Specialty Pharmacy: Inside the Innovation. Tim Davis, Pharm.D. General Manager PANTHERx Specialty Pharmacy

Transcription

1 Specialty Pharmacy: Inside the Innovation Tim Davis, Pharm.D. General Manager PANTHERx Specialty Pharmacy

2 Learning Objectives 1. Identify the differences between unique practices of pharmacy including retail, mail order, and specialty pharmacy. 2. Review the distinct points of opportunity where technology innovation could positively impact the practice of specialty pharmacy. 3. Understand the ever growing role that data aggregation and management plays on the business of specialty pharmacy.

3 Retail vs Specialty vs Mail Order Retail Specialty Mail Order Reactive Face To Face Chronic & Acute Storefront Generalists Prescription Management Inventory Management Few Performance Indicators Proactive Shipped Chronic & Acute (with acute need) Highly Segregated Workflows Patient Management Scrutinized Performance Indicators Ultra High Touch Specialized Care Programs Proactive Shipped Chronic Generalized Workflows Order Management Commoditized Volume Operational Indicators

4 Headquarters: Pittsburgh, PA PANTHERx At A Glance Founded: 2011 as THE Rare Disease Specialty Pharmacy Objective: Transform industry back into Specialty Niche: Focused, service-oriented, nimble, efficient, academic Differentiation: Collaboration, quality, customizable, data-driven Ownership: Independent Experience: Extensive specialty, distribution, & payer Position: Significant organic growth since inception, no M&A, no VC, no PE Growth driven on service, data Financially solid, debt-free Contracted revenues Achievements: Exclusive specialty pharmacy provider in the U.S. for Strensiq Awarded exclusive SC Drug Assistance Program contracts for DDP and MAP programs Exclusive Specialty Pharmacy provider in the U.S. for KEVEYIS Selected as 1 of 2 Specialty Pharmacies in the U.S. for INGREZZA On May 2, 2017 winner of Inaugural Patient Choice Award for 2016 in the non-pbm/payer category. Selected to Merck & Co. s national, limited pharmacy networks in the acute care market Recent independent survey results reveal PANTHERx is the market leader in patient satisfaction among all SPs nationwide : xclusive SC Drug Assistance Program contracts for DDP and MAP programs pecialty pharmacy provider in the U.S. for Strensiq pecialty Pharmacy provider in the U.S. for KEVEYIS

5 History of Adoption Began as a retail operation Retail PMS Basic telephony Basic accounting platforms Simplicity was the Solution Evolved into PANTHERx Adopted Specialty PMS Became paperless Developed SWFT Adopted integrated telephony Built business continuity Virtualized Contracted data/reporting Adopted BI/BV platform Hardened security Developed internal & external dashboards Expanded contracting alignment

6 Detailed Workflow Design & Communication Roles requiring workflow steps: Patient Care Coordinator Provider Relation Liaison Clinical Pharmacist Order Management Technician Insurance Resolution Specialist Fulfillment Technician Fulfillment Pharmacist Accounting Clerk Leadership roles Communication within Roles Channel? Message? Audience? Solutions for: Continuity Scalability Scripting

7 Patient Care Enhanced Scripting Rapport Building through Realized Expectations SPOC Dispense versus Administer Disease Targeted Actions Payer Triggered Algorithms Proactive and Dynamic Efforts Coordination of Timing & Frequency Advanced Clinical Effort Programs Adherence, Outcomes, and Integration

8 Fulfillment & Logistics Pick List Management Non Prescription Fulfillment Packaging Season / Region / Carrier Adherence Innovation Advanced Inventory Management Package Tracking Signatures & Delivery Confirmation Final Mile Efforts The Amazon Effect

9 Data is King Consumers of Data: Internal: Sales & Account Management Finance Leadership External Manufacturer Hub Foundation Payer Accrediting Body Aggregator Reasons for Consumption: Patient Care Outcomes Support Contractual PVAE Reporting Manufacturer Support Financial Revenue stream Projections & Modeling

10 Opportunities for Impact More approvals anticipated in specialty marketplace Few dedicated and proven solutions exist Demand for data is in growth phase with little coordination or standardization Speed of development is a market differentiator Growth of small to medium specialty pharmacy providers continues Partners are looking for better ways to solve patient dilemmas & drive outcomes

11 Questions