Specialty drug growth is accelerating, but billing infrastructure has not kept pace.
High-cost therapies now represent a growing share of total drug spend and pipeline volume. At the same time, medical benefit claims, prior authorizations, payer policy changes and 340B requirements are increasing operational and compliance complexity for hospital outpatient and specialty pharmacies.
Many organizations still rely on billing systems designed for traditional pharmacy workflows. These limitations drive denials, delayed reimbursement, manual workarounds and revenue leakage as specialty volume grows.
In this webinar, leaders examine what is changing in specialty pharmacy medical billing and what pharmacy, finance and revenue cycle leaders should prioritize now. Speakers will discuss payer behavior, common billing breakdowns and the capabilities needed to modernize workflows — including AI-enabled, exception-driven approaches — without adding staff strain.
You will learn:
How to streamline medical benefit billing for specialty drugs
Where payer policies most often drive denials and delays
How to support 340B growth while maintaining compliance
What future-ready specialty pharmacy billing infrastructure requires
