Operating our own specialty pharmacy has allowed Avera to better manage patients with complex medical conditions who require high cost specialty therapies, improve continuity of care in the outpatient setting and also reduce overall costs associated with managing these complex conditions.
Excelera was engaged to lead the development of the Avera Specialty Pharmacy service and pharmacy operation to develop an integrated specialty pharmacy delivery model that leveraged the health system EMR, help them gain access to specialty drugs, and compete with large national specialty pharmacies.
The engagement was comprised of providing advisory, project management and subject-matter expertise and assistance for the specialty pharmacy design, build in and implementation including related pharmacy support operations, (e.g. call center, revenue cycle and business office functions).
The goals of the engagement were:
In an era of Accountable Care Organizations (ACOs) which means shared responsibility for patient outcomes, Avera Health sought a consultant to guide and assist them in the build-out of a specialty pharmacy delivering high-quality care while controlling costs.
The engagement included the coordination of planning, development, and implementation support for:
Avera Specialty Pharmacy opened and began filling prescriptions in 2014. The engagement with Excelera completed on time and on budget, and has allowed Avera Health to realize their goal of high-quality care and controlled costs much more expeditiously than they could have going it alone. Today, Avera Specialty Pharmacy fills 2,600 prescriptions per month, of which almost half are specialty, provides pharmacy care of chronic, rare or complex conditions that require specialty medications across 17 or more disease states and is an active, collaborative member of the Excelera national specialty pharmacy network.
For more information about Excelera specialty pharmacy network, call (612) 293-0378 or email INFO@EXCELERARX.COM