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    Top 10 up-and-coming industry leaders in managed care


    Mark Bini, MBA
    Vice President, New Solutions, Express Scripts
    St. Louis, Missouri

    BiniBiniBini began his healthcare career in 2008. Since then, he has steadily taken on new roles at Express Scripts, the latest being vice president of New Solutions. In this role, he leads the Express Scripts Lab—which is comprised of more than 150 researchers, decision designers, and clinical specialists. At the PBM, Bini led the development of high-tech remote monitoring solutions for patients with diabetes and asthma, as well as a solution to proactively identify and intervene when patients are at risk for opioid dependence. Presently, the company is driving a 24% decrease in the average day’s supply for at-risk patients. In addition, for Express Scripts’ diabetes remote monitoring program, 61% of patients lowered their A1c levels.

    MHE: Why did you choose your profession?

    Bini: My curiosity and passion for behavioral science and innovation led me to Express Scripts. I’ve been fortunate to learn and grow under some of the brightest minds in the field. This has afforded me the opportunity to help shape Express Scripts’ behavior-centric approach to innovation, developing solutions for its 85 million members.

    MHE: What has been your biggest learning experience?

    Bini: People have busy lives and are often consumed by in-the-moment decisions that are either pleasurable or pressing. Despite good intentions, procrastination to make healthy decisions is a common patient pain point. This has taught me that the solutions we create for patients need to fit within their life flow and require minimal to no friction. This is why we’ve focused on using behavioral science to help “activate” the good intentions people naturally have to improve their health.

    MHE: What change would you like to see in healthcare in the next 10 years?

    Bini: I hope to see high-tech remote monitoring solutions for chronic and complex conditions become a healthcare norm. Connected sensors, monitors, and mobile apps enable timely, cost-effective care for high-risk patients. This is an exciting space that’s already gaining momentum. For example, Express Scripts’ patients living with diabetes are using connected glucose meters and are being monitored by diabetes pharmacists who provide timely and meaningful coaching to control blood sugar levels. We’ve also seen improved medication adherence with asthmatic people through the use of inhaler sensors, smartphone apps, and monitoring from pulmonary pharmacists.

    MHE: If you could sit down to dinner with anyone involved in healthcare, who would it be?

    Bini: I’d love to pick Hippocrates’ brain. While considered the father of Western medicine, I think he’s the ultimate change agent and innovator. I’d be interested to understand how he advanced science and medicine while overcoming resistance from the status quo.

    Next: The next emerging industry leader



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