Health System Specialty Pharmacy as a Care Management Platform to Support Value-Based Care

As health systems face growing pressure to improve outcomes while managing costs, specialty pharmacy is uniquely positioned to play a broader role in patient care. Learn how health system specialty pharmacies can expand beyond traditional medication management to serve as powerful care management platforms that improve clinical outcomes, reduce total cost of care, and support value-based care strategies.

Through real-world patient case studies and program outcomes from UMass Memorial Health and Shields Health Solutions, attendees will explore innovative approaches to chronic disease management, population health, and specialty pharmacy integration.

Learning Objectives

• Describe how specialty pharmacists can function as comprehensive care managers for high-risk patients with chronic diseases.
  Participants will understand the expanded role of specialty pharmacists in medication management, patient education, behavioral coaching, SDOH screening, and care coordination.

• Evaluate the impact of specialty pharmacy-led care management programs on clinical, utilization, and financial outcomes.
  Participants will review outcomes related to A1C improvement, medication adherence, reductions in emergency department visits and hospitalizations, and total medical expense savings.

• Identify opportunities to leverage specialty pharmacy infrastructure to advance population health and value-based care goals.
  Participants will explore strategies for integrating specialty pharmacy services into broader population health initiatives and value-based care arrangements to improve patient outcomes and support organizational sustainability.