This episode is part of our Expert Interview Series. In each episode of this series, we’ll interview industry professionals for their perspective on the evolving specialty pharmacy market.
In this episode, Sheila Arquette, Director of Pharmacy at Independent Health, joins host Suzette DiMascio, CHE, CMCE, CPC, for an in-depth discussion on how a regional health plan has successfully blazed a trail in the marketplace by aligning all its stakeholders’ needs and establishing its own PBM and specialty pharmacy.
Sheila Arquette is a 1989 magna cum laude graduate of the State University of New York at Buffalo School of Pharmacy. Sheila has been employed at Independent Health for over 11 years, assuming the Director of Pharmacy Services in July 2014. She has extensive experience in retail and hospital pharmacy practice in addition to the managed care, PBM and specialty pharmacy space.
Prior to joining Independent Health, Ms. Arquette worked in almost every pharmacy practice setting including: community pharmacy; as a supermarket pharmacist for a local independent pharmacy; as a clinical pharmacist for several hospitals across New York State; and as a staff pharmacist in long term care pharmacy. She is a current member of the AMCP and NASP.
How health plans having their own sp pharma can maximize patient care. Act as an extension of Ind health plan / higher touch, better manage patients. Don’t leave them out in the cold – be the quarterback and take resp. for coordinating their care.
Tune in to Discover:
- How health plans have maximized patient care by establishing their own PBMs and specialty pharmacies
- The strategies Independent Health has employed to keep it a leader in the industry for quality member and provider health care
- Current challenges faced in the specialty pharmacy realm, and key advice on how to overcome them
- How Independent Health is aligning all stakeholder needs to improve upon the existing specialty pharma model and optimize its service delivery to members, employers and providers
- Lessons learned from the Affordable Care Act
About Independent Health
Headquartered in Buffalo, New York, Independent Health is a not-for-profit health plan that continually aims to provide its community with innovative health-related products and services, which enable affordable access to quality health care.
Their award-winning customer service, dedication to quality health care and unmatched relationships with physicians and providers has allowed Independent Health to be consistently recognized as one of the highest-ranked health insurance plans in the nation.
Since beginning its operations in 1980, Independent Health now comprises nearly 400,000 members, 1,080 associates and serves the eight counties of Western New York state. Its subsidiary companies include: Nova Healthcare Administrators , Pharmacy Benefit Dimensions Inc., Reliance Rx and DxID.