Express Scripts

Express_Scripts_logoThrough Express Scripts, CSEBA is able to offer a wide range of self funded prescription plan design options while providing cost effective prescription plan management.

Express Scripts’ benefit modeling and expert recommendations support CSEBA’s goal to provide the best possible pharmacy coverage at an affordable cost. Express Scripts’ unique approach to creating and managing integrated pharmacy networks lowers costs, while delivering quality care and high member satisfaction.

To achieve healthier outcomes, Express Scripts designs and delivers solutions to support better prescription-related decisions. Their experience and research show that achieving optimal outcomes ultimately requires better decisions on the part of patients, caregivers and providers.

Express Scripts applies decision science to help us understand why people make the decisions they do and to help us determine how to make better decisions easier.

Express Scripts’ platform for discovery and innovation is Health Decision Science SM. It’s the synthesis of three complementary capabilities:

Behavioral Sciences

Express Scripts applies proven strategies from the behavioral sciences, including choice architecture and message framing, in an approach we call Consumerology®. Because patient engagement is often unachievable, they work to make the best decisions as easy as possible. Express Scripts’ research has shown that poor decisions typically reflect a gap between intentions and behaviors. By anticipating member needs and preferences, then earning their attention, they can close these “intent-behavior” gaps.

Clinical Specialization

Express Scripts’ specialist pharmacists and nurses provide personalized attention to patients diagnosed with costly chronic and complex conditions. They have a deep understanding of specific disease states, allowing better anticipation of patient care needs. More than 1800 Express Scripts clinical specialists work directly with patients to optimize the health choices they make, ensuring safety, improving affordability and delivering world-class care.

Actionable Data

Actionable data means providing the right data at the point of prescribing and running real-time safety checks at the point of dispensing. It means advising clients with data-driven recommendations for formularies, and counseling patients with relevant safety and savings information. With actionable data, they can predict non-adherence risks and work toward determining the most cost-effective interventions.

Health Decision Science is at the heart of how Express Scripts adds value for clients and members. With this expertise, they have built practical solutions for three decision areas:

Drug Choices

Express Scripts drug-choice solutions facilitate the proper use, selection and amount of the safest, most cost-effective generics and preferred brands.

Pharmacy Choices

Express Scripts pharmacy-choice solutions help patients and their providers choose the most cost-effective, high-quality pharmacies for their conditions.

Health Choices

Express Scripts health-choice solutions increase the effectiveness, safety and affordability of clinical care.

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