Case Studies

Managing Social Determinants of Health With the Diabetes Care Coach Program 204 115 Shields Health Solutions

Managing Social Determinants of Health With the Diabetes Care Coach Program

Many diabetes patients face challenges related to social determinants of health (SDOH), non-medical factors that impact patients’ health, medication use, and health outcomes. Food and housing insecurity, unemployment, and budget…

Integrated Specialty Pharmacy Model Associated With Lower Total Cost Of Care 204 115 Shields Health Solutions

Integrated Specialty Pharmacy Model Associated With Lower Total Cost Of Care

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 Planning 767 305 Shields Health Solutions

Assisting a Specialty Pharmacy with Growth Planning
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 Program 398 224 Shields Health Solutions

Developing and Launching a New Home Infusion Program
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 Pharmacy 1024 743 Shields Health Solutions

Building the Business Case for In-house Specialty Pharmacy
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 Excellence 204 115 Shields Health Solutions

Optimizing Staffing to Support Growth and Excellence
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 vendor 204 115 Shields Health Solutions

Moving away from dependence on a third-party vendor
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 network 204 115 Shields Health Solutions

Gaining access to a limited distribution network
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 Opportunity 194 82 Shields Health Solutions

Helping Montana’s Largest Health System Develop and Implement Their Specialty Pharmacy Opportunity
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 Capabilities 220 53 Shields Health Solutions

Implementing In-house Specialty Pharmacy Capabilities
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.
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