Health System & Hospital-Owned Specialty Pharmacy Solutions

Results-Driven Specialty Pharmacy Partner to Providers

Shields is the preferred choice for healthcare providers looking to elevate clinical care management and produce better outcomes for patients with complex or chronic conditions. Working alongside our partners, we expand payer and drug access, improve therapy management and optimize care coordination to deliver unsurpassed patient experiences and generate the net operating income health system’s need to accelerate growth.

health system access icon
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Reducation in Total Cost of Care

Health System & Hospital-Owned Specialty Pharmacy Solutions

Results-Driven Specialty Pharmacy Partner to Providers

Shields is the preferred choice for healthcare providers looking to elevate clinical care management and produce better outcomes for patients with complex or chronic conditions. Working alongside our partners, we expand payer and drug access, improve therapy management and optimize care coordination to deliver unsurpassed patient experiences and generate the net operating income health system’s need to accelerate growth.

health system access icon
Decrease in ED Icon
Reducation in Total Cost of Care

Our Nationwide Network of Health Systems

With proven success partnering with more than 75 health systems across the country and a vested interest in delivering measurable results—we are the specialty pharmacy builder and growth accelerator of choice.

Our Nationwide Network of Health Systems

With proven success partnering with more than 75 health systems across the country and a vested interest in delivering measurable results—we are the specialty pharmacy builder and growth accelerator of choice.

Our Comprehensive Offering

Leveraging the foremost leaders in the industry and an integrated care model that’s built on innovation and kindness, we work alongside our partners to accelerate the growth of their successful specialty pharmacy program.

Accreditation

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

Payer Contracting

Navigate complicated payer requirements to unlock access and expand care to more patients.

Trade Relations

Facilitate market access to limited distribution specialty drugs and pipeline medications.

Implementation

Work collaboratively to define strategic goals, align resources and execute plans that drive operational excellence.

Operations

Collaborate with partners to manage a successful specialty pharmacy program. Adheres to new and existing best practices and maintains industry compliance.

340B Strategy

Work to optimize drug pricing to ensure value and expand programs and services to underserved patients.

Revenue Cycle

Support revenue collection processes to help our partners excel in specialty pharmacy growth.

The Challenge of Financial Toxicity in Cancer Care

The high out-of-pocket (OOP) costs of oral oncology agents frequently place a financial burden on patients and their families, leading patients and their families to implement coping mechanisms to manage the hardship.

  • Financial toxicity is a significant risk for all patients, but especially for those with cancer.
  • Patient assistance programs (PAPs) are often available to help cover the cost of oral oncology agents.
  • An integrated health system specialty pharmacy (HSSP) model is best able to identify and address the risk of financial toxicity early in a patient’s treatment journey.
  • Shields Health Solutions can help reduce financial toxicity in oncology care by connecting patients to PAPs; we secured $672 million in financial assistance (FA) for oncology patients in 2022.
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Industry-Experienced Trade Relations Teams

Our Trade Relations experts operate side-by-side with our partner’s team to expedite access to the medications patients need while covering the following three areas with diligent research, aggregated data reporting, and compliance management:

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

Knowledge-Backed Payer Contracting Team

Comprised of uniquely trained specialists with profound industry experience, the Shields Payer Contracting Team works on behalf of our partners to expand network access for their specialty pharmacy programs, freeing them to focus on patient care.

Our Payer Contracting Team strategy is centered around three pillars:

Meet Access Requirements Faster

We have built a centralized infrastructure and a standardized “best-in-class” care model that can meet specialty pharmacy network access requirements across the national health insurance landscape.

Develop Customized Payer Access Roadmaps

Because no two health systems are alike, our Payer Contracting Team works with each partner to develop a customized strategy and roadmap, utilizing our proprietary data engine specific to their needs. We deploy collaboratively developed managed care tools, applying more than 50 years of managed care experience.

Sustain Clinical Compliance & Reporting

We ensure our partner health systems continually meet ever-changing payer access requirements. TelemetryRx® data insights enable partners to quickly adapt and automate critical reporting to PBMs and payers.

The Shields Care Continuum

Achieving Quality Outcomes

Discover how our integrated and comprehensive offerings improve therapy management and care coordination for patients with chronic and complex diseases.

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LET’S TALK.

We’d love to hear from you.

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