This week we are talking about "drugs", specifically the world of PBMs with Dr. Lee Strandberg. Pharmacy Benefit Managers(PBM) are the middlemen between your pharmacist and your prescription and your insurance company. Yep.. more middlemen.
If you have never heard of the term PBM, well you are not alone. Most people have no clue that they exist, how they work and how the cost or medications is controlled, negotiated or paid for. They are the one paying the pharmacist for your medication! While there are approximately 60 PBS, the 3 largest ones currently control 80% of the market.
We discuss both arms of the pharmacy world- how the pharmacy acquires the medications and purchases them. Hang on as we unravel the mysterious chain of events on how the pharmacy gets paid by the PBM and how they negotiate the prices with your insurance company.
We do get a little deep in the weeds on cost control and price negotiations, so pay attention. We only WISH that getting a Zpack could be as simple as buying a head of lettuce from your local farmers market.
Dr. Lee Strandberg is our guest this week who intimately knows the ins and outs of the complex layers of the pharmacy world. He is a Professor Emeritus, Pharmacy Economics and Public Health Oregon State University and was Director, Managed Care pharmacy for SHS Plans from 2005-2011. He was appointed by Oregon Governor Kitzhaber to the OR Health Policy Board, Medicare-Medicaid Integration of Care and Services work Group which wrote part of the CCO and reporting structure. He was a committee member on the OR Evidence Based Review of Prescription Drugs Preferred Drug List. During the past 40 years he has presented papers, seminars and consulted on the impact of pharmaceutical use on health care costs and quality. He has been a consultant to governmental agencies in Australia and Canada. He currently works as a Pharmacy Director for Kannact, Inc.Don't forget to reach out to MR Insurance Consultants where their goal is to assist physicians in obtaining the most comprehensive coverage available to fit their unique situation. Reach out for both excellent and quality service at doctorpodcastnetwork.com/mrinsurance
Disclaimer
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.
Links:
MR INSURANCE:
doctorpodcastnetwork.com/mrinsurance or phone 800-817-4522.
PBM Basic Information:
https://en.wikipedia.org/wiki/Pharmacy_benefit_management
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Disclaimer
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.
Links:
The Scope of Practice: https://www.thescopeofpractice.com/
FREE GUIDE to No Money Fights! Three critical tools to level up your families finances:
Thescopeofpractice.com/nomoneyfights
The Scope of Practice Reading List: https://www.thescopeofpractice.com/recommended-books/
Books:
The Millionaire Next Door
Everyday Millionaires
Software: YNAB- You Need a Budget
Sponsor:
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Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
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Every year, 190 billion plastic pharmaceutical bottles are thrown away! That's a lot of plastic in our landfills and oceans. But we can change all that, and it's starting with Cabinet Health!
Cabinet, is a new direct-to consumer health company that specializes in over the counter medications.
Founded by Achal Pater and Russell Gong, this company has taken off since it went live in January 2020. Cabinet's mission is to bring high-quality , fairly priced medicines directly to your door. Along with convenience, they provide sustainable packaging and personal service when it comes to OTC medications.
As of August 15th, Cabinet has started a crowd equity campaign on REPUBLIC! You can support and be involved in this rapidly growing and new healthcare business model.
You are going to find this innovative company so amazing, it will change how you rethink and purchase all OTC meds!
Thanks to today's sponsor!
Vive Funds provides unique passive multifamily investment opportunities that they vet and bring to you as an investor. Reach out to Veena Jetti to see how partnering with Vive can help you reach your real estate investment goals at doctorpodcastnetwork.com/vivefunds
Disclaimer
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provide in this episode. The guest's statements and opinions are subject to change without notice.
Links:
All about CABINET! (get your OTC meds here!)
Website: https://cabinethealth.com
Reach out directly to the founders at: wearecabinet.com
Invest in this new startup at:
Republic : https://republic.co/
Sponsor:
Vive Funds: https://doctorpodcastnetwork.com/vivefunds
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
Please check out our every growing website as well at : bsfreemd.com (no www)
GET SOCIAL WITH US!
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Facebook: https://www.facebook.com/bsfree
When you think of Palliative Care, do you ever think of surgeons being involved? Imagine if we told you that they were the "founders" of the palliative care concept! Not only that, but they bring a unique approach to caring for patients along with the growing field in Board certification in Hospice and Palliative Medicine.
Our guest this week is Dr. Red Hoffman, who specializes in integrative palliative medicine and hospice. Initially trained as a naturopath and yoga teacher, Dr Red has practiced a unique blend of trauma surgery and palliative care and is additionally trained in surgical critical care. Her passion for Palliative Care has led to the creation of her podcast, The Surgical Palliative Care Podcast, and also co-founding the Surgical Palliative Care Society.
Dr. Red's passion for her patients and families is infectious! She has thrown her entire heart and mind into her career. You will learn so much from her and her unique background in holistic medicine to her journey into traditional Medicine. She writes and speaks extensively on how to integrate palliative medicine into the care of all surgical and trauma patients.
Thanks to today's sponsor! Don't forget to visit Locumstory.com or doctorpodcastnetwork.com/locumstory to get real, unbiased answers to all your locum tenens questions.
Disclaimer
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.
Links:
All about Dr. Red:
Website: Dr. Melissa "Red" Hoffman: https://redhoffmanmd.com/
Podcast: The Surgical Palliative Care Podcast: https://redhoffmanmd.com/podcast/
Surgical Palliative Care Society: https://spcsociety.org/
Sponsor:
LocumStory.com: https://locumstory.com/
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
Please check out our every growing website as well at : bsfreemd.com (no www)
GET SOCIAL WITH US!
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Facebook: https://www.facebook.com/bsfree
What do Tarzan, Pigeon Shooting and Tug of War have in common? Can you believe they were all in the Olympics? A little history, some trivia and some personal antidotes are on the menu today.
Tim and I rate the sports, our own "athletic prowess" and engage in cocktail hour with a gold, silver, bronze ranking of our blinded Vodka taste test.
The world waited and watched these long overdue games. Join us as we give our toast to the Olympics- BS Free Style!
Thanks to our sponsor, and friend Dr. Errin Weisman. If you are coaching curious or a coach yourself, I encourage you to go check out Physician Coaching Alliance at doctorpodcastnetwork.com/PhysicianCoachingAlliance.
Welcome back for Part 2 of our interview with Dr. Peter Breggin , the "Conscience of Psychiatry".
We pick up from last week's show in our discussion on the history of psychiatric treatment reform, to the parallels with public and social control during Covid.
Today we dive into the basis of his new book- Covid 19 and the Global Predators
We discuss the big picture with the events before and during the Covid 19 worldwide pandemic and the international intertwining of big power. Is the response to Covid 19 based on science and acts of goodwill towards mankind? Or is it really a responsive action by predatory capitalists not letting a black swan event go to waste? Listen to his summary and decide for yourself!
Peter R. Breggin MD is a Harvard-trained psychiatrist and former Consultant at NIMH who has been called "The Conscience of Psychiatry" for his many decades of successful efforts to reform the mental health field. His work provides the foundation for modern criticism of psychiatric diagnoses and drugs, and leads the way in promoting more caring and effective therapies. His research and educational projects have brought about major changes in the FDA-approved Full Prescribing Information or labels for dozens of antipsychotic and antidepressant drugs. He continues to educate the public and professions about the tragic psychiatric drugging of America's children.
As a medical-legal expert, Dr. Breggin has unprecedented and unique knowledge about how the pharmaceutical industry too often commits fraud in researching and marketing psychiatric drugs. He has testified many times in malpractice, product liability and criminal cases, often in relation to adverse drug effects and more occasionally electroshock and psychosurgery.
During the 1970s Dr. Breggin began his reform work by organizing an international campaign to stop the resurgence of lobotomy and other psychosurgery. He was a huge advocate and voice for the ending of psychosurgery which led to the creation of the International Center for the Study of Psychiatry and Psychology.
Dr. Breggin has authored dozens of scientific articles and more than twenty books, including medical books and the bestsellers Toxic Psychiatry and Talking Back to Prozac. Two more recent books are Medication Madness: The Role of Psychiatric Drugs in Cases of Violence, Suicide and Crime and Psychiatric Drug Withdrawal: A Guide for Prescribers, Therapists, Patients and their Families. His most recent book is Guilt, Shame and Anxiety: Understanding and Overcoming Negative Emotions.
As a medical-legal expert, Dr. Breggin has unprecedented and unique knowledge about how the pharmaceutical industry too often commits fraud in researching and marketing psychiatric drugs. He has testified many times in malpractice, product liability and criminal cases, often in relation to adverse drug effects and more occasionally electroshock and psychosurgery.
Don't forget to schedule a consult with Advice Media to receive a $60 gift card and strategic insight on what your current digital marketing is doing (or not doing) for you.
Disclaimer
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.
Links:
Today's Guest: Peter Breggin:
Our Sponsor: Advice Media: doctorpodcastnetwork.com/advicemedia
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
Please check out our every growing website as well at : bsfreemd.com (no www)
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What do you call a psychiatrist with over 50 years in clinical Medicine, who fought for the ending of lobotomies and huge reforms in mental health? Tim has labelled him "The Godfather of BS Free Medicine!!
His passion for science and justice has earned him the title of ‘The Conscience of Psychiatry".
His work as patient advocate and expert witness helped take down psychosurgeries ( the lobotomy) and the overprescribing of psychiatric medications.
He has a HUGE heart for his patients which is evident in today's interview.
Today is Part 1, and In this episode we dive into a bit of the decades of his work in the reformation of Psychiatry.
Peter R. Breggin MD is a Harvard-trained psychiatrist and former Consultant at NIMH who has been called "The Conscience of Psychiatry" for his many decades of successful efforts to reform the mental health field. His work provides the foundation for modern criticism of psychiatric diagnoses and drugs, and leads the way in promoting more caring and effective therapies. His research and educational projects have brought about major changes in the FDA-approved Full Prescribing Information or labels for dozens of antipsychotic and antidepressant drugs. He continues to educate the public and professions about the tragic psychiatric drugging of America's children.
During the 1970s Dr. Breggin began his reform work by organizing an international campaign to stop the resurgence of lobotomy and other psychosurgery. He was a huge advocate and voice for the ending of psychosurgery which led to the creation of the International Center for the Study of Psychiatry and Psychology.
Dr. Breggin has authored dozens of scientific articles and more than twenty books, including medical books and the bestsellers Toxic Psychiatry and Talking Back to Prozac. Two more recent books are Medication Madness: The Role of Psychiatric Drugs in Cases of Violence, Suicide and Crime and Psychiatric Drug Withdrawal: A Guide for Prescribers, Therapists, Patients and their Families. His most recent book is Guilt, Shame and Anxiety: Understanding and Overcoming Negative Emotions.
As a medical-legal expert, Dr. Breggin has unprecedented and unique knowledge about how the pharmaceutical industry too often commits fraud in researching and marketing psychiatric drugs. He has testified many times in malpractice, product liability and criminal cases, often in relation to adverse drug effects and more occasionally electroshock and psychosurgery.
Remember our sponsor CareCloud - Get actionable insights about your group's financial performance with a free, no-strings-attached assessment from CareCloud!
Disclaimer
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.
Links:
Care Cloud:https://www.carecloud.com/
Peter Breggin:
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
Please check out our every growing website as well at : bsfreemd.com (no www)
GET SOCIAL WITH US!
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Dreaming of a career outside clinical Medicine? Want to work remotely, expand your medical horizons, do some research and try a NEW type of Medical Consulting that can replace your income? Welcome to the world of Medical/Legal Consulting Coaching! I never even KNEW this existed!
Our guest this week is Dr. Armin Feldman. He is a graduate of the University of Wisconsin Medical School. He completed his training in psychiatry at the University of Colorado Health Sciences Center. He practiced psychiatry for over 20 years. Dr. Feldman owned out-patient head injury rehabilitation clinics around the country.
For over 14 years Dr. Feldman has consulted full-time to attorneys on all of their medical issues and questions. He has developed an entirely new kind of consulting approach. Dr. Feldman has trained over 700 physicians from all over the country during the past 12 years through his Medical/Legal Consulting Coaching Program. Over 1,100 physicians have been to one of his conferences. All of Dr. Feldman's consulting is pre-litigation/pre-trial and helps attorneys manage the medical aspects of cases, increase case value and save attorney time. Armin helps attorneys to help their clients to negotiate & settle cases, get the appropriate medical care the client needs and helps attorneys negotiate the medical aspects of their cases. Armin does not participate in medical malpractice cases and does no expert witness work.
Disclaimer:
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.
Links:
Advice Media: doctorpodcastnetwork.com/advicemedia
Medical/Legal Consulting Resource/ MD Business Consultants: https://mdbizcon.com
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
Please check out our every growing website as well at : bsfreemd.com (no www)
GET SOCIAL WITH US!
Instagram:: https://www.instagram.com/bsfreemd/
Facebook: https://www.facebook.com/bsfree
Imagine that one moment you are going about your everyday life, the next instant you experience your child's life vanishing in front of you. This is the story and journey of grief recovery from our dear guest Dr. Marcy Larson. She graciously shares her personal story, how it affected her ability to practice Medicine and how she created a podcast to help not only her personal healing but others as well.
The loss of a child is the biggest loss one can ever suffer. Openly discussing grief is something our culture is not very adept at. Knowing what to say to those who are mourning is difficult and often we say the wrong things to people, trying to be helpful in our ignorance.
This episode is for EVERYONE. Whether you personally have experienced loss, know someone who has, or are in the Medical profession counseling a patient. Grief and life loss is something we will all face in our lifetime.
Marcy Larson is a Pediatrician, wife and mother of four children. She is passionate about caring for children and families. After losing her son Andy, she was inspired to create a weekly podcast called "Losing a Child: Always Andy's Mom". The show offers healing and hope to bereaved parents and those who support them. It offers helpful advice and support to make the grief journey a little bit less difficult. Find her here at andysmom.com and on Facebook, Instagram and Twitter.
Thanks to our sponsor today- Advice Media. Don't forget to schedule a consultation with them to receive a $60 gift card and strategic insight on what your current digital marketing is doing (or not doing) for you. Contact Advice Media at doctorpodcastnetwork.com/advicemedia
Links:
Advice Media: doctorpodcastnetwork.com/advicemedia
Andy's Mom: https://andysmom.com/
Facebook: https://www.facebook.com/alwaysandysmom
Instagram: https://www.instagram.com/alwaysandysmom/
Twitter: @alwaysandysmom
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG. Please check out our every growing website as well at : bsfreemd.com (no www)
GET SOCIAL WITH US!
Instagram:: https://www.instagram.com/bsfreemd/
Facebook: https://www.facebook.com/bsfree
We know you've been waiting.. Yes, it's Doctales!
ICD codes are the bane of a doctor's life. We languish in our pain with the most absurd ICD-10 codes we have heard of. If it has happened, it exists as a billing code: walked into lamp post, sucked into jet engine, attacked by orca, problem with the in-laws? Yes these make their way into the insurance companies hands to process the cause of your visit.
If you were injured at the opera house, ever had bizarre personal hygiene, had an accident with a land yacht… well it has been cataloged!
This episode has been LONG overdue! We have missed laughing on a doctales and it's been so refreshing to let loose today. Grab a cocktail, or just laugh along on your commute. Either way, laughter is the best medicine!!
By the way, we are sipping on Ciroc! Iced Mango Ciroc with a splash of lemonade makes a great summer sipper. AAAAhhhh
Don't forget to go hang out with our friend, Dr. Errin Weisman over at her podcast Doctor Me First on your favorite podcast app or learn more about how to connect with the queen of sass by heading to doctorpodcastnetwork.com/doctormefirst.
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
Please check out our every growing website as well at: bsfreemd.com (no www)
GET SOCIAL WITH US!
Instagram:: https://www.instagram.com/bsfreemd/
Facebook: https://www.facebook.com/bsfree
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To vaccinate or not vaccinate, that's the question when it comes to our children and Covid-19. While the controversy has been huge, we discuss the evidence and data on early Covid treatment in everyone and also infections, morbidity, and risk to kids from infections as well as vaccines. At the time of this interview, rates of myocarditis in healthy young adults are now being correlated with the vaccine.The CDC confirmed at least 226 confirmed cases of myocarditis, have been reported in people under 30 who got the Pfizer or Moderna vaccines. How will this impact our children short term and long term? Take a listen to this highly respected researcher whose specialty is interpreting studies, aka "Evidence Based Medicine"
Our guest this week is Dr. Paul Alexander. He received his bachelor's degree in epidemiology from Toronto, Ontario, a master's degree from Oxford University, and a PhD from McMaster University's Department of Health Research Methods, Evidence, and Impact. He has also studied at Johns' Hopkins University. He has studied bioterrorism, advised the Canadian Government and also worked with WHO in 2008 until recently. From 2017 until December 2019, Alexander was employed by the Washington, D.C.-based Infectious Diseases Society of America (IDSA), where he specialized in systematic reviews. At IDSA, Alexander worked on several clinical practice guidelines. He served in an advisory role with Health and Human Services (HHS) under President Trump in 2020. He has been published in numerous peer reviewed journals throughout his career.
Thinking about trying out Locums? Don't forget to visit Locumstory.com or doctorpodcastnetwork.com/locumstory to get real, unbiased answers to all your locum tenens questions.
Disclaimer
All opinions expressed by the guest in this episode are solely the guest's opinions and do not reflect the opinions of May or Tim Hindmarsh MD or BS Free MD, LLC or any affiliates thereof. The guest's opinions are based upon information they consider reliable, but May and Tim HIndmarsh, MD, BS Free MD LLC, nor any affiliates thereof warrant its completeness or accuracy. The guest, May and Tim HIndmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.
Links:
Dr. Paul Alexander: https://www.aier.org/staffs/paul-e-alexander/
LocumStory.com: https://locumstory.com/
Stay in the loop with us:
Thanks for joining us! You are the reason we are here. If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.
Please check out our every growing website as well at : bsfreemd.com (no www)
GET SOCIAL WITH US!
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