Evernorth Therapy Link: Gene and Cell
Transforming access to life-changing therapies
Tackling one of health care's most complex challenges
Evernorth Therapy Link simplifies one of health care’s most complex challenges: ensuring the right individuals benefit from gene therapies at the right time. By combining deep clinical expertise with industry-leading data and insights, this solution expands access to potentially curative treatments for rare and complex conditions.
It addresses key barriers—affordability, accessibility, logistics, and administration—across the entire therapy lifecycle, from early research to post-launch.
Evernorth Therapy Link aims to:
Identify the right patients for a gene therapy—at the right time
Provide data & insights – through all stages of therapy development
Manage costs for patients and payers
Maximize appropriate referral opportunities for positive outcomes
Enhance support and education through the entire treatment journey to minimize therapy abandonment
Built with you in mind
Data and insights
Powered by Forsyth Health, this solution identifies clinically appropriate candidates for gene and cell therapies with maximum accuracy. Through connections with Express Scripts® Pharmacy Benefit Services and Accredo® Specialty Pharmacy, Forsyth provides:
Early patient identification and engagement
Maximization of appropriate referral opportunities for positive outcomes
Reduced abandonment potential through therapy journey
Improved outcomes through clinical and payer solutions
Detailed data reporting and clinical expertise from research through treatment, and beyond
Financial and logistics management
Partnering with a specialty distributor, like CuraScript SD by Evernorth®, offers flexible payment terms and expert logistics management. This ensures financial risk for treatment centers is minimized and complex delivery processes are handled with care.
A fully integrated specialty distributor and specialty pharmacy solution delivers significant benefits including reduction of financial risk, accelerating therapy access, improving coordination of care across the patient journey, and enhancing the prescriber experience.
When partnered with Accredo Specialty Pharmacy, the process minimizes hand-offs to ensure a better experience.
Clinical support and education for patients
Accredo Specialty Pharmacy’s team of specialty-trained clinicians deliver individualized support and therapy education to patients and their caregivers—ensuring optimal adherence and outcomes. As a trusted partner with extensive experience in gene therapies, Accredo ensures patients are supported throughout their treatment journey.
Comprehensive protection
Evernorth’s Embarc Benefit Protection® shields plans from the high costs of gene therapy claims while ensuring affordable access for patients. This comprehensive gene therapy program provides protection beyond stop-loss coverage to give payers and their members:
Access to the high-cost, potentially life-changing gene therapies
No out-of-pocket costs for included therapies and related patient care*
End-to-end case management guiding patients through every step of their treatment journey
Utilization management that ensures a managed cost of care, while providing a seamless member experience
*As long as applicable deductibles are met
Data and insights
Powered by Forsyth Health, Evernorth Therapy Link identifies clinically appropriate candidates for gene and cell therapies. Through the combined capabilities of Express Scripts® Pharmacy Benefit Services and Accredo® Specialty Pharmacy, we can:
Proactively identify, and help physicians and prescribers engage with, eligible patients
Maximize appropriate referral opportunities for positive outcomes
Reduce potential abandonment throughout therapy journey
Improve clinical outcomes and patient experience
You'll also benefit from robust clinical support and data-driven insights that help navigate complex therapies—ensuring your patients receive the education, access, and care they need at every step.
Clinical support and education
Accredo Specialty Pharmacy’s team of specialty-trained clinicians provide personalized guidance and education to your patients and caregivers. With extensive gene therapy experience, Accredo ensures patients are supported every step of the way and treatment goals are met. A patient's therapy outcomes and quality of life are our priority.
In addition to traditional support:
Accredo has program managers in place to help manage the clinical, financial and logistical complexities of gene therapies. They provide direct support to patients and families by:
Reinforcing a physician’s care plan
Reviewing all medications to prevent interactions
Helping address questions patients may have between appointments with their physician
The program managers work alongside our GeneAXS team to help navigate insurance approvals, coordinate prior authorizations with physicians/prescribers, and explore manufacturer copay assistance or other financial support programs.