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CMF_Fuskie suggested that I cross-post this here. I'd be interested to hear feedback about the new program from current patients or caregivers (especially Express Scripts customers). In particular, I would like to know more about the issues behind the medical adherence rate. Is this a problem that can be improved by a Pharmacy Benefit Manager? Is the problem access to drugs and supplies or maybe timely deliveries? Express Scripts' management speaks often about improving patient outcomes as something that differentiates them from their competitors. It is hard, though, to gauge how successful they will be.

Today, Express Scripts announced a new diabetes care program slated to launch in March, 2017. The program is designed to both improve care for diabetes patients and shield clients from the impact of a rise in diabetes care costs.

As part of the Diabetes Care Value Program, Express Scripts is guaranteeing per-patient spending caps that will result in participating plans experiencing an average increase in diabetes drug-spend in 2017 that is approximately half of what the industry is currently forecasting for U.S. commercial payers.

With the guarantee, Express Scripts will be responsible for cost increases in excess of the cap. However, the PBM should be in a better position than their clients to extract concessions out of drug makers due to their size.

The Diabetes Care Value Program is projected to boost the average medication adherence rate for enrolled patients by 5%, reducing downstream health complications and healthcare costs. Currently, $4,690 per diabetes patient is spent each year on medical expenses that could have been avoided if patients had taken their diabetes medications as prescribed.

The Diabetes Care Value Program, which will be implemented March 1, 2017, is the fifth and latest addition to the Express Scripts SafeGuardRx suite of custom solutions.

See more at:

Greg (ESRX shareholder)
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