Express Scripts is putting companies offering cutting-edge treatments into a 'formulary' of recommendations for insurance plans and doctors.
Express Scripts is putting companies offering cutting-edge treatments into a "formulary" of recommendations for insurance plans and doctors."We've had a flood of interest since we first announced the idea," the company says.
By categorizing digital therapies into medication-like tiers, PBMs can make the case that payers are protected from higher costs while providing better access to the new treatments.poured $8.1 billion To prove that these treatments work, some companies have invested in clinical studies and other evidence. But that's not necessarily resulting in deals, and sales cycles for digital health companies remain notoriously slow.
Other companies on the formulary include Omada Health, which focuses on diabetes and hypertension; Propeller Health, which is owned byand works with patients with respiratory ailments; and Welldoc, which is also in the diabetes space. All of these companies offer things like connected devices and software apps to patients and get paid through their relationships with health plans.
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