In developing Evernorth's digital health formulary, how do we weigh the inclusion of innovative new solutions against the need for proven clinical efficacy?

Introduction

In developing Evernorth's digital health formulary, we face a critical trade-off between incorporating innovative new solutions and ensuring proven clinical efficacy. This challenge sits at the heart of our mission to provide cutting-edge healthcare solutions while maintaining the highest standards of patient care and safety.

I'll approach this analysis by examining the key stakeholders, metrics, and potential impacts of our decision. We'll design an experiment to test our hypotheses and create a decision framework to guide our path forward.

Step 1

Clarifying Questions (3 minutes)

• Context: I'm assuming Evernorth's digital health formulary is a curated list of digital health solutions for our clients. Is this correct, and can you provide more context on its current state and goals?

Why it matters: Helps frame the scope and impact of our decision Expected answer: Confirmation and additional details on formulary purpose Impact on approach: Would inform the balance between innovation and efficacy

• Business Context: Based on our market position, I'm thinking this decision could significantly impact our competitive advantage. How does this align with our current business strategy and revenue model?

Why it matters: Helps prioritize solution against business objectives Expected answer: High priority, directly impacts main revenue stream Impact on approach: Would justify faster timeline and more resources

• User Impact: Considering our diverse user base, I'm wondering about the primary stakeholders affected by this decision. Who are the key user segments we need to consider?

Why it matters: Ensures we're addressing the needs of all relevant users Expected answer: Patients, healthcare providers, payers Impact on approach: Would influence the metrics we choose and how we evaluate success

• Technical: Given the rapid pace of digital health innovation, I'm curious about our technical capacity to evaluate and integrate new solutions. What's our current process for technical assessment and integration?

Why it matters: Helps understand our ability to onboard and support new solutions Expected answer: Details on current evaluation process and integration capabilities Impact on approach: Would inform the feasibility of adding new solutions and the resources required

• Timeline: Considering the potential impact on patient care, I'm thinking about the urgency of this decision. What's our timeline for implementing changes to the formulary?

Why it matters: Helps balance thoroughness with speed to market Expected answer: Specific timeline or upcoming review cycle Impact on approach: Would influence the scope and depth of our analysis and testing