, inMynd features the industry’s first predictive models for the progression of anxiety, depression and insomnia, allowing us to meet each member on their personal mental health journey, proactively.

40 million U.S. adults are living with anxiety disorders
Over 17 million U.S. adults go through a depressive episode each year
50-70 million Americans endure the effects of sleep disorders
Health Connect 360
The industry’s only guaranteed clinical outcomes model

How do you improve the health of your members when you have a limited line of sight across the care continuum? It takes a 360° view of your patients and population to drive the 180° impact you want.

14x 14x
faster access to insights and alerts to drive better care

Health Connect 360SM is the most comprehensive clinical management model in the industry. It bridges pharmacy, medical, lab and patient engagement data on a daily basis, with unrivaled precision and analysis. Identifying more relevant, actionable gaps in care or health opportunities, we get those insights and alerts back to your pharmacies, physicians, nurses and case managers. Then, we leverage patient-specific risk and engagement scores to trigger the most effective, personalized intervention for each patient. 

Health Connect 360 is a fully guaranteed, outcomes-based approach. It helps you maximize clinical outcomes, deliver better member experiences and improve financial results, all while achieving the clinical goals you set for your population.

SafeGuardRx
A proven way to achieve your goals – without compromise

SafeGuardRx® addresses the most complex and expensive health care issues: improving patient care while controlling costs.

21.6% 21.6%
more diabetes patients began potentially life-saving statin therapy

Through a multi-program platform, SafeGuardRx combines our specialized clinical model and value-based contracting strategies, delivering better outcomes and increased value for patients living with critical diseases states.

SafeGuardRx helps patients realize better medication adherence, higher therapy completion rates and greater compliance with clinical guidelines, while helping lower costs for plan sponsors. In 2019, enrolled clients saved more than $4.3 billion.

The SafeGuardRx platform is continuously evolving, identifying new opportunities in critical disease states in addition to those currently covered: cholesterol, diabetes, hepatitis C, inflammatory conditions, migraine, oncology, pulmonary conditions, multiple sclerosis, HIV and rare conditions.

Black and blue icon of four people standing near each other.
Covering 56 million people
Pink and black icon of a hand holding a heart.
Treating ten specialty and chronic classes
Black and blue icon of a rocket ship taking off.
Deploying cost-effective strategies
Advanced Opioid Management
17.4 million Americans protected from a nationwide health crisis

The opioid crisis doesn’t discriminate. Anyone is vulnerable and everyone is affected – your members included. Advanced Opioid Management® is a clinically-driven solution created to combat this nationally recognized crisis. Advanced Opioid Management maximizes safety and minimizes early opioid exposure, then helps prevent progression to overuse and abuse.

Providing a dynamic and much-needed way to fight opioid abuse across the care continuum, Advanced Opioid Management touches the pharmacist, the patient and the prescriber. In just 2 years, the program has prevented 1.4 million days’ supply of opioids from being dispensed, while directing patients to safer, short-acting alternatives.

Black and purple icon of a ribbon, representing an award.
2018 and 2020 Excellence Award for Opioid Management Strategies, recognized by The Pharmacy Benefit Management Institute

Patient results include:

  • A 57% reduction in average day supply per claim
  • 96.5% of new patients starting with a 7-day supply or less
  • 77% of patients redirected from long-acting opioid to safer, short-acting alternatives
Digital Health Formulary
Improving health in the digital age

We’re in an era of continuously developing health technology giving people greater control over their health and well-being. However, a constant flow of new digital health solutions is streaming into an already crowded market. The technology is still emerging and hasn’t gone through rigorous validation.

300K+ 300K+
digital solutions flooding the marketplace

To make it simpler for members and plan sponsors to navigate the vast landscape of personal health technologies and interventions currently available, Express Scripts will introduce the industry’s first, stand-alone digital health formulary.

Our digital health formulary – a curated list of technology- and software-enabled applications and devices to help prevent, manage or treat a medical condition – allows plan sponsors to ensure the safety, usability and cost effectiveness of health technology tools available to their members.

Five Ways to Shape Your Digital Health Strategy

As the country is faced with crisis, many plan sponsors are leaning on digital and virtual strategies to help their members better manage their health.

There are many considerations that should inform your virtual health strategy. Download this guide for expert advice to help you navigate the digital health landscape and help you make the best virtual health decisions for your plan and members.  

Therapeutic Resource Centers

People living with a chronic health condition deserve responsive, straightforward answers from experts who understand what they're going through – experts who have the training and experience needed to help.

We believe the best care for these patients comes from specialists, not generalists. Our Therapeutic Resource Centers® (TRCs) are dedicated to serving patients diagnosed with complex disease states. We're committed to connecting patients with the right care, specific to their individual need.

For example, patients with cancer are served by pharmacists, nurses and other health care experts in our Oncology TRC, which offers compassionate, comprehensive cancer-specific care.

We help patients achieve their best health outcomes by providing personalized care and resources they may not get anywhere else.

20+ 20+
individual centers of focused expertise
Patient Assurance Program
A pathway to more affordable medicine costs

The price tag for lifesaving therapies has ballooned into a costly and serious problem that’s increasingly impacting the health and wellbeing of patients diagnosed with chronic conditions. From 2006 - 2016, out-of-pocket drug costs for these patients rose by 54%.1

Alarmingly, 1 in 10 adults ration their medicine because of the cost.2

Patients deserve better. Addressing the need for affordability and access, our Patient Assurance ProgramSM ensures that those eligible in participating plans pay no more than $25 for a 30-day supply of preferred, participating diabetes products.

Medication affordability is a complex problem. But we believe, together with our clients, we can get one step closer to solving it — and eliminating the tragic and expensive medical consequences of patients rationing their medications.

More Opportunities
More opportunities to improve health
Black and orange icon of a screen interface, representing ScreenRx.
Protecting patient safety

RationalMed® improves patient health and safety – integrating medical, pharmacy and laboratory claims data to initiate changes and correct errors in care, lowering both medical and prescription drug costs.

Black and teal icon of a piggy bank with a coin slot on top.
Improving patient adherence

Gaps in care lead to higher costs. Using predictive modeling, ScreenRx® closed 37% of medication adherence gaps, recording $188.6 million in total health savings for our clients.

Black and blue icon of a satellite putting out signals.
Remote monitoring

In partnership with leading high-tech companies, we’re helping members monitor their health status in real-time. To improve outcomes, our solutions are always paired with clinical support through our Therapeutic Resource Center®pharmacists.

LET'S CONNECT
Where others see problems, we see possibilities. Let’s start the conversation.
Powered By OneLink