michrxconsulting.com https://www.michrxconsulting.com Wed, 30 Nov 2022 22:05:58 +0000 en-US hourly 1 https://wordpress.org/?v=6.4.8 MHM EP2 – Innovative Approaches in The Use of Long Acting Injectables, with Dr Rimal Bera, MD https://www.michrxconsulting.com/innovative-approaches-long-acting-injectables/ Thu, 17 Nov 2022 15:13:36 +0000 https://www.michrxconsulting.com/?p=4329 We are excited to bring you a new mini podcast series called Mental Health Matters.

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About Advantage Healthcare Services (AHCS)

Advantage Healthcare Services is strategically positioned as one of California’s fastest growing independent pharmacy groups specializing in behavioral health.

AHCS has extensive experience serving patients with behavioral health needs through existing partnerships with approximately 250 clinics in California, serving approximately 200,000 behavioral health lives. Through partnerships, AHCS provides clinical pharmacy services and data analytics support.

AHCS’s consultative approach tailors solutions that address the unique needs of patients with complex health conditions and integrates seamlessly with the providers that serve them.

About Dr Rimal Bera, MD:

Rimal Bera, MD is Clinical Professor of Psychiatry at the University of California, Irvine Department of Psychiatry. Dr. Bera earned a Bachelor of Science Degree in Biology from the University of California, Irvine, and a medical degree from the University of California, Irvine in 1987. He completed his psychiatry residency at the University of California, Irvine in 1991. He has been a Full Time Faculty at the University of California, Irvine since 1991. His primary area of specialty is adult psychiatry with a focus on schizophrenia, bipolar disorder, depression and memory disorders.

Dr. Bera is a distinguished fellow of the American Psychiatric Association. He serves as Medical Director for Universal Care Behavioral Health for California and as Medical Director at the John Henry Foundation in Santa Ana, a high-level center for the treatment of Schizophrenia. At the John Henry Foundation, 4th year psychiatry residents from the Department of Psychiatry at the University of California, Irvine receive state of the art clinical training. He formally was chairman of the Public Affairs Committee of the Orange County Psychiatric Society from 1991 to 2016. He was been on the Board of Directors of the Mental Health Association of Orange County from 1991 to 2012 and served as a past President of the Board. He is the Past President of the University of California, Irvine School of Medicine Alumni. In 2014 Dr. Bera was the recipient of the Orange County Medical Association Physician of the Year Award. He has regularly been chosen as a Physician of Excellence for orange County since 2012.

Dr. Bera has been a principal investigator and co-investigator in over 180 clinical trials over the last 30 years. Dr. Bera has lectured extensively in the United States, Canada, and Europe about the major mental illnesses and their latest treatments. More recently, over the past 7 years, his interest has evolved into health care policy, looking at models of care that combine high level care for both physical and mental disorders with an emphasis on health outcomes economic research. Today he works regularly with physicians of all specialties helping them incorporate mental health evaluations and treatments into their practices.

Publications

Brian Kobayashi, BS Chela Wright, MD, Michael Burns, MD, Rimal Bera, MD Ketamine for acute catatonia: A case report: Current Psychiatry June 2021 doi: 10.12788/cp.0132

Alex Wang BS1, Kishen Bera BS1, Ajay N. Sharma BS1, Bao-Nhan Nguyen MD1, Nathan W. Rojek MD, Rimal Bera MD. Nationwide Needs Assessment Survey for Financial Literacy Among Psychiatry Residents. Academic Psychiatry June 2021. Aiyer, S. Hurria, A. Bera, R.: Understanding the Role of Peer Mentor Support for United States Medical Students. American Psychiatric Association Annual Meeting. May 2019. San Francisco, CA

Bera, R.B., Offord, S., Zubek, D., Lau, G., Lin, J., Baker, R., Karson, C.: Impact on healthcare resource usage and costs among Medicaid-insured schizophrenia patients after initiaition of treatment with long-acting injectable antipsychotics. Journal of Medical Economics, 2013:16; pp 522-528. Bera, R.B., Potkin, S., Zubek, D., Lau, G.: Perspectives on Long-Acting Injectable Antipsychotics for Schizophrenia: Consideration of Patient Cultural/Racial Differences in Planning Individual Treatment. Journal of Clinical Psychiatry: June 2013  

Lochhead, J., Nelson, M. Bera, RB. Modafinil associated with new onset obsessive-compulsive disorder. Annals of Clinical Psychiatry. February 2018. Anders Waalen, Kevin Bera & Rimal Bera (2019): Suicide hotspots, interventions, and future areas of work at a California University, Death Studies,DOI:10.1080/07481187.2019.1595221

Shawyon A. Sedaghati; Rimal B. Bera; Jeff Baker. Grief Support: StatPearls [Internet]January 14, 2020

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What you will learn

  • How Long Acting Injectables (LAIs) have changed the landscape of psychiatric care
  • Provider barriers to use of LAIs
  • How an Integrative care model supports expansion and use of LAIs
  • LAIs and patient persistency
  • And more

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

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Transcript

Coming soon!

]]> MHM EP1: Mental Health Matters Series- A Vision That Matters https://www.michrxconsulting.com/mhm-ep1-a-vision-that-matters/ Fri, 11 Nov 2022 12:54:08 +0000 https://www.michrxconsulting.com/?p=4320 We are excited to bring you a new mini podcast series called Mental Health Matters.

Listen

About Advantage Healthcare Services (AHCS)

Advantage Healthcare Services is strategically positioned as one of California’s fastest growing independent pharmacy groups specializing in behavioral health.

AHCS has extensive experience serving patients with behavioral health needs through existing partnerships with approximately 250 clinics in California, serving approximately 200,000 behavioral health lives. Through partnerships, AHCS provides clinical pharmacy services and data analytics support.

AHCS’s consultative approach tailors solutions that address the unique needs of patients with complex health conditions and integrates seamlessly with the providers that serve them.

Nevil Jhaveri, CEO

Nevil Jhaveri has 15+ years of professional experience and has spent his career in various business environments ranging from fortune 500 companies to start-ups. Nevil joined Advantage Healthcare Services in 2016 as Director of Operations and oversees program integration, business operations, and data & analytics. He successfully led the development of the analytics department, instituted key operational standards, and drove corporate initiatives.

Nevil graduated from the University of Southern California, Marshall School of Business with an emphasis in Information Systems.

Vimal Bhanvadia, Co Founder

Mr. Vimal Bhanvadia has a Masters of Business Administration from the University of Southern California and a Bachelors of Administration in Economics and History from the University of California, Los Angeles. Over the last decade, Mr. Bhanvadia has successfully developed nonprofit and for-profit ground up projects in healthcare, transitional care, specialty and retail pharmacies within the United States and Internationally. Under his leadership, he has led Advantage HealthCare Services to be positioned as one of California’s premiere, outcomes driven, value-based pharmacy healthcare solutions. Notably, he has worked alongside state and county leaders to co-developed a public/private partnership with the California Department of Corrections and Rehabilitation to improve medication access and adherence for probationers and parolees.

Driven by his passion for helping his community, Mr. Bhanvadia has utilized his platform at Advantage Healthcare Services to help the forensic, SPMI, and transient populations. It is his deep rooted belief that it is the responsibility of the collective to level the playing field to ensure that “forgotten populations” get access to care with the hope that it allows them to become contributing members to the community at large. With that guiding principle, Vimal Bhanvadia and the team at Advantage Healthcare Services endeavors to co-create solutions to establish unique and innovative programs resulting in equal access to care.

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What you will learn

  • A Vision That Matters- How it all started
  • An Ethos of Care & Compassion Changes Lives
  • Developing Solutions for Integrative Care that Meet the Moment
  • Why Mental Health Matters
  • And more

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

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Transcript

Coming soon!

]]> S2 CP10: VOTE Like Your Life Depends On It…. Because It Does https://www.michrxconsulting.com/vote-life-depends/ Fri, 28 Oct 2022 14:54:38 +0000 https://www.michrxconsulting.com/?p=4314 Get out and vote.

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What you will learn

  • Why it’s important to VOTE on Nov 8th
  • Change our communities, love , kindness & compassion
  • Your right to Vote is scared…..use it
  • And More

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

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]]> The Take: Why Pharmacists Are Health Care’s Unsung Heroes https://www.michrxconsulting.com/the-take-why-pharmacists-are-health-cares-unsung-heroes/ Fri, 16 Sep 2022 15:34:00 +0000 https://www.michrxconsulting.com/?p=4302 Pharmacists continually rank among the top five most trusted professions. Yet their role as key health care providers and critical touchstones during the patient journey is often overlooked. In this month’s “The Take,” Avita’s Glen Pietrandoni chats with internationally known HIV pharmacist Michelle Sherman, founder of the Center for Advanced Pharmacist Care, host of the Conscious Pharmacist Podcast, and president of MichRx Pharmacist Consulting Services*. Read on for a lively discussion about how pharmacists are finally demanding their voices be heard—and why she thinks they’re the health care system’s “best-kept secret.”

Glen: Michelle, we’ve both been pharmacists for a long time, and we’ve fought for recognition of the fact that pharmacists are crucial to patients’ well-being. How does the pharmacy—and the pharmacy team—play a role in health care?

Michelle: As a pharmacist, I’m a firm believer that pharmacists are an integral part of a patient’s health care team. Gone are the days when the pharmacist is standing behind the counter counting pills.

I’ve been working in HIV for the past 30 years, and during my career I’ve seen this complete evolution of the pharmacist, and the pharmacist journey, from that of a pill counter to a health care provider. Over the years, other disciplines like physicians, dentists, and medical providers have been very vocal about what they want from their profession, who they are, and what they do for patients. As pharmacists, we’ve been notoriously bad at that. We’re the best-kept secret in the health care system.

Continue reading the full interview here at Avita > >

]]> HIV Prevention and Treatment | Sex PharmD https://www.michrxconsulting.com/hiv-prevention-and-treatment-sex-pharmd/ Thu, 15 Sep 2022 15:03:53 +0000 https://www.michrxconsulting.com/?p=4293 The Conscious Pharmacist, Michelle was recently a guest on the SexPharmD Podcast with host and certified sex therapist Dr Nadia Archambault, PharmD. The topic of the podcast is HIV Prevention and Treatment where we discuss topics such as

  • Safe sex for HIV prevention and how we as Pharmacists can educate our patients 
  • Ubuntu Care Academy 
  • PreP
  • Discussion about the brand “One” condoms which had less breakage especially for anal sex
  • Monkeypox- Transmission and stigma concerns

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]]> S2 CP9: Patients Taking The Heat- With Patient Advocate & Mom Loretta Boesing https://www.michrxconsulting.com/patients-taking-the-heat/ Fri, 09 Sep 2022 13:57:50 +0000 https://www.michrxconsulting.com/?p=4292 This week on the podcast we have Loretta Boesing.

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What you will learn

  • Why Loretta Fights
  • Stop Forcing Mail-Order Pharmacy as the Only Option of Coverage- Petition
  • A Mother’s Plea To Boards of Pharmacy To Regulate Temperatures By Mail Order Pharmacy
  • Why patient choice is a matter of life and death
  • Learn about Unite for Safe Medications

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

Before her advocacy, Loretta Boesing as a social worker in  hospitals assisted those without health insurance coverage. She has several years of experience as a health insurance agent, physician and hospital contractor, contracting project coordinator, and health insurance consultant.

Her experience along with her fierce passion for improving the future of pharmaceutical care for all makes her a successful and knowledgeable advocate for safe medications. Most importantly, her mission is to ensure patients have options in their coverage to their access their trusted pharmacists and that safe access to medications is prioritized.

Unite for Safe Medications started after a series of events that led up to Loretta’s child unable to access his medications the safest way, through the hands of the family’s trusted pharmacists. Loretta’s son is a transplant recipient whose life depends on medications every 12 hours.

As a mother, Loretta Boesing realized the importance of having the options of receiving her son’s medications the safest way after her son’s medications were delivered on a 102-degree day without  protection. Soon after, her son went into transplant rejection.  She vowed never again to use mail order pharmacy until it could be proven safe.

Upon researching the handling of medications, Loretta discovered an issue with the rules and regulations in the handling of medications during transport to the patient’s door.  Mail-order pharmacy is very loosely regulated or unregulated in many areas after finding out that the FDA doesn’t regulate the temperatures of mail-order pharmacy.

For example, there is a lack of handling requirements of medications from the mail-order pharmacy to the patient’s door.  The manufacturer places safe temperature storage guidelines on the label. For most room temperature medications that are shipped in a bag, this is 59-86 degrees. Sadly, the mail-order pharmacy is not required by the FDA or most state laws to maintain the temperatures of medications during excursions.  This is true for even delicate children’s room temperature medications. As many are forced to mail-order, this is an area that must be improved in order to ensure the safety of medications.

Recently, through an employer-sponsored plan, all coverage was removed to be able to pick up her son’s medications. She could only get his medications if delivered by mail. Again, her son’s medications were delivered in only a bag in high heat.  Again, her son’s labs elevated.

Upon connecting with others, she learned that the forcing of mail-order pharmacy was happening to many. Some, like Loretta, quickly discovered there was not an “Opt-out” option of mail order pharmacy.

Loretta connected with another petitioner who has a UPS petition of over 400,000 supporters for air-conditioning in the back/storage area of the vehicle. Theresa’s husband went into renal failure from the high temperatures in the storage area. People die every year because the vehicles are extremely hot just like your car is extremely hot sitting in the sun. The doors are mandated to stay closed unless workers are getting a package. The trucks get over 100 degrees on an 80-90 degree day, and temperatures can soar up to 170 degrees.

Next, Loretta connected with physicians and pharmacists who introduced her to many other issues with mail-order pharmacy.

Pharmacist were quick to support her in her fight against forced mail-order pharmacy citing many issues of having to come to the rescue of patients due to delays, lost shipments, miscommunication, no face-to-face interaction with a pharmacy that was familiar with the patient’s history, lack of temperature monitoring, and damaged shipments.

The pharmacists also informed that independent pharmacies were closing rapidly due to an unfair playing field.

Next, Loretta learned why patients are forced to mail-order pharmacy. Forced mail-order pharmacy occurs due to the insurance company’s pharmacy benefit manager (PBM) forcing many to use only their owned mail-order pharmacy. There is about an 80% chance that a person’s PBM is CVS, Express Scripts, and Optum RX. All three frequently steer or only allow coverage for certain medications through their OWNED mail-order pharmacy. Many pharmacists also complained about unfair reimbursements. Loretta checked her son’s medications that were sent in the mail. The PBM reimbursed it’s owned mail-order pharmacy about $180 for a medication that out of pocket would have cost about $20. The same PBM paid her son’s regular pharmacy $24 for the exact medication.

Profits appeared to become first before what was best for the patients.

There are many issues with forced mail-order pharmacy. By educating others about these issues, gathering resources, performing research, educating others, and encouraging safe access to medications, Loretta Boesing will fight hard to ensure that mail-order pharmacy is never forced or left as the only option, life-saving medications are properly handled, patients will always have options and coverage to a pharmacist who knows them personally, and that America’s trusted pharmacies are paid fairly.

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Transcript

Coming soon!

]]> S2 CP8: MonkeyPox The Latest 411 https://www.michrxconsulting.com/s2-cp8-monkeypox-latest-411/ Fri, 02 Sep 2022 10:42:21 +0000 https://www.michrxconsulting.com/?p=4286 This week on the podcast I cover MonkeyPox.

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What you will learn

  • The Latest on the Global Outbreak
  • The Latest on US Outbreak
  • The Latest on California Outbreak
  • Vaccine & Treatment Info
  • MPX in People with HIV Infection
  • And more

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

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Transcript

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]]> S2 CP7: Wouldn’t It Be Nice… https://www.michrxconsulting.com/wouldnt-it-be-nice/ Sat, 02 Jul 2022 13:31:26 +0000 https://www.michrxconsulting.com/?p=4269 This week I have two guest on the podcast.

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What you will learn

  • Supporting LGBTQ Pharmacists & Pharmacy students
  • I’m a Trans pharmacist or Pharmacy student, Youre not alone
  • Shining visibility on Trans pharmacy students and pharmacists
  • Copining in the workplace
  • And more

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

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Transcript

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]]> S2 CP6: Breaking News – Monkeypox & Meningitis Outbreaks https://www.michrxconsulting.com/breaking-news-monkeypox-meningitis-outbreaks/ Sat, 28 May 2022 13:17:42 +0000 https://www.michrxconsulting.com/?p=4263 Listen

Break new – Mon

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What you will learn

  • CDC Health Advisory on Monkeypox Outbreak
  • STI testing and treatment- looking out for monkeypox symptoms
  • Monkeypox in MSM community
  • Florida Meningitis outbreak among MSM
  • And more

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

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]]> S2 CP5: Gearing Up for WPE2022 https://www.michrxconsulting.com/gearing-wpe2022/ Fri, 08 Apr 2022 11:36:00 +0000 https://www.michrxconsulting.com/?p=4223 Listen

This week we talk about the upcoming WPE2022 show in Las Vegas!

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What you will learn

  • WPE2022 hitting Las Vegas Strip
  • Why you should attend- virtual or Vegas Experience
  • Some of the speakers
  • What Conscious Pharmacist will be speaking about
  • Around the conference virtually & in person with PPN
  • And more 

To be PrEPared or Not To Be PrEPared: The Role of The Pharmacist in HIV Prevention>>>>

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Transcript

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