Podcasts about Step therapy

If you or someone you love is navigating metastatic breast cancer, this episode of Your Voice. Your Health is a must-listen. Abigail Johnston, a metastatic breast cancer advocate and legal expert, shares powerful strategies to overcome the life-threatening delays caused by step therapy policies. Known as "fail first," step therapy can block access to critical care for stage 4 patients—when every minute counts. Abigail offers actionable advice to help patients break through these barriers, which can lead to financial strain, unnecessary side effects, and delays that jeopardize both quality of life and survival. Special thanks to Amgen for making this episode possible!

A troubling disconnect between medical expertise and insurance mandates is putting patients' health at risk. Policies like step therapy and prior authorization are forcing individuals into treatments not recommended by their doctors—often with devastating consequences. In this episode, we hear from a patient who endured months of suffering due to her insurer's 'fail-first' requirements. We also talk with a doctor navigating this impossible system and a biotech leader fighting to ensure innovative treatments reach the patients who need them most. Follow us on LinkedIn, X, Facebook and Instagram. Visit us at https://www.bio.org/

Are retina doctors seeing more retinal pathology following infection or vaccination? Or is there nothing to see here? Rahul Khurana, MD, joins us to discuss the findings of various health care database analyses seeking to clarify whether COVID infection or vaccination were linked to retinal manifestations. Was there a clear—or even an opaque—connection between the two? And Paul Hahn, MD, PhD, sits down with us to explain how inflation, new realities of reimbursement, and step therapy directives are playing out in retina clinics in the United States. Inflation-adjusted reimbursement is declining—but can anything be done about it? And is step therapy actually saving the system any cash? 

Dr. Nic & Mike Sebastian, Psychologist & Sociologist/ Featured on A&E, E!, VH1,  SiriusXM, Coast 2 Coast AM and countless others...                                                                                 Co-Founders of "Divine Guidance Institute and Wellness Center Inc.," a Modern-Day Mystery School, and “The Dream Team – Celebrity Life Coaching” and Creators of the “Trust Yourself System” and “Trust Yourself Therapy” Visionaries, Rev. Dr. Nicole and Michael Sebastian aka “The Dream Team” are Celebrity Therapists, Expert Decision Coaches, Authors, Celebrity Dream Experts, Celebrity Life Coaches, and Relationship Experts. Innovators of "1-Step Solution" and "1-Step Therapy." Known as Modern-Day Oracles, they deliver Wise-Counsel using Traditional Methods coupled with the Unique Tools of Dreams, Sound, Synchronicity, Intuition, and Quantum Physics for Guidance and Direction. This is what "Trust Yourself" is all about. https://www.1steptherapy.com/ Website - www.nevergetblindsidedagain.com   IG - @nevergetblindsidedagain   YT - https://www.youtube.com/@dreamteamcoachingtv   Podcast - BLINDSIDED IN LOVE   About The Flare Up Show Find Chrissy Cordingley at ⁠⁠⁠⁠https://www.risethrive.ca⁠⁠⁠⁠ Follow the Flare Up Show on ⁠⁠⁠⁠Instagram⁠⁠⁠⁠ Join the Rise and Thrive Wholeness Community on ⁠⁠⁠⁠Facebook⁠⁠⁠ Welcome to The Flare Up Show with Chrissy Cordingley. We tackle tough health topics with humor, share epic comeback stories, and explore ways to boost your mind and body. Whether you're feeling meh or need a laugh, join us for expert tips, inspiring chats, and a dash of fun to help you flare up to your best self. Ready to rise and thrive? Tune in and let's set your journey on fire! #TheFlareUpShow #RiseAndThrivePodcast #WholenessCoaching #WholeBeing #WellBeing #ReAlign #ReAlive #ElevateYourLife VIDEO MUSIC Credit; Happy Place Courtesy of ClipChamp Audio version Music Credit: Y2K by Lunareh

Co-Founders of "Divine Guidance Institute and Wellness Center Inc.," a Modern-Day Mystery School, and “The Dream Team – Celebrity Life Coaching” and Creators of the “Trust Yourself System” and “Trust Yourself Therapy”Visionaries, Rev. Dr. Nicole and Michael Sebastian aka “The Dream Team” are Celebrity Therapists, Expert Decision Coaches, Authors, Celebrity Dream Experts, Celebrity Life Coaches, and Relationship Experts.Innovators of "1-Step Solution" and "1-Step Therapy."Known as Modern-Day Oracles, they deliver Wise-Counsel using Traditional Methods coupled with the Unique Tools of Dreams, Sound, Synchronicity, Intuition, and Quantum Physics for Guidance and Direction. This is what "Trust Yourself" is all about.Authors of: "TRUST YOURSELF: Master Your Dreams, Master Your Destiny...A Personal Road Map for KNOWING," “The Ancient Way of Knowing...TRUST YOURSELF SYSTEM: The Ultimate Guide to Making Any Decision, Avoiding Adversity and Never Getting Blind-Sided Again, "TRUST YOURSELF THERAPY: 9 Steps to a Quantum Transformation,” "SOCIOLOGY OF SOUL: A Spiritual Wake-up Call," and “1 Step Therapy...JUST SAY HU: The Universal Panacea for All That Ails You.”The Sebastians are co-founders of "Soul Mates R Us." A Relationship-Dating Service specializing in Spiritual Connections.Their tools and techniques provide a methodology for opening a window to personal transformation and spiritual unfoldment.TRUST YOURSELF™ uses Traditional Methods and the Unique Tools of the HU, DREAMS, SYNCHRONICITY, and INTUITION to give you that Extra Edge and 24 hour Turn-arounds!https://www.1steptherapy.com/

In this empowering episode, we sit down with Pam Kohl, Patient Advocate, to explore the critical role trusting your intuition when receiving health care. Pam shares her personal journey from an early breast cancer diagnosis to living with metastatic breast cancer, revealing her remarkable resilience and determination. Her story underscores the importance of trusting your instincts, advocating thorough testing, and staying informed to navigate the complexities of the healthcare system effectively.Find out how you are the best advocate for your health outcomes. Listen to the episode and discover:Navigating the Challenges of Breast CancerPam Cole's story is one of resilience and determination. After initially being diagnosed with stage 1 ER+ breast cancer in 2009, she underwent a lumpectomy, radiation, and five years of endocrine therapy. Despite being told she was cured, Pam faced a recurrence of her cancer, which eventually led to a metastatic diagnosis. The Power of Knowledge and Self-AdvocacyThroughout the episode, Pam emphasizes the necessity of understanding diagnostic tools and the need to demand comprehensive testing, such as PET scans, when necessary. Advancements in Breast Cancer Care and Nuclear Medicine SafetyThe conversation extends beyond personal experiences, touching on advancements in breast cancer management, particularly for ER+ cases. HER HEALTHX Improving Health Outcomes for WomenThe conversation explores the implications of medical gaslight and how HER HEALTHX, a nonprofit organization is dedicated to addressing the broader impact of medical gaslighting on women and their communities.3 Takeaways:Feel Empowered: When you understand your diagnosis and the available medical options is crucial for effective self-advocacy. Ask questions and don't be afraid to make choices that align with your instincts.Safety in Nuclear Medicine: The conversation sheds light on the importance of safety standards in medical testing and the advocacy needed to improve these practices. Support H.R.6815 — 118th Congress (2023-2024)Community Impact: Addressing how medical gaslighting affects not just the individual but the wider community."You need to be paying attention to your body and trusting your intuition. Trust yourself and advocate for yourself. It's the most important thing you can do."-Pam KohlThank you Pam for sharing your story. Join Pam Kohl and host Natalie Benamou on October 23rd for a panel discussion about Extravasation and Step Therapy at 11 AM CT/ 12 PM ET.Register hereResources:https://www.safernuclearmedicine.org/American Cancer SocietyHER HEALTHXAbout Pam KohlPam Kohl, a North Carolina native with over 40 years of experience in government and nonprofit management, has dedicated her career to breast cancer advocacy. As the former Executive Director of Susan G. Komen's North Carolina Triangle to the Coast Affiliate, she advocated for equitable breast cancer support and research across 29 counties. Pam directed the Komen Metastatic Breast Cancer Collaborative Research Initiative, focusing on finding treatments and cures, especially after her own battles with breast cancer. Diagnosed initially in 2009 with Stage 1 ER+ breast cancer and declared cancer-free in 2014, she faced a recurrence in 2016 and was diagnosed with Stage IV metastatic breast cancer in 2017. Her treatment regimen includes Verzenio, Fulvestrant, and regular scans.Connect with Host Natalie Benamou, Founder HerCsuite®Natalie Benamou is the host of "Women Leaders on the Move '' and the Founder of HerCsuite®, a powerful women's network providing connect circles for women's careers and businesses. She is dedicated to making it easier for women to achieve success in all aspects of their lives. Natalie is also the Founder and President of HER HEALTHX, a nonprofit on improving health outcomes for women.Natalie Benamou on LinkedInHerCsuite® on LinkedIn

Welcome to another episode of “Your Voice. Your Health.” In this enlightening discussion, host Melissa Berry is joined by Dr. Rishi Garg, Assistant Professor of Neurology at Loyola University Medical Center and Medical Director of Financial Clearance. Dr. Garg delves into the challenges of step therapy, including how automated decisions can impact cancer patients and why it's so critical to persist despite initial denials. Together, they explore common reasons for step therapy denials, strategies for successful appeals, and the vital role of healthcare providers in supporting patients. Additionally, Dr. Garg will share inspiring success stories and discuss ongoing legislative efforts to reform step therapy practices. Tune in to learn how to advocate effectively for yourself and navigate these healthcare hurdles with confidence. Thank you to Amgen for making this episode possible!  

This time on Code WACK! How do insurance companies put up barriers to addiction treatments? How does this affect treatment programs and their clients? And how would it be if we had Medicare for All? To find out, we spoke to Arlene Stanich-Prince, executive director of Ohlhoff Recovery Programs in San Francisco, one of the longest standing treatment programs in the area. This is the first of two episodes with Stanich-Prince. Check out the Show Notes and Transcript for more!  

Welcome to another episode of the "Your. Voice. Your Health." podcast series, where we amplify the voices of experts and advocates in the realm of step therapy and utilization management. In this episode, we delve into the complexities of patient advocacy and learn about precision medicine. Our guest, Daneen Sekoni, Vice President of Policy and Advocacy at Cancer Support Community, shares some invaluable insights about overcoming healthcare obstacles. Don't miss this thought-provoking discussion that promises to empower patients and caregivers alike in their healthcare journey!  

Navigating health insurance can often feel like walking through a mine field. In this episode of the Live Yes With Arthritis podcast, we hear real stories of three people living with arthritis and how they are using their health insurance to gain access to the care they need. *Visit the Live Yes! With Arthritis Podcast episode page to get show notes, additional resources and read the full transcript: https://arthr.org/LiveYes_Ep106 (https://arthr.org/LiveYes_Ep106) * We want to hear from you. Tell us what you think about the Live Yes! With Arthritis Podcast. Get started by emailing podcast@arthritis.org (podcast@arthritis.org). Special Guests: Jed Finley and Penny Greenblatt.

Not every person could seamlessly tie together the concepts of Step Therapy Reform and the Crap Gap. You just need to leave it to A Couple. Because to us it makes perfect sense to connect: • A bill in the Michigan House of Representatives that will ensure people with Multiple Sclerosis can get the medications they need without detrimental delays to • The stretch between disease-modifying therapy (DMT) infusions when MS symptoms seemingly feel worse. Seriously. We originally thought we were just run down from doing so much over the last several weeks — from traveling to Columbus, Ohio, for a Bruce Springsteen concert to participating in a Walk MS event in Frankenmuth, Dan hurting his back while transferring Jennifer, and everything else we do to make it through each day. Then we realized we each were within several weeks of our scheduled DMT infusion. Could our exhaustion be a direct result of this supposed Crap Gap? Speaking of DMT infusions and the Crap Gap, we capped off our busy few weeks with the virtual MS State Action Day for the National Multiple Sclerosis Society where we addressed legislation for Step Therapy Reform in the State of Michigan (Hint: MS DMTs often are the targets for step therapy). Join us for this conversation where we tackle these topics and offer insights into how our listeners who live in Michigan can get involved in advocating for Step Therapy Reform. Here are links to the sites we discussed in our conversation: • Support Step Therapy Reform – Link for Michigan residents to contact your State Representative urging them to support HB 5339 so individuals living with MS can have access to their doctor-prescribed medications in a timely manner. • What Is the ‘Crap Gap' Between MS Infusions? – MyMSTeam article describing this experience when MS symptoms feel worse in weeks leading up to a DMT infusion. • Talking about the Crap Gap – AnCan Multiple Sclerosis Virtual Support Group, which Jennifer serves as a moderator, recording where members discuss the Crap Gap (among several other engaging topics). • How Springsteen softened this Wolverine to embrace the Buckeye State – Get insights into why Jennifer is emotionally conflicted after what likely is the Bruce Springsteen concert she's ever seen… it just happened to be in Ohio (IYKYK). • Hoyer Lift – Information about the medical equipment we used to transfer Jennifer into and out of bed while Dan recovered from injuring his back. • Stand assist lift devices – Information about the medical equipment we used to transfer Jennifer in the restroom while Dan recovered from injuring his back. • Frankenmuth Walk MS – Learn more about this event and how you can donate to support our team – Team MonsterS. ***** Remember to rate, review and subscribe to A Couple Takes on MS Podcast for two insightful perspectives on this one multifaceted disease.

As part of my special podcast series, “Your Voice. Your Health.” focusing on step therapy, we're joined by Maxine Miller, a dedicated advocate and Coordinator of Policy & Advocacy at Cancer Support Community.  With a strong commitment to championing equity and access in healthcare, economics, and society, Maxine shares some advocacy efforts as well as groundbreaking research shedding light on the detrimental effects of step therapy protocols on patient health and well-being. Thank you to my sponsors Amgen, Merck and Daiichi-Sankyo for making this episode possible!  

Co-Founders of "Divine Guidance Institute and Wellness Center Inc.," a Modern-Day Mystery School, and “The Dream Team – Celebrity Life Coaching” and Creators of the “Trust Yourself System” and “Trust Yourself Therapy” Visionaries, Rev. Dr. Nicole and Michael Sebastian aka “The Dream Team” are Celebrity Therapists, Expert Decision Coaches, Authors, Celebrity Dream Experts, Celebrity Life Coaches, and Relationship Experts. Innovators of "1-Step Solution" and "1-Step Therapy." Known as Modern-Day Oracles, they deliver Wise-Counsel using Traditional Methods coupled with the Unique Tools of Dreams, Sound, Synchronicity, Intuition, and Quantum Physics for Guidance and Direction. This is what "Trust Yourself" is all about. Authors of: "TRUST YOURSELF: Master Your Dreams, Master Your Destiny...A Personal Road Map for KNOWING," “The Ancient Way of Knowing...TRUST YOURSELF SYSTEM: The Ultimate Guide to Making Any Decision, Avoiding Adversity and Never Getting Blind-Sided Again, "TRUST YOURSELF THERAPY: 9 Steps to a Quantum Transformation,” "SOCIOLOGY OF SOUL: A Spiritual Wake-up Call," and “1 Step Therapy...JUST SAY HU: The Universal Panacea for All That Ails You.” The Sebastians are co-founders of "Soul Mates R Us." A Relationship-Dating Service specializing in Spiritual Connections. Dr. Michael & Nicole Website: https://www.1steptherapy.com/about-us.html TYPICAL SKEPTIC PODCAST CONFERENCE FUND: https://www.givesendgo.com/typicalskepticconference Join Typical Skeptic Podcast Telegram Group: https://t.me/typical_skeptic_podcast You want the best merch in the podcast game? Click this link and scroll through all the typical skeptic podcast merch and Support the Podcast, and represent in style! https://my-store-d53dc3.creator-spring.com/ support the podcast https://paypal.me/typicalskepticmedia cashapp $kalil1121 venmo @robert-kalil or buy me a coffee at https://buymeacoffee.com/typicalskeptic https://youtube.com/c/typicalskeptic https://www.spreaker.com/show/typical-skeptic-podcast_1 https://www.rumble.com/typicalskeptic https://www.rokfin.com/typicalskeptic Join the patreon to support for a small amount or on a long term basis https://patreon.com/typicalskeptic Social Media facebook.com/robert.kalil.7 instagam.com/kalilrobert twitter.com/robertkalil1121 Affiliates: --Happy Hippo Kratom Use code skeptic for 15 percent off -- https://happyhippo.com/r?id=00tjf5 --Natural Shilajit and Monoatomic Gold from Healthy Nutrition LLC.use code: ROB https://naturalshilajit.com/discount/ROB --https://mn-nice-ethnobotanicals.com/?ref=kz9qe0iv Use this Link and Code TypicalSkepticP at MN Nice Botanicals for 10 percent off for legal amanita mushroom, dream herb, and blue lotus and much more #dreams #sleepparalysis #aura #podcast #spiritualgrowth #youtubelive #typical__skepticBecome a supporter of this podcast: https://www.spreaker.com/podcast/typical-skeptic-podcast--5897400/support.

Illinois State Rep. Anna Moeller (D-43rd) joins Lisa Dent to explain why she’s pushing for legislation to eliminate the practice of step therapy in the state. Step therapy is when a doctor prescribes a treatment for a patient, but the insurer requires the patient to try different treatments or medications first. Follow The Lisa Dent […]

Join me and Dr. David Charles, Chief Medical Officer of the Alliance for Patient Access and a distinguished neurologist, for a dynamic discussion. In this episode, Dr. Charles sheds light on step therapy, fail-first protocols, and care pathways, revealing their impact on patient care. Explore how the Alliance champions patient education and advocates for healthcare policy improvements. Tune in to delve into the intersection of patient advocacy and healthcare reform with Dr. Charles and the Alliance. Thank you to Amgen, Merck and Daiichi Sankyo for making this episode possible!

Dr. Sam Eisenberg, a PGY2 Northwell Health (NSLIJ), embarked on a journey with NYACP to combat burnout by proactively engaging in advocacy. With a keen focus on Step Therapy, his timing aligned perfectly with attending advocacy days alongside alliance groups. Join us as we dive into the results of his advocacy endeavors, his experience deciphering legislative bills, and his invaluable insights on locating organizations dedicated to your areas of interest. Tune in to gain a firsthand understanding of Dr. Eisenberg's impactful efforts and learn how you can make a difference in causes close to your heart.

Meet my new friend Alan Balch! Alan is the CEO of Patient Advocate Foundation and National Patient Advocate Foundation which provides patient services, eliminating obstacles in access to quality healthcare.    Alan has over 20 years of executive leadership in the non-profit sector spanning multiple advocacy areas including access and affordability, health equity, prevention and early detection, and cancer research. As part of my special podcast series, “Your Voice. Your Health.” focusing on step therapy, today we're going to take a deep dive into policy perpsectives and advocating for change. We're also going to learn Alan's “why” behind his mission.  Thank you Amgen Oncology and Merck for making this episode possible!  

In the second part of this four-part series, Dr. Shuvro Roy and Max Goldman recap this year's Neurology on the Hill event. In this segment, they highlight one of the important issues discussed at this year's NOH, which is the Safe Step Act. Read more about the Neurology on the Hill: Issues and Resources. 

Introducing my wonderful friend and fellow TNBC sister, Tiffany Clifton-Reed! Tiffany is not only a courageous breast cancer thriver and advocate, but also brings extensive experience as an authorization coordinator. I invited Tiffany to be a guest on this episode of "Your Voice. Your Health." to discuss step therapy through the lense of her invaluable perspective. With her dual background as a breast cancer survivor and a professional in the prior authorization field, Tiffany shares her insights and offers practical tips on navigating step therapy challenges. Thank you to Amgen and Merck for making this episode possible!

Join us for the latest installment of the, "Your Voice. Your Health." series as we delve into crucial insights with Courtney Savage, the visionary behind Savage Health Policy. In this episode, Courtney sheds light on step therapy, navigates the appeals process, and teaches us why it's so important to really understand your health insurance policy. Tune in to discover the power of partnering with your doctor to overcome step therapy barriers!

I'm so excited to have my amazing friend Dr. Alexea back on the show! She's a board certified internist, breast cancer thriver and a true beacon of light in our community. This episode is part of my special series, “Your Voice, Your Health.” and is designed to teach us all about step therapy.  Dr. Alexea shares her honest and first hand experience with step therapy as both a physician and a breast cancer survivor, as well as tactical ways to overcome these very frustrating obstacles. Thank you to Amgen and Merck for making this episode possible!

Tonight on Cryptique:  Ryan and J discuss 1 step therapy for PTSD, insomnia, anxiety, stress, addiction, and so much more with Dr. Nicole and Michael Sebastian!  You will learn a universal tone you can use to help yourself, no drugs, no psychiatrist, just you.  It's a universal tone used by the ancients and forgotten or censored by modern science.  We also discuss the importance of personal dream interpretation as opposed to googling it!  It's easier than you think. Check out their website!  https://www.1steptherapy.com/ cryptiquepodcast@gmail.com https://cryptiquepodcaststore.com  TikTok @cryptique_podcast YouTube @cryptiquepodcast X @podcastevil buymeacoffee.com/cryptiquepi

Resources for the community https://www.enbold.com/ Obesity Telehealth https://www.ivimhealth.com/weightloss/ Telehealth for weight management https://zennutrients.com/ - Supplements Get 20% off with Plus20 Coupon CodeToday, our community guest and specialist guest are the same person, Miri. Miri is an HR specialist who shares valuable insights on healthcare insurance and benefits. We discuss the challenge of getting insurance to cover specific treatments, delve into off-label medical use, explore self-insured plans, and demystify Pharmacy Benefit Managers (PBMs). The effectiveness of wellness plans is assessed, and Prior Authorization and peer-to-peer reviews are unveiled. Changes in obesity treatment labeling are discussed, as are insurance tactics like Step Therapy. With open enrollment season approaching, the episode provides actionable advice, including leveraging DEI initiatives for comprehensive coverage. Appeals processes are demystified, offering practical guidance to ensure effective healthcare coverage.________________________________________________________________________Join this channel to get access to perks:https://www.youtube.com/channel/UC0HUIGKl3BN4Vg6LYI-dkOA/join________________________________________________________________________⭐️Mounjaro Stanley⭐️griffintumblerco.Etsy.comUse code PODCAST10 for $ OFF Support the showKim Carlos @DMFKimonMounjaro on TikTokJernine Trott @TheeJernine on TikTokKat Carter @KatCarter7 on TikTokLydia Roberts @mounjaro_GLP_Help on TikTok

Introducing a brand new Dear Cancer, I'm Beautiful podcast series called, "Your Voice. Your Health!” The first episode of this series titled, "What is Step Therapy and How Does it Affect Cancer Patients?” will provide you with comprehensive information about step therapy and its implications on your treatment choices and outcomes. I didn't even know what step therapy was until recently. These "fail first" policies have become way too common in healthcare insurance plans. They require us to try less expensive medications or treatments before gaining access to the ones that our healthcare providers really want us to have.  I'm so honored to have Dr. Keith Crawford back again to help me kick off this series that will empower you and provide you with valuable tips so you can have the necessary conversations with your doctors to ensure you're getting the care that they really want you to have without having to waste precious time or jump through unnecessary hoops.  Thank you Amgen Oncology for making this special series possible!

Most may find the topic of advocacy to be uninteresting or too big to tackle with such busy schedules. However, our guests this week, Dr. Belinda Birnbaum, MD and Lennie Shewmaker McDaniel, JD, truly breathe life into this matter while explaining the role the American College of Rheumatology has on Capitol Hill and how you (yes YOU) can play an important and rewarding role. We discuss what RheumPAC is, how the ACR identifies key issues affecting our patients, highlight past successes of the ACR's advocacy group, plus cover important issues currently being presented to Congress such as “Transparency within Pharmacy Benefit Managers” and “Challenges of Step Therapy”. 

Hear the latest about step therapy from what it is to current legislative reform progress. Listen as Jason Harris, Vice President of Government Relations and Advocacy, discusses all aspects of step therapy with Sarah Buchanan, Director of Federal Government Relations and Health Policy, and Sam Cox, State Government Relations Manager. This Psound Bytes episode is provided with support from Bristol Myers Squibb. 

It's 2023, surely now people of color are correctly being diagnosed with cystic fibrosis right?  Nope.  They are still underdiagnosed.  We hear about it happening in low income countries, but it's happening right here in the USA. Rachel Alder was diagnosed barely 5 months ago, at age 26.  She was misdiagnosed until January 2023. Rachel was born before newborn screening could detect CF. And, because not all mutations are under represented in testing, her diagnosis would still most likely have been missed. We have to change this.Rachel Alder today, or Rae as she likes to be called has been an advocate her entire life. Rachel, who is African American. It is still unbelievable to those of us advocating and raising awareness about the disparity in diagnosis in people of color, it is still happening.  As a reminder, anyone, regardless of race can be diagnosis with cystic fibrosis.  The number of people diagnosed with CF is certainly higher than is what currently reported.  Rae is a transracial adoptee, which means she was adopted by parents who are a different race.  Rae identifies as queer, and a full time CF Warrior.In the beginning of her career, she worked on diversity victim advocacy with survivors of sexual assault, human trafficking, and domestic violence. After her January CF diagnosis, she started focusing on patient advocacy, and specifically on health equity. Rae herself overcame racial bias, health disparity and a decline in her own health until her diagnosis.National Organization for African American's with cystic fibrosis: https://noaacf.orgChildren's Organ Transplant Association: https://cota.orgBonnell Foundation CF Master Class: https://cfmasterclass.orgBonnell Foundation website: https://thebonnellfoundation.orgEmail: thebonnellfoundation@gmail.com Thanks to our sponsors:Vertex:  https://www.vrtx.comGenentech: https://www.gene.comViatris: https://www.viatris.com/enInformation about Institute for Economic and Clinically Review (ICER): https://www.engagecf.org

Kelly Maynard, President of the Little Hercules Foundation, discusses the growing trend of alternative funding vendors and how their practices are leaving patients to foot the bill; Dr. Mark Lopatin, a rheumatologist, underscores the burdens of prior authorization on both patients and providers; MedPAC has a public meeting to address payments for Part B; and Rachael Novick, a patient from Ohio's 10th Congressional District, shares how prior authorization and step therpay changed her life for the worse. Patients Rising Podcast: Have Health Plans Abandoned Rare Disease Patients? Fierce Healthcare News Article: CMS finalizes changes to Medicare Advantage star ratings, prior authorization reforms Patients Rising Stories: Psoriasis, Step Therapy, Community, Advocacy  

On this week's episode of Talking Head Pain, Joe is joined by Wayne Anderson, DO, FAHS, FAAN, a neurologist in San Francisco, CA. In addition to being a provider, Dr. Anderson is on the Board of Directors of the American Academy of Neurology and takes part in advocacy events like Neurology on the Hill, so that he can be a part of a chorus of healthcare providers trying to improve the lives of those living with neurological disorders.    Join Joe and Dr. Anderson as they discuss Neurology on the Hill, the challenges facing providers, and how providers can become advocates.   Among the highlights in this episode: 00:22- Joe kicks off today's episode by introducing Dr. Wayne Anderson, a neurologist and advocate, and asks Dr. Anderson about his involvement in Neurology on the Hill   01:50- Dr. Anderson talks about the issues that Neurology on the Hill has advocated for in the past   03:18- Joe asks about the impact that Step Therapy can have on the patient experience and journey   04:41- Dr. Anderson discuss the impact Prior Authorization has on him as a physician and the reforms that may be coming   09:50- Joe asks Dr. Anderson if he thought he would be involved in policy when he started medical school   10:33- Dr. Anderson shares what excites him about the future of neurology   13:58- Dr. Anderson shares ways providers can get involved in advocacySee omnystudio.com/listener for privacy information.

In this episode of The Expert Series, we explore the topic of Step Therapy and access to medications. LFA's Health Education Specialist and Manager Ashley Holden will explain what Step Therapy is and how it can affect people with lupus. Related resources Check out LFA's Policy Spotlight on Step Therapy Medications that treat lupus Learn how to self-advocate for yourself or a loved one here

Dr. Josh Davis of First Step Therapy Hosted on Acast. See acast.com/privacy for more information.

Benjamin Kaffenberger, MD, FAAD interviewed by Brad Glick, DO, MPH, FAAD

In life you will never know what you're going to be dealt with where the reality of the world will ink through the barriers of your making. Therapy was the first step to heal where I stumbled relentlessly trying to figure myself out but through consistency and discipline I've managed to unveil a whole new perspective of life. I have reevaluated every second where I've matured in such a beautiful way where I finally understood the true meaning of being an adult. This was definitely the first step to a life I have patiently waited for in which regret is never even mentioned.

In this episode of the MGMA Week in Review podcast, we feature articles on value-based care analytics, the step therapy prohibition, and using a people-first strategy as your leadership style. Sources in this episode: Value-based care analytics -- https://www.mgma.com/data/data-stories/getting-a-handle-on-quality-and-value-based-analyt Step Therapy Prohibition Letter -- https://www.mgma.com/advocacy/advocacy-statements-letters/advocacy-letters/mgma-and-partner-organizations-urge-cms-to-reinsta?utm_source=nl-gov-ed-washington-connection-2022-06-09&utm_medium=email&utm_campaign=government-affairs&mkt_tok=MTQ0LUFNSi02MzkAAAGE51LZ8kMJLThq3qqXo8CKTTWyI8a0V2AzJqkygSZhf7rkCHHpQxwbKfXCJhDjYke6r5J3NDEGMD7Po0uADKUsknG4t2vk3CEpVHyhaLWMfw A People-first Strategy -- https://www.mgma.com/practice-resources/human-resources/a-people-first-strategy-begins-with-shared-goals-a Additional resources: To keep up with the latest healthcare legislation, visit mgma.com/advocacy. If you want to become part of the discussion, join the MGMA STAT panel by texting “stat” to 33550 or visit www.mgma.com/data/data-stories/mgma-stat-overview. Keep up with the latest industry news by subscribing to the MGMA Insights Newsletter at mgma.com/insightsnewsletter. Listen to our podcasts at www.mgma.com/listen. If you have a story you want to share with us, email us at podcasts@mgma.com.

Jenna Green worked for 15 yrs in corporate marketing, when she realized that she had to leave for the sake of her mental health! So she began working freelance - but the hustle culture, combined with chronic pain she experienced following a car accident, led her to a diagnosis of Multiple Sclerosis in 2016.On what should have been her first Tysabri infusion, she learned that her insurance wouldn't cover the treatment. This was Jenna's first experience of Step Therapy or Fail First practices - where, in order to control costs, insurance companies restrict coverage of expensive therapies unless patients have already failed treatment with a lower-cost alternative. And we all know that a failed treatment for MS means more relapses, leading to more irreparable damage, increased disability, and worse outcomes! Jenna is now a patient advocate, content creator, consultant, and public speaker. She has used her experience in marketing to help bring awareness, support, education, and community to those who live with invisible illnesses, chronic pain, and fatigue, primarily on Instagram @thejennagreen. AND she's devoted to helping to change public policy via her volunteer work with the MS Society. GO JENNA!Topics covered in this episode include:Jenna's life before her MS diagnosis, and her experience of Step Therapy or Fail First policiesHer belief that privilege equates to responsibilityThe alternative therapies that Jenna uses alongside conventional medicineHow Jenna became an MS advocate, and how this work makes her feelInformation about Jenna's exciting patient resource about Public Speaking For Patient Advocates (coming soon) Full show notes and resources at https://fumsnow.com/fums107/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

A convoluted, confusing, and opaque system for pricing drugs has evolved that distorts the market and often limits patient access to the drugs they need to survive. In this episode, three experts explain how the system works—or doesn't'—and the consequences of a dysfunctional pricing system.Guests:Dan Durham, Senior Health Policy Advisor, Biotechnology Innovation OrganizationAnna Hyde, Vice President, Advocacy and Access, Arthritis FoundationDr. Vinay Rathi, Resident Physician, Otolaryngology, Massachusetts Eye and Ear and Mass General Brigham

Join Tiffany and Deb, both persons living with AiArthritis diseases, then Tiffany and John O'Brien, CEO of the National Pharmaceuticals Council, as they put the topic of importance of innovation & treatment access in research and public policy 'on the table'. Learn how YOU can join efforts to impact change! Who is 'at the table'? Tiffany Westrich-Robertson, CEO AiArthritis, person living with non-radiographic axial spondyloarthritis Deb Constien, AiArthritis Volunteer, person living with rheumatoid arthritis John O'Brien, President & CEO of the National Pharmaceutical Council (NPC)   In this two segment episode, first join AiArthritis team - Tiffany and Deb - as they put a new show topic "on the table" for the first time: the importance of innovation in research and patient access to the treatments that are best for their individual characteristics. In this episode we introduce questions, like "Why does a treatment work for you and not me?" and "What if we don't tick all the boxes (are 'atypical', including having comorbidities) - how can I still access the best treatment for my unique needs?" The bottom line is that AiArthritis diseases are unique to the individual, and as a result, we may be better off using treatments that are not the same ones our health systems tell us we need to use. For change to happen, we need to hear stories from many patients (not just a few), but there are several barriers to achieving this. However, AiArthritis is working on a solution that involves creative, patient-led public policy classes focusing on four topics - two which are discussed today (innovation in research and value assessments). Listen to Deb and Tiffany explain more! In the second segment, Tiffany welcomes John to the table, as his organization - the National Pharmaceutical Council (NPC) - published a few of the reports AiArthritis is referencing in our courses. Together they explore how new research can lead to improved patient care and potential access to the right treatment for individualized need and based on patient-doctor decided management. Finally, they start the conversation about value assessments (a complex and difficult process of assigning value and cost to medications), highlighting both an understood need for healthcare systems to provide fair access to all, while considering patient uniqueness and the future of personalized and precision medicine.    Show Notes: Part One: Tiffany and Deb talk about the importance of innovative research and getting more patient voices involved in public policy (both which influence access to therapeutic care). :53: Tiffany introduces show, herself (nr Axial Spondyloarthritis), and co-host Deb introduces herself (Rheumatoid Arthritis and several comorbidities) 2:25: Tiffany explains the topic of the show today, which involves patients who are not typical, including those with many diagnoses or who do not “check the boxes”. 3:35: Today we will focus on the importance of being “average” and “not-so-average”. The time being now for all of us to come forward and speak out in regards to our access to therapies and disease management - through public policy and research efforts. This is especially important for those who don't tick the boxes, or a model, textbook perfect patient. 4:25: Tiffany mentions the second half of the show will feature a guest, John O'Brien, President & CEO of the National Pharmaceutical Council (NPC) who will be discussing their paper, “The Myth of Average”, and the importance of innovation in research and understanding value assessments (or the processes around health systems procedures that help determine which medications we are able to access). This is a problem when we don't all fit a ‘general patient population' when we are thinking about policies that are centered around access for the average - and in a time when we are moving towards a world of precision medicine (treating the individual). How can patients come to the table and make a difference so we don't lose access to options? 5:25: Tiffany and Deb discuss their patient journeys and, specifically, how they would not be considered ‘typical', or classified in the group of general patient population. “We are all unique.” Tiffany further explains how her current diagnosis did not exist a decade ago, so thankfully for research her disease now has a name and treatments that work well for her. 8:45: Deb and Tiffany discuss how different therapies work for different people, which is important to understand. “What works for you may not work for me.” 9:27: Tiffany asks listeners to think about the evolution of our patient journeys and, as a result, the importance of patients/supporters to stay connected with their legislators (people partially responsible for access to healthcare) over time so they can see that our diseases are not static. They often evolve and, in turn, our treatment needs can change. 11:40: Tiffany and Deb discuss the analogy of using cough medicine. Why is “your” cough medicine better? We need to realize drugs in the same classes work differently because they have various differences that, in turn, react differently in each person's body. “This is why AiArthritis is highly invested in precision medicine, or matching the right person to the right treatment at the right time.” We are also invested in personalized medicine, or personal preferences, which also factor in. 13:18: Tiffany states the organization's mission to help others, like them, have a voice - alongside other stakeholders as equals - so, together, we can solve problems that impact education, advocacy (public policy), and research.  13:45: Tiffany explains the role of ethics in healthcare access, referencing a paper she authored in 2015, the Ethics of Step Therapy, in collaboration with two bioethicists and “bestie” Kathleen Arntsen from Lupus and Allied Diseases, Inc., where AiArthritis learned all about the different roles of ethics for both health providers and doctors. She specifically explains the ethical Principle of Justice, which involves the responsibility to ration healthcare for all. “If we are going to see change, we need to meet in the middle, respectful of the agencies who need to consider access for all." 15:50: They discuss show design, in that this is the first time this topic was put ‘on the table'. In 2022, we are starting “360its”, or spin off episodes and segments that will be in a variety of methods and platforms so all people can contribute to this conversation (globally). Then, together, we can all be part of the solution in regards to healthcare access and desire for innovation to continue. Keep in mind, perspectives may vary depending on where you live. For example, in socialist societies, value assessments - which tend to favor general patient populations - may be more accepted. 17:05: They discuss research and ‘atypical' factors into this. Cost savings is often based on citing credible research, which is mostly conducted in general patient populations (or whomever signs up to participate!) 17:50: Patient stories are vital to helping legislators humanize health access issues, but it's always a challenge finding stories - or the stories are from the same people. So AiArthritis spent 2021 figuring out why and, as a result, identified several barriers to participation, including lack of clarity and confidence. As a result, AiArthritis is launching a patient-led creative classroom program in 2022 that will cover four topics, including innovation and value assessments. Goals: 1) Increase number of patients/supporter voices in public policy and story sharing (including demographic contribution), 2) Recruit our own organization ambassadors, 3) Build confidence, 4) Identify the issue in relationship to self and others (patient to patient invitation to learn how to have a voice).  30:10: They discuss how this conversation will 360it and how to get involved in this new program: https://www.aiarthritis.org/advocacy  30:55: Part of the program will involve a program library of resources, including featuring The Myth of Average publication by the National Pharmaceutical Council (NPC)- which is why we are talking to John from the NPC next. 30:23: Tiffany thanks Deb   Part Two: Tiffany and John discuss innovation in research and value assessments (measurements used, in some cases, to determine patient access to certain treatments)   31:39: Tiffany welcomes John to the show, who introduces himself and the NPC 32:58: Tiffany explains John is ‘at the table' because AiArthritis, who has developed a new patient-led public policy education program, is referencing several of the NPC's publications for the class library (including the Myth of Average). The piece is in keeping with AiArthritis' core priorities to help foster precision medicine and assess the right treatments for the individual. 35:42 John explains that innovation means the never ending search for cures and new treatments and why this resonates with him. Why does one treatment work for one person and not the other? Uses the example of Tiffany's journey, as she was diagnosed in 2009 before her disease had a name (nr-axial spondyloarthritis). So researchers were finding solutions for people like Tiffany, the Mystery Patient, and that's innovation. “This is all why it is essential that patients and researchers stay connected during the development process.” 39:00: Patients who are atypical, but who are lumped into the general patient population model, may risk being on the wrong treatment and that can have negative consequences. “Putting me on the right treatment that was indicated for my disease made a world of difference. It was like night and day.” 40:07: Tiffany tells us a story about her quality of life challenges prior to access to the right treatment, which involved the inability to get out of bed in the morning.  40:53: Also, people like Deb - who have exhausted all treatments - what do these patients do?  Patients like us need to understanding the importance of research and the public policies that can influence our access to the treatments best for our individual needs. Join AiArthritis' efforts at https://www.aiarthritis.org/advocacy  42:15: John talks about the importance of the patient-doctor decision for treatments, which can be sidetracked if the healthcare system does not cover that therapy.  Researchers ask, “Why do different individuals have different responses to the same treatments?”  Furthermore, if the treatment was designed for the general patient population, how will this impact a patient's access to their doctor recommended therapy? The Myth of Average report highlights that age, genetics, ethnicity, behaviors, biology, and other individualized factors are not always considered when rationing treatments on a population level. “Patients should have access to the treatment that their doctor believes is clinically relevant for them.” 48:00: Tiffany talks in detail about AiArthritis' Ethic of Step Therapy investigation (2015) - which has relevant takeaways regardless of health system (location): patient-centeredness, fairness, clinical relevance.  They revisit the Principle of Justice (from Part One with Deb) The ah-ha moment that led to the conclusion of the paper was a result of Tiffany's inability to be included in clinical trials because she was an atypical patient. She realized that clinical trials include patients who meet a general patient population criteria - the same research that insurance companies cite to justify their cost savings. However, in cases like Tiffany - where the patient is atypical - then the decision should default to the doctor, who is ethically obligated to treat to the individual characteristics of the patient. “Drop mic.” 50:44: This ethics paper led to the research work - and public policy work - we do at AiArthritis, in part, because a lot of money goes into this research using the general patient population, yet only 40-60% will respond once that drug goes to market (because the rest of us are atypical). “We need more treatments” for the rest of us. Shout out to Autoimmune Association and the Let My Doctor's Decide Initiative, which AiArthritis serves as an advisor.  52:02: John tells a story about how patients/supporters often understand the mechanisms of their disease and the different treatments researchers as well as the company themselves. “So not just at this table, but we have so much to learn from each other - especially when it comes to what the condition is like in the real world.” 53:25: John talks about health technology assessments (value assessments), what they are - including some access barriers they may cause (due to lack of transparency, caregiver burden, and drug measurement vs personalized experiences). Provides an example of employer based insurance (USA) if an employee is unable to work due to inability to access the best treatment for them. 55:42: John defines health technology assessments (HTAs), including the history of them and further discusses Quality Adjusted Life Years (QALYs) - which in his opinion can be discriminatory for people living with disabilities.  1:00:08: There is a need to cut costs and have a well distributed system of rationing spending. Even on some HTA websites in their own explanation of how these work they state the process is not designed for the individual but rather for the population. However, in a world that's moving towards precision medicine, and considering the patients who have exhausted all treatments, how do we ensure value assessments can be fair and considerate of the new science? They further discuss the QALY. No one is telling employers who are choosing health plans (USA) that if their employee isn't able to work because they don't have access to the right treatment that it could end up costing them more in time off, hospitalizations, and overall less work production. “This is the risk of using QALY's when trying to establish population based coverage decisions.” Tiffany confirms that it's difficult to work if you have brain fog, pain, or fatigue. 1:03:35: Tiffany reminds the audience that now in 2022 we are spinning off from each episode - any bullet point, any topic segment - and continuing the conversation in a variety of ways so we can include all of you in the conversation. Called #360its. Patients, supporters, legislators, researchers, pharma, etc - we need you all at the table! “The people who I always learned the most from are the patients.” Patients need to share their experiences.  1:06:00: Tiffany mentions a good 360it would be to discuss the continued need to use shared decision making in healthcare (patient-doctor decisions), because that is also relevant in regards to accessing the treatment that may be innovative and new (if that is the right treatment for us). Personalized and precision medicine consideration. 1:07:20: The research the NPC does is to help patients gain access to medications and foster innovation. “What If Groundbreaking Medicines Never Existed?” paper, which outlines where we would be today without drug innovation. Tiffany suggests that people read this, then let's do a 360it to discuss. 1:09:15: Tiffany reiterates the reason John is here is because the work the NPC does is in line with our AiArthritis work to fight for precision medicine (access to the right treatments at the right time for the individual person's needs). As such, we are including a few of their reports in our resource library in our new patient-led public policy education program. Learn more and sign up at https://www.aiarthritis.org/advocacy.  1:10:10: Tiffany thanks John for pulling up a seat at the table. 1:10:31: Tiffany closes out the show. If you like the show and listen on your favorite podcast station, please subscribe and give us a rating.  Find all the episodes at our website at www.aiarthritis.org/talkshow  Also, if you want to help us continue offering this program, please consider a donation, because your support makes this show possible! Find us on all social media channels at @IFAiArthritis where you can message us to have a seat at the table or email us at podcast@aiarthritis.org. _____________________________________________________________________________________________________________   Patient Voices and All Other Stakeholders - Join our AiArthritis Voices Program and Connect to Opportunities to Have Your Voice Counted If you are a patient, a parent of a juvenile patient, or any other stakeholder (doctor, nurse, researcher, industry representative, or other health services person) - are you ready to join the conversation? It's your turn to pull up a seat. Join our new AiArthritis Voices program, where people living with AiArthritis diseases and other stakeholders who we need 'at the table' to solve problems that impact education, advocacy, and research sign up to have a voice in our initiatives. By signing up, you'll get notified of opportunities to be more involved with this show - including submitting post-episode comments and gaining insider information on future show topics. Patients and all other stakeholders are encouraged to join so we can match you with opportunities to pull up a seat and TOGETHER - as equals - solve the problems of today and tomorrow. JOIN TODAY! AiArthritis Voices 360 is produced by the International Foundation for Autoimmune and Autoinflammatory Arthritis. Visit us on the web at www.aiarthritis.org/talkshow. Find us on Twitter, Instagram, TikTok, or Facebook (@IFAiArthritis) or email us (podcast@aiarthritis.org).  Be sure to check out our top-rated show on Feedspot!     

Prof. Rachel Sachs is a professor of law at Washington University in St. Louis. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. R.E. Sachs and M.A. Kyle. Step Therapy's Balancing Act — Protecting Patients while Addressing High Drug Prices. N Engl J Med 2022;386:901-904.

Miracles Asia Rehab Review Podcast https://www.worldsbest.rehab/miracles-asia/ https://www.worldsbest.rehab/th/miracles-asia/ https://www.worldsbest.rehab/es/miracles-asia/ Thailand has become a popular destination for individuals seeking rehab from substance abuse. The Asian country provides clients with a high standard of care for an affordable price. Rehab in Thailand is comparable to the standard of medical care and healing available in western countries, yet the lower cost for a luxury stay attracts many individuals. Miracles Asia is another entry into the growing list of highly rated luxury rehabs in Thailand.  Founded in 2017, the boutique-style rehab offers luxury living and an unbeatable healing experience. Along with luxury living and a high standard of medical care, you can expect privacy at Miracles Asia. The five-star rehab is located on the gorgeous Thai island of Phuket. The tropical island is a holiday destination year-round and it attracts travelers seeking an escape from their lives back home.  An escape is just what you will get during a stay at Miracles Asia. The rehab provides men and women a discreet location for addiction recovery. Miracles Asia also provides clients with therapy for mental health disorders. You will receive comprehensive treatment for alcohol abuse, drug use, and process addictions. Clients suffering from co-occurring mental health disorders will also gain the help needed to return to their lives back home substance-free. Miracles Asia rehab is certified by the Thailand government, giving you peace of mind that this is a recovery center with the best of intentions in mind. What is a day like at Miracles Asia Rehab? You won't get a one-size-fits-all recovery program at Miracles Asia. You will be given a personalized treatment plan with your best intentions at the forefront. Each client recovery program is customized to achieve the best outcome for that person. You will receive five-times the typical individual therapy sessions offered by rehabs elsewhere in Asia. The focus on individual therapy enables clients to recover at a quicker rate.  Along with a focus on individual therapy, the rehab only welcomes a maximum of five guests at one time. The low in-take number provides you with space to breathe, recovery, and feel whole once more. The program is heavily structure and you won't have much downtime. By staying busy, you work hard to get to your ultimate goal of sobriety and mental health healing.  You will begin the day bright and early. The heavily structured day means you do not have to worry about anything else except the next part of the day. You will be engaged seven days a week in the program. Biochemical restoration of the body is promoted at Miracles Asia. You will experience a recovery-focused nutrition plan and addiction nutraceutical infusion therapy program that helps promote biochemical restoration of the human body. The rehab also works with a wellness center and hospital to provide additional care for clients. Miracles Rehab works with each client on their mind, spirit, and body.  Co-occurring mental health disorders are treated at Miracles Asia. Issues the rehab's staff works with include Depressive Disorders, Anxiety Disorder, Adjustment Disorder, Attention Deficit Hyperactivity Disorder (ADHD), Post-Traumatic Stress Disorder (PTSD), Bipolar Disorder, Eating Disorders, and obsessive-compulsive disorder (OCD). The treatment program integrates Cognitive Behavioral Therapy (CBT), 12-Step Therapy, and Mindfulness into one recovery plan. Included in the package are activities on and off campus to make the rehab experience even more engaging.  Miracles Asia Accommodation The luxury rehab welcomes just five clients maximum at one time. This enables you to get the most out of your customized recovery package. The center provides luxury private villas for clients to live in during their stay on-site. You will experience a resort-style stay on a campus with a swimming pool for total relaxation.  In addition to having your own villa and swimming pool, Miracles Asia provides private rooms for therapy, relaxation areas, meditation, yoga, alfresco dining area, private fitness rooms, and a poolside lounge area. There is also a library for quiet time and internet access via Wi-Fi.  The rehab has private rooms with teak furniture, king-size beds, private verandas, a DVD player, and cable television. You will also have wide screen television, a refrigerator, and air conditioning in your villa. Daily laundry and cleaning services are provided.  Miracles Asia Privacy Located on Phuket, an island off of the Thai coast, you will experience a completely private and discreet stay at Miracles Asia. The rehab welcomes a mere five people at any one time, providing you with the privacy needed to recovery from substance abuse and co-occurring mental health issues.  One of the best rehabs in the world Miracles Asia is located on the beautiful tropical island of Phuket. The tropical island is the backdrop to the private resort-style rehab. There, you will receive treatment for substance abuse and co-occurring mental health disorders. The treatment and accommodation provided by Miracles Asia provides you with value for money when compared to rehabs in other parts of the world.  Miracles Asia Modalities You will be provided a customized treatment plan featuring Cognitive Behavioral Therapy (CBT), 12-Step Therapy, and Mindfulness. Additional activities are added to the treatment plans to get your body moving. There are also yoga and exercises sessions available. You will have a recovery-focused nutrition plan and addiction nutraceutical infusion therapy program. Miracles Asia Setting The five-star luxury resort-style rehab is located on the tropical Thai island of Phuket. Clients will enjoy the gorgeous weather of the tropical island and stay in a villa surrounded by gorgeous greenery.  Miracles Asia Cost Miracles Asia provides three options for stays with a 30, 60, and 90-day plan. A 30-day stay begins at $15,000. For a 60-day stay, the price begins at $27,500. The 90-day option is $37,500. Extended stay options are available. Miracles Asia accepts a variety of insurance plans.  Miracles Asia Accommodation You will have a luxury private villa to live in during your stay. The rehab offers a resort-style stay for total relaxation. Miracles Asia provides private rooms for therapy, relaxation areas, meditation, yoga, alfresco dining area, private fitness rooms, swimming pool, and a poolside lounge area. There is also a library for quiet time and internet access provides via Wi-Fi. Private rooms come with teak furniture, king-size beds, and private verandas.

Have you ever wondered why you may have had to wait for your insurance to authorize your medicine or procedure or why you may have not be able to get the medication first recommended by your doctor? Chances are that you may never have heard the term utilization management practices (UM) before, but it can impact the recommendations made by your health care team and what your insurance plan will cover. In this episode, we take an in-depth look at how UM plays out in everyday life, how these practices can increase health disparities and how you can advocate for yourself and your loved ones. Our guest is Phylicia L. Woods, Executive Director of the Cancer Support Community's Cancer Policy Institute.

Have you ever wondered why you may have had to wait for your insurance to authorize your medicine or procedure or why you may have not be able to get the medication first recommended by your doctor? Chances are that you may never have heard the term utilization management practices (UM) before, but it can impact the recommendations made by your health care team and what your insurance plan will cover. In this episode, we take an in-depth look at how UM plays out in everyday life, how these practices can increase health disparities and how you can advocate for yourself and your loved ones. Our guest is Phylicia L. Woods, Executive Director of the Cancer Support Community's Cancer Policy Institute.

Did you know that other chronic disorders face the issue of step therapy as well? In this episode, Lindsay Cox, HFA's Senior Manager for Advocacy & Outreach, speaks with Hannah Lynch, Associate Director of Federal Government Relations and Health Policy for the National Psoriasis Foundation, about how step therapy impacts our communities, what HFA and NPF are doing to combat step therapy, and how listeners can take action on this issue. For more information contact Lindsay Cox, Senior Manager for Advocacy & Outreach at advocacy@hemophiliafed.org or check out the Hemophilia Federation of America website at hemophiliafed.org.

Ken Unger didn't set out to become America's Soul Doctor. By the age of thirty he had been a pastor for five years and a husband for three and he was burning out on both. That's when a spiritual retreat transformed his life forever. A profoundly nurturing community of genuine love and healing showed him how much lives could be helped in a short period of time. Experiential exercises, vulnerable authentic teachers and deep, intimate relationships transformed him in ways that prescription drugs, education and traditional counseling never could. When he got home, people asked him to offer similar retreats for friends and colleagues. He never imagined the powerful impact his retreats made on virtually everyone who attended. Now, almost 30 years later, he still offers life-changing Retreats to any who want to "transform their life in a weekend." People who attend have likened them to a health spa for the soul. As he progressed on his own spiritual growth and healing journey his Retreats also evolved. To the basic Spiritual Growth Retreat he added a Becoming Childlike Retreat, an Inner Journey Retreat and in recent years a Spiritual Healing Retreat. Each level goes deeper into the psyche; each produces wonderful changes in virtually all who attend. Therapists say they are worth a year in therapy. As Ken learned to heal the psychic pain that almost destroyed his own life, people sought him out for their own personal healing. This birthed his amazing healing process known as STEP Therapy, Spiritual Therapy for Emotional Pain. His new book The Ultimate Breakthrough explains this simple, gentle, yet powerful healing process. Instead of treating symptoms in endless months and years of emotional archeological digs it heals the primal pain that fuels most of our problems. When clients wanted to treat depression without drugs, he developed Seminars like Peace without Prozac. To train businesses for better interpersonal skills, he designed Improving Your Emotional IQ. As relationships crumbled he designed Metamorphosis to teach people the skills that make relationships thrive. When companies struggled with dysfunction in the workplace, he started the Healed at Work Conferences. Perhaps what has most rewarding is the many people Ken talks to many years after attending his events who tell him they were a true watershed in their own spiritual growth, healing and development that five, ten, 20 years later they are still different as a result of one retreat or seminar. - www.TransformationIncorporated.com******************************************************************To listen to all our XZBN shows, with our compliments go to: https://www.spreaker.com/user/xzoneradiotv*** AND NOW ***The ‘X' Zone TV Channel on SimulTV - www.simultv.comThe ‘X' Chronicles Newspaper - www.xchroniclesnewspaper.com ******************************************************************

This week comes to you as a bonus episode. Our listers and community in the last week have posed lots of questions around 'what is step therapy'?  Steven and Zoe have brought in one of the founding co-hosts, Corey Greenblatt, our guru around health policy to talk through the process of step therapy.  We hope you enjoy this weeks special episode.  See omnystudio.com/listener for privacy information.

CHEST March 2021, Volume 159, Issue 3 Matthew A. Rank, MD, and Richard W. Costello, MD, join CHEST Podcast Moderator, Dominique Pepper, MD, to discuss implications for patient selection, step therapy, and outcomes for adherence to asthma biologics. DOI: https://doi.org/10.1016/j.chest.2020.10.050

Have you ever had to try other medications before you get the one you and your doctor originally chose? This is called step therapy. Listen to this podcast to learn how NPF and others are advocating for federal step therapy legislation called the "Safe Step Act". Learn more at psoriasis.org/take-action or if you are experiencing step therapy, contact the Patient Navigation Center at education@psoriasis.org. 

This week join your host Tiffany Westrich-Robertson, CEO of International Foundation for AiArthritis, as she discusses the inherent desire of patients to make decisions with their doctors regarding treatment decisions without interference from insurance companies or governing agencies.AiArthritis previously addressed this issue in the United States by leading the Ethics of Step Therapy investigation and concluded that while cost must be considered to ensure the “bucket” of healthcare funds are rationed appropriately, insurance companies justify choosing those low-cost treatments by citing research that has proven the drug is just as safe and effective as other options, proven usually through clinical trial research. But in our investigation, the patient experience was key to identifying the key to potentially putting treatment decisions back into the hands of their physicians. Most patients with aiarthritis are “atypical” in that they would not meet the inclusion criteria required in the same clinical trials insurance companies use to cite to justify their cost-preferred treatment recommendations. Current trials only want patients who are “typical”, or fall under the label “general patient population”. Therefore, when a patient is not “typical”, the responsibility to determine the safest and most efficacious treatment should fall on their doctor, who is ethically obligated to treat patients based on their individual characteristics.AiArthritis is building on these findings by teaming with FORWARD Databank (formerly known as the National Data Bank for Rheumatic Diseases) to conduct post-market research into patient subgroups to show potential differences in treatment response based on individual characteristics. AiArthritis also works on this issue as an Advisory Task Force Member for Let My Doctors Decide, a group led by American Autoimmune Related Diseases Association (AARDA).  Whether it is insurance companies in the United States or other non-medical groups deciding treatment use in other countries, the issue is the same. Patients want to work with their doctors to decide which treatment is best for them. If you believe this and would like to share your experiences or support on this issue, please send us an email or message us on social media. AiArthritis Voices 360 is produced by the International Foundation for Autoimmune and Autoinflammatory Arthritis. Visit us on the web at www.aiarthritis.org/podcast. Find us on twitter, instagram, or Facebook (@ifAiArthritis) or email us (podcast@aiarthritis.org) to have your seat at the table.   

Paul answers your questions about step therapy. He also lets you know what isn't covered by Medicare and provides the criteria for skilled home care.

Ken Unger didn’t set out to become America’s Soul Doctor. By the age of thirty he had been a pastor for five years and a husband for three and he was burning out on both. That’s when a spiritual retreat transformed his life forever. A profoundly nurturing community of genuine love and healing showed him how much lives could be helped in a short period of time. Experiential exercises, vulnerable authentic teachers and deep, intimate relationships transformed him in ways that prescription drugs, education and traditional counseling never could.When he got home, people asked him to offer similar retreats for friends and colleagues. He never imagined the powerful impact his retreats made on virtually everyone who attended. Now, almost 30 years later, he still offers life-changing Retreats to any who want to “transform their life in a weekend.” People who attend have likened them to a health spa for the soul.As he progressed on his own spiritual growth and healing journey his Retreats also evolved. To the basic Spiritual Growth Retreat he added a Becoming Childlike Retreat, an Inner Journey Retreat and in recent years a Spiritual Healing Retreat. Each level goes deeper into the psyche; each produces wonderful changes in virtually all who attend. Therapists say they are worth a year in therapy.As Ken learned to heal the psychic pain that almost destroyed his own life, people sought him out for their own personal healing. This birthed his amazing healing process known as STEP Therapy, Spiritual Therapy for Emotional Pain. His new book The Ultimate Breakthrough explains this simple, gentle, yet powerful healing process. Instead of treating symptoms in endless months and years of emotional archeological digs it heals the primal pain that fuels most of our problems.When clients wanted to treat depression without drugs, he developed Seminars like Peace without Prozac. To train businesses for better interpersonal skills, he designed Improving Your Emotional IQ. As relationships crumbled he designed Metamorphosis to teach people the skills that make relationships thrive. When companies struggled with dysfunction in the workplace, he started the Healed at Work Conferences.Perhaps what has most rewarding is the many people Ken talks to many years after attending his events who tell him they were a true watershed in their own spiritual growth, healing and development that five, ten, 20 years later they are still different as a result of one retreat or seminar.

STEP therapy is an approach in managed medical care to minimize costs of prescription drugs. The program allows patients to begin therapy with the most cost-effective drugs and work their way up to more costly therapies only if necessary. It is also called "step protocol" or "fail first" and is a type of prior authorization requirement. Upward trends for prescription medications in the United States has led to an increased pressure on health care providers to keep medication costs down while maintaining drug availability. The cost controlling measures could impact cancer therapies for all patients, but it may be a particular challenge for myeloma patients who tend to used combination therapies in a serial fashion. Learn more about this and other issues about cost in myeloma care with Dr. Rafael Fonseca, Chair the Mayo Clinic Scottsdale program.  Dr. Rafael Fonseca is the Chair of the Department of Internal Medicine and Professor of Medicine at the Mayo Clinic in Scottsdale. He is also Getz Family Professor of Cancer in Mayo Clinic College of Medicine and Science in the Department of Education Administration. He is a Distinguished Mayo Investigator since 2010 and is also a Consultant in the Divisions of Hematology/Oncology and Basic Sciences Research Laboratories at the Mayo Clinic. Dr. Fonseca is an Editorial Board Member for the publication Genes, Chromosomes and Cancer. Dr. Fonseca is also on the Mayo Clinic Arizona Executive Operations Team  and Editorial Board.

Dr. Jason Crowell discusses STEP therapy and recent advocacy efforts by the AAN at Neurology on the Hill. Read the AAN Capitol Hill Report from April 22nd for more: https://www.aan.com/policy-and-guidelines/advocacy/capitol-hill-report/. 

In this episode I will talk about the Oak Park, Michigan Doctor and Son who were raided on Tuesday. And I will also explain what Step - Therapy really is. Follow me on Twitter, and IG My Story Living with Lupus. Also visit our website. --- Send in a voice message: https://anchor.fm/susan-hendrix/message

Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. This week, the top managed care stories included, CMS allowing step therapy in Medicare Advantage plans in a bid to allow for drug price negotiation; larger practices with more resources, technology and care management processes have higher readmission rates than smaller practices; studies find that empagliflozin also reduces liver fat in patients with diabetes and nonalcoholic fatty liver disease. Read more about the stories in this podcast: CMS Will Allow Medicare Advantage Plans to Use Step Therapy to Negotiate Drug Prices: https://www.ajmc.com/newsroom/cms-will-allow-medicare-advantage-plans-to-use-step-therapy-to-negotiate-drug-prices CMS Approves Extra Payments for CAR T, Increases Other Payments in Final Rule: https://www.ajmc.com/newsroom/cms-approves-extra-payments-for-car-t-increases-other-payments-in-final-rule Larger Practices Spend More on, Have Higher Readmission Rates for Medicare Beneficiaries: https://www.ajmc.com/focus-of-the-week/larger-practices-spend-more-on-have-higher-readmission-rates-for-medicare-beneficiaries Liquid Biopsy Identifies Patients More Likely to Benefit From Immunotherapy in NSCLC: https://www.ajmc.com/newsroom/liquid-biopsy-identifies-patients-more-likely-to-benefit-from-immunotherapy-in-nsclc Studies Point to Empagliflozin as First Choice for Fatty Liver Disease in T2D: https://www.ajmc.com/newsroom/studies-point-to-empagliflozin-as-first-choice-for-fatty-liver-disease-in-t2d Discussing Increased Prevalence of NAFLD and NASH, and the Current Lack of Treatments: https://www.ajmc.com/managed-care-cast/discussing-increased-prevalence-of-nafld-and-nash-and-the-current-lack-of-treatments

This month on The BloodStream Podcast, community member Lidia Ruiz shares her “An Unexpected Blessing” story, Natalie presents an article on the Step Therapy bill headed to Rhode Island’s state house, we highlight ASH, ISTH, NHF, and WFH’s collaboration in developing clinical practice guidelines for VWD and expectant mom, Rebecca Haber, shares with us how her pregnancy led to discovering that she has Hemophilia C (Factor XI deficiency) in this month’s Interview Segment. All that and more on Episode 26 of The BloodStream Podcast! Exclusive Sponsor: Shire Latest Ask The Expert Podcast: Ep. 16: Nutrition - w/ Tracy Mann - June 25, 2018 Latest Powering Through Podcast: Ep. 18 - Florida w/ Lilliam Bervis, Bobby Monohan, & Allie Cashel TeenImpactAwards.com BreakingThroughHemophilia.com STBhemo.com (Stop The Bleeding!) Leave us a review on iTunes!  Help others from BloodStream! Community News In 60 Seconds: Does CRISPR cause cancer? Developing Inhibitors Inflates Treatment Costs and Impairs Quality of Life, Study Finds New Canadian study to improve eradication of inhibitors in Hemophilia A patients) uniQure Enrolls First Patient in Phase III HOPE-B Pivotal Study of AMT-061 in Patients with Hemophilia B) NHS England greenlights hemophilia drug CHMP recommends EU marketing authorization for Veyvondi® [vonicog alfa, recombinant von Willebrand factor] for adults with von willebrand disease] Hemophilia Drug Development Summit Takes Aim at Hurdles Facing New and Upcoming Treatments Oxidation of FVIII Increases Immune Response in Hemophilia A Mouse Model, Study Finds) Like Segment: 'Step Therapy' Bill Headed to RI State House // Stand Against Step Therapy: http://www.steptherapy.com/ Share Segment: Lidia Ruiz - An Unexpected Blessing Comment Segment: NHF, WFH, ISTH, and ASH to collaborate on clinical practice guidelines for von willebrand disease. Help Inform Guidelines for VWD Diagnosis and Care BetterYouKnow.org Interview Segment: Rebecca Haber BloodFeed: https://www.bloodfeed.com Connect with BloodStream: Email mailbag@bloodstreammedia.com Find all of our bleeding disorders podcasts on BloodStreamMedia.com BloodStream Facebook Page BloodStream Twitter Account Subscribe to BloodStream: iTunes: http://bit.ly/bloodstreamitunes Stitcher: http://bit.ly/bloodstreamstitcher LibSyn: http://bit.ly/bloodstreamlibsyn SoundCloud: http://bit.ly/bloodstreamSC TuneIn: http://bit.ly/bloodstreamtunein Google Play: http://bit.ly/bloodstreamPlay Spotify: http://spoti.fi/2nNPhui

Mark Nuce speaks with Dr. Anita Afzali from The Ohio State University Medical Center, and Dr. Ross Maltz from Nationwide Children's Hospital about step therapy, or fail first. This is an insurance practice that requires the least expensive drug in any class to be prescribed to a patient first, even if clinicians believe a different therapy is medically in the best interest of the patient's condition.We talk specifically to the need for Crohn's and Colitis patients in this podcast.· What is step therapy/fail first?· Who decides what drugs are affected by step therapy protocols?· How does step therapy affect patients/IBD patients?· How often do insurance plans utilize step therapy protocols?· How long do patients have to wait/how many ‘steps’ do they have to go through until they receive the original provider-prescribed treatment?· Is there an appropriate use for step therapy/can it actually save costs?· How does (OH) House Bill 72 and (OH) Senate Bill 56 address step therapy?· Does HB 72 and SB 56 implement timeframes for responses to step therapy exception requests?· Do these bills mandate coverage for prescription drugs?· Have other states passed similar legislation/is Congress considering any reform?http://www.crohnscolitisfoundation.org/chapters/centralohioSubscribe to the podcast on Apple Podcasts, iTunes, Stitcher, Google Play, iHeart Radio, or your favorite podcast player.Facebook - @todayshealthohioWe'd love it if you could please share this podcast with your social media friends! If you liked this episode, please leave us a rating and a review in iTunes. Here's how - http://pleasereviewmypodcast.com/todayshealthContact us at bjohnson@nabco-inc.com

Mark Nuce speaks with Dr. Anita Afzali from The Ohio State University Medical Center, and Dr. Ross Maltz from Nationwide Children's Hospital about step therapy, or fail first. This is an insurance practice that requires the least expensive drug in any class to be prescribed to a patient first, even if clinicians believe a different therapy is medically in the best interest of the patient's condition.We talk specifically to the need for Crohn's and Colitis patients in this podcast.· What is step therapy/fail first?· Who decides what drugs are affected by step therapy protocols?· How does step therapy affect patients/IBD patients?· How often do insurance plans utilize step therapy protocols?· How long do patients have to wait/how many ‘steps’ do they have to go through until they receive the original provider-prescribed treatment?· Is there an appropriate use for step therapy/can it actually save costs?· How does (OH) House Bill 72 and (OH) Senate Bill 56 address step therapy?· Does HB 72 and SB 56 implement timeframes for responses to step therapy exception requests?· Do these bills mandate coverage for prescription drugs?· Have other states passed similar legislation/is Congress considering any reform?http://www.crohnscolitisfoundation.org/chapters/centralohioSubscribe to the podcast on Apple Podcasts, iTunes, Stitcher, Google Play, iHeart Radio, or your favorite podcast player.Facebook - @todayshealthohioWe'd love it if you could please share this podcast with your social media friends! If you liked this episode, please leave us a rating and a review in iTunes. Here's how - http://pleasereviewmypodcast.com/todayshealthContact us at bjohnson@nabco-inc.com

In this edition of Blue Promise, Dr. McCoy talks with Lisa McCormick, BCBSTX Pharmacy Director, about a solution to help lower the cost of your prescriptions. It’s called “Step Therapy” and its considered evidence-based as well as cost-effective care. Blue Promise is an online video blog that aims to address complicated health issues with candid conversations from subject matter experts. New editions are published regularly and are hosted by Dr. Dan McCoy, President of Blue Cross and Blue Shield of Texas

Millions of Medicare patients walk into their pharmacy concerned about their Medicare plan coverage and how to save money. Pharmacists have the expertise to help them more than an insurance broker or a social worker can due to the complexities around Step Therapy, Prior Authorization, and Quantity Limits different plans require. We’ve seen time and time again how 

Millions of Medicare patients walk into their pharmacy concerned about their Medicare plan coverage and how to save money. Pharmacists have the expertise to help them more than an insurance broker or a social worker can due to the complexities around Step Therapy, Prior Authorization, and Quantity Limits different plans require. We've seen time and time again how pharmacies that take the time to sit down and help patients see the highest profit returns. We make it easy to navigate the complexity of Medicare for your patients, show you preferred networks you are (and are not) in, and which plan reimburses your pharmacy best (and worst). Best of all, we are on an iPad, making it easy for you to market this service even outside of your pharmacy, in nursing homes or retirement communities! 483 Broadway 2nd FloorNew York City, NY 10013 phone: 1.800.817.6526   See omnystudio.com/listener for privacy information.