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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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