As drug costs continue to rise and innovative therapies become more complex, now more than ever, we need better engagement with physicians to provide more transparency at the point of prescribing and ease the patient experience.
Investing in Technology
Physician adoption of ePrescribing has increased drastically from 68 million scripts in 2008 to 1 billion in 2014. With approximately 80% of U.S. physicians using this process, ePrecribing has become the standard channel for physicians to route prescriptions to pharmacies.
A recent survey of physician offices found that 75% prefer electronic communications. As we work to meet the physician demand for more wired services, we align physician outreach to the providers’ electronic medical records workflows. This bi-directional communication results in potential savings opportunities, and the ability for pharmacy clarification and sharing of important clinical messages.
Providing Actionable Solutions
By providing tools with actionable data to physicians and their staff, Express Scripts enables them to focus on what’s most important: patient care.
Electronic Prior Authorization (ePA) enables physicians to communicate with Express Scripts more efficiently and expedite approvals for treatments for patients. By replacing existing fax or phone outreach with an electronic process, ePA tools aim to streamline the process of prior authorizations to offer prescribers additional flexibility.
RationalMed® integrates medical, pharmacy and lab data to address safety issues related to prescription drugs and closing gaps in care. There are currently 19.2 million patients enrolled in RationalMed. Last year alone, Express Scripts made 5.2 million safety alerts which resulted in $321 million in pharmacy savings for plan sponsors.
Nationwide RationalMed Physician Alert Rate
In one example, a 54-year-old man with a history of heart failure was prescribed Humira® (adalimumab) for psoriasis by a dermatologist. Because of his heart condition, this medication put him at risk for worsening heart failure. RationalMed® identified the risk and Express Scripts alerted the physician of the potential risk.
Better physician access results in an improved quality of care for patients and reduces fraud.
Connecting Directly with Physicians
In addition to investment through technology, we know face time and one-on-one support instills confidence in our ability to meet the needs of prescribers and, in turn, the needs of their patients.
In May 2015, Express Scripts launched the Medical Advisory Board to better understand physician needs. The board members span multiple health conditions and meet regularly to discuss program enhancements, physician engagement methods, and clinical technology, communications and electronic health systems.
Express Scripts also offers a pharmacist resource to perform on-site consultations with physicians and/or physician designees to support our clients’ clinical and financial goals.
Our specialty-focused physician account teams are experts in Accredo pharmacy processes for patients requiring even the most complex care. In total, nearly 200 representatives complete thousands of office visits every week.
Finally, through direct conversations, we listen to our customers and we know their pain points. We know prescribers want to have experts in pharmacy they can count on. And we’re continuing to meet that need.
Launching Next Generation Solutions
Express Scripts continues to innovate with new tools that add savings and safety value for payers and patients. For example, MedicubeSM provides insights to design physician networks based on prescribing behavior.
We continue to test and learn with messaging pilots, adherence aids and “pharmacist at home” consultations.
Our specialist pharmacists are very involved in the development, design, and implementation of many of our clinical innovations and pilot programs. Using the clinical expertise of these specialists to provide a “high touch” component to our “high tech” pilots is helping us drive increased patient engagement and increased adherence in some of the most complex disease states, such as diabetes, asthma and multiple sclerosis.
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