Better Outcomes for Your Employees and Their Families
We aim to drive increased medication possession and adherence for members who need it by leveraging real-time data, reaching members when it matters, and approaching them holistically across pharmacy, medical and behavioral care. We do this in three primary ways:
Working to get the lowest cost drug options for your employees and families
Providing digital tools that increase consumer shopping and improve access
Engaging with employees with outreach and targeted programs that close clinical gaps, increase utilization, and improve outcomes
Save with Connected Medical and Pharmacy Benefits
Our pharmacy approach is built upon principles aligned with managing overall clinical and financial risk across medical and pharmacy. Employers benefit from our low-net-cost approach versus the standard PBM model.
29% higher engagement rates with connected medical and pharmacy benefits for member clinical management and an average 9% lower risk-adjusted medical costs.
Pharmacy Networks
Our national pharmacy networks (Traditional, Select, Advantage, Preferred, Elite and multiple HMO options) reduce retail pharmacy costs. Our enhanced retail pharmacy network contracts and improved pharmaceutical manufacturer contracts (including rebates) are the result of a three-year collaboration between our Pharmacy Benefit Manager, Prime Therapeutics, and Express Scripts.
Engaging Employees In Their Care
Removing barriers to an individual’s access and ability to acquire their needed prescriptions is at the center of our efforts. Better engaged members result in lower costs and improved health outcomes. Our customer advocates are trained to handle both medical and pharmacy calls, resulting in improved member experience as well increased opportunities to ensure more holistic and appropriate care.
FlexAccessTM
FlexAccess maximizes savings opportunities, is easy for members to use and provides access to cost-sharing assistance. The program unlocks access to more than 200 specialty and non-specialty medications through more pharmacy choices than any other copay assistance models currently on the market.
Medication Finder
National Accounts is now working with Rx Savings Solutions™ to help members easily find the lowest-price options for prescription drugs*. Founded and led by pharmacists, RxSS provides technology and clinical expertise to reduce prescription drug costs, increase medication adherence and improve quality of life.
Pharmaceutical Care Management
Pharmaceutical Care Management (provides targeted medication-related services to your employees and their families, improving clinical care while managing costs. Inbound and outbound engagement between the patient, provider and our clinical care team, consisting of clinical pharmacists and pharmacy technicians, whose goal is to provide holistic and targeted medication-related services to improve clinical outcomes.
Our commitment is to you, not shareholders, and as such our focus is higher quality of care and lower costs to you and your employees.
A recent study performed by HealthScape Advisors tracked 6.4 million of our members for three years. The study found in, aggregate, the ASO groups who connected, or carved-in medical and pharmacy benefits had significantly lower medical costs.
Risk-adjusted medical costs averaged 9% or $516 PMPY less than groups that carved out their pharmacy benefits.
Not all services are available in every state. Please Contact Us to learn more.
