This was so helpful in explaining rebates. I'm studying for my CEBS and just finished the Prescription Drug Module of GBA1. Your channel has been helpful with other modules as well. The videos on capitation and fee for service were great.
I really love your approach to teaching about game theory and you have an effective way of communicating so that viewers can understand. Your channel has been very helpful in helping me learn and understand this subject matter. Do you recommend any specific books that a self learner like myself can purchase that would be effective? Thanks
This depends on what you are trying to learn. I have not found great non-academic game theory books, although the Dixit, Skeath book Games of Strategy is a great textbook, if you're up for working through exercises. I think Thinking in Systems by Donella Meadows is a really great book in the realm (hence my series on it).
@@AshleyHodgson For some reason I didn’t get a notification that you responded to my comment. Thank you for providing feedback and a reference. I am trying to learn everything that I can regarding game theory.
Hi, I just wanted to pause at 1:32 real quick to ask a question. Isn't a copay what is paid to the pharmacy at pick-up and not the insurance company? I understood it as the insurer pays a premium to the insurance, and a copay is paid when we pick up at the pharmacy or a visit to the doctor's office... they always say, your copay is so and so
Yes, the copay is the out-of-pocket owed by the patient, usually paid directly to the doctor or pharmacy. But the copayment amount is determined by your insurer and your particular insurance contract. Some contracts have zero copay for some services and drugs. Others have a hefty copay. But the insurer determines what you pay to your doctor or pharmacist.
Why does the the insurer have to accept the 1300 price of the drug company, why can't it just stop doing business for that drug with that drug company?
This was so helpful in explaining rebates. I'm studying for my CEBS and just finished the Prescription Drug Module of GBA1. Your channel has been helpful with other modules as well. The videos on capitation and fee for service were great.
Why does the insurance company sometimes just refuse to cover a medication and call it non-formulary which means "NO" to the patient.
I really love your approach to teaching about game theory and you have an effective way of communicating so that viewers can understand. Your channel has been very helpful in helping me learn and understand this subject matter. Do you recommend any specific books that a self learner like myself can purchase that would be effective? Thanks
This depends on what you are trying to learn. I have not found great non-academic game theory books, although the Dixit, Skeath book Games of Strategy is a great textbook, if you're up for working through exercises. I think Thinking in Systems by Donella Meadows is a really great book in the realm (hence my series on it).
Look at william spaniel channel,he has a series on game theory.
@@AshleyHodgson For some reason I didn’t get a notification that you responded to my comment. Thank you for providing feedback and a reference. I am trying to learn everything that I can regarding game theory.
@@ahmedbellankas2549Thanks for the reference
Isn't the PBM a big player in this as well?
Can you make a video on what a rebate analyst does?
Hi, I just wanted to pause at 1:32 real quick to ask a question. Isn't a copay what is paid to the pharmacy at pick-up and not the insurance company? I understood it as the insurer pays a premium to the insurance, and a copay is paid when we pick up at the pharmacy or a visit to the doctor's office... they always say, your copay is so and so
Yes, the copay is the out-of-pocket owed by the patient, usually paid directly to the doctor or pharmacy. But the copayment amount is determined by your insurer and your particular insurance contract. Some contracts have zero copay for some services and drugs. Others have a hefty copay. But the insurer determines what you pay to your doctor or pharmacist.
Why does the the insurer have to accept the 1300 price of the drug company, why can't it just stop doing business for that drug with that drug company?