TRANSFORM SPECIALTY PHARMACY INTO A GROWTH ENGINE AND PRODUCE SUPERIOR OUTCOMES

With the foremost leaders in specialty pharmacy on our team, proven success partnering with more than 65 health systems across the country, and a vested interest in delivering measurable results—we are the partner of choice for health system leaders who want to transform specialty pharmacy into a powerful growth engine and produce superior patient outcomes. Together, we expand payer and drug access, improve therapy management and care coordination, deliver unsurpassed patient experiences, and generate the net operating income you need to accelerate growth at your specialty pharmacy, whether new or existing.

TRANSFORM SPECIALTY PHARMACY INTO A GROWTH ENGINE AND PRODUCE SUPERIOR OUTCOMES

With the foremost leaders in specialty pharmacy on our team, proven success partnering with more than 65 health systems across the country, and a vested interest in delivering measurable results—we are the partner of choice for health system leaders who want to transform specialty pharmacy into a powerful growth engine and produce superior patient outcomes. Together, we expand payer and drug access, improve therapy management and care coordination, deliver unsurpassed patient experiences, and generate the net operating income you need to accelerate growth at your specialty pharmacy, whether new or existing.

OUR NATIONWIDE NETWORK OF HEALTH SYSTEMS

OUR NATIONWIDE NETWORK OF HEALTH SYSTEMS

HOW WE ACCELERATE SYSTEM-WIDE GROWTH

We work alongside your team, scaling resources and implementing the processes required to deliver more affordable care, optimize specialty pharmacy services, improve outcomes, retain more patients, and accelerate system-wide growth for your specialty pharmacy, whether new or existing.

Accreditation

Gains dual accreditation within the first 18 months facilitating one of the many requirements for payer and drug access

Payer Contracting

Navigates complicated payer requirements to unlock access and expand care to more patients

Trade Relations

Facilitates market access for limited distribution drugs and pipeline medications

Implementation

Defines strategic goals, integrates with existing resources and executes efficient implementations to drive operational success

Operations

Works with health system pharmacy and clinic teams to successfully develop coordinated and efficient specialty pharmacy programs to ensure outstanding patient and provider experience

340B Strategy

Works with health systems on 340B strategy to optimize and value to expand access and care to underserved patients

Revenue Cycle

Fully supports the pharmacies’ revenue collection processes

UNLOCKING DRUG ACCESS TO DRIVE SUPERIOR OUTCOMES

Our Trade Relations Team works hard to get your health system access to more of the limited distribution drugs and specialty medications that complex specialty patients desperately need. Our team maintains strong relationships with drug manufacturers to help you navigate the ever-changing requirements for obtaining and maintaining access.

LDD Solutions
Create access pathways for LDD network inclusion, strategic drug specific programs and design, ETASU REMS programs, advocate for health system specialty pharmacy to ensure future access to new therapies
SHS partner support services
customized proposals for target LDD, pharma contract management, data analytics for pharma reporting, onsite audit management, formal request for proposal construction and submission
Pipeline management
extensive market research pre-market launch pharma engagement, program solutions to meet LDD network requirements, evaluate new authorized generic and biosimilar impacts, advocate for health system specialty pharmacy at trade shows and industry conferences, support unique models for cell and gene therapy

ENSURING ALL PATIENTS HAVE ACCESS TO BETTER CARE FOR THEIR SPECIALTY CONDITIONS

The Shields Payer Contracting team works on behalf of partners to expand network access for their specialty pharmacy programs, allowing our partners to care for more patients. Health systems can accelerate access and maximize total patient opportunity by leveraging our team of specialists with deep expertise in obtaining and maintaining specialty pharmacy network access. Our strategy for access is centered around three key pillars.

Utilize Shields’ centralized infrastructure & standardized care model to meet access requirements

Shields has built centralized infrastructure and a standardized “best in class” care model that is able to meet specialty pharmacy network access requirements across the national health insurance landscape.

Develop a customized payer access roadmap for each Shields health system partner

Shields Payer Contracting Team works with each health system partner to develop a customized strategy and roadmap utilizing a proprietary data engine, deploying internally developed managed care tools and applying over 50 years of managed care experience.

Maintain access through ongoing clinical compliance and reporting that easily adapts to changes in access requirements

Shields Clinical Contracting Team ensures that Shields partner health systems continually meet their payer access requirements. TelemetryRx enables partners to automate critical reporting to PBMs and payers to secure and maintain commercial payer access and deliver key insights.

OUR CARE CONTINUUM BREAKS DOWN BARRIERS LEADING TO BETTER QUALITY OF LIFE AND CLINICAL OUTCOMES

Our integrated care model leads to better outcomes and quality of life for patients.

MS Outcomes Sheet Icon

Nearly 1 million people in the US live with Multiple Sclerosis. Shields’ Care Model breaks down barriers to care to optimize MS patient outcomes.

Hep C Outcomes Sheet Icon

Hepatitis C affects nearly 2.4 million people in the U.S. Shields can help patients prevent the progression of the disease and achieve sustained viral response.

HIV Outcomes Sheet Icon

In the U.S., nearly 1.2 million patients live with Human Immunodeficiency Virus. Shields can help patients maintain viral suppression.

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LET’S TALK.

We’d love to hear from you.

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