ST. LOUIS, June 7, 2018 /PRNewswire/ -- A suite of
high-impact, data-driven engagement programs from Express Scripts
(NASDAQ: ESRX) are simplifying the prescribing experience for
physicians and providers, helping them make better clinical and
cost-effective decisions with their patients right at the
point-of-care. The solutions are part of the industry's most
comprehensive effort to champion a simpler pharmacy experience by
improving connectivity and easing the administrative burden for
physicians and their staff.
"Our industry leading technology platforms, powered by data and
analytics from billions of claims, are the cornerstones of a
physician-minded portfolio of programs and digital tools that
streamline and improve the prescribing process," said Lynne Nowak, M.D., Express Scripts Chief
Physician Experience Officer. "Through the use of machine learning
and AI, coupled with high-touch interactions with our pharmacists,
we are helping physicians make the most appropriate, cost-effective
prescribing decisions with significantly reduced administrative
burden."
Digital solutions, such as electronic prior authorizations,
clinical direct messaging and real-time prescription benefit
information improve connectivity and reduce costs for both members
and plans. Using real-time data, we inform prescribing decisions by
sharing the patient's out-of-pocket cost, formulary coverage,
therapy options, generic vs brand pricing and pharmacy channel
pricing differences. The information also helps physicians address
safety concerns, such as drug interactions, over-utilization and
adherence gaps for patients who are late to fill a medication.
Prescribers who use Express Scripts' digital solutions have
noted improved experiences with the removal of old, administrative
hurdles such as faxing and phoning. "New digital platforms provide
us -- and the patient -- with drug pricing transparency and
real-time plan information in the exam room, simplifying the
experience for the entire care continuum," said Alan Braverman, M.D., Washington University Professor of Medicine, and
member of the Express Scripts Medical Advisory Board. "These tools
and enhancements clearly have a physician's workflow in mind, and
are helping our patients get to the right medication for them at
the right price."
Real-time Prescription Benefit Equals Greater
Transparency
More than 85 percent of physicians use
electronic health record (EHR) technology in their practice, and
increased adoption of this technology has allowed Express Scripts
to further innovate in this space. In 2016, Express Scripts was
first in the industry to collaborate with Surescripts to bring
real-time prescription benefit information directly into the
physician workflow via the EHR. By the end of 2018, we expect more
than 100,000 prescribers will have access to this information.
"Prescription price transparency helps lower costs for patients
and prevents prescription abandonment at the pharmacy," said
Tom Skelton, Chief Executive Officer
of Surescripts. "With real-time access to patient benefit
information, plus the ability to quickly and easily process prior
authorizations electronically, we're enabling better care decisions
and improving the patient-provider experience."
Prior Authorization in Under Two Minutes
Express
Scripts also has the most comprehensive electronic prior
authorization (ePA) technology for physicians, with more than half
of all prior authorizations coming in electronically. Using ePA is
11 times faster than traditional prior authorization processes,
with decisions returned to prescribers in under two minutes. Nearly
80 percent of prescribers who treat Express Scripts members are
submitting prior authorization requests electronically. Greater
adoption of this technology is critically important as new,
high-cost therapies come to market and require plans to better
manage appropriate use via prior authorization.
Face-to-Face Prescriber Engagement
In addition to
Express Scripts' efforts to inform prescribing decisions before the
patient reaches the pharmacy counter, the company is working with
physicians to inform future patterns of prescribing.
Express Scripts' high-touch approach to prescriber engagement is
led by a team of more than 200 pharmacists and physician engagement
specialists who interact in-person with prescribers and their
office staff. Our pharmacists help physicians stay well-informed
about lower-cost therapy options, and help identify patients who
have critical gaps in care or other medication concerns. The team
also assists physicians with optimizing their EHRs and Express
Scripts' digital tools to make prescribing simpler, faster and more
cost-effective for patients and their plan.
For one Express Scripts client, our clinical team visited
physicians who care for their members, which resulted in more than
$1 million in savings for the plan in
just nine months.
"We know physicians' time is limited, so we tailor our
interactions with them based on data from our proprietary provider
analytics platform, MediCUBE®, and our predictive modeling and
population health analytics tool, HealthPredictSM," said
Dr. Nowak. "With this information, we can optimize our time with
each physician and pinpoint the greatest opportunities to help them
and their patients."
About Express Scripts
We are a healthcare opportunity
company. That means where others see problems, we see potential.
Empowered by our legacy as an industry innovator, we dare to
imagine a better healthcare system. And we're driven to make it
happen. From pharmacy and medical benefits management, to specialty
pharmacy care, and everything in between – we seek to uncover
opportunities to make healthcare work better.
Our home base is St. Louis, but
our reach extends across the nation and beyond. We stand alongside
those we serve, collaborating with our clients and partners to
develop personalized solutions that make a meaningful difference,
getting better – together. We believe healthcare can do more. We
are Champions For BetterSM.
For more information, visit Lab.Express-Scripts.com or follow
@ExpressScripts on Twitter.
Media Contact:
Jennifer
Luddy
(201) 269-6402
Jennifer_luddy@express-scripts.com
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SOURCE Express Scripts