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 payor 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 payor 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 payor and drug access

Payor Contracting

Navigates complicated payor 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 value to expand access and care to underserved patients.

Revenue Cycle

Fully supports the pharmacies revenue collections process

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.

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

The Shields Payor Contracting team works on behalf of each partner to expand network access for their specialty pharmacy program, 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 3 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 Payor Access Roadmap for each Shields health system partner

Shields Payor 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

The Shields Clinical Contracting Team ensures that Shields partners continually meet their payor access requirements. TelemetryRx enables partners to automate critical reporting to PBMs and Payors to secure and maintain commercial payor access and deliver key insights.

SHIELDS BREAKS DOWN BARRIERS TO CARE TO OPTIMIZE PATIENT OUTCOMES

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

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

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.

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

LET’S TALK.

We’d love to hear from you.