Integrated Specialty Pharmacy Model Associated With Lower Total Cost Of Carehttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/shields-blog-icon-case-study.svg204115Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
Analysis shows that integrated specialty pharmacy model is associated with lower total cost of care. Shields Health Solutions (SHS) recently partnered with Optum Advisory Services to evaluate the impact of…
Assisting a Specialty Pharmacy with Growth Planninghttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/MB42-UPatHomeLogoVJPG-1.jpg767305Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
Excelera’s proprietary data platform has allowed UnityPoint at Home to gain access to five limited-distribution drugs through the Excelera network. The specialty pharmacy program is now dual-accredited and executing on their growth plan across the UnityPoint Health System.
Developing and Launching a New Home Infusion Programhttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/MB26-OHSULogo-3.jpg398224Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
With its ambulatory infusion centers at capacity and payers pressing for alternate sites of care, OHSU engaged with Excelera Home Infusion Solutions to help launch a home infusion pharmacy. Patients and providers are very satisfied, and growth has been robust.
Building the Business Case for In-house Specialty Pharmacyhttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/MB22-LLULogo-1-1024x743.png1024743Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
To support the capital expenditure request for building a specialty pharmacy, Excelera was engaged to develop a pro forma based on Loma Linda-specific data. Subsequently, Excelera provided expertise in building out the space and successfully implementing the specialty pharmacy program.
Optimizing Staffing to Support Growth and Excellencehttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/shields-blog-icon-case-study.svg204115Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
A staffing model developed in conjunction with Excelera led to a more fully integrated standard of care for specialty patients. Prior authorization workflow improvements eased the administrative burden on providers, and the number of prescriptions filled internally grew.
Moving away from dependence on a third-party vendorhttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/shields-blog-icon-case-study.svg204115Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
Medication adherence and customer service improved after the new in-house entity, Proprium Pharmacy, was established. The engagement included advisory, project management and SME assistance for the specialty pharmacy and home delivery design, build-out and implementation, including related pharmacy support operations.
Gaining access to a limited distribution networkhttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/shields-blog-icon-case-study.svg204115Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
Excelera helped Regional Health (now Monument Health) develop data capabilities required to gain access to certain limited-distribution breast, kidney and lung cancer drugs from Pfizer. Integrated specialty pharmacy care and greater convenience benefit the health system’s oncology patients.
Helping Montana’s Largest Health System Develop and Implement Their Specialty Pharmacy Opportunityhttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/MB04-BillingsLogo-1.png19482Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
This engagement began with the development of a specialty pharmacy business model and pro forma to demonstrate viability. Planning and support for build-out, drug access, clinical therapy management, a call center and other functions followed, resulting in a successful launch.
Implementing In-house Specialty Pharmacy Capabilitieshttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/MB02-AveraLogo-1.png22053Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
With an extensive engagement that included a focus on best practice clinical therapy management programs, data collection and aggregation, and URAC accreditation, Excelera helped Avera Health build a thriving business to compete successfully with large, national specialty pharmacies.
Developing an in-house Specialty Pharmacy within 6-monthshttps://www.shieldshealthsolutions.com/wp-content/uploads/2021/06/MB03-BannerLogo-1.png199107Shields Health SolutionsShields Health Solutions//www.shieldshealthsolutions.com/wp-content/uploads/2021/05/shields-logo-white.svg
An ambitious timeline prompted Banner Health’s engagement with Excelera. Specialty pharmacy and home delivery/central fill capabilities were rapidly developed and implemented.
Goals regarding access to LDD and payer contracts, data aggregation and reporting, and benchmarking were also met.
CommonSpirit / Dignity Health (San Francisco CA)
Keck Medicine of USC* (Alhambra CA)
Loma Linda University Health* (San Bernadino CA)
Providence Health (Burbank CA)
Sharp HealthCare (San Diego CA)
Stanford Health Care (Stanford CA)
Sutter Health (Sacramento CA)
UC Davis Health* (Sacramento CA)
Colorado
Centura Health (Colorado Springs CO)
SCL Health System* (Denver CO)
UCHealth (AKA University of Colorado Health) (Aurora CO)
Connecticut
Yale NewHaven Health System* (New Haven CT)
Connecticut Childrens Medical Center (Hartford CT)
Hartford HealthCare (Hartford CT)
UConn John Dempsey Hospital (AKA UConn Health Center) (Farmington CT)
Delaware
Nemours Children’s Hospital (Wilmington DE)
Florida
Orlando Health* (Orlando FL)
Tampa General Hospital (Tampa FL)
Georgia
Piedmont Healthcare (Atlanta GA)
Idaho
St. Luke’s Health System* (Boise ID)
Illinois
Northwestern Medicine* (Chicago IL)
Iowa
UnityPoint at Home* (Urbandale IA)
Indiana
IU Health* (Indianapolis IN)
Kansas
Partners coming soon.
Kentucky
Partners coming soon.
Louisiana
Franciscan Missionaries of Our Lady Health System (Baton Rouge LA)
Ochsner Health System* (New Orleans LA)
Maine
Partners coming soon.
Maryland
MedStar Health (Columbia MD)
Massachusetts
Baystate Health (Springfield MA)
Berkshire Health Systems (Pittsfield MA)
Boston Childrens (Boston MA)
Southcoast Health (New Bedford MA)
UMass Memorial Health Care (Worcester MA)
Michigan
Ascension Michigan* (Detroit MI)
Bronson Healthcare (Kalamazoo MI)
Henry Ford Health System* (Troy MI)
MyMichigan Health (Midland Michigan)
Minnesota
CentraCare Health (Saint Cloud MN)
M Health Fairview* (Minneapolis MN)
Mississippi
Singing River Health System (Pascagoula MS)
Missouri
BJC Healthcare* (St. Louis MO)
Montana
Billings Clinic (Billings MT)
Nebraska
CommonSpirit/CHI Health* (Omaha NE)
Nevada
Renown Health (Reno NV)
New Hampshire
Partners coming soon.
New Jersey
Cooper University Hospital (Camden NJ)
Hackensack Meridian Health* (Hackensack NJ)
The University Hospital (Newark NJ)
New Mexico
Partners coming soon.
New York
Albany Medical Center (Albany NY)
Maimonides Medical Center (Brooklyn NY)
Montefiore Health (Bronx NY)
Mount Sinai Health System (New York NY)
NewYork-Presbyterian Healthcare (New York NY)
Northwell Health (New Hyde Park NY)
NYU Langone Health (New York NY)
North Carolina
New Hanover Health Network (Wilmington NC)
Novant Health* (Winston-Salem NC)
Vidant Health (Greenville NC)