Specialty pharmacy is an increasingly important factor in the care, cost and clinical outcomes of the most vulnerable, complex and expensive patients.
Restrictive payer contracting and pharmaceutical distribution practices play a major role in diverting specialty pharmacy volume to for-profit companies and fragmenting the care of those patients, potentially compromising effective clinical outcomes and increasing the total cost of care.
In response, integrated delivery networks (IDNs), health systems, and large academic medical centers (AMCs) worked together to create a network, which helps members assert control over patient outcomes and total cost of care by facilitating comprehensive, integrated specialty pharmacy capabilities with localized medication dispensing.
Today, the Excelera® Specialty Pharmacy Network members share a deep commitment to caring for complex patients. Through national-scale collaboration, the network more efficiently gains access to limited distribution drugs, utilizes tools, technology, and best practices to deliver high quality care.
The Excelera Concept is Born
Challenges abound due to payer shutouts, lack of access to certain specialty drugs, and an inability to address the complex data needs of manufacturers. Excelera was born out of the desire to provide integrated, coordinated care at the point of care to all specialty pharmacy patients within a health system.
Health Systems Collaborate to Address Key Challenges
ExceleraRx, LLC is formed by six founding health systems who begin to collaborate on how to address key health system challenges, such as limited drug access and payer lockouts.
Proprietary Data Reporting Platform Created
Excelera re-capitalizes as a corporation and completes construction of a custom data reporting system which provides a single source for accurate and reliable data collection and transmission to the manufacturer. The Excelera network can provide a clear, seamless picture of what is actually happening at the point of care.
Experienced Leadership and Team Members Hired
The first Excelera employee is hired, and James M. Fox is named as President and Chief Executive Officer. Subsequent team members are added, many with experience and expertise in health system-based pharmacy.
Member Growth Attracts Pharma and Earns LDD Access
At twelve members strong, Excelera specialty pharmacy network has the "critical mass" necessary to catch the attention of pharmaceutical manufacturers and earns their first Limited Distribution Drug (LDD) contract, which means these complex patients can receive the continuity of care they require with high touch, integrated and local care teams.
Membership Growth and Drug Access Continue
The Excelera specialty pharmacy network is seventeen members strong with the addition of five new members. Manufacturers take note, and network access to an additional limited distribution drug (LDD) is earned.
Excelera Emphasizes Being the Best, Not the Biggest
The Excelera specialty pharmacy network continues to grow, ending the year with twenty members. While this represents 66% growth in membership in the last two years, Excelera is focused on being the best specialty pharmacy network, not necessarily the biggest. By fostering high quality collaboration and networking among our members, we raise the performance of the overall network which benefits complex patients and improved health outcomes.
The Standard for Health System based Specialty Pharmacy Networks
The Excelera specialty pharmacy network continues to grow with the addition of another member in the first quarter. Currently, most members are accredited and meeting the performance standards required to meet pharma and payer requirements.
To provide tools, technology and best practices around high-performing specialty pharmacy capabilities to network members so that they can provide integrated, coordinated care to complex patients at the point of care leading to improved health outcomes and decreased healthcare costs.
The Excelera team has tremendous breadth, depth and diversity of knowledge, background and experience. Many of our team members have worked for a health system, in an outpatient or retail pharmacy setting. If you are interested in learning about career opportunities with Excelera, please contact us.
Chief Executive Officer
Chief Operating Officer
Chief Technology Officer
Vice President of Finance
Vice President of Payer Strategy & Market Access
Executive Assistant & Office Manager
Chief Administrative Officer & General Counsel
Vice President of Business Development & Sales
Vice President of Manufacturer Relations
Director of Marketing & Member Relations
Director of Pharmaceutical Accounts
Network Operations Manager
Network Operations Manager
Manager of Network Clinical Programs
Network Operations Manager
Business Development Specialist
Chief of Shared Clinical Services (Fairview Health Services)
System VP of Pharmacy Operations (Catholic Health Initiatives)
Vice President, Ambulatory Pharmacy Services (Henry Ford Health System)
Director of Pharmacy (Regional Health)
Chief Executive Officer (ExceleraRx Corporation)
Chief Executive Officer Pharmacy Services (Banner Health)
Vice President of Pharmacy Services (Avera Health)
Executive Vice President & Chief Financial Officer (Intermountain Healthcare)
Excelera’s mission is to provide tools, technology and best practices around high-performing specialty pharmacy capabilities to network members so that they can provide integrated, coordinated care to complex patients at the point of care leading to improved health outcomes and decreased healthcare costs. Excelera is based in Minneapolis and has employees across the United States. Our team values integrity, excellence, compassion, service and accountability in our quest to develop and implement solutions to help health systems assert control over complex patient outcomes and total cost of care.
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