Pharmacy issues

Pharmacy Issues

Peter Forster Costs of Treatment Leave a Comment

Yesterday was a not atypical day with regard to pharmacy issues. Three of my patients received information from their pharmacy (Walgreens for all three) that was inaccurate requiring me to call the pharmacy, sit on hold for 10 to 20 minutes and speak with the pharmacist to correct the inaccurate information. One patient was told that she did not have …

Invisible Work for New Patient Consultations

Peter Forster About GPS, Best Practices, Costs of Treatment Leave a Comment

New patient consultations at Gateway are expensive, in large part because of the hidden or invisible work that takes place as part of the consultation process. The table below contrasts the visible work, which is contained in the two sessions with clinicians, to the hidden work done by clinical and nonclinical staff in order to make those two in person …

Insurance Assistance

Insurance Assistance with Better – Kelsey

Peter Forster Costs of Treatment, GPS Update Leave a Comment

Better – insurance assistance that works to get you paid what you are owed.  I recently had a phone call with Rachael Norman, Better Founder and CEO, to learn more about how Better might be of service to Gateway patients.  I am thrilled to pass along this resource, which takes the work and time out of getting reimbursed by your …

Medication Cost Savings

Medication Cost Savings – Update 2017

Peter Forster Costs of Treatment, Website Update

Last year the New York Times reviewed two websites that offered significant medication cost savings, for those without adequate insurance and, even for those with good insurance who are getting expensive medications. Since then we have had a lot more experience working with patients to help reduce medication costs and we can definitely say that these sites can help reduce …

We Are Not “In Network” Providers

Peter Forster Costs of Treatment, GPS Update

Gateway Psychiatric Services is not an “in network” provider of care. Many of the patients we see get reimbursement for their care here, but this depends on the specific insurance plan and how it handles out-of-network claims. The most generous plans seem to be provided by larger “tech” companies which often have very generous out-of-network coverage. It is important to …

Fee Increase 2017

Hershe Gesmundo About GPS, Costs of Treatment, GPS Update

We hope 2017 is off to a good start! We look forward to working with and supporting you in your goals toward mental health and wellness. We wanted to get in touch as we enter a new year, as we regularly examine our fee scales during this time. In preparation for this task we reviewed data on health care costs …

Requesting Out of Network Coverage for Psychiatrist

Peter Forster Costs of Treatment, Policy

EXTENDING MEDICAL BENEFITS TO NON-PREFERRED PROVIDER PHYSICIANS Some of the most heartrending calls that we receive  from potential patients have to do with  people who are unable to find  psychiatrists  who are covered under their insurance plan. One solution may be to request out of network coverage for a psychiatrist. Background There are several problems that make this a common …

“I am looking for a doctor who can treat me with Ketamine infusions for treatment resistant depression.”

Peter Forster About GPS, Best Practices, Bipolar Treatment, Costs of Treatment, Treatments of Depression

I was inspired to write this blog post by the third patient in three days to contact me about Ketamine infusions. She wanted to know if I could provide her with Ketamine infusions for her treatment resistant depression. Ketamine infusions are one of the treatments for depression that we provide access to for our patients. Among the other treatments are …

Lowering Medication Costs – Update

Peter Forster Costs of Treatment, Website Update

The New York Times recently reviewed two websites that offered to substantially reduce the cost of psychiatric medications for those without adequate insurance coverage. We’ve updated the section of this website that provides links to information about lowering the costs of medications and that mentions the option of purchasing medications from Canada as well as information about these two sites. …

TMS Cost Effectiveness

Peter Forster Costs of Treatment, Treatments of Depression

“Is TMS Cost-Effective?” His provocative title of an article just published in psychiatric times which summarizes an Australian pharmaco-economic study. In case you don’t want to read through the rest of this article, here is the summary: “Australian researchers compared the cost-effectiveness of rTMS with pharmacotherapy in treatment-resistant patients with MDD (ie, those who have failed at least 2 courses …