Specialty Pharmacy Solutions for Providers
Shields is the premier choice for healthcare providers seeking to enhance clinical care and achieve superior outcomes for patients facing chronic conditions.
Our Specialty Pharmacy Solutions
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.
Our Nationwide Network of Health Systems
With proven success partnering with more than 80 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 80 health systems across the country and a vested interest in delivering measurable results—we are the specialty pharmacy builder and growth accelerator of choice.
Better Care for Complex Conditions
Achieving Quality Outcomes
Discover how our integrated and comprehensive offerings improve therapy management and care coordination for patients with chronic and complex diseases.
Nearly 1 million people in the U.S. live with Multiple Sclerosis. Our care model assists patients in achieving lower annualized relapse rates.
Shields Health Solutions can help patients with Hepatitis C prevent disease progression and achieve sustained viral response.
In the U.S., nearly 1.2 million patients living with HIV. Shields can help patients with access to our care model maintain viral suppression.
Our collaborative care model helps providers monitor this physically debilitating disease, which is vital to slowing progression.
Enhancing Pediatric Care:
A Phoenix Children's Story
In today’s healthcare landscape, providing comprehensive care for pediatric patients is paramount. Hear from the dedicated team at Phoenix Children’s, where an integrated specialty pharmacy care model is making a huge difference for their youngest patients.
We Are Trade Relations Experts
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:
Payer Contracting for Providers
Our highly skilled and dedicated Payer Team has a proven track record of expanding access to all major payers for health system specialty pharmacy programs. By partnering with Shields, health systems can focus on delivering exceptional patient care while we handle the labor-intensive complexities of payer contracting.
Our approach is built on three key pillars:
Unlock More Payer Access, Faster
We offer a streamlined, multi-channel approach to unlock access to new payer populations and revenue streams, including PBM-pathway, managed care, and direct network contracting through the Shields Health Network. This unique model accelerates the timeline to access new payers and mitigates risk, ensuring that health systems can quickly expand their reach without the usual delays.
Customized Payer Access Plans
Understanding that each health system is unique, our team collaborates closely with partners to develop tailored payer access strategies. Using proprietary data tools like TelemetryRx®, we craft personalized roadmaps that address specific market conditions and payer requirements, backed by over 50 years of collective expertise in specialty pharmacy and managed care.
Ensure Ongoing Compliance & Reporting
Maintaining payer access is a continuous process. Shields supports health systems with robust compliance monitoring and reporting solutions, ensuring that all evolving payer requirements are met. Our advanced data insights and reporting tools provide real-time visibility, helping our partners stay ahead of regulatory changes and keep their programs in full compliance with PBM and payer standards.
Contact our experts to learn more how we can help your health system expand its payer network, streamline reporting, and maximize contract value.
LET’S TALK.
We’d love to hear from you.
"(Required)" indicates required fields