Kyle Skiermont, PharmD

When planning for a specialty pharmacy within a health system, 3 business models should be considered: build, partner, and outsource.

Properly managing reimbursement is critical to managing costs and outcomes in an evolving payment environment.

Specialty pharmacy integration relies on communication among providers and the inclusion of pharmacists and other staff on the care team.

Access to electronic medical records is a key factor that distinguishes health-system specialty pharmacies from their nonintegrated competitors.

Large integrated delivery networks and academic medical centers with specialty clinics and infrastructure should consider building in-house specialty pharmacy capability.