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 …

Integrated Care

Peter Forster About GPS, Best Practices

We have a passion for providing the most effective treatment at Gateway and that passion is illustrated by the efforts that we make to ensure that we deliver integrated care. Integrated care is a very simple idea. In fact it is probably something that you expect your treatment providers are already delivering. It means that the different providers who are …

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 …

Prescription Savings

Peter Forster Website Update

We have just updated the “links” page on this site with information about prescription medication savings and costs based on online research and an online discussion on the Psychopharmacology listserve. Pharmacist Stephen Saklad summarized information about local pharmacies – “Many of the Pharmacy Benefits Managers that are used by the insurers forbid the pharmacy to charge the lowest price, but …

“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 …