Welcome to the Health Plan Hub
This hub was created to provide you with valuable insights, resources and tools to keep you informed about the broad range of solutions, tools and services you can leverage to drive your growth, innovation, clinical, operational, quality, compliance, and member needs.
The content in this hub has been specially curated or created for our Health Plan clients.
Below, you will find continuously updated featured content, links to Evernorth resources, legislative insights, thought leadership articles, Elevate videos, Growth Team and Regulated Markets reports, and more.
Discover how smaller pharmacy benefit managers are shaking up the industry with promises of transparency and flexibility—but are they really delivering? Dive in to explore the real-world challenges and the advantages that integrated health plans bring to the table.
Everything you need to become a pharmacy selling genius—covering pricing, value prop, clinical expertise, prospecting, and market intelligence with videos, podcasts, checklists, and more.
A new era in pharmacy benefits
In the latest episode of the "Health Unscripted" podcast, Adam Kautzner joins host Ashley Holzworth‑Nash, vice president of network product strategy at Express Scripts, to break down Evernorth’s reimagined pharmacy benefits model.
Why it matters: Upfront savings, value-based reimbursement, and real-time visibility can strengthen trust, improve adherence, and enhance outcomes – while supporting independent and critical‑access pharmacies ahead of the anticipated 2027 launch.
Key insights from the Evernorth Research Institute
The confluence of escalating costs, rapid technological advancements, and ongoing lifestyle and health services utilization issues have created unprecedented challenges for the U.S. health care system, according to research released in the 2024 Health Care in Focus report.
Optimizing Prior Authorization & Call Center Services
Blueprints in the Digital and AI Era
Building Bridges, Strengthening Security
Unlock innovative partnership with insights and outcomes
The 200,000-square-foot facility in Newark, Delaware, enhances Evernorth’s ability to deliver medications to patients and the providers who care for them.
Learn more about what’s possible when innovation, collaboration, and clinical excellence come together.
How Accredo Specialty Pharmacy’s clinical team delivers patient-centered support and treatment options for those living with HAE.
Legislation Watch
The PBM Legislation Watch tracks and updates bills up for consideration in the current year which are most unfavorable to PBMs; plus other potentially impactful legislation that the Evernorth Government Affairs team is tracking in the focused areas of ERISA erosion, PBM and pharmacy, prior authorization/ gold carding, and white bagging.
Evernorth and Express Scripts solutions
Embarc Benefit Protection®
Evernorth Embarc Benefit Protection shields plan members from the high health care costs associated with gene therapies so that patients who need treatment can get it.
SafeGuardRx®
SafeGuardRx helps save lives and money by focusing on the most costly and complex conditions, like obesity, diabetes, and inflammatory. We’re excited to bring these solutions to you as Evernorth, leveraging the specialized clinical model and value-based contracting strategies from Express Scripts.
Health Connect 360®
A clinical model delivering guaranteed clinical outcomes and financial savings by connecting the right people with real-time data for the right outcomes, paving the way for more affordable care.
MoreThanRx
MoreThanRX is a suite of solutions that opens new doors of access to patients through partnerships with retail pharmacies across the nation.
EncircleRx
Discover EncircleRx, a data-driven portfolio that helps plan sponsors reduce costs and enhance outcomes for cardiodiabesity, cardiovascular disease, and obesity.
Behavioral health
Evernorth’s data-informed approach to behavioral health provides solutions that predict emerging health needs, close gaps in care, and drive cost savings; all while empowering whole-person and whole family health.
2025 Elevate Replays
Explore a compilation of the sessions from the Elevate 2025 event.
First-hand insights: Consultant panel and Q&A session
Policy & partnerships: Navigating the network landscape
Building your foundation for growth
Pharma pulse: Trends shaping tomorrow
Winning the rebate game: How to optimize and articulate your value
Advancing the Rx pricing dialogue in an evolving market
Elevate your game: Prospect smarter, retain better
Deal dissected: A consultant's perspective
Redefining Retention: ICHRA & Medicare age-in strategies
From message to momentum: Value prop activation & finalist meeting excellence
Elevate 2025 Workbook
Download the Elevate 2025 workbook and access archived on-demand content.
Thought Leadership Corner
The Value of Integration
Employers are exploring ways to cut costs and improve care, with some carving out pharmacy from medical benefits. But evidence shows integrated benefits deliver greater savings and better health outcomes than carve-outs.
Building a Winning Go-To-Market Team
Whether serving 20,000 or two million, having pharmacy experts on your go-to-market team is essential to highlight its role in your value proposition. Integrated medical and pharmacy benefits lower costs and improve health—making it critical to refine and elevate how you tell that story.
Pharmacy Consultants: The Key to a Winning Strategy
Consultants play a major role in winning and keeping clients, making relationships and engagement strategies critical. Knowing their motivations and earning trust turns them into allies rather than obstacles.
As part of Health Plan Growth, the Regulated Markets Growth and Strategy team is responsible for aligning to your growth goals and partnering with you to meet them across Medicare, Marketplace, and Medicaid. As an Express Scripts client, you will receive a Regulated Markets Growth and Strategy Consultant for each of your RM lines of business.
Our support is not point-in-time, but buildable and cyclical, as depicted in our menu of services and consulting cycles provided below. That said, we are measured on your organic growth. We look forward to partnering together, focused on out-pacing the industry’s growth trends in your respective areas.
Medicaid
+ State RFP tracking
+ State RFP strategy ideation
+ State RFP completion
+ Post-RFP contract execution
+ State RFP postmortem analysis
+ Earnings call analyses
+ Market deep dives
+ State win themes
+ National trend review
+ Value Added Benefits analysis
+ FOIA analyses
+ PBM Gap Analyses
+ Broker training
+ Top competitor news
Medicare
+ Contract/county/state level market analyses
+ Service area evaluation
+ Expansion evaluation
+ Supplemental benefits analyses
+ National/regional/county level trend reviews
+ Peer benchmarking
+ Age in strategy support
+ Broker training
+ Earnings call analyses
+ Formulary landscape analyses
Exchange
+ Earnings call analyses
+ Quarterly top competitor news
+ Market deep dives
+ Metal level analyses
+ National trend review
+ MLR analyses
+ State win themes
+ Competitor win themes
+ PBM Gap Analysis
+ Broker training
Commercial—EGWP
+ RFP strategy ideation
+ RFP completion
+ RFP postmortem analysis
+ Internal resource training
+ Prospecting and finalist support
+ Market deep dives
+ RDS to EGWP conversion training
+ White labeled service evaluation
+ Win themes
+ Broker training
MHPA Webinar Replay
Pharmacists play a key role in preventive care. In this webinar, Evernorth experts explore how pharmacists can partner with providers, specialize in treating specific conditions, and how Evernorth supports this evolution.
The Regulated Times Newsletter
Our bi-monthly newsletter provides federal guidance governing regulated markets plans, including an overview of recent happenings in this space and items important to a variety of plan types.
Regulated Market Resources
Check out webinar replays, a recap of our Regulated Markets Summit, and more.
Introducing the new RxIQ Training Hub
Everything you need to become a pharmacy selling genius—covering pricing, value prop, clinical expertise, prospecting, and market intelligence with videos, podcasts, checklists, and more.