– Express Scripts launches its first digital health formulary that will allow employers and health plans to effectively manage a fast-growing segment of healthcare while improving access for patients.
– Starting in January 2020, Express Scripts Digital Health Formulary will initially include 15 solutions for remote monitoring services and digital therapeutics that aid in the management of eight of the country’s most common chronic conditions: diabetes, prediabetes, hypertension, asthma, pulmonary disease, depression, anxiety, and insomnia.
Today, Express Scripts announced the first formulary for digital and mobile health apps and devices – a fast-growing segment of healthcare that aims to help people with serious illnesses like diabetes and high blood pressure to take better control of their health, improve their quality of life and lower their total costs. As more people turn to digital programs to improve their health, Express Scripts is making it easier to connect consumers with the apps and devices that work best for them.
Value Proposition: Making Digital Health Easy and Reliable
With more than 300,000 digital products on the market today, it can be overwhelming to figure out which one is best for a specific condition. Currently, employers and health plans offer digital health programs to their members without a common review process, a way to obtain the best value, or an ability to easily integrate the product into their overall health benefit.
Research from the National Business Group on Health shows that half of the employers anticipate digital health solutions having a very significant impact on their members. However, the digital health industry itself is still relatively new: a quarter of digital health companies have less than two years of experience.
Express Scripts Digital Health Formulary Benefits
Participating health plans and employers can increase patients’ access to emerging products and technologies simply and affordably and can rest easier with the knowledge that these new tools have been reviewed by a team of experts who will ensure the products work, provide a user-friendly experience and are worth the investment. People who use a program on the Digital Health Formulary also will receive support from Express Scripts specialist pharmacists to ensure the appropriate use of the technology.
15 Validated Programs Included in Digital Health Formulary
Starting in January 2020, the Express Scripts Digital Health Formulary initially includes 15 solutions including remote monitoring services and digital therapeutics that aid in the management of eight of the country’s most common chronic conditions: diabetes, prediabetes, hypertension, asthma, pulmonary disease, depression, anxiety, and insomnia. Express Scripts reviewed more than 70 digital health products for this first round of the formulary, in a four-stage process that tested each product for clinical effectiveness, user experience, security and privacy compliance, and value and affordability.
The first selected solutions on the formulary include:
– Livongo, which will have preferred status on the formulary, for their diabetes, diabetes prevention and hypertension family of products
– Omada Health digital care programs for diabetes, diabetes prevention, and hypertension
– LifeScan OneTouch Reveal® Plus powered by Welldoc’s BlueStar® platform for diabetes
– Learn to Live and SilverCloud Health digital mental health platforms for depression, anxiety, and insomnia
– Propeller Health digital health programs for asthma and COPD
Digital Formulary Use Cases
These solutions engage with patients in a variety of ways, for example:
– Allowing a pharmacist or nurse to remotely monitor a patient’s use of a drug therapy
– Synching to diagnostic devices that provide patients or their caregivers with vital information, like blood sugar or blood pressure, and alerts them to potential concerns
– Offering virtual personal coaching from a health or wellness professional
– Provide virtual support from a patient’s peer
Impact of Digital Health Formulary
Digital healthcare is creating a sea change for pharmacists, allowing them to expand their roles to counsel patients on how they can use a digital health product or program to achieve their health goals.
For example, in just one year, pulmonary remote monitoring with the Propeller Health program – in concert with Express Scripts pulmonary specialist pharmacist support – led to improvements in symptoms, an 82% decrease in use of rescue inhalers, and a 10% increase in adherence to controller medications that help to prevent adverse asthma symptoms and exacerbations.
“The Express Scripts Digital Health Formulary will do for the developing digital healthcare industry what our drug formularies have achieved for prescription medications for more than 20 years – access, choice and value for payers and patients,” said Mark Bini, chief patient experience officer, Express Scripts. “We are setting the bar high for clinical effectiveness, user experience, and financial value for these solutions, while also combining coverage into the pharmacy benefit and providing patients with expert support from Express Scripts specialist pharmacists.”
