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3 episodes with copay
3 episodes with copay
2 episodes with copay
2 episodes with copay
2 episodes with copay
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 "Treatment Access & Health Equity: Protecting the Value of Copay Assistance" topic was originally presented during National Minority Quality Forum's weekly webinar series. Listen now for a closer look at addressing existing disparities. Panelists: Kollet Koulianos, MBA, Vice President of Payer Relations, National Hemophilia Foundation Rachel Klein Deputy, Executive Director, The AIDS Institute Quardricos Driskell, Vice President of Public Policy and Government Affairs, Autoimmune Association (Moderator)
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.
This week Haley tells us the story of the Green River Killer. A serial killer that even Ted Bundy wanted caught. He claims to killing over 71 people. Then Beth tells us a story of a smelly killer who can't quite figure out how to set something on fire. We learn that the family that kills together doesn't necessarily stay together. Beth- 3 Haley- 0 Follow us on Facebook www.facebook.com/justanothermcast Leave us a recommendation for our next episode at www.justanothermurdercast.com Want extra episodes? Go over to www.patreon.com/justanothermurdercast
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.
Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and regulations Including the Civil Monetary Penalties Law (CMPL), Anti-Kickback Statute (AKS), and the False Claims Act? Today we dive into the Laws and the regualtions so we can be compliant. What is a Copay? How to Understand Cost Sharing The Anti-Kickback Statute and Copays The False Claims Act QMB Status Check out these great resources: Why can Copay Waiving be Illegal? UHC Administrative Guide False Claims Act OIG Special Fraud Alerts Support the Show --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/jennifer-mcnamara8/message Support this podcast: https://anchor.fm/jennifer-mcnamara8/support
The guys discuss the "World's Best Sharpshooter", Damon unveils the newest way to transport cake, and Mac begs the guys NOT to play Lite Brite on his new studio lamps.Check out Mr. Sloan's new book!https://read.amazon.com/kp/embed?asin=B098KLHCXS&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_B0N834AACSMSHKBDMGF5Need original music for your podcast or advertisement? Check out Helie's House!Footwedge Custom Pens - Super cool pens!Check out this secluded getaway!Lola by Gina makes us look good for the microphone! IG FBCheck out our website!thatchecksout.netFollow us on social media!snapchat: TCODamonTedtwitter.com/OutWdtinstagram.com/thatchecksoutwdtfacebook.com/thatchecksoutwithdamonandtedRecorded at Audiohive Podcasting, a studio dedicated to podcast recording, editing, and production!Mac is on the all new Aston Element Microphone!The host and sidekick are on the Aston Stealth!Hosted on Transistor.fmaudiohivepodcasting.comfacebook.com/audiohivepodcastinginstagram.com/audiohiveproductions
Ken talks with Sarah Procario, Hemophilia Foundation of Michigan See omnystudio.com/listener for privacy information.
In this episode of the iCantCU Podcast, I talk about getting a prescription for a Psoriatic Arthritis medication refilled. As is usually the case, money is the problem. My co-pay is over $1100 of this $4000+ per monthly med, and my co-pay assistance has run out for the year. I also talk about the success of Believe You Can! 2021. Show notes at https://www.iCantCU.com/150 Over $4000 Per Month For One Medicine It is hard to believe that the small bottle of 60 pills costs north of $4000 per month. It was only a couple of years ago that I found out the price of it. Thanks to the drug manufacturer, I've paid little or, in most cases, nothing for my prescription. That all changed when our prescription coverage limited our choice to one specialty pharmacy. Lack Of Competition Drove Co-Pay Higher My co-pay went from around $700 to over $1100 per month. More than the drug company's assistance program would cover in a year by about $2500. Looking For Options I like taking the current medication. It is oral, and I know the side effects. Since it is oral, I can easily take it independently without needing someone to inspect the needle and medicine in it. Is it working like it did when I first started taking it? I don't think so. While looking for other options, I'll have to balance how well the drug works, how easy it is for me to take, the potential side effects, and what my out-of-pocket cost will be for it. Believe You Can! A Big Success The talent show presented by the Keystone Chapter of the National Federation of the Blind of PA was a success this year! We had a 22% increase in revenue over last year's show. We had a terrific lineup of performers from all over the US. We are looking forward to 15 October 2022 for Believe You Can! 2022! In the meantime, if you'd like to donate to the Keystone Chapter, go to SupportKeystoneChapter.org! Follow The iCantCU Podcast Follow the show, so you don't miss an episode! Apple Podcasts | Spotify | Amazon | Google | IHeartRadio Reach Out On Social Media Twitter | Instagram | Facebook | LinkedIn Get In Touch If you've got questions, comments, or show ideas, I want to hear from you! Call (646) 926-6350 and leave a message. Include your name and town, and let me know if it is okay to use your voice on an upcoming episode. You can also email the show at iCantCUPodcast@gmail.com
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
The post Copay Assistance Programs appeared first on Moore Solutions Inc.
Hay términos de los seguros con los que no siempre estamos familiarizados, y cuando se trata de los seguros médicos … ¡es más frecuente no entenderlos! ¿Conoces la diferencia entre el copago, el deducible, y la prima mensual? Si quieres entender cómo funcionan realmente, escucha al coach de hábitos financieros Carlos García, quién te lo explica en este episodio de Hábitos Financieros.Descarga la app de Finhabits hoy mismo:– Google Play: http://bit.ly/2OFdEuy– Apple App Store: http://appstore.com/finhabits
In this episode, the NPF Advocacy Team breaks down a new insurance trend called "copay accumulator adjustment programs". These programs make it harder for patients to afford their treatments because copay assistance is no longer counting toward the deductible or out-of-pocket maximum. Request a free copay accumulator adjustment program resource at www.psoriasis.org/copay-accumulator or email the NPF Advocacy Team at action@psoriasis.org.
#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!
We know Jesus does his part but we must also do our part. Discover the doctor's copay.
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)
This episode is something everyone needs to listen to! Daniel brings on one of his best friends who is an expert in insurance. Together they break down the basics of what the pro's look for in insurance and the best options to go with. Have you heard of HSA, HMO, PPO, POS, EPO, COBRA, Copay, Medicaid, and Medicare? Well if you haven't this episode will make you a pro in insurance and you will be able to break down insurance to see if you have a good plan or they might just be taking your money. Daniel is going to bring this guest back to cover a few more topics so if you have any questions send a DM to @dandapestpodcast on Instagram or an email to dandapestpodcast@gmail.com.
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
Guest: Jayla Sanchez Warren Area Agency on Aging Director No Copay Radio is moving to KOSI starting on 2/14 from 7:30 to 8a and will be on every Sunday. They work with DRCOG, which stands for Denver Regional Council of Governments. This is a place where local elected officials come and they discuss regional issues. Jayla talked to our listeners about what the Area Agency on Aging and the services they offer. See omnystudio.com/listener for privacy information.
If you lose a job, or leave a job, or find yourself suddenly without healthcare, the COBRA legislation from 1985 is there to "help"...for a price. As we kick off the new podcast, we discuss some thoughts for poring over your options for choosing a healthcare plan. Questions? Email me: mp@ngpfp.com
In this week’s episode of Farmer’s Inside Track we’re connecting with 27-year-old Cape Town agripreneur, Ncumisa Mkabile. She has proven that with a little bit of creativity, social media savvy, and a can-do spirit, anything is possible and her main goal is “to feed the nation, one spinach at a time.” In our HEALTH SQAURED agri update, Bianca Viljoen, director of marketing, rewards and distribution at Agility Agri unpacks Agility’s Gap and CoPay cover. Jozi home cook Chuene Lefala shares her secret ingredient to a perfect home cooked Mzansi meal! You’ll also be empowered with a top tip from nutritionist, Andrea Du Plessis. On the top of our reading list this week is, Grit: The Power of Passion and Perseverance by Angela Duckworth. It’s a must-read for anyone striving to succeed. And, our weekly A-M-T Fresh Produce Outlook on the market with agri economist, Dr. Johnny van der Merwe is a must for any agripreneur. He highlights the latest price movements and expectations for the coming week.
WeInfuse takes the confusion out of infusion. Hear interviews from infusion center experts and industry thought leaders. Take the confusion out of your infusion billing, workflow, scheduling, and more. Want to learn more about WeInfuse? WeInfuse is the first and only infusion center software solution. Schedule your demo today. www.weinfuse.com Connect with Stef Parks on LinkedIn Connect with Angie Baker on Linkedin Blog Post by Stef Parks and Angie Baker
What is the cervix? What is mucus? This is one of the common things I see in women that I know is normal but they don't. You don't need an antibiotic to fix normal. It's something that every woman has and it has a purpose.
This week's episode features a conversation with Robert LeCureaux, Vice President of Client Development at ScoutRx Pharmacy Benefits Consultants. PBMs have been focused on profitability rather than providing a beneficial service. Though alternative funding options are available, PBMs are less likely to cooperate since there is no financial incentive to do so. Robert's group helps members minimize their spend by offering Specialty Pharmacy, Copay, and International Pharmacy Programs. You can find show notes and more information by clicking here: https://bit.ly/359dOBd
During this 20th episode of the Simplifynance Podcast, host Rachel Stewart talks with Hunter Kinchen, Employee Benefits Consultant with BXS Insurance about Health Insurance Group Benefit offerings and what employees and business owners should consider when selecting their plan. Episode Highlights: -Hunter works with Business Owners to design benefits packages for their workforce as well as with employees to help understand the offerings. -Hunter publishes LinkedIn videos to help simplify complex benefit language and health insurance concepts. -He found that more people needed access to his knowledge than he was originally aware of. -Insurance products, investments, etc sometimes float around independently of one another. There’s a common broken link between High deductible plans and Health Saving Accounts. -High deductible plans require the member to meet the listed deductible BEFORE the insurance starts to cover any of the cost, known as the co-insurance. -In a copay plan, costs are more predictable and are stated as a “copay,” $25 for a physician visit for example. These costs apply towards your deductible, but you do not have to meet your deductible first before the copay applies. You are paying (with your premium for that predictability. -Hunter has 2 young children, and believes that the copay plan may work better for families with young children. -Understanding which plan is right for you depends on a number of factors: expected usage, access to plan offerings between spouses, and comfort level on predictability. -A certain plan type isn’t always “best” forever. Life may necessitate a change in plan type. -Be on the lookout for how costs are illustrated. Sometimes they are shown as the full cost (before considering the employer’s contribution), or shown as a per pay period –which could be 12, 24 or 26 times a year. Make sure you are considering apples to apples when looking at plan costs, such as your total annual cost for each option. -HSA (Health Saving Accounts) are tied to High Deductible plans. It’s not an insurance product, rather a savings vehicle. Yet, it typically gets lost between the 2. But understanding its purpose and benefits may help you utilize it to its fullest advantage. -Contributions and account growth are tax exempt when used for qualified medical expenses. -Consider contributing to your HSA if you’ve maxed out your employer’s retirement plan contribution limits as another way to save for retirement and reduce your taxable income. -An HSA is not the same as an FSA (Flexible Spending Account.) An HSA can only be tied to a High Deductible plan. An FSA can be tied to either a HDHP or a Copay plan. -You can use funds on Amazon to purchase things like sunscreen, that are HSA/FSA eligible. -FSA balances do not roll over from one year to the next. It’s a use it or lose it account. However, HSA balances will continue year after year and can even be there for you in retirement years to offset medical expenses, which make up a large amount of retirement expenses. -Oftentimes, employers will offer a contribution to HSA’s, which might be another consideration in choosing a High Deductible plan. -As a business owner, you can reach out to Hunter even if just starting your business to inquire about group benefits. You only need 2 employees to have a group. It doesn’t cost to shop the benefits. All you need are standard employee demographics and a quote can be provided. -If a business owner has an individual plan that was bought in the open marketplace, they might consider pricing out similar options in the group plan space. There might be some savings that could be uncovered. -As you’re considering benefits packages, having a comprehensive offering can help with attracted and retaining talent. It may help when employees consider employment with you or even are considering leaving employment. Outside of health insurance, vision, dental, disability, etc are all worth considering in your overall compensation package. Hunter can be reached by emailing him at hunter.kinchen@bxsi.com or by his office phone at 225-215-9472. Resources Mentioned: ● Horizon Financial Group ● Simplifynance Resources ● rachel@horizonfg.com ● hunter.kinchen@bxsi.com ● Linkedin: Hunter Kinchen ● bancorpsouth.com/insurance
Let’s cut to the chase here for our conversation about co-pay cards offered by pharma companies versus co-pay accumulators and co-pay maximizers deployed by health plans. This whole war of the co-pays started back in the day when PBMs (pharmacy benefit managers) began to shake down Pharma for higher discounts. The prize that PBMs offered Pharma was lower co-pays for patients. It’s a well-known fact that the higher the patient out of pocket, the lower the market share of the drug—the old supply-and-demand curve at work. So, the PBMs and health plans kind of had an ace up their sleeve because they control how much the patient pays out of pocket. And so, they use that ace to pull in higher discounts from Pharma. “You’ll make it up in volume,” they told Pharma. “We’ll make sure you get lots of patients by putting your drug on a lower formulary tier and giving patients who take your drug the lowest possible co-pays.” At a certain point, pharma companies started to get mad about their dwindling net prices. And they’re pretty smart. So, Pharma came up with a workaround to PBMs holding them hostage for lower net prices. Pharma decided to hand out co-pay discount cards. Then, they don’t have to pay the PBM. They can finesse lower patient co-pays all by themselves. Except now, the PBM sees this and they raise. Enter co-pay accumulators and co-pay maximizers. For this part of the extravaganza of game theory at its finest, I’ll let Dea Belazi, PharmD, MPH, explain. Dea is the president and CEO over at AscellaHealth. He’s a pharmacist by training who has worked for Pharma, then at a health plan, then spent lots of time in the PBM space. Now he’s working to create a different kind of pharmacy benefit at AscellaHealth. He has seen this tangled web from pretty much every angle. One thing to point out here before we begin: In the olden days, this whole war of who has leverage over who transpired in the context of small molecule drugs in competitive markets. So, like, Lipitor versus Crestor versus simvastatin—and they all cost, like, $100 a month. If the health plan made it untenable to get one of those drugs, they usually made another one in the same class financially attractive. So, the patient had options, and the stakes were a lot lower. Now this same war is being fought on the specialty side of the house, where drugs cost thousands or tens of thousands of dollars a month and the patient may have but one option. So, if it’s made financially toxic for a patient to get that one drug, then the patient has to choose between their family’s health and dipping into their 401(k). In these cases, Pharma can be, sort of authentically (and the “sort of” is an important qualifier), a hero who steps in and helps patients who are basically functionally uninsured because they can’t afford the co-pays and deductibles to actually use the insurance they’re paying handsome premiums to have. Pharma can step in and help via co-pay discount cards or through patient assistance programs to help those with lower incomes. But let me point out an obvious but rarely-mentioned-in-the-same-sentence connection. If the patient cost share is really high, there are at a minimum two parties responsible for that: the insurance company, who set the patient cost share and may have created functionally uninsured members in the process, and the pharma company, who may have set the price of the drug untenably high, maybe way over what the value of the product was. Neither is an innocent bystander, and the patient, sadly, is caught in the middle of this war. You can learn more at ascellahealth.com. Dea Belazi, PharmD, MPH, has more than 20 years of experience in the health care industry, mostly developing and managing pharmacy benefit management companies. He is currently the president and CEO of AscellaHealth, a national specialty pharmacy benefit manager (SPBM™) serving commercial, Medicare, and Medicaid segments. He was part of the development of PerformRx, a PBM owned by Keystone First Health Plan, as well as another, FutureScripts, an Independence Blue Cross company that was sold to Catamaran a few years ago. Dea holds a PharmD from the University of Rhode Island and completed his dissertational work at Brown University. He later completed a Master of Public Health from Johns Hopkins University and a post-doc health outcomes research fellowship at Thomas Jefferson University. He is a reviewer for multiple medical journals and sits on multiple boards. 05:03 “The concept of co-pay accumulators wasn’t just a … PBM thought, but it also came from their customers, whether it was health plans or employer groups.” 10:00 “[This is] literally a math problem based on, ‘Do I spend it now? Do I spend it later?’” 11:31 What reason do employers and payers have for doing this? 15:26 “This is another mechanism for payers to push down additional cost to both the patient and now the pharma company.” 19:57 EP241 with Vinay Patel. 20:33 “I don’t think accumulators are really forcing Pharma to be more competitive.” 22:49 How co-pay maximizers are different from co-pay accumulators. 25:57 Who doesn’t like co-pay accumulators and maximizers? 28:03 How patient advocacy groups are a different model. 30:14 What is the biggest challenge facing employers right now? You can learn more at ascellahealth.com. Check out our newest #healthcarepodcast with Dea Belazi of @AscellaHealth as he discusses #copayaccumulators and #copaymaximizers. #healthcare #podcast #digitalhealth #healthtech #copay “The concept of co-pay accumulators wasn’t just a … PBM thought, but it also came from their customers, whether it was health plans or employer groups.” Dea Belazi of @AscellaHealth discusses #copayaccumulators and #copaymaximizers. #healthcare #podcast #digitalhealth #healthtech #copay #healthcarepodcast “[This is] literally a math problem based on, ‘Do I spend it now? Do I spend it later?’” Dea Belazi of @AscellaHealth discusses #copayaccumulators and #copaymaximizers. #healthcare #podcast #digitalhealth #healthtech #copay #healthcarepodcast “This is another mechanism for payers to push down additional cost to both the patient and now the pharma company.” Dea Belazi of @AscellaHealth discusses #copayaccumulators and #copaymaximizers. #healthcare #podcast #digitalhealth #healthtech #copay #healthcarepodcast “I don’t think accumulators are really forcing Pharma to be more competitive.” Dea Belazi of @AscellaHealth discusses #copayaccumulators and #copaymaximizers. #healthcare #podcast #digitalhealth #healthtech #copay #healthcarepodcast What reason do employers and payers have for doing this? Dea Belazi of @AscellaHealth discusses #copayaccumulators and #copaymaximizers. #healthcare #podcast #digitalhealth #healthtech #copay #healthcarepodcast What is the biggest challenge facing employers right now? Dea Belazi of @AscellaHealth discusses #copayaccumulators and #copaymaximizers. #healthcare #podcast #digitalhealth #healthtech #copay #healthcarepodcast
Big pharma will come to bite you in the ass when you need them to kiss it. They get you when you are down and the most vulnerable. My brief takes on how I have been affected by big pharma, and the reality really is life or death.
In this episode we dive into physician's assisted suicide. We discuss what it is, it's process, the legalities of it, and more (including a $1.20 copay!?) Follow us on all socials: @tooloudpodcast. Follow Shy: @shyranee / Follow Avie: @avocadoavie.... --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Hallo Max. Lass uns übers Gesundheitssystem in den USA sprechen. Die jährlichen Ausgaben pro Kopf liegen bei 10 500 Dollar. In Deutschland sind es umgerechnet nur 6000. Was macht das US-System so viel teurer? Die Tatsache, dass es kein staatlich kontrolliertes Versicherungssystem gibt. Es gibt drei Arten: private, staatliche und Betriebskrankenversicherungen. Das ist ein Multimilliarden-Dollar-Geschäft. Wie teuer ist eine Privatversicherung? Monatliche Prämien beginnen ab etwa 1000 Dollar. Dazu kommen noch Copays und Deductibles. Was ist das denn? Copay ist eine Zuzahlung bei jedem Arztbesuch. Irgendwas zwischen 10 und 50 Dollar. Kommt man zum Arzt, lautet die erste Frage: »Wo ist Ihre Kreditkarte?« Ein Deductible ist eine Selbstbeteiligung, die mindestens 5000 Dollar pro Jahr beträgt. Eine Summe, für die man selbst aufkommt, bevor die Versicherung überhaupt zahlt. Da geht doch keiner mehr zum Arzt! Manche nicht. Vor jedem Arztbesuch rechnen sie genau durch: Kann ich mir das leisten? Man kann oft auch nur zu bestimmten Ärzten gehen, um Kosten erstattet zu bekommen. Nur bei Notfällen muss behandelt werden, ansonsten kann dich die Klinik zurückschicken. US-Bürger sind oft an den Arbeitgeber gebunden, richtig? Ja, ungefähr die Hälfte hat eine betriebliche Krankenversicherung. Bei Arbeitslosigkeit fällt sie aber weg. Das betrifft mit Corona jetzt viele Millionen. Prognosen sagen eine Arbeitslosenquote von bis zu 30 Prozent voraus. Wie viele US-Amerikaner sind unversichert? Obamacare hat die Zahlen seit 2010 von 45 Millionen um zwei Drittel gesenkt. Jetzt kommen aber vermutlich wieder mehr als 20 Millionen dazu. Zusätzlich sind 80 Millionen unterversichert. Auch bei ihnen sind die Zusatzkosten zu hoch, und manche gehen daran bankrott - oder sie bringen sich sogar um, weil sie die Raten nicht mehr zahlen können. Es gibt aber auch staatliche Versicherungen. Ja, Medicaid ist eine tolle Gratisversicherung für Menschen, die ganz ganz arm sind. Sie bekommen Therapien und Arztbesuche bezahlt. Das betrifft aber nicht sehr viele, da das Verdienstlimit sehr niedrig ist. Und Medicare bekommt man erst ab 65. Ändert Corona gerade die politische Debatte? Die Menschen wollen schon seit Jahren ein billigeres Versicherungssystem. Eines, bei dem man keine Angst haben und dauernd rechnen muss. Aber die Republikaner denken, der freie Markt müsse das regeln, alles andere sei Sozialismus und Teufelswerk. Bei den Demokraten ändert sich langsam etwas. Selbst die moderaten unter ihnen wie Joe Biden und Hillary Clinton forderten diese Woche eine universelle Krankenversicherung. Dann hätte Corona doch ein Gutes, auch wenn es ein hoher Preis für diese Erkenntnis wäre. Das Comeback von Joe Biden am Super Tuesday Wie das Coronavirus den Wahlkampf verändert hat Was das vom US-Kongress beschlossene Hilfspaket gegen die Coronakrise enthält Wie die Coronakrise das tödliche Wirken des freien Marktes zeigt Wie die Republikaner Coronavirus zur Wählerunterdrückung nutzen Warum Bernie Sanders wieder nicht gewonnen hat Leere Rhetorik oder Zugehen auf Parteilinke?
ESSENTIAL: Some words from your favorite essential workers as we continue keeping this great world afloat.SOCIETY: Jeff has tales from the essential life as he gets into it with a black Trump supporter with vitiligo.FUTURE: Everything is cancelled, will it ever come back!? Will we ever be able to go to Tokyo again and is Halloween cancelled?YOU NO FINISH?!, LOUIS CK!, SINCERELY LOUIS!, TRUMPULUS HITTING!, PATREON!, WOKE SHOW!, TOM HANKS!, VIOLENT PEDOPHILE!, ADVERTISEMENTS!, CROSSFIRE!, MCDLT!, DONATIONS!, ANTHONY MOYNIHAN!, KICK ASS DUDE!, MEMES!, 5G!, SANITIZER!, SPRAY!, ZOOM SHOW!, SOCIAL DISTANCING!, TERM!, PPE!, STUPID!, ESSENTIAL WORKERS!, THE CLUB!, POOR!, NATURAL LIGHT SELZTERS!, MEETING!, ZOOM!, INSURANCE!, BROKE BOYS!, BACKGROUNDS!, COPAY!, DEDUCTIBLE!, CONTACT LENSES!, FRAMES!, SALES!, LVL UP EXPO!, PARKING!, CONVENTION CENTER!, FREE MOUNTAIN DEW!, FREE KIT KATS!, TIME TAX!, CONSIDERATION TAX!, WORK FROM HOME!, PRODUCTIVITY!, NINTENDO!, 2K GAMES!, TAKETWO!, SOCIETY!, FORKLIFT!, DIRECTING TRAFFIC!, MEN'S WORK!, PENNYWISE!, MAGA HAT!, VITILIGO!, TRAINS DOGS!, ALTERCATION!, CLIENT!, FLAPS!, EXIT!, EMPLOYEE AREA!, BRO HYMN!, SHIT TO DO TODAY!, 6 FEET APART!, MAKE A SCENE!, GET FIRED!, METRO!, POLICE!, MANAGER!, STORE MANAGER!, TOKYO!, TRIP!, CREDIT!, RESCHEDULE!, AIRLINES!, SCAM!, REFUND!, WAIVER!, TRAVEL BAN!, BAR ENTRY!, CUSTOMER SERVICE!, DOCUMENTARY!, LIVE IN AN AIRPORT!, WORLD PORTRAIT!, NFL!, TAMPA BAY BUCCANEERS!, LAS VEGAS RAIDERS!, BRADY!, MASS GRAVE!, INFECTED!, CHAD!, BERATED!, HALLOWEEN HORROR NIGHTS!, COCAINE EPISODE!, STITCHES!, BRICK IN YO FACE!, A QUIET PLACE 2!, HORROR!, WONDER WOMAN!, BLACK WIDOW!, SAW!, ONWARD!, THE LAST OF US PART 2!, NAUGHTY DOG!, MY BIT!, SHELF THIS GAME!, THIS ENERGY!, VIBES!, SCHOOL!, MARCH MADNESS!, GRADUATION!, MARCH MADNESS!, FOOTBALL!, PAID!, COLLEGE ATHLETES!, BRAIN SCRAMBLED!, FRIDAY NIGHT LIGHTS!, TEXAS FOREVER!You can find the videos from this episode at our Discord RIGHT HERE!
COVID-19 has spread across the globe like wildfire and there are many people at home that are stressed out about their current situation. Stress is the #1 factor for pain conditions. We are offering telehealth services that will help you maintain your pain level WITHOUT leaving the house? Are you eligible for $0 copay? Listen to the entire podcast! This podcast was brought to you by Synergy Therapeutic Group in Carbondale, IL. Let physical therapy help you get back your quality of life without medication, injections, or surgery.
There are a lot to things to hate about hospitals. Bitchy nurses, doctors who poke and prod you all night and even bad food. Mama never said that sociopaths were a possibility. The beefers are joined by Jon Cross of The After Movie Diner to discuss two films where a killer is loose in a hospital. We do that with the Cannon Films jam X-Ray aka Hospital Massacre and the grisly Canadian thriller Visiting Hours from 1982. Buy Jon’s Music https://miscplumbingfixtures.bandcamp.com/ Check out all the Diner’s tasty goodies. https://aftermoviediner.com/ The post Cinema Beef Podcast #158 : The Killer Is The Copay appeared first on Legion.
There are a lot to things to hate about hospitals. Bitchy nurses, doctors who poke and prod you all night and even bad food. Mama never said that sociopaths were a possibility. The beefers are joined by Jon Cross of The After Movie Diner to discuss two films where a killer is loose in a hospital. We do that with the Cannon Films jam X-Ray aka Hospital Massacre and the grisly Canadian thriller Visiting Hours from 1982. Buy Jon’s Music https://miscplumbingfixtures.bandcamp.com/ Check out all the Diner’s tasty goodies. https://aftermoviediner.com/
In the wake of the coronavirus pandemic, many Americans are worried about their health insurance. The cost of treating the illness, if a patient ends up in the ICU, can run into the tens of thousands of dollars without coverage. Which most people just can’t afford. Today we bring you a piece we produced last year about a related topic -the rising cost of insulin, and the effectiveness of medicare for all. First, we visit a group of community scientists called the Open Insulin Project, an organization trying to create its own insulin outside the lengthy FDA process and whether it's worth the associated risks. And we talk about the benefits of Medicare for All, a policy which would get rid of private insurance and make all medicine and medical care accessible and affordable.
In the wake of the coronavirus pandemic, many Americans are worried about their health insurance. The cost of treating the illness, if a patient ends up in the ICU, can run into the tens of thousands of dollars without coverage. Which most people just can’t afford. Today we bring you a piece we produced last year about a related topic -the rising cost of insulin, and the effectiveness of medicare for all. First, we visit a group of community scientists called the Open Insulin Project, an organization trying to create its own insulin outside the lengthy FDA process and whether it's worth the associated risks. And we talk about the benefits of Medicare for All, a policy which would get rid of private insurance and make all medicine and medical care accessible and affordable.
The Centers for Medicare & Medicaid services are about to put a rule in place that allows insurers and pharmacy benefit managers to get paid TWICE for some of your prescriptions. This policy is called “the copay accumulator,” and it allows insurers to accept payment for a drug without applying the payment to your deductible. In the first episode of the Patients Rising Podcast, we discuss copay accumulators, and what patients need to know about them. We also talk about a looming deadline to comment on a proposed federal rule on the topic. How to take actionThe deadline to comment on the rule regarding copay accumulators is 11:59 pm eastern standard time Monday, March 2nd, 2020.Let your voice be heard. Send your comments directly to Seema Verma, Administrator, Centers for Medicaid and Medicare Services (CMS).Tell her to honor your already high out of pocket costs, and to allow copay assistance to be applied to your deductible. You can also do this directly from our websiteGuest:Carl Schmid, Executive Director, HIV + Hepatitis Policy Institute, Washington, D.C.Carl Schmid has been a national policy and advocacy leader in the HIV community for over 20 years. He spent 16 years with The AIDS Institute, where he served as its Deputy Executive Director and led the Institute’s HIV and viral hepatitis federal policy work before the executive agencies and the Congress. In December 2019, he left The AIDS Institute to form the HIV + Hepatitis Policy Institute, which promotes quality and affordable healthcare for people living with or at risk of HIV, hepatitis, and other serious and chronic health conditions.Mr. Schmid helps lead the HIV and hepatitis communities’ advocacy efforts in Washington, D.C., to ensure domestic HIV and hepatitis programs, including the Ending the HIV Epidemic initiative, the Ryan White Program, CDC HIV and hepatitis prevention programs, and NIH AIDS Research, are based on sound public policy and receive full funding. He has expertise in healthcare financing systems, including Medicaid and Medicare, and leads efforts to ensure that the Affordable Care Act meets the needs of people living with or at risk of HIV and hepatitis. As part of HIV + Hep’s work in advocating for people with HIV and hepatitis, Mr. Schmid works extensively with other patient and disease groups on collective efforts to ensure that patients, particularly those with chronic conditions, have access to quality and affordable healthcare, including prescription medications.Mr. Schmid served as a consumer representative to the National Association of Insurance Commissioners in 2018-19. In July 2019, he was appointed to the PEPFAR Scientific Advisory Board.He was a member of the Presidential Advisory Council on HIV/AIDS from 2007-09 and chaired its Domestic Subcommittee. In 2010, he was named by POZ magazine as one of the 100 most effective AIDS fighters and by Whitman-Walker Health as one of the 25 individuals who have played prominent roles in the fight against HIV in D.C. In 2016, he was named the Champion of the Year by the ADAP Advocacy Association. Mr. Schmid earned a B.A. in Public Affairs and a M.B.A. in International Affairs from the George Washington University in Washington, D.C.Hosts:Terry Wilcox, Executive Director, Patients RisingDr. Robert Goldberg, “Dr. Bob”, Co-Founder and Vice President of the Center for Medicine in the Public Interest.Kate Pecora, Field Correspondent
Physicians and other senior-serving professionals trying to operate within the complicated Medicare ecosystem must be constantly learning, as the landscape, rules, tools, and vendors are in constant flux. We interview eldercare and Medicare industry experts, do deep dives into their companies, services, and experiences, and share their stories and insights with you. In this Mastering Medicare episode, we cover: How you qualify for Medicare Qualifying for Medicare via ALS Qualifying for Medicare via ESRD on dialysis Qualifying for Medicare via SSDI disability Medicare and VA insurance History of Medicare Inpatient hospitalization Rehab aka SNF aka nursing home Home health Hospice Medicare copays and cost sharing for hospitalization Medicare part A annual deductible Medicare cost sharing with rehab SNF Medicare part A home health What is Home health? Home health 485 form What is skilled nursing? What does part A PT/OT do? Copay for part A PT OT Home health "taxing effort" Certification of being homebound home health Certification periods for home health Recertification of medicare part A home health Home health aides Home health 45 minutes twice per week Will Medicare pay for wound care supplies? Medicare hospice What is hospice Will Medicare pay for hospice Qualifying for hospice Hospice certification periods What does hospice cover and pay for Hospice payment model Who pays for a hospice patient if they go to the ER? Hospice is a risk bearing entity Hospice certification and recertification periods What does it mean to be admitted to a hospital
Insurance providers, including Medicare and Medicaid, are pushing more and more of the cost of services onto the consumer. People across the country are experiencing higher premiums, higher deductibles, higher co-pays, and less overall coverage. Hospitals are stuck in the middle, trying to provide quality services for patients while fighting for proper reimbursements on the other end. Meanwhile, Medicare and Medicaid actually reimburse less than the cost of the services provided, so healthcare organizations are losing money on the patient population with the most needs.Our healthcare system is very different from the simple version from 100 years ago. Back then, all of the services and charges could be listed on a piece of paper and patients paid before they left. By the 1990s, patients bills were almost always sent to insurance before any money was requested, and hospitals and patients knew how much they could rely on insurance to cover.Today, the entire system is so much more complex that hospitals have no idea how much insurance will reimbursement, when they will be reimbursed, or if it will happen at all. In many cases, good claims are rejected outright, hoping the hospital doesn't have time to resubmit the claim before the deadline. At the end of the day, insurance providers do not make money by reimbursing for claims; they make money by not reimbursing claims. Increasingly, insurance providers are working hard to avoid losing money, which leaves hospitals with large bills that patients cannot afford to pay.Mario Burnette, Perry's Business Office Director, and Zac Heward, Perry's Business Office Coordinator, joined the Pulse to share their experience with the complicated process on our latest episode.Learn more by visiting www.perrymemorial.org/podcast
As the cost of insulin continues to skyrocket patients are dying from trying to ration their medication. It's an extreme example, but not unusual - the cost of insulin mirrors the broader health crisis in the United States. Medicine is too expensive and inaccessible. Today, we look at ways to combat health costs associated with diabetes. First, we visit a group of community scientists called the Open Insulin Project, an organization trying to create its own insulin outside the lengthy FDA process and whether it's worth the associated risks. And we talk about the benefits of Medicare for All, a policy which would get rid of private insurance and make all medicine and medical care accessible and affordable.
As the cost of insulin continues to skyrocket patients are dying from trying to ration their medication. It's an extreme example, but not unusual - the cost of insulin mirrors the broader health crisis in the United States. Medicine is too expensive and inaccessible. Today, we look at ways to combat health costs associated with diabetes. First, we visit a group of community scientists called the Open Insulin Project, an organization trying to create its own insulin outside the lengthy FDA process and whether it's worth the associated risks. And we talk about the benefits of Medicare for All, a policy which would get rid of private insurance and make all medicine and medical care accessible and affordable.
#PodGods Fresh & B. Hill Pour Up and Discuss: Your Life's Problems in This Special Listener Letter Episode Contact Us @ TheAintShxtShow@gmail.com Follow on social @TheAintShxtShow
Ormai lo sapete, Rikki e Guybrush si sono dimenticati di controllare le email. Del resto queste tecnologie anni 70 stridono un po' col loro essere uomini dal futuro.In questa puntata però fanno ammenda e leggono molti dei vostri messaggi, che saranno spunto per parlare di Grin Coin, crittografia omomorfa, consigliarvi dei wallet e degli exchange.Insomma, once again puntata da non perdere.Note della puntata:Il tweet di pubblicazione dello studio ufficiale della Bitwise Investments: https://twitter.com/BitwiseInvest/status/1109114656944209921Le 226 slides di spiegazione (molto interessante): https://www.sec.gov/comments/sr-nysearca-2019-01/srnysearca201901-5164833-183434.pdfProton Mail, il servizio di email super sicuro: https://protonmail.com/MimbleWimble, il whitepaper ufficiale (un po' spartano): http://diyhpl.us/~bryan/papers2/bitcoin/mimblewimble.txtMimbleWimble, un articolo molto esauriente: https://www.coiners.it/che-cose-e-come-funziona-mimblewimble-il-protocollo-che-piace-a-bitcoin/Grin Coin, il sito ufficiale: https://grin-tech.org/Electrum wallet, il wallet preferito di Guybrush: https://electrum.org/BRD wallet: https://brd.comCopay wallet su Github: https://github.com/bitpay/copaySamourai wallet: https://samouraiwallet.comIl blog di Alberto De Luigi: https://is.gd/UuC8BMAlberto De Luigi intervista Giacomo Zucco: https://www.youtube.com/watch?v=AxlRsQBGWhMIl podcast "ilMordente" cita il BIP show: https://ilmordente.it/work/podcast-17/Il Bitcoin Italia Podcast è una piccola voce libera ed indipendente. Per mantenerla tale ci serve il tuo aiuto. Supportaci per mantenerci sicuri, decentralizzati, immutabili e trasparenti.Come?1- Semplicemente condividi il BIP show con tutti i tuoi amici e parenti.2- Lasciaci una recensione (possibilmente da 5 stelle!) su iTunes, Google Podcast… ovunque tu ci ascolti!3- Visita il nostro website: https://www.bitcoinitaliapodcast.it/support/
Do you use copay cards to access your clotting factor? What if those cards were used by your insurance company but didn’t go towards your deductible or out-of-pocket max so you end up with a huge bill for your factor? This is called Copay Accumulator Adjustment Programs and they are the latest insurance tactic to control overall healthcare costs and could mean surprise bills for bleeding disorder patients. Our episode is with Kollet Koulianos, senior director of payer relations for The National Hemophilia Foundation, an expert on these programs. Join us as we walk through the mechanics of this issue, hear a patient’s story of dealing with this issue firsthand and how to advocate for yourself if you find yourself in this situation. A can’t miss episode of Ask the Expert! Welcome to Episode 24 - or our Copay Accumulator Adjustment Program Episode - of the Ask The Expert Podcast! Follow the link below to watch a video from the National Hemophilia Foundation on Copay Accumulator Adjustment Programs: https://www.hemophilia.org/Newsroom/Advocacy-Legislative-News/Copay-Accumulator-Adjustments-What-are-they-and-how-they-can-affect-you Follow the link below to read about specific data about copay accumulator benefit structures: https://www.drugchannels.net/2018/09/copay-accumulator-update-widespread.html Follow the link below for more information about copay accumulator adjustment programs: https://www.latimes.com/business/lazarus/la-fi-lazarus-healthcare-copay-accumulators-20180427-story.html Do you use copay cards to access your clotting factor? What if those cards were used by your insurance company but didn’t go towards your deductible or out-of-pocket max so you end up with a huge bill for your factor? This is called Copay Accumulator Adjustment Programs and they are the latest insurance tactic to control overall healthcare costs and could mean surprise bills for bleeding disorder patients. Our episode is with Kollet Koulianos, senior director of payer relations for The National Hemophilia Foundation, an expert on these programs. Join us as we walk through the mechanics of this issue, hear a patient’s story of dealing with this issue firsthand and how to advocate for yourself if you find yourself in this situation. A can’t miss episode of Ask the Expert! Welcome to Episode 24 - or our Copay Accumulator Adjustment Program Episode - of the Ask The Expert Podcast! Disclaimer: The content contained within Ask The Expert is for informational purposes only. Please consult your healthcare provider before making any decisions about treatment or changes in physical activities. Follow the link below to watch a video from the National Hemophilia Foundation on Copay Accumulator Adjustment Programs: https://www.hemophilia.org/Newsroom/Advocacy-Legislative-News/Copay-Accumulator-Adjustments-What-are-they-and-how-they-can-affect-you Follow the link below to read about specific data about copay accumulator benefit structures: https://www.drugchannels.net/2018/09/copay-accumulator-update-widespread.html Follow the link below for more information about copay accumulator adjustment programs: https://www.latimes.com/business/lazarus/la-fi-lazarus-healthcare-copay-accumulators-20180427-story.html Have a bleeding disorders-related question you’d like to submit to Ask The Expert? Excellent! You can email it to mailbag@bloodstreammedia.com (Subject: Ask The Expert Question), post it on the wall of our Facebook Page, Facebook.com/BloodStreamMedia or tweet it to us @BloodStreamInfo or @pjlynch (host) All 2018 episodes of Ask The Expert are made possible exclusively by Bayer & Living With Hemophilia. Connect with BloodStream: BloodStream Facebook Page BloodStream Twitter Account Email mailbag@bloodstreammedia.com Find all of our bleeding disorders podcasts on BloodStreamMedia.com BloodStream Host Patrick James Lynch on Twitter and Instagram.
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Adam Baldwin (@adam_baldwin) Director of Security, npm https://foundation.nodejs.org/ https://spring.io/understanding/javascript-package-managers Role in the NodeJS project Advisory? Active role? Maintain security modules? Are there any requirements to being a dev? Are there different roles in the NodeJS environment? Is there any review of system sensitive packages? (or has that ship sailed…) Discussion of timeline from NodeJS security team When were you notified? (or were you notified at all?) What steps were taken to fix the issue? Lessons learned? Official npm security policy: https://www.npmjs.com/policies/security (good stuff!) Event-stream (initial bug report): https://github.com/dominictarr/event-stream/issues/116 Only affected bitcoin Wallets from ‘Copay’ https://nakedsecurity.sophos.com/2018/11/28/javascript-library-used-for-sneak-attack-on-copay-bitcoin-wallet/ “Cue relief, mixed with frustration, for anyone not targeted. Developer Chris Northwood wrote : We’ve wiped our brows as we’ve got away with it, we didn’t have malicious code running on our dev machines, our CI servers, or in prod. This time.” ( https://medium.com/@jsoverson/exploiting-developer-infrastructure-is-insanely-easy-9849937e81d4 “The damage this could have caused is incredible to think about. The projects that depend on this aren’t trivial either, Microsoft’s original Azure CLI depends on event-stream! Think of the systems that either develop that tool or run that tool. Each one of those potentially had this malicious code installed.” https://thehackernews.com/2018/11/nodejs-event-stream-module.html “The malicious code detected earlier this week was added to Event-Stream version 3.3.6, published on September 9 via NPM repository, and had since been downloaded by nearly 8 million application programmers.” https://www.analyticsvidhya.com/blog/2018/07/using-power-deep-learning-cyber-security/ Hacker News (with comments): https://news.ycombinator.com/item?id=18534392 Official npm blog post: https://blog.npmjs.org/post/180565383195/details-about-the-event-stream-incident https://blog.npmjs.org/post/175824896885/incident-report-npm-inc-operations-incident-of https://resources.whitesourcesoftware.com/blog-whitesource/top-5-open-source-security-vulnerabilities-november-2018 2017 package/user stats: https://www.linux.com/news/event/Nodejs/2016/state-union-npm According to npmjs.org: over 800,000 packages (854,000 packages, 7 million+ individual versions) Dependency hell in NodeJS: https://blog.risingstack.com/controlling-node-js-security-risk-npm-dependencies/ “Roughly 76% of Node shops use vulnerable packages, some of which are extremely severe; and open source projects regularly grow stale, neglecting to fix security flaws.” History of NodeJS security issues: ESLINT: https://nodesource.com/blog/a-high-level-post-mortem-of-the-eslint-scope-security-incident/ Left-pad: https://www.theregister.co.uk/2016/03/23/npm_left_pad_chaos/ How to ensure this type of issue doesn’t happen again? (or is that possible, considering the ecosystem?) What can devs, blueteams, or companies that live and die by NodeJS do to increase security, or assist in making NPM Security team’s job easier? What the responsibility is of consumers of open source? What can be done to ensure vetting for ‘important’ packages? Can someone manage turnover? (or is that ship sailed?) Security scanners: https://geekflare.com/nodejs-security-scanner/ https://techbeacon.com/13-tools-checking-security-risk-open-source-dependencies-0 Threat assessment or ‘what could go wrong in the future’? Bad code “Trust issues” Repo corruption Hijacking packages Keep up to date on NodeJS security issues: https://nodejs.org/en/security/ https://groups.google.com/forum/#!forum/nodejs-sec ^ this is great for node, but if you want to stay up to date with security advisories in the ecosystem? npmjs.com/advisories or @npmjs on twitter https://rubysec.com/ -Ruby security group Check out our Store on Teepub! https://brakesec.com/store Join us on our #Slack Channel! Send a request to @brakesec on Twitter or email bds.podcast@gmail.com #Brakesec Store!:https://www.teepublic.com/user/bdspodcast #Spotify: https://brakesec.com/spotifyBDS #RSS: https://brakesec.com/BrakesecRSS #Youtube Channel: http://www.youtube.com/c/BDSPodcast #iTunes Store Link: https://brakesec.com/BDSiTunes #Google Play Store: https://brakesec.com/BDS-GooglePlay Our main site: https://brakesec.com/bdswebsite #iHeartRadio App: https://brakesec.com/iHeartBrakesec #SoundCloud: https://brakesec.com/SoundcloudBrakesec Comments, Questions, Feedback: bds.podcast@gmail.com Support Brakeing Down Security Podcast by using our #Paypal: https://brakesec.com/PaypalBDS OR our #Patreon https://brakesec.com/BDSPatreon #Twitter: @brakesec @boettcherpwned @bryanbrake @infosystir #Player.FM : https://brakesec.com/BDS-PlayerFM #Stitcher Network: https://brakesec.com/BrakeSecStitcher #TuneIn Radio App: https://brakesec.com/TuneInBrakesec
Crypto Weekly | Cryptocurrency, Bitcoin, Ethereum, Altcoin and ICO news from the week
This week in the news: - NASDAQ suggest that their Bitcoin futures are still on track. - An NPM package is hacked to target CoPay wallet users. Stay safe and get the breakdown! - You can officially withdraw Tether to USD! Fudders blown out (sort of). - Pay your taxes with Bitcoin (if you live in Ohio). Also: - SEC clamping down on illegal ICOs https://cointelegraph.com/news/the-making-of-the-first-us-ico-fraud-case
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If you do not register throughout your Initial Enrollment Period, you might have the ability to register throughout the General Enrollment Period that occurs every year from January 1 to March 31; your protection would begin on July 1. When you are very first eligible to do so, you might be subject to a late-enrollment charge if you do not register in Medicare Part A. If you do not immediately receive Medicare Part A, you can do so throughout your Initial Enrollment Period, which begins 3 months prior to you turn 65, consists of the month you turn 65, and lasts for 3 extra months after you turn 65. Some individuals are immediately registered in Medicare Part A, while you might have to by hand register for it in other cases. Medicare Part A is one half of Original Medicare, the federal health-care program comprised of Part A (hospital insurance coverage) and Part B (medical insurance coverage). Normally speaking, Part A covers healthcare facility services and materials thought about clinically needed to deal with a condition or illness. Together with Medicare Part B, it makes up exactly what is understood as Original Medicare, the federally administered health-care program. Medicare Part A pays for the expense of inpatient medical facility care, while Part B covers outpatient medical services. Older Americans qualified for Social Security benefits can sign up for Medicare. Eligible persons can choose Original Medicare or Medicare Advantage. Eligible older Americans can join Medicare and select Medicare Part A only if they so choose. The initial enrollment period is the best time to select and apply for complete Medicare coverage. Learn all about Medicare: https://www.medicareonvideo.com
I can't thank you all enough for the continued support for the show. Don't forget to tell a friend/co-worker about the podcast! Subscribe to the podcast and connect with me here: www.facebook.com/retellpharmacy www.twitter.com/retellpharmacy Let me know what you want to talk about! Happy dispensing!
Our guest Dr. Akiyomi Fields, or as A.D. calls him, "Ak from Brooklyn," is a board certified internal medicine doctor and hospitalist (we'll learn what that is on the episode). He shares what he usually sees in patients in their 20s, 30s, 40s and breaks down the reality of being a doctor. Shanelle bothers A.D. about not wanting to take selfies at the gym. See acast.com/privacy for privacy and opt-out information.
In this episode, we welcome resident reimbursement expert and Specialty Operations Manager at CSI Specialty Group Nicole “Nicky” Felty to discuss how to navigate upcoming copay assistance program changes, what they mean for your pharmacy and how they will impact your patients. Nicky joins host Suzette DiMascio, CHE, CMCE, CPC, to share can’t-miss tips, examples and keys for success in this 16-minute interview.
Military and Defense Department employees will see some big changes to retirement and prescription drug copays starting next year.
Biodynamics Now! Investigative Farming and Restorative Nutrition Podcast
Show Notes are at www.bdnow.org Welcome to Episode 43 of the Biodynamics Now! Investigative Farming and Restorative Nutrition podcast. Your host is Allan Balliett Today's guest is Elvira DiBrigit, author of "Why We Farm: Stories from Farmers of the Copay valley." An expert in sustainable living and farming, Elvira has profiled more than a dozen small, family farms in Northern California's Copay Valley in an insightful collection that shines a spotlight on the challenges and rewards of independent farming in the 21st century. Capay Valley is a narrow slice of farmland nestled in the mountains of Northern California, just north of Napa. The area is home to more than 60 organic farms, one of the highest concentrations in the country. The rich soil produced by the rivers and creeks in the area provides ideal conditions for wine, fruits and vegetables and a booming olive oil crop In 2000 Elvira Di'Brigit moved her family to Capay Valley, where her passionate interest in sustainable living took hold. While teaching she explored curricula surrounding farming, environmental preservation and nutrition - all in support of sustainable living. She is the editor of CapayValleyGrown.net and the author of WHY WE FARM. She also serves on the organizing committee for the Hoes Down Harvest Festival, a fund-raiser for the Ecological Farming Association. Elvira holds a BA in international relations from UC Davis, a teaching credential and a Waldorf/Steiner Teaching Certificate. She lives in Rumsey, CA with her husband and 3 children. An expert in sustainable living and farming, Elvira has profiled more than a dozen small, family farms in an insightful collection that shines a spotlight on the challenges and rewards of independent farming in the 21st century. The small/family farm was becoming an anachronism two decades ago, but the surge of public interest in organic and "locally-grown" food has inspired a new generation to explore farming and self-sustainability. The Capay Valley farming culture is a phenomenal example of how this once dying profession has taken on new life; Elvira Di'Brigit and her book, WHY WE FARM: Stories from Farmers of The Capay Valley, highlight the diversity of business models that have brought success to a myriad of 21st century farm. Capay Valley is a narrow slice of farmland nestled in the mountains of Northern California, just north of Napa. The area is home to more than 60 organic farms, one of the highest concentrations in the country. The rich soil produced by the rivers and creeks in the area provides ideal conditions for wine, fruits and vegetables and a booming olive oil crop. From Full Belly Farm – a 350 acre farm founded in 1985 as a pioneer in organic and sustainable farming – to the tiny 1 acre Cache Creek Lavender Farm, the farmers in the Capay Valley are a microcosm of 21st century sustainability and provide the lion's share of organic and toxin-free food and product to San Francisco's booming farm-to-table restaurants and neighborhood farmers' markets. Elvira Di'Brigit has investigated and chronicled the production of real food while living in farming communities throughout Northern California and Hawaii. She and her family moved to the Capay Valley seventeen years ago and Elvira began teaching the children of local farmers, which allowed her to gain an insider’s view of farming as a business.
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.
Josh and Linette explore why Mylan has raised the prices of EpiPen, and how it uses a copay assistance program to reduce consumer pushback. See acast.com/privacy for privacy and opt-out information.
Yes, it's the 1980's all over again. It seems unbelievable, but this is a reality. Let's say your kid falls and need stitches -$10 Let's say you break an arm -$10 Let's say you need a strep test -$10 If you participate in the regular healthcare system, those could be $100's to $1000's of dollars. It doesn't have to be that way. Dr. Rachot pulls the curtain back on medical care in America. We have been forced into a health (sickness) system that is unsustainable. Copay's are at an all-time high. Deductibles are at an all-time high. What do you get? Basically nothing but a big bill. I speak from first hand experience. The system exploits patients, it's wrong and it needs to change. But, it can't until you and I do something. If you are tired of paying obscene amounts of money for nothing? You can change that. That is today's podcast. If I get my way, you'll be able to use chiropractic care to prevent problems and basic medical care for 90% of the other problems that pop up in life, all for less than you are paying now. By the way, this is a wonderful system for your business. If you are an employee, send this podcast to your boss. If you are listening outside of Utah, buy Dr. Rachot's book and give it to your doctor and they can possibly reduplicate his medical system. You win, and they win. Listen to the podcast with Dr. Rachot Linkedin articles Medallus Website Employee Benefits
Brendan Bietry of the Patient Advocate Foundation discusses the financial assistance programs available to lung cancer patients who receive targeted therapies.
Brendan Bietry of the Patient Advocate Foundation discusses the financial assistance programs available to lung cancer patients who receive targeted therapies.
Brendan Bietry of the Patient Advocate Foundation discusses the financial assistance programs available to lung cancer patients who receive targeted therapies.
Paul Pochtar is an industry leader who has more than 25 years of extensive experience leading the successful commercialization of specialty pharmaceuticals throughout their lifecycle, including several landmark oncology products and other specialty therapeutics. He has been instrumental in developing innovative brand value propositions that resonate with government and commercial payers and in the execution of market introductions by designing novel distribution, dispensing, and patient services models. He has strong operational proficiency and a keen ability to mobilize both Pharma functional skill centers and channel partners to build plans, structures, and processes to efficiently execute strategies. Paul has enjoyed a distinguished career with Bayer Pharmaceuticals as Vice President of Payer Marketing and with Novartis Pharmaceuticals as Vice President & Head of Oncology Managed Markets and Market Access. He is a graduate of Rutgers University Ernest Mario College of Pharmacy and is a registered pharmacist in New Jersey and Pennsylvania. He can be reached at paulpochtar@gmail.com 00:00 Paul discusses the changes in the healthcare industry from the Pharma viewpoint.01:15 Paul breaks down these changes step by step.02:10 How these changes are impacting Pharma on a larger scale.03:30 What failure means in the Pharma perspective.04:25 The issue of needing clear criteria.05:35 From the Pharma perspective, why companies need to be laying out very strong value proposition.06:30 From the Pharma perspective, companies need to be laying out a very strong value proposition.07:40 The right balance of the marketing mix, and what this is for Pharma business in healthcare.08:35 “Copay is all about supply and demand.”09:40 The need to think about the business Pharma is truly in, in order to improve patient care.10:15 Paul discusses successful and non-successful business models that he has come across over the years.11:40 Paul talks about some of the advanced formulary decision-making criteria for clinical trials hoping to get FDA approval.14:50 Patient population and how this fluctuates according to the data that a Pharma company has.16:50 How Pharma is equipped to work with the constant change of decision-makers within healthcare.18:00 Consolidation within Pharma and how it benefits patient care and healthcare in general.21:15 How hospitals are changing their infrastructures with population in mind.23:20 Paul gives his advice to Pharma organizations attempting to navigate their businesses.24:00 The four things Pharma needs to consider when a manufacturer wants to change.24:30 Why a comprehensive strategy is most important in considering change within a Pharma company.27:00 Engaging high-risk patients.30:00 Which organizations need consideration for having a different collaborating relationship with patients, and how patients are really struggling in the marketplace.
Lots of people getting Obamacare say they still cannot afford health care. A liberal group reports that one-fourth of people covered by Obamacare still avoid seeing a doctor or having tests done because they cannot afford the deductibles or co-pays. That shows how bureaucratic the law is, because even after raising insurance premiums it also raises other out-of-pocket costs. To the left, that's a reason to abolish co-pays. But look closer. Almost every political proposal does nothing about the real problem—that health care costs too much. Sending the bills to government does not make anything more affordable; it only shifts who pays, namely taxpayers. Health care and insurance cost so much because the government controls them with a mountain of red tape. That doesn't improve care; it just adds to the costs. Obamacare created thousands more pages of regulations; red tape makes things more expensive, not more affordable.
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