Transcript Express Scripts Dan Winkler & Stephanie Zimmermann October 6, 2014 Group 10

Express Scripts
Dan Winkler & Stephanie Zimmermann
October 6, 2014
Group 10
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About Express Scripts
• Headquartered in Saint Louis, Missouri
• Leading Pharmacy Benefit Manager in the United States
• ESRX
• Fortune 100 Company – 20th
• $75/share
• Market Cap $55.61 billion
• 2013 revenues $104 billion
• 30,000 employees
• Strong Saint Louis presence
• Charitable giving
• Express Scripts Foundation
• Diversity in the workplace
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Express Scripts Timeline
1986
• Express
Scripts, Inc. is
founded
1992
• Express
Scripts goes
public (ESRX)
1998
• Acquisition of
ValueRX
2010
• $10 million
tax incentive
to stay in
Missouri
2012
• Acquisition of
MedCo.
ESI is now the largest Pharmacy Benefit Manager (PBM) in
the United States
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Technical Situation
‹#›
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express-scripts.com
Home
page
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express-scripts.com
Homepage
• Easy access to patient log in
• Access to ESI Corporate site
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express-scripts.com
Home
page
Patient
Home
Screen
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express-scripts.com
Homepage
Patient Home
Screen
• Easy access to patient log in
• Access to ESI Corporate site
• Tabular segregation of important functions
• Explicit order status and prescription information
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express-scripts.com
Manage
scripts
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express-scripts.com
Homepage
Patient Home
Screen
Manage
Prescriptions
• Easy access to patient log in
• Access to ESI Corporate site
• Tabular segregation of important functions
• Explicit order status and prescription information
• More detailed information about patient’s prescriptions
• Ability to manage all aspects of individual prescriptions
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express-scripts.com
Manage
scripts
Health
&
Benefit
Info
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express-scripts.com
Homepage
Patient Home
Screen
• Easy access to patient log in
• Access to ESI Corporate site
• Tabular segregation of important functions
• Explicit order status and prescription information
Manage
Prescriptions
• More detailed information about patient’s prescriptions
• Ability to manage all aspects of individual medications
Health & Benefit
Information
• Insurance details
• Additional resources for improved wellness
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Communication Model – Transformational
Multiunit
Virtual
Vertical
Horizontal
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Attrition
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‹#›
PROBLEM > SOLUTION
Problem – Attrition
• Job security
• Organization direction
M&A
• Increased workload
• Lack of leadership, communication
• Resistance to change
• Resentment or betrayal
O P P O RTUNITIE S
1. Identify communication plan
2. Invest in parent and subsidiary’s employees
3. Encourage feedback
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PROBLEM > SOLUTION
Solution – Attrition
Employees seek a
sense of belonging
and investment
from employer –
“more than just a
number”
1
Develop a communication strategy
2
Offer trainings and leadership programs
3
Give employees a voice – engagement
surveys
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Financial remuneration
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Adherence
$
300B
ANNUALLY
44.8M
AMERICANS
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‹#›
PROBLEM > SOLUTION
Problem – Adherence
• Forget to take
• Forget to refill
• Feel better, stop medicating
$300B
• Feel worse, stop medicating
• Cannot afford
• Have questions, need more info
O P P O RTUNITIE S
wasted
annually
1. Improve adherence, quality of life
2. Reduce wasteful spending, make better decisions
3. Increase drug cost savings
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Solution – Adherence
PROBLEM > SOLUTION
Express Scripts’ Health Decision Science
Better decisions lead to healthier outcomes
Behavioral
Financial
Clinical
• Refill reminders: audible, pill boxes and bottle caps, auto-refills
• Solves 69% of non-adherence issues
• Home delivery, generic drugs, payment assistance programs
• Accounts for 16% of non-adherence
• Prescription education, advice and therapeutic resources
• Responsible for 15% of non-adherence
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To Conclude...
• America's largest, most innovative PBM
• Still faces challenges
• Attrition
• Adherence
• Moving forward to provide better prescription
situations for millions of Americans
• Aim to improve health outcomes for all
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‹#›
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