In this episode, Nikita Parchem, PharmD, MHA, BCPS, joins the podcast to discuss system integration efforts that improve access, control costs, and support sustainable growth. She shares clinical access goals and outlines key priorities for pharmacy leaders as specialty and home infusion services continue to expand.

In this episode, Keith J. Mueller, PhD, Director of the Rural Policy Research Institute at the University of Iowa, shares insights on rural health policy, the transition from volume to value based care, and the role of technology and networks in sustaining rural services. He discusses payer dynamics, service line decisions, and how rural hospitals can adapt to policy, workforce, and access challenges while continuing to serve their communities.

In this episode, Mike A. Skafi, RPh, MSQA, Interim Chief Pharmacy Officer at Providence and Credena Health, discusses transforming pharmacy into an enterprise-level service line across a national health system. He shares priorities for 2026, including organizational redesign, specialty pharmacy growth, and navigating regulatory, payer, and drug pricing headwinds while strengthening patient and caregiver experience.

In this episode, Scott Knoer, PharmD, MS, FASHP, Regional Chief Pharmacy Officer, shares how he is transforming pharmacy at MercyOne by building ambulatory and specialty infrastructure, strengthening leadership teams, and driving improvement in both outcomes and the system's bottom line.

In this episode, Sahil Sheth, PharmD, BCCCP, Senior Director of Pharmacy Services at Luminis Health, discusses restructuring pharmacy leadership, expanding ambulatory and clinical pharmacy services, and strengthening operations across the system.

In this episode, John Pastor, PharmD, President of Fairview Pharmacy Services, discusses the system’s major shared services expansion, investments in advanced pharmacy technology, and efforts to improve patient access amid widespread pharmacy closures. He also shares how Fairview is planning for growth while navigating workforce, supply chain, and policy headwinds.

In this episode, Todd Karpinski, PharmD, MS, FASHP, FACHE, System Vice President and Chief Pharmacy Officer at WVU Medicine, joins the podcast to discuss the evolving pharmacy landscape. He shares perspectives on ongoing challenges with retail pharmacy reimbursements, addressing staffing shortages, and how strategic partnerships can support sustainable growth and strengthen pharmacy operations across the health system.

In this episode, Roya Tran, PharmD, MS, 340B ACE, Associate Chief Pharmacy Officer for Pharmacy Finance and Supply Chain at Duke Health, joins the podcast to discuss her experience with the 340B program and how it supports access to care. She shares perspectives on expanding the ambulatory pharmacy space, identifying growth opportunities, and improving access to pharmaceutical care through strategic finance and supply chain alignment.