Helping Your Plan Achieve Your Goals
We work as an extension of your team, making your goals our own to solve problems for your clients in real time.
Our business: Never stop improving yours
True partnership built on trust and collaboration
Our flexible offerings and commitment to your growth help you achieve your goals on your terms, and we hold ourselves accountable to help make the best clinical and financial decisions with your business and members in mind.
Delivering value for those you serve
We analyze and uncover opportunities for growth. Our advanced expertise helps identify ways to enhance affordability, improve predictability of care and drive better health outcomes for your clients and members.
Our expertise in navigating the nuances of your market(s), member populations and regulatory challenges run deep.
With a flexible Medicaid service model, we help you remain compliant and improve your HEDIS quality measures and clinical outcomes for your plan(s) and members.
Our dedicated team of Medicare market strategists provide you with actionable insights to improve Star ratings, achieve quality measures and drive greater affordability of care.
Overall—we’re equipped to help plans navigate the constant flux of changing regulatory and market dynamics.
We provide the tools including formulary support, benefit compliance, regulatory support and market development strategies to achieve your marketplace objectives and help your members be active participants in managing their own health care.
Flexible, targeted solutions for your plan
Our innovative, industry-leading solutions help you reduce costs, increase quality and create health experiences that are truly equitable. We offer complete solutions with the flexibility to combine with your current offerings. Learn more about a few of our popular health plan solutions below:
With unrivaled precision and analysis to make sure no patients fall through the cracks, Health Connect 360® provides a transformative solution by connecting the right people with real-time data to deliver guaranteed clinical outcomes and financial savings.
Our first-to-market value-based platform, SafeGuardRx® delivers condition-specific patient engagement tools and innovative cost-containment strategies that protect plans from health care’s biggest budgetary threats (both traditional and specialty) while promoting health among millions of people who are counting on the health care system.
Tools for plans to maximize savings, reduce gaps in care, enable cost-effective decision making and minimize administrative demands for physicians from Medical Drug Management.
Putting our clinical knowledge, capabilities and scale to work for you:
of enrolled lives are in 4-5 star Medicare Part D (MAPD) plans2
2. Express Scripts book of business
in Quality Bonus Payments (QBP) earned by 4-5 star MAPD plans2
2. Express Scripts book of business
