generic medications

Generic Medications

Peter Forster Best Practices, Costs of Treatment Leave a Comment

I have long been a strong proponent of generic medications. Recently, however, several of my patients have expressed concerns about the generic medications that they have received. This led me to do some research on generic pharmaceutical companies. The first thing to know about generics is that they are made by many different manufacturers in many different countries. This is …

Get Your Insurance to Pay for Your Care

Peter Forster Costs of Treatment Leave a Comment

Let’s face it: dealing with insurance companies is a drag. Because it can be tedious and sometimes involve hours of phone calls with (often unhelpful) insurance agents, the task of getting the reinubursemed for out-of-network claims often falls to the bottom of the to-do list. If this is a familiar story, you may want to take a look at the …

Telemedicine Coverage Mandatory in California

Peter Forster Costs of Treatment, Policy Leave a Comment

California Governor Signs New Telehealth Insurance Law On October 11, 2019, California Governor Gavin Newsom signed a new law requiring commercial health insurance coverage and payment parity for telehealth services, unfortunately the law won’t take effect until 2021. However, in consideration of the State of Emergency declared by the Governor and the Secretary for Health and Human Services, an industry trade group, America’s …

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 …