CPS | 20Ways Summer Hospital 2023 Case Study

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CASE STUDY

www.cps.com

Pharmacy Services, “is our commitment to embed local people directly into the health system.”

That includes pharmacists and pharmacy liaisons who assist providers, nurses, and patients

as integrated, accessible members of the care process. “By working in clinics side-by-side with

the providers and meeting with our patients in person,” says Alexis Gately, PharmD — Clinical

Operations Manager at UHS Specialty Pharmacy, “the pharmacy becomes a familiar face — not

someone in the distance or at some other pharmacy miles away.”

With this local approach, Trellis Rx first set out to hire seven pharmacists and 21 pharmacy

liaisons from the surrounding community to support existing UHS clinic staff. Campogni says,

“This onsite model allows our team members to establish strong personal relationships with

clinic staff and patients, some of whom they might already know, which is critical to managing

patient health.”

As direct resources for those patients and providers, the new pharmacy team implemented

Trellis Rx’s comprehensive care model. Liaisons introduce patients to the UHS Specialty

Pharmacy, process prior authorizations on the clinic’s behalf, and secure financial assistance to

ensure affordable access to care. “As specialty pharmacists,” Gately says, “being that resource

for the providers is huge.” Pharmacists can advise providers about which prescription may be

more suitable given a patient’s financial situation or medical history, and they can do so before

the medication even gets dispensed. “Being able to use my pharmacy knowledge and directly

benefiting patient care in this way is just so rewarding.”

Expanded Access to Medications

When they first launched the specialty pharmacy, UHS started with a select list of medications.

“One of the most difficult things for us in the beginning — especially during the pandemic shutdowns

— was payor access,” Waldron says. Given Trellis Rx’s expertise and relationships with health plans

across the country, they immediately helped increase access to insurance markets so more patients

could access UHS services and facilities. The first step, explains Campogni, was to conduct an

in-depth data analysis to identify patients who might already be eligible for specialty pharmacy

services and those payors who could bring more patients into the health system. Trellis Rx then

focused on pursuing the best networks for UHS to reach the most patients. “The best care for a

UHS patient is a UHS provider and a UHS pharmacy,” says Campogni. “That’s why we really focus on

bringing patients here in the community back into the health system.”

THE SUCCESS: INCREASED PATIENT ACCESS TO MEDICATION

AND CARE

When Trellis Rx began managing UHS’ specialty pharmacy program in late 2022, the results were

immediate and significant. It started with Trellis Rx securing two new payor contracts — and in

just five short months, UHS increased its specialty pharmacy prescriptions by 50%. This included

a wide range of newly covered medications for chronic disease management, such as insulin for

patients with diabetes and blood thinners for cardiology patients.

“The increase in prescriptions helped us grow revenue by about 40%,” explains Waldron.

“This growth has also allowed us to provide better care for our patients, including more than

$4.3 million in financial assistance to patients over those five months.” This, he adds, is a big

deal since specialty medications are typically very expensive. Plus, Leigh Briscoe-Dwyer, PharmD,

BCPS, FASHP — System Director of Pharmacy at UHS, points out that many of their patients come

from a lower socioeconomic background. “That financial assistance is important.”

With Trellis Rx as a partner, Briscoe-Dwyer says the assistance goes far beyond the financial. “One

of the things I like best about our current partnership is the embedded pharmacists and liaisons

The increase in

prescriptions helped us

grow revenue by about

40%. This growth has

allowed us to provide

more than $4.3 million

in financial assistance

to patients.”

The more patients we

can bring on board, the

more services UHS can

offer to the community

for better overall access

to care and treatment.”

William Waldron, RPh, MHA

Director of Outpatient Services

~ United Health Services (UHS)

Fredrick Campogni, PharmD,

BCMAS, 340B ACE, AAHIVP,

CSP, DPLA

Vice President of Onsite Operations

~ Trellis Rx, a division of CPS

General Manager

~ UHS Specialty Pharmacy Services

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