Reality Check:

Healthcare is disconnected.

Visibility into what is happening with your patients is limited. Too often, care is fragmented. Chances are, you may not be certain how all your clinical or engagement services work together – or of their bottom line value. All the while, chronic conditions are on the rise, and healthcare costs are becoming unsustainable.

You are looking for more effective clinical care management. To do this, you need a personalized approach to know which individuals need what help. The future of healthcare is looking at the whole person – especially those who need the most help – and managing care at the individual level. What if healthcare was truly flexible – and you could deliver personalized healthcare at the member level?

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We need better healthcare coordination. Even with a wide range of clinical and patient engagement options, it’s difficult to determine which approaches work best for each patient.

Without true data integration – from all solutions, across all vendors, for all members – and fully connected reporting on opportunities and outcomes, it can be difficult, if not impossible, to know what individual patients need (and what they don’t). What if you had a more holistic view of each individual and your population as a whole, and guaranteed results on the clinical outcomes that matter to you?

Patients need more help.

26% of hospital readmissions are due to medication-related issues, with ~24% resulting from nonadherence.1

The whole system needs help.

Medical errors are still the 3rd leading cause of death after heart disease and cancer.2 All while healthcare costs are continuing to climb.3

A 360° View.
A 180° Change.

In 2020, Express Scripts will start to shift this fragmented healthcare dynamic.
Health Connect 360 is a fully guaranteed, outcomes-based clinical approach that offers an unprecedented in-depth view of your healthcare environment at the member level. Refreshed continuously with insights from patients, prescribers, pharmacists and payers, while utilizing machine learning processes, this new clinical model fully integrates all parts of the healthcare continuum.

As Champions For BetterSM, we will help you maximize clinical outcomes, deliver better member experiences and improve financial results, all while achieving the clinical goals you set for your population. And for the first time ever in our industry, Express Scripts is going to deliver guaranteed clinical outcomes.

Connecting What’s Disconnected

Health Connect 360 is forging new levels of connection across the healthcare continuum.
Why is Health Connect 360 the best choice for lowering your total cost of care?

Deliver your desired clinical outcomes, guaranteed

You get a performance-based approach – achieve customized
clinical outcomes… guaranteed

Connect everyone for ultimate care coordination

You get new levels of connection across the healthcare continuum – multi-source data integration generates a more accurate, 360-degree view of each patient – and therefore, a better understanding of opportunities across your population, allowing you to choose what matters most to match your plan’s needs

Make healthcare more personal

You get truly personalized healthcare for your members – clinical support is
needs-based and specific to the individual’s preferences and health challenges, optimizing member experience and driving behavior change to achieve your goals

BE ACCOUNTABLE FOR EVERY PERSON, AT EVERY STEP

How Health Connect 360 Works

We bridge pharmacy, medical, lab and patient engagement data, daily, with unrivaled precision and analysis. This means we identify more relevant, actionable gaps-in-care or health opportunities 14 times faster – getting those insights and alerts back to your pharmacies, physicians, nurses and case managers.

  • Step 1: Integration

    We aggregate all the most critical data sets (pharmacy, medical, lab, remote monitoring devices, provider data, clinical engagements and more) into our centralized system for daily analysis

  • Step 2: Insights

    Using three decades of integrated medical, pharmacy, lab and demographic data, we create predictive models applied at the patient level to generate actionable insights every day

  • Step 3: Recommendations

    We build population- and patient-specific care plans from our industry-leading suite of clinical capabilities

  • Step 4: Personalized Outcomes

    Working together with you, we deliver tailored
    engagements best suited for each member’s
    unique needs

Population Health Manager

Your assigned Population Health Manager will provide additional support by reviewing suggested engagements and targeting them to individual patients’ needs. These clinicians study your data every day, looking for opportunities to address areas that need clinical attention. They will also keep you informed about the best available engagement options, making operations easier and helping you achieve optimal outcomes.

Helping the Whole System

Personalized For Patients

Your patients receive only the clinical care support they need, preventing overlapping communications and outreaches across systems, tools and care providers. Personalized engagement means each member gets the best interactions and outreaches for their specific condition needs, health risk and optimal engagement method including timing and channel. They will only get what they need, when they need it,
and nothing they don’t.

More Insights For Pharmacies

Pharmacies get increased visibility of actionable clinical support opportunities as well as member and population health insights.

Improve Your Team’s Care Coordination

Your case managers and nurses are empowered with our data, allowing them to take action based on our recommendations, with fresh insights delivered daily. This allows you to keep people from falling through the cracks without duplicative, wasteful efforts. The data and insights are available on-demand to help you deliver informed, effective individual counseling for your members.

Better For Physicians

Physicians are enabled to make better clinical and cost-effective decisions at the point of prescribing for their patients with access to bi-directional clinical alerts, remote monitoring data and health insights from interactions with other clinicians. Physicians also see patient-specific out-of-pocket cost for medications, alternative therapeutic options and coverage alerts.

Take a Look Inside:

How A 360° View Changes Healthcare For Everyone

Every patient is unique. By proactively using patient-level risk and engagement scores, we will identify actionable health and safety issues and opportunities, enabling true personalization that drives better outcomes at the patient level – and bigger impact at the population level.

Meet Tommy

A 38-year-old man with diabetes struggling to remember to take his medications and keep his blood sugar levels in check. Due to a recent hospital scare, plus a track record of poor medication adherence, Tommy started a remote monitoring program to track his blood glucose levels via a Bluetooth device connected to his phone.

Unfortunately, his physician doesn’t know Tommy’s levels are being monitored, his retail pharmacist doesn’t notice he’s nonadherent and the health plan’s care coordination team isn’t aware of the conversations he is having with his specialist pharmacist.

See the 180° change – a personalized, responsive approach leading to optimal care coordination and guaranteed results

The power of a 360° view

Healthcare happens in real time. By leveraging unique member insights and utilizing our comprehensive understanding of Tommy’s health, we are able to provide more efficient and effective engagements.

Just like a mobile navigation app, if your members go off course, we help reroute their paths to achieve optimal clinical care.

Start Over

Meet Tommy

A 38-year-old man with diabetes struggling to remember to take his medications and keep his blood sugar levels in check. Due to a recent hospital scare, plus a track record of poor medication adherence, Tommy started a remote monitoring program to track his blood glucose levels via a Bluetooth device connected to his phone.

Unfortunately, his physician doesn’t know Tommy’s levels are being monitored, his retail pharmacist doesn’t notice he’s nonadherent and the health plan’s care coordination team isn’t aware of the conversations he is having with his specialist pharmacist.

See the 180° change – a personalized, responsive approach leading to optimal care coordination and guaranteed results

The power of a 360° view

Healthcare happens in real time. By leveraging unique member insights and utilizing our comprehensive understanding of Tommy’s health, we are able to provide more efficient and effective engagements.

Just like a mobile navigation app, if your members go off course, we help reroute their paths to achieve optimal clinical care.

Designing The Future
Of Healthcare

No more guessing about which clinical care support tactic will work best with your existing clinical programs. With Health Connect 360, we provide holistic benefit management to meet your plan’s customized clinical targets, guaranteed.

Health Connect 360 also allows for fast-track access to future clinical solutions that Express Scripts brings to market. Our scale and commitment to clinical innovation means we will deploy new clinical options faster than any single plan can on their own, giving your care coordination team a wider and more effective range of clinical engagements.

Ready for a 180° Change in Healthcare?

For a future that is connected, collaborative and customized for you, contact your Express Scripts account representative today to learn more about Health Connect 360. Customized modeling is available to help you discover how this revolutionary new model will work specifically for you by improving care coordination and member experience while lowering the total cost of care for your plan.