There has been significant use of digital tools in specialty pharmacy during the COVID-19 pandemic, but it remains to be seen if that move will remain permanent in addition to other offerings, in a less acute setting of care, said Lance Grady, market access practice director, Avalere Health.
There has been significant use of digital tools in specialty pharmacy during the COVID-19 pandemic, but it remains to be seen if that move will remain permanent in addition to other offerings, in a less acute setting of care, said Lance Grady, market access practice director, Avalere Health.
Transcript
How are the digital support tools of the pandemic helping to improve specialty prescription fulfillment and therapy?
We're seeing significant innovation on the pharmacy switch, whether that be through the benefit or above the benefit, we know that e-pharmacy solutions or pharmacy solutions that are on the switch are proliferating. I think the question is going to be to the plans and PBMs [pharmacy benefit managers] and payers as to, does that become flexibility for their members? And does that flexibility for their members move towards their own sort of PBM-owned or plan-coordinated or plan-contracted specialty pharmacy to also offer those types of innovations?
That’s the open question that we still don't know yet. Meaning, does, does a large PBM-owned specialty pharmacy innovate with digital solutions and e-solutions as a supplement to their already rather proven sort of call center with education nurses with benefits specialists and counselors and coordinators and, of course, pharmacists. So, I think that is the still the unanswered question. Do we see the innovation stay sort of in the periphery or do we see it move to large or mid-size specialty pharmacy as a part of a comprehensive offering for plans and our plan members?
Redefining Long COVID Care With Personalized Treatment
March 20th 2025To mark the 5-year anniversary of the COVID pandemic, The American Journal of Managed Care® spoke with Noah Greenspan, DPT, PT, CCS, EMT-B, cardiopulmonary physical therapist and director of the Pulmonary Wellness and Rehabilitation Center in New York City.
Read More
Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
Listen
For Neuromuscular Disease Community, an Era of Opportunities and Threats
March 17th 2025Robert Califf, MD, former commissioner of the FDA, delivered a keynote address at the 2025 Muscular Dystrophy Association Clinical & Scientific Conference that highlighted the enormous opportunities for progress in neuromuscular disease care amid a changing policy environment.
Read More