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In this episode, Sheila Arquette, President & CEO of NASP, speaks with Mel Nelson, PharmD, CSP, Vice President, Specialty Consulting Services of Fairview Pharmacy Solutions. They discuss how the health system specialty pharmacy landscape has matured over the past decade, and why many organizations are now asking a new question: is our current operating model still the right one for where we want to go next? Mel walks through the key strategic, clinical, and financial factors health systems should evaluate when reassessing accelerator partnerships, the circumstances that might prompt a move toward insourcing capabilities, and how to protect patient care continuity through any transition. The conversation also covers how Fairview Pharmacy Solutions partners with health systems to design and execute successful transitions while building sustainable, long-term internal capability.