POPULARITY
Part 2 of our multi-location revenue series. If you haven't listened to Part 1 (EP182) yet, start there — the systems in this episode build directly on what we covered last week. EP182: Click hereToday we cover the two structural problems that let the Part 1 gaps stay open: front-end data inconsistency across sites, and the one role that either holds a multi-site practice together or lets it fall apart. System 3 — The EHR and Billing Disconnect: Different front desks develop different habits. One site verifies eligibility morning-of. The other verifies the day before. One collects copay at check-in. The other sends a statement after. A practice doing $120,000/month at Location B with a 20% authorization miss rate sends $24,000/month into billing with incomplete data. Some claims get caught in scrubbing. Some get denied. Some sit in a gray zone no one can explain at month-end review. Front-End Gap Reference: Authorization not captured → Denial or recoupment post-payment Insurance not updated at visit → Claim sent to wrong payer Copay not collected at check-in → Patient AR that rarely converts Eligibility verified day-of only → Coverage lapses missed pre-visit System 4 — The Office Manager Problem at Scale: Location A has a strong office manager who has been there since the beginning. Location B has whoever was available when the site opened. The metrics look similar on paper. The difference shows up in the denial rate, days in AR, authorization miss rate, and the number of times the billing manager has to fix something that should have been caught at the front desk. A $90,000/month site with an underperforming office manager loses an estimated $8,000 to $15,000/month in avoidable billing delays. That is $180,000/year from one seat filled with the wrong person. Three actions this week: Audit front-end protocol consistency — pull authorization miss rate and eligibility verification rate by site Run a site-level office manager assessment — KPIs only, not by feel Schedule weekly site-level KPI reviews — separate meetings, not consolidated Episode breakdown: 00:00 Series callback: the gap the report will not show you 02:00 The thread left open in Part 1 04:30 System 3: The EHR and Billing Disconnect Across Sites 08:00 The $24,000/month authorization miss scenario 11:30 Who owns the front-end protocol fix 14:00 System 4: The Office Manager Problem at Scale 18:30 The $180,000/year gap from one wrong seat 22:00 Who owns the accountability structure 24:30 Three actions this week 28:00 Free resource + next episode tease Resources Mentioned Payment Posting Audit Checklist (free): eligibility.natrevmd.com/payment-posting-checklist Practice Revenue Leak Scorecard (free): eligibility.natrevmd.com/nrm-revenue-scorecard-v3 Book a free 30-minute audit call: calendly.com/heather-natrevmd RECOVER Diagnostic Quiz: natrevmd.com/quiz EP182 — Part 1 of this series: Link here
[VOY322] Blasting to days of future past not involving Professor X, Earl and jaQ` are still slaloming the plot threads of Star Trek: Starfleet Academy, examining the DNA of the freshly cancelled (they don’t know yet) series by taking a good long gander at Star Trek: Voyager season three, episode 22, Real Life.
"I can't fathom a world where employers are expected to budget and create a plan for their future without understanding what the costs of their healthcare are. Everything needs to be grounded in fact and truth."Is the traditional insurance network obsolete?My guest this week is Amy Wykoff, Chief Product Officer at Nomi Health. After starting her career building foundational AI models at IBM Watson, Amy pivoted to healthcare with a massive new challenge: rebuilding the insurance network from scratch.In this episode, we explore Nomi's radical approach to the "Network as a Product." Rather than negotiating opaque discounts off inflated Charge Master rates, Nomi negotiates fair, transparent cash rates with providers and guarantees them 100% payment. In return, self-funded employers can offer their employees a true $0 copay, $0 deductible health plan.We discuss the logistics of building a direct-contracted network across 40 major MSAs, how to overcome "point solution fatigue" by reassembling the vendor stack, and why the ultimate goal of healthcare innovation should be to stop using AI to fight over claims denials - and start using it to improve actual patient care.Tune in to this week's Self-Funded to learn exactly how the free market is finally fighting back!Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: IBM Watson & The Origins of Healthcare AI(00:02:56) Leaving AI to Build "Network as a Product" at Nomi Health(00:05:07) The $0 Copay, $0 Deductible Health Plan(00:07:09) Scaling a Direct-Contracted Network to 40 MSAs(00:08:44) The Insanity of Traditional Carrier Reimbursement(00:13:08) Why Providers Actually Want Transparent Cash Pricing(00:15:10) The Economic Drain: How Bad Networks Hurt Local Economies(00:19:07) Why Employees Hate Their Health Insurance(00:23:44) Reassembling the Vendor Stack: Navigation & TPAs(00:28:13) Why Healthcare is Now a CFO Decision(00:32:02) "The Tears of Joy": Real Patient Stories(00:37:31) The AI War: Why "Bots Fighting Bots" is a Waste of Talent(00:43:51) Closing Thoughts: Unbundling the Health PlanKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
"I can't fathom a world where employers are expected to budget and create a plan for their future without understanding what the costs of their healthcare are. Everything needs to be grounded in fact and truth."Is the traditional insurance network obsolete?My guest this week is Amy Wykoff, Chief Product Officer at Nomi Health. After starting her career building foundational AI models at IBM Watson, Amy pivoted to healthcare with a massive new challenge: rebuilding the insurance network from scratch.In this episode, we explore Nomi's radical approach to the "Network as a Product." Rather than negotiating opaque discounts off inflated Charge Master rates, Nomi negotiates fair, transparent cash rates with providers and guarantees them 100% payment. In return, self-funded employers can offer their employees a true $0 copay, $0 deductible health plan.We discuss the logistics of building a direct-contracted network across 40 major MSAs, how to overcome "point solution fatigue" by reassembling the vendor stack, and why the ultimate goal of healthcare innovation should be to stop using AI to fight over claims denials - and start using it to improve actual patient care.Tune in to this week's Self-Funded to learn exactly how the free market is finally fighting back!Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit https://www.paretohealth.com/fully-insured-vs-self-funding-with-paretohealth-spencer-podcast/?utm_source=youtube&utm_medium=referral&utm_campaign=SelfFundedwSpencer to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Intro: IBM Watson & The Origins of Healthcare AI(00:02:56) Leaving AI to Build "Network as a Product" at Nomi Health(00:05:07) The $0 Copay, $0 Deductible Health Plan(00:07:09) Scaling a Direct-Contracted Network to 40 MSAs(00:08:44) The Insanity of Traditional Carrier Reimbursement(00:13:08) Why Providers Actually Want Transparent Cash Pricing(00:15:10) The Economic Drain: How Bad Networks Hurt Local Economies(00:19:07) Why Employees Hate Their Health Insurance(00:23:44) Reassembling the Vendor Stack: Navigation & TPAs(00:28:13) Why Healthcare is Now a CFO Decision(00:32:02) "The Tears of Joy": Real Patient Stories(00:37:31) The AI War: Why "Bots Fighting Bots" is a Waste of Talent(00:43:51) Closing Thoughts: Unbundling the Health PlanKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
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Why are some physical therapy clinics thriving while others struggle to stay full? Dr. Jared Cooper doesn't just run a successful private-pay clinic — he teaches PTs how to break free from insurance dependency, master pricing psychology, and use content to drive patient commitment before they ever walk through the door.We cover:How to design a clinic that works for YOUPricing strategies that beat the copay gameWhy most clinic owners get stuck trying to scaleCreating content that actually builds trust & conversionsWhat PTs can learn from Disney, Facebook, and mailboxesThis one is brutally honest, practical, and made to help clinic owners stop winging it and start scaling with intention.
In this episode, I interview Ruthann Anderson, CEO of CAPCA (California Association of Pest Control Advisors). Ruthann explains that CAPCA represents licensed PCAs (Pest Control Advisors) who she describes as “plant doctors,” often recommending non-chemical solutions such as irrigation changes, soil sampling, and nutrition adjustments before turning to pesticides. They advise across agriculture, turf, ornamental, and urban environments, and CAPCA focuses on statewide education and advocacy to support the profession. She discusses challenges like public perception and inconsistent enforcement in the past. A major example is the BeeWhere program, which CAPCA helped modernize to improve communication between beekeepers and pesticide applicators to reduce bee losses, showing how collaboration across groups leads to better outcomes.We also discuss the complexity of pest management, including public health issues like rat infestations, and the misconception that agriculture uses chemicals carelessly. Ruthann mentions grant-funded work documenting over 200 examples of PCAs choosing non-chemical approaches, which CAPCA plans to publish.We also dive into United Ag's mission to transform healthcare in agriculture: simplifying access, reducing costs, and putting empathy first with zero-copay clinics in rural communities. Ruthann highlights how thoughtful decisions, whether in farming or healthcare, lead to better outcomes, and she shares how CAPCA members can leverage United Ag's network for reliable health coverage.CAPCA: https://capca.com/Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgUnitedAg Health and Wellness Centers - https://www.unitedag.org/health-benefits/united-agricultural-benefit-trust/health-centers/Episode Contributors - Ruthann Anderson, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us
Comprehensive coverage of the day's news with a focus on war and peace; social, environmental and economic justice. Insulin pen Hope and fear in Gaza as hostages, prisoners released on day 4 of ceasefire, but Israel limits aid into Gaza; Health workers launch 5-day strike against Kaiser, largest workplace action in history of union; California caps insulin copay at $35, becoming 29th state to cap cost of insulin; Trump trade wars hurting farmers as tariffs cut US farm exports by $800 million; ICE use of full-body restraints during deportations raises concerns over inhumane treatment The post Hope and fear in Gaza as hostages, prisoners released on day 4 of ceasefire; California caps Insulin copay at $35, becoming 29th state to cap cost of insulin – October 14, 2025 appeared first on KPFA.
After you listen:Read more from Chris Kawashima in his article "What is Health Insurance and Do I Need It?"Explore more of Schwab's insights on health care.Health-care costs are a major part of most households' budgets, yet many people struggle to understand what they're actually paying for. This episode breaks down how health insurance coverage works, what common medical expenses really mean for your wallet, and how to make smarter choices during open enrollment. Host Mark Riepe is joined by return guest Chris Kawashima, a director of financial planning at the Schwab Center for Financial Research, to explain key terms like deductibles, copays, and coinsurance. They offer practical strategies for managing costs year-round and also discuss smart ways to use tools like FSAs and HSAs to save for short-term and long-term health-care needs. Financial Decoder is an original podcast from Charles Schwab. For more on the series, visit schwab.com/FinancialDecoder. If you enjoy the show, please leave us a rating or review on Apple Podcasts.Reach out to Mark on X @MarkRiepe with your thoughts on the show.Follow Financial Decoder on Spotify to comment on episodes.Important DisclosuresThis material is intended for general informational and educational purposes only. This should not be considered an individualized recommendation or personalized investment advice. The investment strategies mentioned are not suitable for everyone. Each investor needs to review an investment strategy for his or her own particular situation before making any investment decisions.All expressions of opinion are subject to change without notice in reaction to shifting market, economic or political conditions.Investing involves risk, including loss of principal.Past performance is no guarantee of future results.The Schwab Center for Financial Research is a division of Charles Schwab & Co., Inc.1025-UR8D Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Allá a lo lejos puedes escucharA un amor de primaveraQue anda dando vueltasQue anda dando vueltasQue anda dando vueltasAllá a lo lejos puedo escucharA un amor de primaveraQue anda dando vueltasQue anda dando vueltasQue anda dando vueltasAbre el barril de lluviaToma una copaY el hombre de cristalVolverá a vibrarVolverá a vibrarTe comunicarás con élEn una líneaDirecta al infinitoDirecta al infinitoDirecta al infinitoY verás que todoQue todo corre hacia ahoraAquí, allá y en todas partes(Aquí, allá y en todas partes)Aquí, allá y en todas partes(Aquí, allá y en todas partes)Allá a lo lejos(Aquí, allá y en todas partes)Puedes escuchar(Aquí, allá y en todas partes)A un amor, amor de primavera(Aquí allá y en todas partes)Que anda dando vueltas(Vueltas, vueltas)Que anda dando vueltas(Vueltas, vueltas)
Du planst deinen amerikanischen Traum, aber kennst du auch den amerikanischen Albtraum? Es ist nicht die Kriminalität oder die Politik – es ist die Arztrechnung.Wir in Deutschland sind an ein unsichtbares Sicherheitsnetz gewöhnt. Du zeigst deine Karte, du wirst behandelt. Vergiss dieses Bild. Lösche es aus deinem Gedächtnis.In diesem Video seziere ich die brutale Realität des US-Gesundheitssystems, das nicht dazu da ist, dich aufzufangen, sondern an dir zu verdienen. Wir erklären den Dschungel, den jeder Auswanderer verstehen MUSS, um nicht in den finanziellen Ruin zu geraten.Lerne die Spielregeln, bevor es zu spät ist:
This week on Faisel and Friends, we are discussing Beyond the Copay: DPC, HSAs, and the Politics of Change. Faisel and Dan are talking with Jay Keese: CEO of Capitol Advocates and Executive Director of the Direct Primary Care Coalition (DPCC).Our conversation explores meaningful changes to healthcare delivery, groundbreaking achievements in IRS policy, and advice for leveraging law to provide more personal patient experience and better outcomes.Learn more at www.dpcare.org
In this bonus episode of our series, “Insight Unpacked: American Healthcare and Its Web of Misaligned Incentives,” a healthcare economist must make critical decisions with partial information. Also: Do you have advice on how to be a good healthcare consumer? Any lessons you learned the hard way? Professor David Dranove wants to hear from you. Send him an email at d-dranove@kellogg.northwestern.edu, and write "shopping for healthcare" in the subject line.
"Medical gaslighting" is the act of a healthcare provider dismissing or ignoring your concerns — and can lead to delayed or even missed diagnoses and opportunities for treatment. But what's the difference between medical gaslighting and a heathcare system not set up as effectively and efficiently as it could/should be? And more importantly: what can YOU do about it? In this episode with Ilana Jaqueline, patient advocacy strategist and author of the new book MEDICAL GASLIGHTING: How to Get the Care You Deserve in a System that Makes You Fight for Your Life, we talk about: How to be a proactive patient The difference between medical gaslighting vs the American healthcare system Specific tools and strategies to bring with you to the doctor's office Ilana's journey with chronic illness, from symptoms to diagnosis to treatment How to build trust with the medical community, especially if you've been burned before How to help your doctors check their biases (and you check yours!) What makes a great doctor, and what SPECIFICALLY you should look for What makes a great patent, and the SPECIFIC line-by-line script of how to be one Copay assistance programs and little-known financial tips and more! ~ SHOW NOTES: Buy your copy of Medical Gaslighting here IlanaJaqueline.com Instagram TikTok ~ Subscribe to WANT on Substack Join THE WANT COMMUNITY Buy your copy of WANT YOUR SELF here (Reading WYS for the new year in your book club? Email me at katie@womenagainstnegativetalk.com and let me know! Follow Katie on Instagram Love the WANTcast? We would be so grateful if you would SUBSCRIBE, RATE, and REVIEW the pod on iTunes!
In this episode, I spoke with Jayson Welter, our General Counsel at United Ag, about our advocacy efforts for agricultural communities, particularly in healthcare. We discussed key challenges like hospital closures and improving access to mental health services through platforms like Teladoc. Jayson explained how the Affordable Care Act brought mental health parity, ensuring equal costs for mental and physical healthcare. We also touched on the empathy and care that agricultural employers have for their workers, and how improving healthcare coverage boosts productivity. Our advocacy isn't just about making requests—it's about building relationships, educating policymakers, and showing the real challenges faced in rural healthcare and agriculture.I encourage anyone, even outside of agriculture, to get involved. Whether it's locally or joining us in Sacramento, every effort makes a difference. Agriculture touches all of us, and together we can do even more to support the communities that feed our nation.Jayson Welter - https://www.linkedin.com/in/jayson-welter-7b049290/UnitedAg Advocacy - https://www.unitedag.org/advocacy/This episode is sponsored by UnitedAg, one of the largest association health plans to offer healthcare to the agriculture industry of California and Arizona. Kirti Mutatkar, President and CEO of UnitedAg. Reach me at kmutatkar@unitedag.org, www.linkedin.com/in/kirtimutatkarUnitedAg website - www.unitedag.orgEpisode Contributors - Jayson Welter, Kirti Mutatkar, Dave Visaya, Rhianna MaciasThe episode is also sponsored by Brent Eastman Insurance Services Inc. - https://brenteastman.comBlue Shield of California - https://www.blueshieldca.comElite Medical - https://www.elitecorpmed.comGallagher - https://www.ajg.com/SAIN Medical https://sainmedical.com/MDI Network - https://www.mdinetworx.com/about-us
Delicades, estripades, balladores o somiadores, totes aquestes novetats s
Delicades, estripades, balladores o somiadores, totes aquestes novetats s
This HR Party of One episode breaks down the difference between deductibles, copays, coinsurance, and out-of-pocket maximums—and, how you should defer questions about these benefits to your benefits broker. Payroll + HR + Benefits in an all-in-one solution. Request a BerniePortal demo today! https://offer.bernieportal.com/bernieportal-employer-demo-hrpo1/Find us at https://www.bernieportal.com/hr-party-of-one/BerniePortal: The all-in-one HRIS that makes building a business & managing its people easy. http://bit.ly/2NEQ5QbWhat is an HRIS?https://bit.ly/what-is-an-hrisBernieU: Your free one-stop shop for compelling, convenient, and comprehensive HR training and courses that will keep you up-to-date on all things human resources. Approved for SHRM & HRCI recertification credit hours. Enroll today!https://bernieu.bernieportal.com/Join the HR Party of One LinkedIn Group!https://www.bernieportal.com/community/▬ Contents of this episode ▬▬▬▬▬▬▬▬▬▬00:00 Intro00:31 What Is a Copay?01:00 What Is a Deductible?02:37 What Is Coinsurance? 03:10 What Are Out-of-Pocket Maximums?04:54 An Example Using the Terms06:42 Your Role as HR07:41 Final Thoughts▬ Episode Resources & Links ▬▬▬▬▬▬▬▬▬▬Benefits Administration Made Easy https://www.bernieportal.com/benefits-administration/Guide to Providing Healthcare Benefits to Employeeshttps://blog.bernieportal.com/guide-to-providing-healthcare-benefits-to-employeesAvera: What's the Difference Between Family and Individual Deductibles?https://www.avera.org/balance/health-insurance/whats-the-difference-between-family-and-individual-deductibles/▬ Social Media ▬▬▬▬▬▬▬▬▬▬▬► LinkedIn: https://www.linkedin.com/company/bernieportal▬ Podcast▬▬▬▬▬▬▬▬▬▬▬▬► Apple Podcasts: https://podcasts.apple.com/us/podcast/hr-party-of-one/id1495233115► Spotify: https://open.spotify.com/show/5ViQkKdatT40DPLJkY2pgA► Amazon Music: https://music.amazon.com/podcasts/1874beb8-2a68-4310-8816-e704e6850995/HR-Party-of-One► iHeartRadio:
Short informational clip on finding out about HealthShare Plans. Young Living has partnered with Clearwater Healthshare and offers regular health care and Natural health care plans that include reimbursement on monthly supplements, copays on chiropractors and naturopaths, and acupuncture type services. Email info@theoilyacademy.com if you are interested or if you know a practice that would like to offer this service to their clients. I can send you a free informational email.
Copay accumulators have been a major topic of discussion in the life sciences community for the past several years, and Mercalis has been extremely busy providing continued guidance and support to our clients who have been impacted. After several recent legal developments, we decided to devote an episode of our Mercalis in Motion podcast to discuss the latest updates via a roundtable discussion. We welcomed to the studio our colleague Michael Harris, Mercalis' VP of Patient Support Services Strategy. He was joined by Carl Schmid, the Executive Director at the HIV + Hepatitis Policy Institute and Bill Sarraille, a Partner with the Sidley law firm in Washington, D.C. This information will be very helpful to life sciences decision makers who are planning for 2024 and beyond.
Attorneys Brady Bizarro and Andrew Silverio discuss a recent federal court decision that saw drug manufacturers and patients alike score a win against copay accumulator programs – programs that help maximize the manufacturer assistance available to patients but decline to count those amounts toward deductibles and out-of-pocket maximums. With the latest rule being struck down, where does the law stand now and what will happen next?
It's our annual Turkey Day Talking Points episode! Our hosts discuss their favorite Thanksgiving foods and what they are especially grateful for. For this year's Thanksgiving table conversation, our hosts are focused on copay assistance, accumulators and maximizers. They break down how to start a conversation about your advocacy efforts, and the topline points of what you and your friends and family need to know about these assistance programs and insurance practices. Among the highlights in this episode: 00:36: Our hosts share their Thanksgiving plans and favorite foods 01:05: Zoe Rothblatt, Associate Director of Community Outreach at GHLF, reflects on the recent American College of Rheumatology conference, expressing gratitude for the sense of community and the opportunity to meet advocates and professionals in person 03:09: Zoe discusses the value of having meaningful conversations about health care advocacy at family gatherings, like Thanksgiving 03:52: Steven Newmark, Director of Policy at GHLF, elaborates on the importance of personal storytelling in advocacy, leading into a detailed discussion about copay assistance and its role in health care 05:18: Zoe explains the complications introduced by copay accumulator adjusters and maximizers, highlighting their impact on patients' financial responsibilities 06:30: Steven discusses the legislative progress made in protecting patient assistance programs, mentioning the role of state and federal advocacy in these developments 07:13: Zoe addresses the counterarguments from insurance companies and pharmacy benefit managers regarding copay laws, emphasizing the importance of supporting patient stories with data to strengthen advocacy efforts 08:32: Steven concludes the discussion by encouraging listeners to engage in advocacy and share their experiences with copay assistance, highlighting the practical impact of such initiatives Contact Our Hosts Steven Newmark, Director of Policy at GHLF: snewmark@ghlf.org Zoe Rothblatt, Associate Director, Community Outreach at GHLF: zrothblatt@ghlf.org A podcast episode produced by Ben Blanc, Manager of Programs & Special Projects at GHLF. We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to podcasts@ghlf.org Catch up on all our episodes on our website or on your favorite podcast channel.See omnystudio.com/listener for privacy information.
George Huntley, CEO of the Diabetes Leadership Council, explains a major victory for patients in a court case regarding Copay Accumulator practices; Cigna has agreed to pay $172 million dollars after allegations the submitted false diagnostic codes to boost reimbursements; and the unions that represent 85 thousand health care workers have reached a tentative agreement with Kaiser Permanente after a strike over wages and staffing. Diabetes Leadership Council Webpage Fierce Healthcare News Article: Court strikes down Trump-era rule that allowed insurers to not count copay assistance Fierce Healthcare News Article: Cigna to pay $172M to settle claims it overcharged Medicare Advantage program U.S. Department of Justice Office of Public Affairs Press Release: Cigna Group to Pay $172 Million to Resolve False Claims Act Allegations AP News Article: Kaiser Permanente reaches a tentative deal with health care worker unions after a recent strike
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The gang is rescued. Roy treats everyone for injuries. Warletta's new plan is revealed. *** Theme Song: “Up In My Jam (All Of A Sudden)” by Kubbi *** For more info, check out our pokemon and tabletop related shenanigans at https://mcgamefap.com/ *** ACAB --- Send in a voice message: https://podcasters.spotify.com/pod/show/mcgamefap/message
A coalition of patient advocacy groups and health care provider organizations are pushing for passage of an Ohio bill that would reform health insurers' copay policies.
This time on Code WACK! How does the way health insurance works discourage patients from seeking care in the first place? What other challenges do physical therapists face when dealing with a variety of insurance plans and regulations? To find out, we spoke to Ariel Wynne, a physical therapist and board certified pelvic health clinical specialist in Chicago. Ariel recently opened her clinic, Ground Floor Physical Therapy, which specializes exclusively in pelvic floor physical therapy for all genders. This is the second episode in a two-part series. Check out the Show Notes and Episode Transcript for more!
The post Track Copay Assistance Programs appeared first on Moore Solutions Inc.
In this podcast, we interview a consultant and a leading patient advocate to better understand and explore the challenges of copay accumulator and maximizer programs for specialty drugs. We discuss the difference between the two programs and their impact on the various stakeholders including the overwhelming burden placed on patients. We also discuss the legal issues and potential policy changes that could eliminate these programs or minimize their impact on patients. Ultimately, our goal is to shed light on this important issue and identify strategies for improving access to critical medications for patients who need them. Carl Schmid, Executive Director, HIV And Hepatitis Policy Institute Lauren Crawford Shaver, Senior Managing Director, FTI Consulting HIV And Hepatitis Policy Institute FTI Consulting President's Advisory Council on HIV/AIDS National Association of Insurance Commissioners. Department of Health and Human Services (HHS) What are co pay maximizers? Like this episode and want to here more? Check out our past episodes here! Do you have a prescription for better access? Share your ideas with us at comments@prescriptionforbetteraccess.com Follow us on social media! We’re on YouTube, LinkedIn and @RX4BetterAccess (X)
Dr. Robert Popovian, Chief Science Policy Officer at the Global Healthy Living Foundation, co-authors a comprehensive report for the Pioneer Institute on the impacts of PBMs and Copay Accumulator programs; the Senate HELP Committee hosts a markup on the Pharmacy Benefit Manager Reform Act; Ryan Strik, Rhode Island Government Relations Director for the American Cancer Society Cancer Action Network, discusses Copay Accumulator legislation that their organization and dozens of others are trying to pass; and Patients Rising Now releases a Patient Impact Report on Copay Accumulators. Pioneer Health Report: Out-of-Pocket Pirates – Pharmacy Benefit Managers (PBMs) and the Confiscation of Out-of-Pocket Assistance Programs Global Health Living Foundation Webpage: Impact of Legislation Protecting Patient Assistance Programs on Health Insurance Premiums Senate HELP Committee Webpage: Executive Session Rhode Island Cancer Action Center Webpage Patients Rising Now Patient Impact Report: Copay Accumulator Programs Double-Dip Into Patient Wallets
In this episode of the Advancing Surgical Care Podcast, Kara Newbury, ASCA regulatory counsel and director of government affairs, leads a discussion about the Outpatient Surgery Quality and Access Act of 2023 (H.R. 972/S.312) with her colleagues David Opong-Wadee, ASCA manager of legislative and political affairs, and Maia Kunkel, ASCA manager of government affairs. The episode provides a summary of the key provisions of the legislation and the ways it would benefit both patients and ASCs. It also looks at the Washington, DC, fly-in and lobbying event conducted February 28 and March 1 this year as part of ASCA's 2023 National Advocacy Day. Seventy ASCA members from 31 states met with members of Congress and their staff to discuss ASCA's legislative goals and the many ways ASCs serve their constituents and communities.
Rich Brennan, Vice President of Federal Affairs for the ALS Association, explains the approval pathway for Tofersen, a new ALS drug, and what that means for patients; Peter Pitts, President and co-founder of the Center for Medicine in the Public Interest, discusses how this FDA review process evaluates rare disease treatments; the House Health subcommittee discusses copay accumulators and PBMs in hearing; patient correspondent Larry Falivena shares his experience living with ALS and calls for more research funding. Rich Brennan- Vice President of Federal Affairs for the ALS Association US FDA panel backs accelerated approval for Biogen's ALS drug Patients Rising Now Letter FDA Advisory Council Peter Pitts- President and co-founder of the Center for Medicine in the Public Interest Health Hearing: “Lowering Unaffordable Costs: Examining Transparency and Competition in Health Care” - (3:15:50) Darla S. Bell- Copay Accumulator Adjustment Programs: Anti-Patient Practice Sarah Page- MS, American v Argentinan health care, and great family support Larry Falivena (Constituent, NC CD-14)
A bill introduced in the Montana State Senate would cap insulin copay costs to prevent further price hikes of the medication.
As 2022 comes to an end, our hosts reflect on yet another eventful year for health policy and advocacy work. Seven bills that GHLF advocated for were passed at the state level, including copay accumulator bills, step therapy bills, and a non-medical switching bill. Patients also received protections against surprise billing. Our hosts discuss their advocacy work as well as the advancements for patients and issues covered this year on The Health Advocates. “We talked a lot about COVID this year and also other infectious diseases such as Mpox, polio…. We talked about vaccine hesitancy and how it is affecting this pandemic as well as winter flu season and how we've said many times throughout 2022: It's too soon to be totally over with COVID,” says Steven Newmark, Director of Policy at GHLF. The Health Advocates also offer their thoughts on what's to come for health policy and advocacy in 2023. Among the highlights in this episode: 2:12: Four copay accumulator bills passed in New York, Washington, Delaware, and Maine in 2022 2:29: “[Copay accumulator bills] give protections so that any payment made on your behalf for a medication, like let's say you use a copay card to pay for your copay, that money will count towards your deductible,” says Zoe Rothblatt, Associate Director of Community Outreach at GHLF 2:42: A non-medical switching bill passed in New York in 2022. “[The non-medical switching bill passed in New York] will prohibit health insurance from switching stable patients off their current medications to another medication,” says Zoe 3:14: Two step therapy bills passed in California and Massachusetts in 2022 3:42: “[Step therapy bills] provide protections against the insurance practice of requiring you to try and fail on a different medication before you could have the one originally prescribed,” says Zoe 4:02: Patients also received protections against surprise billing 4:48: “I would say a big thank you to our patients who helped us get these pieces of legislation passed,” says Steven Newmark 5:10: Our hosts share the highlights discussed on The Health Advocates in 2022 7:27: The takeaways from conferences and other events attended by our hosts this year 8:52: “We've learned that we really need more representation in advocacy. It's often the same group of people showing up and we need more diverse voices. And we're definitely trying to find those diverse voices and help them come along, because it's really important to hear the stories of people,” says Zoe Contact Our Hosts Steven Newmark, Director of Policy at GHLF: snewmark@ghlf.org Zoe Rothblatt, Associate Director, Community Outreach at GHLF: zrothblatt@ghlf.org We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to thehealthadvocates@ghlf.org Catch up on all our episodes on our website or on your favorite podcast channel.See omnystudio.com/listener for privacy information.
The impact of copay accumulator policies can create additional financial difficulties for patients by limiting payments that count toward their annual deductibles and out-of-pocket maximums. As a result, millions of patients who are already struggling with the financial and physical toll of their condition may delay care or stop taking their medication altogether leading to worsening health. “Copay accumulator adjusters are a program used by insurance companies to force patients to take medications that they determine are cheaper for them. And, in reality, it's actually just cheaper for the insurance company,” says Corey Greenblatt, Senior Manager of Policy and Advocacy at GHLF. Our guests, JP Summers, Patient Advocate and Community Outreach Manager at GHLF, and Corey, tell us more about their advocacy efforts and about their support for the bipartisan bill called the HELP Copays Act. Among the highlights in this episode: 1:24: Listener comment 1:56: H.4929, a step therapy protection law, was passed by both the Massachusetts House and Senate in October after being introduced for the first time over five years ago 2:37: “Governor Baker has 10 days to sign this bill; otherwise, it will die and it would need to be repassed next year,” says Zoe Rothblatt, Associate Director of Community Outreach at GHLF 2:50: Results from a recent GHLF COVID-19 Patient Support Program quick poll shows that most respondents will be celebrating the holidays in person with only 5 percent canceling plans or celebrating virtually 3:30: Steven Newmark, Director of Policy at GHLF, gives some tips to stay safe this holiday season 5:42: JP Summers describes her – and Corey Greenblatt's – participation to the virtual advocacy event: All Copays Count Coalition Hill Day 6:54: What are copay accumulators? 8:47: The HELP Copays Act explained 9:27: A look back at JP Summers' chronic illness journey and how the HELP Copays Act could impact her and other patients if passed 11:35: Are there bills similar to the HELP Copays Act at the state level? 12:18: How patients can get involved and advocate for themselves 12:59: What goes through an advocate's mind when meeting with elected officials? 15:38: What our hosts learned from this episode Contact Our Hosts Steven Newmark, Director of Policy at GHLF: snewmark@ghlf.org Zoe Rothblatt, Associate Director, Community Outreach at GHLF: zrothblatt@ghlf.org We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to thehealthadvocates@ghlf.org Catch up on all our episodes on our website or on your favorite podcast channel.See omnystudio.com/listener for privacy information.
Pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP) are potential game changers in efforts to reduce the prevalence of HIV across the globe. But uptake continues to be lackluster, especially in traditionally underserved populations. Bruce and clinical HIV Pharmacist™ Dr. Carly Floyd discuss how PrEP has evolved over the last decade in clinical use for HIV prevention and share strategies for increasing PrEP and PEP access and uptake to populations that have not yet been adequately reached.PrEP is available in both oral and injectable formulations and, when taken routinely can prevent the transmission of HIV, whether through blood, sexual exposure, or injection. PrEP and PEP are key pillars in the U.S. National HIV/AIDS Strategy to end the HIV epidemic.About Dr. Floyd:Dr. Floyd is a clinical pharmacist at Southwest Care Center in Albuquerque, New Mexico and clinical director of the University of New Mexico's AIDS Education and Training Center.Resources:HIV Risk Transmission ChartOral PrEP Coverage OptionsIf large copay: (however, ACA implementation part 47 should = $0)Copay cards for oral PrEP (Med D excluded): www.gileadadvancingaccess.com/copay-coupon-cardInjectable PrEP savings and assistance: www.viivconnect.com/for-providers/viivconnect-programs/medications/Patient Advocate Foundation (also for Med D): www.copays.org/diseases/hiv-aids-and-preventionGood Days (also for people with Med D): www.mygooddays.org/patients/diseases-covered/hiv-aids-treatment-and-preventionIf uninsured:Oral PrEP Assistance Program: 1-800-226-2056 www.gileadadvancingaccess.com/Injectable PrEP Assistance Program: 1-844-588-3288State PrEP Assistance Programs: nastad.org/prepcost-resources/prep-assistance-programsReady Set PrEP (oral PrEP only at this point): readysetprep.hiv.gov/ ******** Questions about this topic? E-mail podcast@aahivm.org to get connected with Bruce or any of our guests. Are you a medical provider and want to join the conversation? Make your voice heard in the Academy Communities and connect with other HIV clinicians! To learn more about the Academy, visit www.aahivm.org
Hey GTL fam! On this week's episode we have PT, DPT, Wayne Wu joining us. We talk about patient care in a broken system, immigrant hustle culture, pursuing your passion, and so much more. Stay tuned till the end to find out if Wayne becomes a father
Get caught up on the news and headlines around the diabetes community! The top stories in the last seven days: Senate Republicans nixed an insulin copay cap, but Democrats say they will revisit this issue in a few weeks, Dexcom pushed back their G7 timeline in the USA after the FDA asks for changes, once weekly basal insulin moves forward in trials. Plus, Beyond Type 1 is back in the NYC Marathon and much more! Learn more about the T1D Exchange: https://t1dexchange.org/stacey/ Check out Stacey's book: The World's Worst Diabetes Mom! Join the Diabetes Connections Facebook Group! Sign up for our newsletter here ----- Use this link to get one free download and one free month of Audible, available to Diabetes Connections listeners! ----- Episode Transcription Below (or coming soon!) Please visit our Sponsors & Partners - they help make the show possible! *Click here to learn more about OMNIPOD* *Click here to learn more about AFREZZA* *Click here to learn more about DEXCOM* Hello and welcome to Diabetes Connections In the News! I'm Stacey Simms and these are the top diabetes stories and headlines of the past seven days. XX In the news is brought to you by T1D Exchange! T1D Exchange is a nonprofit organization dedicated to improving outcomes for the entire T1D population. https://t1dexchange.org/stacey/ XX The copay cap on insulin may come back before the Senate in a few weeks. Senate Majority Leader Charles Schumer say he'll bring tht issue back up.. after Republicans blocked it in a sweeping climate, inflation and health care package passed by the Senate on Monday. Speaking on MSNBC's “The Rachel Maddow Show.” Schumer said, “We're going to come back and make them vote on that again.” Seven Republicans still voted with all 50 Democrats, three short of the 60 votes needed, and it is possible more Republicans would support it if it came up as a standalone measure. It's not clear if this would again be a copay cap or in fact a cap on the actual price of insulin for all, including the uninsured. https://thehill.com/policy/healthcare/3594003-schumer-senate-will-vote-again-on-35-insulin-cap-after-gop-blocked-it/ XX Dexcom is pushing back the timeline for a U.S. launch the G7. That's after the FDA raised questions about the device's software during a review. This has something to do with how the G7 and it's smartphone apps deliver alarms to users. Looks like maybe a limited release in the 4th quarter of this year and full rollout in 2023 if there aren't any other hiccups. As you likely know, the G7 is nearly 60-percent smaller than the G6, it's transmitter and sensor all in one and has a much shorter warmup period. It's been approved in Europe since March. https://www.fiercebiotech.com/medtech/dexcom-resubmit-g7-glucose-monitor-software-fda-review-pushing-back-us-launch XX One type of once-a-week basal insulin gets the go ahead to move forward with clinical trials in the US. Gan & Lee Pharmaceuticals says it's investigation drug called GZR4 is more stable with less day to day variation than once a day basal insulin. There are a few of these weekly insulins in trials, none yet approved. Gan & Lee is also doing trials of the drug in China where they are already a big player in the insulin market. https://www.ganlee.com/detail/668.html XX XX Good news for Senseonics, makers of the Eversense implantable CGM. Shares were up on second quarter earnings and future expectations. I don't generally report on stock market moves of diabetes companies, but the past few years have been a bit iffy for Senseonics and there was speculation on whether this CGM option might not be available in the US. They partnered with Ascensia Diabetes Care and got the six month approval for Eversense earlier this year. https://www.massdevice.com/senseonics-stock-q2-2022/ XX A new call for comments to the FDA but the deadline is TODAY august 15 at midnight eastern time. I'm going to read directly from a post by Joanne Milo in the CGM in the Cloud off topic group. Joanne's been a guest of the show and leads the loop and learn group – she writes. “We have until August 15, 2022 to provide comments on FDA changes to the way CGM display and alarm systems are regulated. This has implications for remote monitoring and automated insulin delivery systems, both commercial and DIY. We request your assistance in helping the FDA and device providers (FDA considers software for treatment of disease to be a device) understand the benefits of real-time CGM access and the risks we carry by not having ubiquitous real-time access to our diabetes device data. We hope you will choose to spend a moment to add your voice to the #WeAreNotWaiting chorus. They provide some text which I'll link up in the show notes as well as the links to this post and the FDA comment portal. https://www.regulations.gov/commenton/FDA-2018-N-1910-0047?fbclid=IwAR2WAtGl3vjTUonamNdlBtAu_pg2-xQOVy8bSqG2peLCUz2eq8R8OgLqtHQ https://www.facebook.com/groups/CGMITCOFFTOPIC XX The T1D Exchange Registry is a research study conducted online over time, designed to foster innovation and improve the lives of people with T1D. The platform is open to both adults and children with T1D living in the U.S. Personal information remains confidential and participation is fully voluntary. Once enrolled, participants will complete annual surveys and have the opportunity to sign up for other studies on specific topics related to T1D. The registry aims to improve knowledge of T1D, accelerate the discovery and development of new treatments and technologies, and generate evidence to support policy or insurance changes that help the T1D community. By sharing opinions, experiences and data, patients can help advance meaningful T1D treatment, care and policy. The registry is now available on the T1D Exchange website and is simple to navigate, mobile and user-friendly. For more information or to register, go to www.t1dregistry.org/stacey XX Team of 50 individuals living with type 1 diabetes will raise awareness and funds for their chronic illness SAN MATEO, Calif., (Aug. 3, 2022) – Going the extra mile this year, global diabetes nonprofit Beyond Type 1 was named an Official Charity Partner for the 2022 TCS New York City Marathon, taking place on November 6. Beyond Type 1 will be among the 500 official charity partners providing thousands of runners the opportunity to run in the world's most popular marathon. This year's Beyond Type Run team includes nearly 50 runners across the United States, Canada, Ecuador and Australia, who are raising awareness and funds for type 1 diabetes as ambassadors for Beyond Type 1, showcasing how they live beyond their diagnoses and supporting crucial efforts and programs for others affected by this condition. First-time Marathon Runner Kyle Banks, known for his tour with the Broadway cast of The Lion King, is the team captain. “The Beyond Type Run team displays the ultimate resilience and strength as they run the marathon. If it weren't for the team jerseys or the technology attached to their bodies, you'd never know they were living with a chronic illness,” said Beyond Type 1 CEO Deborah Dugan. “We are grateful to them for helping us raise awareness, and we thank all of our sponsors for their generous support and donations to the team.” Since 2017, Beyond Type 1 has had roughly 150 people with type 1 diabetes run the TCS New York City Marathon through the New York Road Runners (NYRR) Official Charity Partner Program. “The TCS New York City Marathon serves as one of the world's largest fundraising platforms supporting hundreds of charities and philanthropic efforts,” said Christine Burke, Senior VP of Strategic Partnerships, NYRR. “We are very proud to support Beyond Type 1 and the incredible impact they have made to the diabetes community as they raise important funds to support people with diabetes.” The NYRR Official Charity Partner Program offers an opportunity for nonprofit organizations to raise funds to support their missions and services. Participating charities can offer guaranteed entry to runners who fundraise on their behalf. Since its inception in 2006, the TCS New York City Marathon Official Charity Partner Program has raised more than $400 million for more than 1,000 worthy nonprofit organizations across the globe. Prior to the start of the official program, the New York City Marathon had served as an outlet for individual philanthropic runners since the 1980s. https://beyondtype1.org/beyond-type-1-nyc-marathon-2022/ XX Morgan Shepard book Morgan Shepherd So happy to announce my book “ T1D Looks Like Us! A Type 1 Diabetes Story” is now available to order! I am so excited to share this piece of my heart with you ❤️ Rose was diagnosed with Type 1 Diabetes (T1D) when she was seven years old. Now she is nine and at times feels lonely because she doesn't know any other kids with T1D. With help from her mom, Rose meets people from all over the world who also live with T1D and have their own unique stories to share! This book is intended to spark conversations about empathy, differences, and self-compassion. Through the text children will learn not only about Type 1 Diabetes but also about the diversity of people who are living bravely with T1D. The book is perfect for newly diagnosed children, siblings, and classrooms that have a student living with T1D. XX Next week I'm talking to the folks at Patients For Affordable Drugs about the bill that passed the Senate this week. The insulin copay cap was removed, but what does it really mean for medication prices? The episode out right now is our special 500th episode where I'm interviewed by news anchor Cristina Frank, who hosts the morning show at WMTW in Maine lives with type 1. Listen wherever you get your podcasts That's In the News for this week.. if you like it, please share it! Thanks for joining me! See you back here soon.
THIS IS THE END. BUT THE BEGINNING - of GREAT SAVINGS - FOR YOU! Don't forget to grab access to the tracker and all of our tools on our spreadsheet for this miniseries - it will remain up for a LIMITED TIME after July 2022: click here and share your email address for access to the tracker. Thanks everyone for listening! It has been an honor to share the drug savings tools and tips with each and every one of you! And - if you want more from the career development block - register for my upcoming LinkedIn Audio event on 8/6 at noon ET - here. Here's the recap of the entire miniseries! By Episode and topic: 1. SBC 2. FSA & HSA 3. Drug Formularies 4. Free drugs – clinics and the ACA drug list 5. Buy in bulk – 90 day, 180 day 270 or 365 day supplies 6. Smartphone PBM app 7. Go generic 8. Acute meds – Meijer/NCPA 9. Tab splitting 10. Canada – NO 11. Discount Sites – GoodRx, SingleCare, etc. 12. Club/discount programs 13. Pet meds 14. Copay brand coupons 15. Nonprofit pharmacies 16. Patient Assistance Programs (PAPs) 17. Foundation Funding 18. Silly (combination) drugs 19. Real world cost: Entresto 20. Real world cost day 2: Eliquis 21. Potpourri: Controlled Substances and Medical Tourism 22. Summary of topics, and how I found MCCPDC --- Support this podcast: https://anchor.fm/theedutainer/support
This week Jolene and Sara (who is somehow broadcasting from a submarine) are joined by Todd who helps them understand the difference between deductible, copay, coinsurance and out-of-pocket maximum. A deductible is the amount a member must spend out of pocket prior to the insurance plan covering a portion of the expenses. Coinsurance is the portion of the benefit expense the member is responsible for (e.g.: 20% for a service) after the deductible has been met. A copay is a flat fee for service (e.g. $25 for specialist visits). Short story is that coinsurance is a percentage paid for services and a copy is a flat dollar amount paid for services. Your out-of-pocket maximum is always more than your deductible and is inclusive of all plan spend including copays, deductibles, and coinsurance.
Join us as we speak to Gregory Proctor, a myeloma patient, and Erica Ali, the Senior Manager of Copay and… The post LLS Financial Assistance: How We Can Help appeared first on The Bloodline with LLS.
Heard about copay accumulator adjuster programs (CAAPs), but are unsure what they are? Look no further! In this episode, Lindsay Cox, HFA's Senior Manager for Advocacy & Outreach, speaks with Bob Graham, the New York State Bleeding Disorders Coalition's Public Policy Director, and Mark Hobraczk, HFA's Senior Manager for Policy & Advocacy, about what copay accumulator adjuster programs are, what HFA and the NYSBDC are doing to combat this issue, and how listeners can take action to ensure that all copays count. For more information contact Lindsay Cox, Senior Manager for Advocacy & Outreach at advocacy@hemophiliafed.org or check out the Hemophilia Federation of America's website at hemophiliafed.org.
In this week's episode, I will be joined by Aaron LeBauer. Aaron is a PT, DPT and is the host of The CashPT Lunch Hour Podcast, Author of The CashPT Blueprint, founder of The CashPT Nation Facebook group, International Speaker, and as a business coach & mentor has helped 1000's of passionate physical therapists build successful businesses without relying on insurance. He owns LeBauer Physical Therapy in Greensboro, NC, a multi-therapist 100% cash-based physical therapy practice. Aaron's personal mission is to save 100 million people worldwide from unnecessary surgery by inspiring other healthcare providers to start their own businesses and learn how to market directly to their patients, not physicians.In this episode, we talked about how your skill as a clinician is undervalued. How to build relationships at conferences and on interviews? What is the role of Facebook in your business? What is the reason for creating an email list? Setting expectations for yourself and your clients. Books that help grow his business. Getting past your fear of failure.Hack: Failing is passing if you are learning.Additional Information:Reach out to Aaron:Social:Instagram: https://www.instagram.com/aaronlebauerPodcast: The CashPT Lunch HourPodcast Archives - LeBauer Consulting Reach out to Me:Social:Instagram https://www.instagram.com/thepodcast_doc/Facebook https://www.facebook.com/nate.navasFacebook Group Name is Healthcare Podcast Community FacebookAffiliates:physiomemes.com (Discount code)= Nate20https://www.poddecks.com/ (Discount code)= PODDOC
#024- Traditional PPO vs. High Deductible Health Plan With Health Savings Account answers the question posed by an anticipated Dad to be. Is it better to switch from a high deductible health plan (HDHP) with Health Savings Account (HSA) to a traditional PPO plan due to a possible family addition? Listen in to what Scott has to say!Most people do not understand how Health Savings Accounts work, nor how they help you save REAL money.Would you light a match to a dollar bill? Then why are you not using a Health Savings Account? Because lighting a match to your money is what you do when you enroll in a traditional health plan. Learn the rules for Health Savings AccountsTraditional PPO vs. High Deductible Health Plan With Health Savings Account highlights some easy to understand but often misunderstood concepts.Eligible High Deductible Health Plans can have a deductible as low as $1,400Anyone can contribute to your Health Savings Account - not just youYou are not required to use the HSA provider through you employerYou are not required to contribute only through payroll deductionYou can contribute a lump sum to your HSA at anytime during the year Not all HSA providers allow for funds to be invested or offer limited optionsMany HSA providers charge you a fee - choose one that is free!Scott prefers Lively HSA - it is FREE, ONLINE with FULL INVESTMENT optionsTo calculate the amount you save on every dollar you spend with a Health Savings Account, divide 1 by 1 minus your tax rate or 1 / (1 - Your Tax Rate) For the 22% bracket the calculation would be1 / (1 - .22) or 1 / .78 = 1.28Rather than earning $1.28, paying Uncle Sam tax at 22% of $1.28 or 28 cents and having $1.00 left to pay the doctor or hospital,Using a Health Savings Account, you earn $1.28, pay Uncle Sam 0% tax on $1.28 or NOTHING and have $1.00 left to pay the doctor or hospital and STILL HAVE 28 CENTS IN YOUR POCKET TO SAVE AND INVEST UNTIL WELL AFTER RETIREMENT!Learn your Federal Income Tax Rate hereAs always, I appreciate you! Tell your family, friends, co-workers, boss and firm administrator to listen to Doxcost!In the next episode, we'll cover all the things you don't know about HMOs, PPOs and EPOs. See ya then!
So health insurance kind of sucks, right? We all need it, but honestly it can be confusing and overwhelming to deal with. Robby and Sammi want to share some of their expertise, and experiences, regarding insurance to hopefully help you tackle any challenges you may be facing, or might face. What should you do if your claim is denied? What the hell is a premium? What's the difference between a copay and coinsurance??? Sammi and Robby are here to help! Check out this episode, then go to LimitlessBroadcasting.com to get more information about all of our podcast shows!Support the show (https://www.patreon.com/limitlessbroadcasting)
Episode 3: What is the meaning of Authenticity? Authenticity is the daily practice of letting go of who WE think we're SUPPOSED to be and EMBRACING who we ARE. -Dr. Brene Brown. So who are you? If I introduced you without actually saying your name to a crowd of your closest friends and family…… would they know I was talking about you? On today's episode we're breaking down the meaning and importance Authenticity in all areas of our lives including with our relationships with our families, friends, children, in the work place as well as with our faith. We discuss why authenticity is important and do a Self Check on the authenticity of every area of our lives as it pertains to our Core Values. Listen until the end:! We discuss SIMPLE things you can do to identify your own core values and Enrich your life so that it will be one of Quality! --- Support this podcast: https://podcasters.spotify.com/pod/show/drwrightsays/support
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The patient standing at the pharmacy to fill a prescription represents the "final mile" that started in the laboratory. All the science and commercial investment comes down to this one decision point. Will the patient walk away? What will get them to stay? In a survey of 200,000 retail prescriptions for the top 100 branded oral drugs, two inVentiv companies - Adheris Health and inVentiv Health Consulting - set out to understand the most influential factors to driving patient adherence or non-adherence. Jeff Stewart sits down with Linda Morini, Senior Director, Analytic Services and Mike Occhipinti, Vice President, Analytics at Adheris Health, to discuss what they found. Interested in learning more about the complex issue of adherence? Check out the inVentiv Health Communications white paper on social centricity, which discusses social forces that shape patient decisions. The information, data, and other content contained in this podcast and any associated articles, sponsorships, advertisements, announcements or other communications are provided for informational purposes only and should not be construed as professional advice of any kind, on any subject matter. The content of the podcast contains general information and may not reflect current legal developments, verdicts or settlements. Moreover, the content is not guaranteed to be complete, correct, timely, current or otherwise up-to-date. inVentiv Health reserves the right to make alterations or deletions to the content at any time without notice to you. inVentiv Health and its subsidiaries expressly disclaim all liability in respect to actions taken or not taken based on any or all of the podcast content. The information, data, and other content contained in this podcast is not a reflection of, endorsed by or otherwise affiliated with, nor should it be attributed to, any of inVentiv Health's clients, customers or other contacts.
Back for 2017! Big fun with Katie Couric, Maine, a question of ethics, doppel gates... and the Santana incident.