Specialized Solutions for Complex Conditions

Nov 1, 2018

Focused on actionable data insights and specialized clinical care, Express Scripts’ experts share perspectives on key healthcare topics this past month.

Pill Article

Express Scripts’ experts share key insights on key healthcare topics right now. Here are six of our most-read topics from the past month:

1. Flattening the Trajectory of the Diabetes Epidemic

With 30 million people in the U.S. currently diagnosed with diabetes, and another 84 million (one-in-three) considered pre-diabetic, the challenge for payers and patients will only continue to escalate. For the 800 plan sponsors who enrolled in our Diabetes Care Value® program, however, that trajectory is changing. By combining specialized diabetes pharmacy care with benefit strategies, such as utilization management and quality pharmacy networks, we are tackling the diabetes dilemma in ways others simply cannot.

2. Committed to Care for the Rare

The odds of having a rare disease are small – sometimes one in a million. Yet, one in 10 Americans are currently living with a rare disease. More than half of these patients are children. As the leading care provider to patients with rare diseases, our Accredo Rare Disease and Gene Therapy Therapeutic Resource Center (TRC) team plays an important role as the industry leader in supporting rare disease populations, including guiding innovative support for novel therapies.

3. Living Healthier with Hypertension

Exposing the opportunity for collaboration across the care continuum, Express Scripts is expanding its partnership with Livongo Health, a health technology company specializing in personalized digital solutions for patients with chronic conditions. Since 2015, Livongo has provided Express Scripts clients and members access to better tools to manage diabetes. Livongo will now begin leveraging its remote monitoring capabilities to improve health outcomes for Express Scripts members with hypertension.

4. New Migraine Care Value Program

Migraine headaches are a painful reality for 39 million Americans.Severe migraine pain leads to billions of dollars spent in outpatient visits, emergency room visits and hospitalizations. Recognizing a need to help patients and plans improve migraine management, we recently announced our new SafeGuardRxSM Migraine Care ValueSM program, an industry-first program that combines a comprehensive clinical care program to help patients achieve better outcomes and experience fewer migraines, while helping plan sponsors more affordably cover new, preventive therapy for their members.

5. Advanced Protection for First-Time Opioid Users

As President Trump prepares to sign new bipartisan legislation today aimed at addressing the opioid crisis, we are proud to release new data showing a dramatic shift in first-time opioid users enrolled in our Advanced Opioid ManagementSM solution. Overall, clients who adopted our utilization management criteria saw an average of 94.8% of opioids prescriptions covered for 7 days or less after one year. For this reason, Express Scripts’ Advanced Opioid Management solution is the industry-leading program among those in the PBM space.

6. Hemophilia.com Helps to Simplify Complex Care

Accredo has launched a new website to help patients and healthcare providers manage a complex disease that requires lifelong preventative care and treatments that can cost more than one million dollars per patient, per year. Hemophilia.com provides the latest in patient and provider resources, including free downloadable guides for emergency care providers, coaches, educators, and caregivers. Also on the site is an educational video for children as well as materials describing what patients and caregivers need to know about bleeding disorders at every stage of life, from newborn to adulthood.

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