Our Insights
The latest thoughts and strategies on scaling specialty pharmacy operations with autonomous AI.
The $293 Billion Blind Spot: Why Specialty Pharmacy Is Healthcare’s Most Underserved Automation Frontier
Here’s something nobody really cares about and almost nobody knows is there: specialty pharmacy is one of the biggest, fastest-growing, most operationally broken parts of American healthcare...
The Forgotten Refrigerator: Closing the Cold-Chain Gap at the Patient’s Front Door
You’d be surprised how delicate some of these drugs are. And you’d be even more surprised how often a $15,000 biologic ends up sitting on a porch in the sun...
$528 Billion Worth of Forgetting: Adherence and the Case for Proactive Voice Outreach
You’d be surprised how many people just forget to take their medicine. Not because they don’t care — because they’re human...
“Where’s My Order?”: Why Status and Refill Calls Are a Quiet Revenue Leak
People still call to ask where their order is even when they have a tracking number sitting in their pocket...
Where Patients Die on the Vine: Benefit Verification and Time-to-Therapy
If I had to point at the single place where specialty pharmacy loses patients — clinically and commercially — it’s benefit verification...
Prior Authorization Still Runs on Fax and Phone Trees
It’s almost unbelievable, in 2026, how much of healthcare’s most hated workflow still runs on the fax machine and the phone tree...
Refills Blocked for Operational Reasons: The Hidden Churn Nobody Talks About
This is the one that quietly drives me crazy, because it’s pure waste. A patient wants their medication. The pharmacy wants to ship it...
Plugging Into the Stack: Voice AI and Asembia-1 and Your Pharmacy Management System
A voice agent that can talk beautifully but can’t touch your data is a very expensive answering machine...
The 24/7 Problem: Accreditation, Always-On Lines, and the Night Shift
One of the first things you learn about specialty pharmacy is that the phone can never really turn off...
FDA, REMS, and Adverse Events: Can You Trust Voice AI With Pharmacovigilance?
This is the article where the skeptics lean in, and they should. The moment you put an AI on the phone with a patient who might say “this drug made me really sick...”
80,000 Calls a Month, By Hand: The Operational Math of One Specialty Pharmacy
Let me tell you the conversation that made me bet my company on this space. I was at a specialty pharmacy summit...
What I Learned at Asembia AXS
I’ll say it plainly: Asembia’s AXS Summit is one of the best conferences I’ve been to, and I’ve been to a lot of them...
Empathy at Scale: Why Specialty Patients Need a Different Kind of Voice AI
I want to push back on something the term “AI call center” makes people imagine, because if you build for that image in specialty pharmacy, you will fail...
The Buyer’s Case: ROI, Concurrency Pricing, and How to Evaluate a Voice Vendor
Let’s get practical. If you run or buy for a specialty pharmacy and you’ve read this far, the question on your desk is no longer “is this real”...
The Investor’s Lens: Why Vertical Voice AI for Specialty Pharmacy Is a Real Category
I’ll close with the case I’d make to an investor, because I think specialty pharmacy is one of the most compelling vertical AI opportunities hiding in plain sight...
The Copay Maze: Why Financial Navigation Is Specialty Pharmacy's Most Human Problem — and Its Most Automatable One
There's a moment in almost every specialty pharmacy patient journey that nobody designs for, because nobody wants to admit it exists...
The Dirty Referral Problem: Intake Is Where Time-to-Therapy Goes to Die
Ask a specialty pharmacy operator where their time-to-therapy goes, and they'll usually point downstream — the payer, the PA queue, the copay problem....
Dispense Now, Find Out Later: The Revenue Cycle Mess Underneath Specialty Pharmacy
Everyone in this industry can tell you their gross margin. Very few can tell you, on the day a claim adjudicates, what they'll actually keep. That's n...
The Legal Stack: TCPA, HIPAA, and What It Actually Takes to Put an AI on the Phone With a Patient
Every serious conversation I have with a specialty pharmacy compliance officer eventually arrives at the same question, asked with varying degrees of ...
Proving It: Outcomes Data, PRO Collection, and the Contracts Specialty Pharmacies Can't Win Without
There's a sentence that decides more specialty pharmacy commercial outcomes than any other, and it appears in some form in every payer RFP, every manu...
You Can't Hire Your Way Out: The Workforce Math Behind Specialty Pharmacy's Automation Moment
Every specialty pharmacy growth plan I've ever seen has the same silent assumption buried in row 40 of the spreadsheet: that when volume grows, you'll...
Lost in Translation: Language Access Is Specialty Pharmacy's Overlooked Adherence Lever
Here's a patient journey the industry doesn't like to look at directly. A Spanish-speaking patient gets a referral for a self-injected biologic. The w...