Hope Charities

Jonathan James

Honest conversations about bleeding disorders, rare diseases, and chronic illnesses.

  1. 04/07/2025

    Healthcare in Crisis: The Truth About PBMs with Dr. Madelaine Feldman

    Dr. Mattie Feldman, rheumatologist and healthcare policy expert, exposes how Pharmacy Benefit Managers have evolved from administrative entities into powerful forces that control medication access, often prioritizing profits over patients. • Pharmacy Benefit Managers (PBMs) originally handled prescription coverage but now control what medications doctors can prescribe and patients can access • The "big three" PBMs—CVS Caremark, OptumRx, and Express Scripts—now control 80-85% of all prescriptions in the United States • PBMs often prefer higher-priced medications because they generate larger rebates, contributing to rising drug costs • Vertical integration has created conflicts of interest where the same companies own insurance plans, PBMs, specialty pharmacies, and sometimes even drug manufacturing • Utilization management tools like step therapy and prior authorizations have become barriers between doctors and patients • PBMs force patients to use mail-order specialty pharmacies that often provide inferior care compared to community specialty pharmacies • Legislators are working on bipartisan bills like "People Before Monopolies" that would require PBMs to divest from pharmacy ownership • Patient stories and advocacy are crucial for creating meaningful change in the healthcare system Share your pharmacy access or medication challenges with us by emailing info@hope-charities.org to help drive policy change. Support the show

    1h 9m
  2. 10/14/2024

    For women, the first line of defense may be with your OBGYN - Dr. Bivin Von Almen

    What if the key to saving countless women's lives is understanding their monthly cycles? Join us for an eye-opening conversation on the Hope Podcast with Dr. Bivin Von Almen, an esteemed obstetrician with over 30 years of experience. From his journey through the medical landscapes of Texas and Louisiana to his impactful work at Charity Hospital, Dr. Von Almen brings invaluable insights into the often misunderstood world of women with bleeding disorders. We unpack the stark reality of these conditions, like von Willebrands disease, which often go undiagnosed, leaving many women to suffer in silence. Imagine the anguish of undergoing unnecessary hysterectomies or enduring severe health issues simply because of a lack of awareness. Our conversation takes a deep dive into the barriers these women face, particularly in rural healthcare settings, and highlights the crucial role of family history in diagnosis. Dr. Von Almen passionately discusses the importance of education among obstetricians and the life-saving potential of pre-treatment with factor therapy. Stories of patient persistence and self-advocacy are powerful reminders of the need for informed and proactive healthcare management. Dr. Von Almen also shares his heartfelt reasons for joining Hope and his dedication to addressing the underappreciation and mistreatment of women, especially those facing racial disparities. We explore Hope's mission to empower patients with knowledge and advocate for better healthcare outcomes. By connecting with Hope and tapping into resources at hope-charities.org, you can join this vital movement and make a difference in your health journey. Don't miss this compelling episode that educates and inspires action and change. Support the show

    48 min

Ratings & Reviews

4.8
out of 5
5 Ratings

About

Honest conversations about bleeding disorders, rare diseases, and chronic illnesses.