HIMSS ’19: Data-Driven Tools from Cigna and Express Scripts Boost Access to Real-Time Prescription Savings Opportunities

  • Real-Time Prescription Benefit tool, now available for Cigna health
    care providers and customers, makes it easier to identify
    opportunities to decrease out of pocket costs.
  • ScriptVision™ (beta) physician mobile application is a new addition
    to the Express Scripts suite of digital provider solutions to enable
    physicians and personalize care for patients.

ORLANDO, Fla.–(BUSINESS WIRE)–Global health service company Cigna and Express Scripts, a Cigna
company, today announced new efforts to expand prescriber access to
real-time pharmacy information to help customers save money on their
prescription medications.

During “Views from the Top” panel discussion today on price transparency
at the Health Information and Management Systems Society (HIMSS)
conference, Cigna Chief Clinical Officer, Steve Miller, M.D., explained
the importance of ensuring prescribers having accurate cost and
therapeutic alternative information in this era of consumer-driven
health and value-based care, so patients have an easier experience and
are more likely to remain adherent to therapy.

“At Cigna and Express Scripts, we believe creating a better pharmacy
experience begins at the point-of-care, when physicians are making
crucial decisions with their patients,” said Dr. Miller. “Whether
delivering real-time benefit information to more than 105,000 prescribers1
in their electronic health record, rendering prior authorization
decisions electronically within minutes, or providing clinical care
messages, like drug interactions and high-risk medication alerts, we’re
simplifying the prescribing experience so doctors can focus on what
matters most.”

Cigna’s Network of Providers Gain Access to Real-Time Prescription

Cigna’s network of health care providers who e-prescribe can now access
real-time, patient-specific medication coverage and cost information
within their electronic health record (EHR) or e-prescribing platform
using Surescripts Real-Time Prescription Benefit. The prescribing
clinician can access critical medication information, such as lower-cost
alternatives, home delivery pharmacy or retail pharmacy cost options,
and other clinical information, such as prior authorization
requirements, while engaged with their patients before prescriptions are

“Strengthening medication adherence is critical to improving the health
and well-being of the people we serve. When health care providers can
have an informed discussion with their patients in real-time, people
better understand their medication and surprises at the pharmacy are
eliminated,” said Scott Josephs, MD, chief medical officer at Cigna.

With connections to the country’s leading pharmacy benefit managers
(PBMs), the accurate, patient-specific information delivered to health
care providers through Surescripts Real-Time Prescription Benefit is
available for 76 percent2 of all U.S. patients. In 2018,
prescribers used the tool to perform more than 40 million3
prescription benefit checks at the point of care, saving patients as
much as $8,0324 on a single prescription.

Express Scripts ScriptVisionSM

The ScriptVision suite of solutions enables physicians and personalizes
care through delivering digital, data-driven capabilities right into
physicians’ workflow. These capabilities,
including Real-Time Prescription Benefit, Electronic Prior Authorization
and Clinical Direct Messaging, give physicians real-time visibility to
information they need to make better clinical and cost-effective
decisions with patients, right in the exam room.

“Express Scripts is proud to have been the first PBM in the market to
bring Surescripts Real-Time Prescription Benefit information directly to
physicians in their EHRs back in 2016,” said Lynne Nowak, M.D., chief
physician experience officer, Express Scripts. “This technology provides
patient-specific information at the point of prescribing including
patient out-of-pocket costs, coverage alerts, and therapeutic options.
Real-Time Prescription Benefit is just one of our data-driven
technologies built to remove barriers to care and champion a simplified
experience for physicians and patients.”

New to this suite of solutions is the ScriptVisionTM (beta)
physician app, which provides prescribers without EHR access similar
real-time prescription benefit functionality within a mobile
application. While we are reaching hundreds of thousands of prescribers
through an EHR, there are still many more who do not have access to this
information and we want to close that gap. In the beta version of the
app, prescribers gain access to patient-specific benefit information for
people with a pharmacy benefit plan managed by Express Scripts. Within
seconds, the prescriber will see accurate pricing in real-time by drug
and pharmacy channel, in addition to relevant coverage alerts (such as
step therapy) and potential therapeutic alternatives.

“We believe our ScriptVision physician app will help many more
physicians easily access their patients’ prescription benefit
information, right in their mobile device,” says Nowak. “Collectively,
all of our digital provider solutions were built to simplify the
prescribing process and provide more patient-specific information at the
point of care, which leads to better medication safety, better formulary
compliance, higher patient medication adherence, and overall improved
physician and customer satisfaction.”

“Medications don’t work if people can’t pay for them, or are forced to
wait for them and never pick them up,” explained Tom Skelton, Chief
Executive Officer of Surescripts. “Many Americans are abandoning their
prescriptions at the pharmacy or skipping doses when the cost is too
high, or when prior authorization causes delays. The good news is that
prescribers now have prescription price transparency tools at their
fingertips, so their patients can get the medications they need, at an
affordable price, faster and with less hassle.”

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company
dedicated to improving the health, well-being and peace of mind for
those we serve. Cigna delivers choice, predictability, affordability and
quality care through integrated capabilities and connected, personalized
solutions that advance whole person health. All products and services
are provided exclusively by or through operating subsidiaries of Cigna
Corporation, including Cigna Health and Life Insurance Company,
Connecticut General Life Insurance Company, Life Insurance Company of
North America, Cigna Life Insurance Company of New York, Express Scripts
companies or their affiliates. Such products and services include an
integrated suite of health services, such as medical, dental, behavioral
health, pharmacy, vision, supplemental benefits, and other related
products including group life, accident and disability insurance.

Cigna maintains sales capability in over 30 countries and jurisdictions,
and has more than 160 million customer relationships throughout the
world. To learn more about Cigna®, including links to follow
us on Facebook or Twitter, visit www.cigna.com.

Surescripts is not an affiliate of Cigna Corporation.


1 Surescripts 2018 Impact Report: Prescription Price
Transparency.” February 2018. Price
Transparency Impact Report
, page 6

2 Surescripts 2018 Impact Report: Prescription Price
Transparency.” February 2018. Price
Transparency Impact Report
, page 6

3 Surescripts 2018 Impact Report: Prescription Price
Transparency.” February 2018. Price
Transparency Impact Report
, page 7

4 Data Brief: Price Transparency Boosts Patient Savings and
Prescriber Efficiency.” December 2018. http://surescripts.com/docs/default-source/pressrelease-library/realtimeprescriptionbenefit_patientsavingsresults_databrief_11-2018.pdf


Jennifer Luddy

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