Managed Care Innovations: Disrupting the Specialty Pharmacy Marketplace

Friday, 6 September 2024, 10:01

Managed care initiatives are reshaping the specialty pharmacy marketplace. Healthcare executives, including those from health systems and health plans, are actively seeking novel strategies. Kerri Tanner, Pharm.D., chief pharmacy officer of PayerAlly, highlights that payers are moving beyond traditional approaches to manage escalating specialty drug costs.
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Managed Care Innovations: Disrupting the Specialty Pharmacy Marketplace

Managed Care Strategies in the Specialty Pharmacy Marketplace

Managed care approaches are increasingly critical as healthcare executives focus on effective disruption in the specialty pharmacy sector. The escalating costs associated with specialty pharmacy drugs demand innovative solutions. As outlined by Kerri Tanner, Pharm.D., chief pharmacy officer of PayerAlly, payers are exploring options that extend beyond conventional methods.

The Role of Healthcare Executives

Healthcare executives are at the forefront of transforming the specialty pharmacy landscape. They are tasked with aligning health plans and health systems effectively to manage costs. This new paradigm encourages collaborative efforts aimed at achieving efficiency in medication management.

  • Innovative contracting strategies
  • Data analytics for cost management
  • Enhanced communication with pharmacy providers

Future Directions

The specialty pharmacy arena will continue to evolve, influenced by the strategies adopted by health systems and managed care entities. Executives will be pivotal in fostering an environment where cost control and patient access coexist harmoniously.


This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.

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