The company is led by Stacy Lynn Shillan, an accomplished healthcare executive with decades of leadership experience across specialty pharmacy, home infusion, ambulatory infusion, therapeutic education, commercialization, payer strategy, business development, and executive healthcare consulting. 

Throughout her career, Stacy has collaborated with physicians, health systems, specialty pharmacies, pharmaceutical manufacturers, infusion providers, and managed care organizations, providing a unique perspective that bridges clinical excellence with reimbursement strategy and operational execution.

Stacy is also the internationally recognized author of STRICKEN, a memoir chronicling one family's extraordinary journey through profound medical adversity, unwavering faith, resilience, and hope. Her experience as both a healthcare executive and author has reinforced her unwavering commitment to patient advocacy, compassionate care, and ensuring that every patient has the opportunity to receive medically appropriate treatment through accurate, evidence-based clinical documentation.

STRICKEN

 Stricken | Barnes & Noble® 

When clinical excellence matters, every word matters. We help healthcare providers tell the patient's story with clarity, credibility, and the clinical evidence necessary to support access to life-changing therapies.

 Our mission is to advance patient access to medically appropriate therapies through clinically exceptional, evidence-based documentation, strategic healthcare consulting, and unwavering advocacy that empowers providers, strengthens payer confidence, and improves patient outcomes. 

Our company is a premier healthcare consulting firm specializing in the development of Comprehensive Clinical Letters of Medical Necessity (CCLMNs) and strategic medical necessity documentation designed to support patient access to medically appropriate therapies. We partner with physicians, specialty pharmacies, infusion providers, ambulatory infusion centers, hospitals, pharmaceutical manufacturers, and healthcare organizations to create evidence-based clinical documentation that clearly articulates the medical rationale supporting complex treatment decisions.

Unlike traditional Letters of Medical Necessity, our Comprehensive Clinical Letters of Medical Necessity (CCLMNs) are built upon an in-depth clinical review of each patient's diagnosis, disease progression, prior therapies, clinical guidelines, peer-reviewed literature, payer policy considerations, and individualized medical circumstances. Every letter is meticulously developed to present a clear, compelling, and clinically sound case that accurately reflects the treating provider's medical judgment while strengthening payer review and supporting optimal patient access.

Our expertise spans numerous specialty disease states, including neurology, immunology, rheumatology, gastroenterology, dermatology, transplant medicine, infectious disease, hematology, oncology, ophthalmology, rare diseases, and specialty infusion therapies. In addition to Comprehensive Clinical Letters of Medical Necessity, we provide:

• Clinical Appeals Documentation
• Payer Medical Necessity Support
• Patient Chart Reviews
• Clinical Case Reviews
• Provider Education & Therapeutic Training
• Reimbursement & Payer Strategy Consultation
• Therapeutic Access Solutions
• Healthcare Program Development & Clinical Initiatives
• Executive Healthcare Consulting

To meet the diverse needs of healthcare organizations, we offer flexible engagement models, including:

• Hourly Consulting
• Flat-Fee Complex Case Reviews
• Retainer Agreements for physician practices, infusion centers, specialty pharmacies, hospitals, and healthcare organizations
• Monthly Consulting Programs based on scope of services and case volume
• Customized Healthcare Programmatic Initiatives tailored to each organization's clinical, operational, reimbursement, and growth objectives

Whether supporting a single complex patient case or designing enterprise-wide clinical documentation and therapeutic access strategies, our solutions are customized to improve efficiency, strengthen payer submissions, enhance patient access, and support long-term organizational success.