Disparate data is accumulated from multiple sources, including payer claims, sales records, electronic medical records, pharmacy information systems, and data aggregators. According to the American Pharmacists Association (APhA), "Historically, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs. As I mentioned, they fall into two buckets: clinical and financial. Depending on which forecasts you look at, the general consensus is that over the next few years specialty products will comprise 33-50% of all pharmacy benefit spending. And better outcomes strengthen your relationship with prescribers and build brand loyalty to your drug and your biopharma company. In a session presented by Pharmacy Times Continuing Education™ at the Asembia […] Without reporting data, specialty pharmacies may struggle to access LDDs, forcing patients to use preferred specialty pharmacies, driving business to their competitors. Enjoy this post? Unlike retail pharmacy where there is limited utilization of many drugs across thousands of pharmacies, specialty pharmacy dispenses many prescriptions of a particular product in a very limited number of pharmacies. I agree with Brandon. Most specialty pharmacy data today are administrative and lack patient-specific clinical information. Several industry groups are identifying clinical data elements for common specialty pharmacy disease states, including hepatitis C, rheumatoid arthritis, and multiple sclerosis. You can also check out related stories in our publication, The Pharmacy Standard. Over the past several years, the introduction, utilization and cost share of specialty pharmacy products has been increasing at a rate substantially greater than that of other pharmaceuticals.1This paper examines the characteristics of specialty pharmaceuticals; the growth of new expertise to handle and manage these pharmaceuticals; and the needs these products create for patients, health plans and practitioners. The data aggregator de-identifies the information and can then send it to your biopharma company. Manufacturers can become overwhelmed with specialty pharmacy data complexity. Let’s say your drug and a competing drug produce the same outcomes. For more, see Chapter 3 of our new report, which provides a comprehensive analysis of the specialty pharmacy market and detailed profiles of the largest specialty pharmacies shown above. Specialty pharmacies collect clinical and financial data. In-store pick up is currently not available in Oklahoma. Medicines in this field include everything from standard oral to infusions specialized biologic products. What is the payer mix of the patient population taking your drug? Quality measures allow payers and providers to quantify performance to set quality standards for the industry. That puts pharmacies in a great position to gather information. Specialty Pharmacy data analytics that aggregate Specialty Pharmacy data with data from other sources can measure both the effectiveness of pharmacy care and product performance. And I think he’d also agree with me that data is just a lot of numbers unless your biopharma company knows what to do with it. Data Aggregation Platform. Oftentimes, the incompleteness can make the data difficult to use. The pharmaceuticals manufacturer then contracts with the specialty pharmacy to regularly track the patient’s adherence, report any adverse events, and address How Specialty Pharmacy Data Can Boost Your Drugs Success, Partnering with a Specialty Pharmacy to Improve Patient Outcomes, Business Consulting & Revenue Cycle Analytics, Oncology EHR, Regimen Support & Analytics, specialty pharmacy services for drug manufacturers, Drive the commercialization and brand strategy of your drug, Demonstrate the value of your drug to health plans and other payers, Strengthen your relationships with prescribers and other providers, Improve outcomes by enhancing the therapeutic value of your drug. With the Wellsky specialty pharmacy software, CareTend, save time, fulfill orders quicker, and maximize growth with real-time business intelligence tools.Built to manage compliance and the complex workflows unique to specialty pharmacies, our all-in-one solution helps your … We assist companies in: Data source onboarding, data quality, and data supplier performance management. specialty pharmacy and delivered to their home. Data related to drug outcomes is essential in your commercialization plan. The EHR is already integrated into the health system. MedicoRx® Specialty Pharmacy is licensed in the state of California. The use of big data is by no means a new phenomenon in health care. SPECIAL NOTE: Patients with hearing impairments may choose to communicate with our staff via a National TTY-TTD telephone line at 711. This is especially important for high cost, resource-intensive specialty pharmacy industry. Specialty pharmacy describes high-cost, high-touch medication for complex diseases. It’s no longer in a controlled clinical trial setting with a narrow group of patients. What actions did the pharmacy take to control those side effects? The data flags the causes of nonadherence and points you to a solution. By using these assessments, the pharmacies collect the s… All communications via that telephone line are confidential and compliant with FCC confidentiality guidelines. Directly accessible data for 170 industries from 50 countries and over 1 Mio. In her role, she leads the clinical oversight committee, manages the development of care plans and clinical assessments, facilitates training for clinical and non-clinical team members and collaborates with the biopharma business development team on new therapy launches. meaningful use). NCPDP has a specialty pharmacy workgroup to discuss common interests and construct a consensus-driven data management strategy for specialty pharmacy. Ever since electronic health records were mandated, in 2004, the industry has dreamed of rich, structured, and minable digital data sets. Lower hospitalization and emergency visit rates mean lower long-term costs for patients on your medication. Your drug is out there in the real world. deliver comprehensive data that’s pulled directly from patients’ electronic health records. Other sectors of the health care system can follow this framework to leverage health data. Several services within SP are data dependent, with many of them being measured from an aggregate level, such as inventory control and patient services. Data requirements largely consist of patient and prescriber demographics details, claims and dispensing information, call center metrics, and clinical data. Samm Anderegg, Pharm.D., MSCEO | DocStation. We give providers up-to-date access to compare current drug prices, giving patients access to some of the more expensive brands and some of the hard to get covered generic medications. Here are four ways you can use this data for your benefit. In this blog post, I’ll show you how to use specialty pharmacy data to ensure your therapy’s clinical and financial success. For prescribers, the value is outcomes, and outcomes depend on adherence. Specialty Pharmacy Analytics www.hdms.com | 312.701.1320 With specialty pharmacy analytics, organizations can: » Track specialty drug trends year-over-year to support forecast models and understand the financial impacts of specialty pharmacy needs within specific populations. Ongoing nursing support, as well as follow-ups, are provided through the specialty pharmacy service center via e-mail or phone. As a trusted specialty pharmacy provider, we are focused on assisting patients, families and caregivers through the complex healthcare maze of … The data you collect from specialty pharmacies can tell you why patients aren’t taking your drug. In his blog post, my colleague Brandon Tom wrote about how your biopharma company can benefit from working with a specialty pharmacy. As technology evolves, data continue to be a key component of patient care in the specialty pharmacy (SP) landscape. There is still more work required to achieve a data environment to leverage data exchange health analytics. When we replace manual work with an accurate, electronic workflow, patients get essential therapies sooner and specialty pharmacists have more time to do what matters most to them: help patients. Payers could use the same data to identify high quality providers for accountable care networks, design more precise risk modeling calculations, and gain greater insight into the care provided to beneficiaries. And he stressed the need to work with a pharmacy that has great data collection and reporting capabilities. The role of specialty drugs in the pharmacy industry; Our latest data on specialty pharmacy accreditation; Commentary on PBM’s role in the specialty industry; The data are drawn from our 2020 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers. How many times do your patients go to the hospital or emergency department? Click here if you can’t see the video below. 4. Some data comes from a patient’s EMR, but most of it is collected directly from the patient. Determine if a specialty pharmacy needs to reposition as centers of excellence in key areas of practice. You can also share it with providers who treat patients suffering from that disease. If it performs better than a competing drug for the same disease, that’s information you can share with patients through advertising. Specialty pharmacy is a unique and complex sector of the health care industry. Setting quality benchmarks incentivizes providers to optimize treatment regimens and strategies to achieve the best possible patient outcomes. Are those side effects expected or unexpected? She earned her bachelor’s degree in nursing and social work from Mars Hill College. Data is valuable currency to your biopharmaceutical company. Specialty Pharmacy Data More Important Than Ever. This data can be provided by phone, by email and by text. This blog has been crossposted from an original article published in May 2017 in Specialty Pharmacy Times. Update: Value-based pharmaceutical contracting has emerged as another key use case for multiple stakeholders. Narrow group of patients and other chronic conditions every aspect of operations are provided through the pharmacy. 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