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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 1992 1998 2010 2012
• Express Scripts, Inc. is founded
• Express Scripts goes public (ESRX)
• Acquisition of ValueRX
• $10 million tax incentive to stay in Missouri
• 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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Home page
express-scripts.com
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express-scripts.com
• Easy access to patient log in
• Access to ESI Corporate siteHomepage
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Home page
express-scripts.com
Patient Home Screen
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express-scripts.com
• Tabular segregation of important functions
• Explicit order status and prescription informationPatient Home Screen
• Easy access to patient log in
• Access to ESI Corporate siteHomepage
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express-scripts.com
Manage
scripts
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express-scripts.com
• Tabular segregation of important functions
• Explicit order status and prescription informationPatient Home Screen
• More detailed information about patient’s prescriptions
• Ability to manage all aspects of individual prescriptions
Manage Prescriptions
• Easy access to patient log in
• Access to ESI Corporate siteHomepage
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express-scripts.com
Manage
scripts
Health &
Benefit Info
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express-scripts.com
• Tabular segregation of important functions
• Explicit order status and prescription informationPatient Home Screen
• More detailed information about patient’s prescriptions
• Ability to manage all aspects of individual medications
Manage Prescriptions
• Easy access to patient log in
• Access to ESI Corporate siteHomepage
• Insurance details
• Additional resources for improved wellness
Health & Benefit Information
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Communication Model – Transformational
Vertical
Virtual
Horizontal
Multiunit
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Attrition
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PROBLEM > SOLUTION
Problem – Attrition
M&A
1. Identify communication plan
2. Invest in parent and subsidiary’s employees
3. Encourage feedback
OPPORTUNITIES
• Job security
• Organization direction
• Increased workload
• Lack of leadership, communication
• Resistance to change
• Resentment or betrayal
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PROBLEM > SOLUTION
Solution – Attrition
Develop a communication strategy1
Offer trainings and leadership programs2
Give employees a voice – engagement surveys3
Financial remuneration4
Employees seek a sense of belonging and investment from employer – “more than just a number”
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$300BANNUALLY
44.8M AMERICANS
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Adherence
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PROBLEM > SOLUTION
Problem – Adherence
$300Bwasted annuall
y1. Improve adherence, quality of life
2. Reduce wasteful spending, make better decisions
3. Increase drug cost savings
OPPORTUNITIES
• Forget to take
• Forget to refill
• Feel better, stop medicating
• Feel worse, stop medicating
• Cannot afford
• Have questions, need more info
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PROBLEM > SOLUTION
Solution – Adherence
Express Scripts’ Health Decision ScienceBetter decisions lead to healthier outcomes
• Home delivery, generic drugs, payment assistance programs
• Accounts for 16% of non-adherenceFinancial
• Prescription education, advice and therapeutic resources
• Responsible for 15% of non-adherenceClinical
• Refill reminders: audible, pill boxes and bottle caps, auto-refills
• Solves 69% of non-adherence issuesBehavioral
2020
To Conclude...
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• 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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