Summer 09
• Arkansas Tech University celebrates health, Page 22 • Dr. David offers healthy living tips, Page 20 • Our new affordable health insurance plans, Page 8
Brenda and Malvin Lansdell stop and smell the flowers after Malvin’s recovery from cardiac surgery. See their story on Page 10. A publication for the policyholders of the Arkansas Blue Cross and Blue Shield family of companies
INSIDE 3 Out of the Blue 4 Coffee and tea linked to lower risk of uterine cancer
5 6 7 8 9 10 14 15 16 17 20 21 24
on Page 18 6
Pandemic preparedness
18 Busy life finds time for
SilverSneakers 22
Arkansas Tech focuses on health
Summer 09
is published four times a year by Arkansas Blue Cross and Blue Shield for the company’s members, health-care professionals and other persons interested in health care and wellness.
25 26 28 29 30 31 31 32
Head injuries: When to seek medical care Breastfeeding for future health 10 heart-healthy foods Valproate use during pregnancy Keep yourself healthy Salmonella Our new affordable health insurance plans Cost sharing: What is it? How does it help you? The HEART of a family FDA warns against skin patches during MRI scans Good for you starts with us Grants available for health-improvement programs The Joy of Cooking reflects the public’s joy of eating Lose weight The Healthy Weigh! Wait before using some weight-loss supplements Senior Moments with Dr. David BlueCard lands Satisfaction Award Can sports drinks harm your teeth? Do the changes in COBRA affect you? The Doctor’s Corner Chiropractic medicine for lower back pain Arkansas Blue Cross has a heart BlueAnn Ewe joins Perritt Primary School Financial Information Privacy Notice From the Pharmacist — Generic drugs: Use with confidence! Arkansas Blue Cross helps city of Mena Customer Service telephone numbers Good for you
Vice President, Communications and Product Development: Karen Raley Editor: Kelly Whitehorn — BNYou-Ed@arkbluecross.com Designer: Gio Bruno Photographer: Chip Bayer Contributors: Chip Bayer, Matthew Creasman, Damona Fisher, Kristy Fleming, Jennifer Gordon, Trey Hankins, Heather Iacobacci-Miller, Ryan Kravitz, Kathy Luzietti and Mark Morehead
Out of the
Blue
ance plans. It should create safety-net programs for hard working individuals and families who just cannot
A message from our CEO and President, Mark White
make ends meet. Those who lose their jobs due to the economy should have more options to maintain their insurance. Health-care reform should make health coverage more affordable and assure fair reimbursement to those who provide effective care. To become a healthier nation, individually and collectively, we must focus on healthy lifestyles and disease
Health care needs meaningful reform According to the Centers for Medicare and Medicaid
prevention rather than just treating illness. By eliminating poor diet, inactivity and tobacco use, the Centers for Disease Control and Prevention estimates that 80
services (CMS), we spend an average of $7,868 per
percent of heart disease and stroke, 80 percent of type
person each year on health care. If we do nothing, this
2 diabetes and 40 percent of cancer could be elimi-
is projected to grow to $11,684 by 2015. We have the
nated. We have to focus our attention on resources for
highest proportion of health-care spending to the Gross
wellness, prevention and primary care.
National Product (GNP) in the world (16.6 percent) and
In many ways, our system is working. Americans
without significant change, it is projected to grow even
are fortunate to have the best clinical outcomes in the
faster during the next 10 years. Our economy can’t
world, and life expectancy continues to rise. However,
sustain this rate of growth, so our health-care system
we need to improve the efficiency of our system and
must change.
pay for the quality of the care, not the quantity. We
Organizations and people on the frontlines of creating health policy — employers, consumers, health-care providers, insurers, public health professionals and oth-
also must figure out how to pay for the prevention of illnesses. Meaningful reform must be the result of a careful
ers — want meaningful change. We believe everyone
and balanced approach. It must include all stakeholders,
should have good health coverage. We must implement
and it must build on our current system. Health care
system reforms to promote more effective and efficient
has, and always will be, a shared responsibility. Indi-
health care. We also must develop creative ways to
viduals, employers, government, insurance companies,
increase the number of people who have insurance cov-
doctors and hospitals all will have to do their share for
erage so society does not have to support the cost of
meaningful reform to occur. We support health-care re-
providing care to the uninsured.
form. We will do our part to modify the current system
We want to increase coverage and promote access
so it works for all Arkansans. By taking a balanced and
to affordable and effective health care. Reform should
steady approach, Arkansas and the United States will
build on — not take away — employer-sponsored insur-
be healthier — both physically and financially. Blue & You Summer 2009
3
Coffee and tea linked to lower risk of uterine cancer In a recent article published in the International Journal of Cancer, researchers found that of the 1,100 women surveyed, those who drank caffeinated coffee and tea had a lower risk of uterine cancer. Research suggests that caffeine may induce enzymes that help neutralize cancer-causing substances. However, the research team noted that both tea and coffee contain various antioxidant compounds that also may be responsible for protecting body cells from damage. Source: Reuters Health
Head injuries:
Breastfeeding
for future health
When to seek medical care Head injuries are not uncommon. While most are minor, they can
4
be serious and even fatal. How do you know when to seek medical care? MedlinePlus lists the following symptoms that are indicative of a more serious head injury and require medical care: • Changes in, or unequal size of pupils • Convulsions • Distorted features of the face • Fluid draining from nose, mouth or ears (may be clear or bloody) • Bruising of the face, swelling at the site of the injury or scalp wound
Not only is breastfeeding good for your baby, there may be positive long-term health effects for women who nurse. A recent
• Impaired hearing, smell, taste or vision
study, conducted by Eleanor Bim-
• Inability to move one or more limbs
la Schwartz, MD, assistant profes-
• Irritability (especially in children), personality changes or unusual behavior • Loss of consciousness, confusion or drowsiness
sor of medicine at the University of Pittsburgh and colleagues, suggests that breastfeeding lowers women’s risks for heart disease,
• Restlessness, clumsiness or lack of coordination
diabetes and stroke. The research-
• Severe headache
ers found that the longer women
• Slurred speech or blurred vision • Stiff neck or vomiting Source: MedlinePlus Blue & You Summer 2009
nursed, the lower their chances were for developing these illnesses. Source: WebMD
10 Heart-Healthy Foods Protect your heart with these top heart-healthy foods
that are packed with healthy fats, antioxidants and other essential nutrients:
1. Salmon — one of the healthiest fish choices; high
walnuts are the healthiest.
6. Berries — rich in anti-inflammatories. 7. Spinach — packed with essential nutrients. 8. Legumes — such as chickpeas, lentils, black beans
in protein and vitamin D.
and kidney beans.
2. Oatmeal — daily consumption
9. Flaxseed — studies show it can help
of a bowl of oatmeal can lower
stabilize blood sugar levels and is high in
blood cholesterol, due to its soluble fiber content.
3. Avocado — packed with heart-healthy fat.
4. Olive Oil — can help regulate cholesterol and is anti-inflammatory.
5. Nuts — almonds and
dietary fiber.
10. Soy — edamame, tofu and soy milk are sources of lean protein and vital minerals. Sources: Health.com, WebMD
Valproate use during pregnancy
associated with impaired cognitive development The antiepileptic drug valproate has been linked to an increased likeli-
hood of impaired cognitive development for children exposed while still in the womb. This study, published in the New England Journal of Medicine, enrolled women taking one of four drugs for epilepsy while pregnant. Researches then assessed cognitive function of their children at age three. According to the study, those children exposed to valproate had significantly lower IQs than those exposed to other antiepileptic drugs (carbamazepine, lamotrigine or phenytoin). Autumn Klein, M.D., in Journal Watch Neurology, concluded, “Unless valproate is the only drug that will control a particular patient’s seizures, it should be avoided in women who might become pregnant.” Sources: New England Journal of Medicine, Medscape.com
Blue & You Summer 2009
5
Pandemic
Keep yourself healthy
preparedness In June, the World Health Organization (WHO) declared that the novel H1N1 influenza virus, also
6
recommend the antiviral treatments Tamiflu and Relenza. At Arkansas Blue Cross and
The CDC suggests the following everyday tips to help prevent the spread of germs:
known as swine flu, had reached
Blue Shield, we have been working
pandemic proportions throughout
closely with officials at the Arkansas
with a tissue when you cough
the world. The announcement of the
Department of Health and other
or sneeze, then throw the tis-
first global influenza epidemic in 41
state agencies to prepare for a flu
sue in the trash.
years is in recognition of the wide-
pandemic. We have made extensive
spread nature of the disease; the
plans to keep our services going if
soap and water, especially after
illness itself has been rated as only
the pandemic affects large popula-
you cough or sneeze. Alcohol-
moderate in severity.
tions in the United States and to
based hand cleaners also are
have the latest local information on
effective.
The symptoms of H1N1 are similar to those experienced in seasonal
It makes good sense to
flu —
our Web sites. It makes good sense to have the
fever,
preparations on hand to ease your
chills,
family through a crisis, whether it
on hand to ease your
aches,
is caused by a pandemic or another
family through a crisis.
fatigue
type of emergency.
have the preparations
and
Please continue to read our
cough — and can include runny
publication, Blue & You, and any
nose, sore throat, nausea, vomiting
correspondence we may send in
or diarrhea. While there are no vac-
the future regarding flu pandemic
cines available to protect humans
preparedness.
against swine flu, the Centers for Disease Control and Prevention
Blue & You Summer 2009
• Cover your nose and mouth
• Wash your hands often with
• Avoid touching your eyes, nose or mouth. • Try to avoid close contact with sick people. • Stay home and limit contact with others if you get sick with the flu. Sources: CDC, WebMd
7
Salmonella Salmonella bacteria may be small, but they can make
and vegetables may carry Salmonella bacteria. The
you sick in a big way. If you are one of the more than
bacteria only can be killed by cooking meat, poultry, and
40,000 who have experienced Salmonellosis each year
egg products thoroughly and by washing fruits and veg-
in the United States, then you know that food safety is
etables. The bacteria also can cross contaminate foods
vital for your health and the health of your family.
that come in contact with surfaces like cutting boards
People with Salmonellosis experience diarrhea, abdominal cramps and fever, along with chills, headache,
where contaminated meats were prepared. The only way to know for certain if a person has
nausea and vomiting within eight to 72 hours after
Salmonellosis is to perform a laboratory test of a stool
eating contaminated food. Symptoms usually disappear
sample for the bacteria. And because many milder
within four to seven days, but Salmonella infections
cases are not reported, the Centers for Disease Control
can be life-threatening for infants, young children, preg-
and Prevention estimate the actual number of cases
nant women and their unborn babies, older adults, and
each year may be much higher.
people with weakened immune systems. Any raw food of animal origin, such as meat, poultry, milk and dairy products, eggs, seafood and some fruits
Sources: Department of Health and Human Services, Centers for Disease Control and Prevention Blue & You Summer 2009
Our new affordable health insurance plans Affordable, comprehensive protection is something
8
The plan features deductible options of $1,500, $2,500
Arkansans have come to expect from Arkansas Blue
and $5,000 for individuals and deductibles of $3,000,
Cross and Blue Shield. To continue this tradition, begin-
$5,000 and $10,000 for families. After the deductible is
ning June 1, our two new health insurance plans —
met, the plan pays 100 percent of covered expenses.
Comprehensive Blue PPO and HSA Blue PPO II — will
Both plans feature a $5,000,000 lifetime maximum
be available for individuals and families under the age of
benefit for each covered person. In addition, policyhold-
65 and not on Medicare. Both plans offer:
ers have the option of purchasing term life insurance
• Doctor and specialist visits with no referrals needed
and critical illness coverage — both underwritten by
• Wellness benefits with no deductible
USAble Life — at the time of application.
• 100 percent coverage for children’s preventive care
“At a time when managing out-of-pocket health-care
• Prescription drug coverage
expenses is most critical, we are excited to introduce
• Inpatient and outpatient hospital services
our two new very affordable health plans,” said Ron
• And, an optional maternity rider
DeBerry, senior vice president of Statewide Business.
As the name implies, Comprehensive Blue PPO pro-
“With several deductible options and features, Com-
vides comprehensive major medical coverage within a
prehensive Blue PPO and HSA Blue PPO II will give
preferred provider organization (PPO). The plan features
prospective policyholders the choices they desire when
$500, $1,000, $2,500, $5,000 and $10,000 deductible
buying health insurance. Also, with up to $5,000,000 in
options with low, predictable copayments for doctor
lifetime maximum benefits for each covered person on
and specialist visits.
the plan, Arkansas Blue Cross continues to provide the
HSA Blue PPO II is an HSA-compatible health insurance plan. If policyholders choose, they may open a
protection our policyholders want and need.” If you know someone who could benefit from either
separate HSA (health savings account) from the finan-
Comprehensive Blue PPO or HSA Blue PPO II, they
cial institution of their choice and reap the associated
may call toll free 1-800-392-2583, visit us online at
tax benefits. All HSA contributions are tax-deductible,
arkansasbluecross.com/free or contact a local indepen-
which means a policyholder’s taxable income is re-
dent agent for more information.
duced by the amount contributed to the HSA each year. Blue & You Summer 2009
Cost sharing: What is it? How does it help you? Cost sharing is
pockets, we think twice about how we spend it. People
when you pay
who have health insurance often are insulated from
a portion of
the true cost of health-care, so giving members some
your health-care
responsibility for the cost of the services they receive
costs and Arkansas Blue Cross and Blue
makes them more aware of the actual cost. For example, most people will make sure they really
Shield pays a larger
need to go to the emergency room (ER) or the doc-
part. We share
tor when some of the cost comes directly out of their
the costs.
checking account. They might rethink that ER visit for an
For example, cost
ear infection if they know it is a $100 or more copay-
sharing is having a
ment, while waiting to see the doctor the next day
copayment when you
would be a $25 copayment. Most of us are more mind-
visit the doctor or
ful of how we spend our own money than we are about
get a prescription filled at your
how our health plan’s money is spent. Health plans whose benefits include cost sharing are
local pharmacy.
more affordable, give members predictable costs for
You pay a portion,
medical services and help to ensure that those who
and Arkansas Blue Cross pays the rest. Cost sharing is an important part of health insurance
use health-care services have an increased awareness of how much those services actually cost.
because it helps control the cost of health insurance premiums by giving people some “skin in the game.” In other words, when the money comes out of our own
Blue & You Summer 2009
9
The HEART of a family
B
renda Lansdell was worried.
Malvin, her husband of 41 years,
was short of breath, and in January, after a meal at their daughter’s home, he could barely carry a bowl out to their truck. When she asked him about it, Malvin looked at her and confessed, “I’m scared, but I’m scared not to do something, too.” Brenda understood all too well. Every man in Malvin’s family has had cardiovascular problems. Malvin was one of seven brothers; his oldest brother already had died of a heart attack, and his twin brother and a younger brother also had suf-
10
fered from heart attacks. His father and uncle both had died of heart attacks. Whether it was genetics or good Southern cooking, the Lansdell men seemed to live short lives. At 64, Malvin recently had retired, putting in 38 years at the Domtar Ashdown Paper Mill. He and Brenda were enjoying their home in Winthrop, about 50 miles north of Texarkana. A devoted husband and father of two sons and a daughter, his new focus had been on entertaining his three grandchildren. While aware of the family history of cardiovascular disease, Malvin considered himself to be in pretty good shape, taking only high blood
Cardiac history tests brothers Blue & You Summer 2009
pressure medicine and an aspirin a day. “That aspirin is probably what saved his life,” Brenda said, thinking back on the situation.
left little time to choose their medi-
intensive cardiac services, serve
were visiting with a cardiologist,
cal facility, both Lansdell brothers
a large number of cardiac patients
his brother, Harold, told his wife,
selected CHRISTUS St. Michael in
and have proven positive outcomes
Virginia, a fib. He casually men-
Texarkana, a hospital designated
that far surpass other hospitals.
tioned that he had a scheduled
by the Blue Cross and Blue Shield
Once you are in a Blue Distinction
doctor’s appointment and needed to
Association as a Blue Distinction
hospital, you are followed through
go to CHRISTUS St. Michael Health
CenterSM for Cardiac Care. In order
your rehabilitation, so you continue
System in Texarkana, Texas. Harold
to receive this national recognition,
to receive care far into recovery.
didn’t want to scare Virginia, but he
CHRISTUS St. Michael must meet
The hospital and cardiac team must
was having a heart attack.
high quality standards established
have a program for ongoing quality
After some tests at the cardi-
by an expert panel of physicians,
management and ways to identify
ologist’s office, Malvin and Brenda
surgeons and other health-care
potential for improvement.
headed home, but were greeted
Brothers left to right: Harold and Malvin Lansdell.
The same day Malvin and Brenda
If you are
with an ominous phone call. The
looking for
staff at the office of Brent Robin-
a hospital
son, M.D., wanted Malvin to go to
with a Blue
CHRISTUS St. Michael as soon as
Distinction
possible for cardiac catheterization,
designation,
which allows doctors to watch the
go to our
heart in action with the help of X-ray
Web sites
equipment and a special dye. They
and visit our
scheduled the procedure for the
“Member”
next day. Meanwhile, Harold was
section.
having coronary artery bypass grafts
professionals. When a hospital has
We do the work for you, so you can
on four of his arteries at CHRISTUS
been designated a Blue Distinc-
be assured you are receiving the
St. Michael under the care of cardio-
tion Center, you know they have
best care possible. Other medical
thoracic surgeon Billy Parsons, M.D.
expertise in that specialty, that they
centers designated as Blue Distinc-
For Malvin, the cardiac catheter-
focus on quality, and that they have
tion Centers for Cardiac Care in
ization began what he calls “the
a history of patients with positive
the Arkansas Blue Cross and Blue
great sleep.” He doesn’t remember
outcomes. Hospitals do provide
Shield service area include Baptist
anything that happened for four
care differently, and Blue Cross has
Health Medical Center in Little Rock,
days — but Brenda does. Soon
created a process where hospitals
and St. Bernards Regional Medical
after they took Malvin in for testing,
can demonstrate their expertise.
Center in Jonesboro.
Brenda was told that they were tak-
It’s not easy becoming a Blue
ing him to surgery. Once again, Dr.
Distinction Center for Cardiac Care.
two brothers within 24 hours of
Parsons was working on a Lansdell
Hospitals that make the grade must
each other, “was a unique situation,”
man, this time performing five coro-
be fully accredited and the car-
though he has worked on siblings
nary artery bypass grafts on Malvin.
diac team must be board certified.
and even twins before. But, as a
While the urgency of the situation
They must provide a wide range of
Heart, continued on Page 12
For Dr. Parsons, working on the
Blue & You Summer 2009
11
Heart, continued from Page 11
Blue Distinction Center for Cardiac Care and a hospital that has consistently been in the top 5 percent for HealthGrades, the leading independent health-care ratings company, CHRISTUS St. Michael is known for its cardiac program, and it’s the first place people think to go in the Texarkana area when they are concerned about their hearts. “I think what sets us apart is the willingness of our people to have a team approach. From our CEO to our nurses — what we do is more than a job,” Dr. Parsons said.
12
Because of Texarkana’s location between Little Rock and Dallas, Parsons said CHRISTUS St. Michael has a large service area, which requires the staff to stay abreast of the latest changes in medical knowledge while staying with protocols that have been tested and trusted. He and Bruce Cannon, M.D., partners in Texarkana Cardiovascular & Thoracic Surgical Associates, are both board certified general thoracic surgeons as well as fellows of the
Brenda and Malvin Lansdell meet with their Arkansas Blue Cross case manager, Hillary Cross, RN.
American College of Surgery and
Blue Cross and Blue Shield’s South-
under another Blue Cross plan, so
American Board of Surgery.
west Regional Office in Texarkana,
he was not on her list of patients
by surprise.
to follow.
The Lansdell brothers ended up on the same floor, two doors down
“I went to the front desk to ask
For Brenda, curled up in a chair
from each other. “There were ‘name
for the room number for Mr. Lans-
with her shoes off in Malvin’s
alerts’ on everything,” Brenda chuck-
dell and they said ‘which one?’”
hospital room, seeing Hillary walk
led, remembering the precautions
she said. Malvin is covered under
through the door was a breath of
the hospital took to keep down
BlueAdvantage Administrators of
fresh air.
the confusion. It even took Hillary
Arkansas and Harold is covered un-
“When she said, ‘Hi, I’m Hillary
Cross, a case manager for Arkansas
der the Federal Employee Program
Cross, a case manager with Arkan-
Blue & You Summer 2009
sas Blue Cross, and I’m a registered
more mobile, the confusion in-
service that was overpaid. Having
nurse,’ it made me feel good right
creased. Brenda said at one point a
a dependable health plan adminis-
then,” Brenda said. While the staff
hospital aide came to the room and
tered by BlueAdvantage also took
had been very helpful, Brenda
asked for Mr. Lansdell. “He’s down
the stress off Brenda so she could
said she trusted Hillary to help her
the hall,” she said. The aide looked
focus on helping Malvin get back to
understand the medical terms and
on the chart, looked back to the
his old routine.
plan their next steps to getting
room number and then in confu-
Malvin home.
sion looked back at Brenda. “He’s
ment and prescription plans. Brenda
Mr. Lansdell,”
said they could have looked else-
she explained,
where, but after their experience
laughing.
with Arkansas Blue Cross, they agent Ray Tipton in Ashdown, to
recovered faster
sign up for the Arkansas Blue Cross
than Malvin, and
Medi-Pak products. Now they can
soon was released
focus on the things that matter
to continue his re-
most, like grandchildren, fishing and
covery with home
spending time together.
Still, Malvin only was in the hospital about a week
before he also was released.
to,” Brenda said of the many conver-
Hillary continued to call
sations she has had with Hillary in
their home and check
person and over the telephone.
on their needs.
Through the medical tests they
Editor’s Note: The day after Malvin gave this interview, he was fishing on Texarkana Lake and caught, as he described it, “the biggest crappie I had ever seen.”
Malvin said that
also discovered that Malvin had dia-
while the case
betes, so Hillary provided them with
management
information on lifestyle changes so
service from Ar-
he could keep his blood sugar levels
kansas Blue Cross
in check. Perhaps it was because
was tremendous,
of the medications, but at first
“they did a good
Malvin complained that the healthy
job on claims process-
foods, “tasted like cardboard.” After
ing, too.” He said everything
awhile, however, he had to admit,
was handled smoothly so he didn’t
“this cardboard tastes pretty good.”
have any concerns, and they even
As the two brothers became
visited with their friend, insurance
four bypasses,
health services.
“She’s been there for me to talk
started looking at Medicare supple-
visiting the other
Harold, with his
Harold and Malvin Lansdell were patients at the same time at CHRISTUS St. Michael Health System.
With Malvin nearing 65, they
received a small check back on a Blue & You Summer 2009
13
Preparing for an MRI Before the exam you will be asked to fill out a screening form asking about anything that might create a health risk or interfere with imaging. These items include: • Cardiac pacemaker or implantable defibrillator. • Catheter that has metal components that may pose a risk of a burn injury. • A ferromagnetic metal clip placed to prevent bleeding from an intracranial aneurysm. • An implanted medication pump (used to deliver insulin or a pain-relieving drug). • A cochlear (inner ear) implant. Source: American College of Radiology
14
FDA warns against skin patches during MRI scans The U.S. Food and Drug Administration (FDA) recently advised against wearing medicated skin patches dur-
that not all patches containing metal provide a warning. The FDA is in the process of compiling a list of all
ing an MRI (magnetic resonance imaging) scan. Some
patches that contain metals to ensure that they are
medicated patches may contain aluminum or other
properly labeled with a warning about the potential
metals in the non-adhesive backing. During an MRI
risks of burns. If in doubt, Sandra Kweder, M.D., deputy
scan, the metal potentially can conduct electricity and
director of the FDA’s Office of New Drugs, recommends
cause a skin burn at the site of the patch. Many patches
that patients remove their patches prior to an MRI scan
containing metals provide a label warning patients to
and put them back on afterwards.
remove the patch before undergoing an MRI scan because of the risk of burns. However, the FDA has found Blue & You Summer 2009
Sources: FDA and WebMd
Grants available for health-improvement programs When it comes to serving our customers, we’re the best! When you need a question about your benefits answered accurately, when you need your claims paid quickly and efficiently, and when you just need good customer service whether you are at home or traveling, you have the right health insurance company to meet your needs. All of the Blue plans throughout the United States measure how they are meeting members’ needs and expectations, and then they compare how they are doing against all of the other Blue Plans. And, for the fourth quarter of 2008, we were the best in the nation — ranked No. 1! When you need service right here, right now — you can feel comfortable knowing that the company that you trust to take care of your health-care coverage takes that job seriously — and all of the employees at Arkansas Blue Cross and Blue Shield are doing their part when our members need help in times of a health crisis or when then need health information or support. “This remarkable achievement shows the commitment of everyone in the company to our members,” said Mark White, president and chief executive officer of Arkansas Blue Cross.
The Blue & You Foundation for a Healthier Arkansas is accepting applications for grants ranging from $5,000 to $150,000 to fund health-improvement programs in Arkansas. The Blue & You Foundation, established in 2001 by Arkansas Blue Cross and Blue Shield, awards about $1 million in grants annually to nonprofit and governmental organizations and programs that positively affect the health of Arkansans. In its first seven years of operation, the foundation has awarded more than $8.5 million to 129 health-improvement programs in Arkansas. The deadline to apply for a grant is July 15, 2009. Information about applying for grants can be found at BlueAndYouFoundationArkansas.org, or may be requested by writing to:
Blue & You Foundation
USAble Corporate Center
320 West Capitol, Suite 200
Little Rock, AR 72201
Applications will be reviewed in the fall and grants will be awarded in November for programs to be implemented in 2010. Blue & You Summer 2009
15
The Joy of Cooking reflects the public’s joy of
Lose weight The Healthy Weigh! The Healthy Weigh! Education Program is free for members of Arkansas Blue Cross and Blue Shield, Health Advantage, Blue Cross and
eating
16
Blue Shield Service Benefit Plan (Federal Employee Program), and eligible members of BlueAdvantage
It’s been 70 years since the first
well-established cultural changes
issue of The Joy of Cooking hit the
that include more and more food,
bookstore shelves. Since that time,
which leads to expanding waistlines
enrollment form and return it in the
the average calories per serving of
(see graph).
self-addressed, postage-paid enve-
18 of its classic recipes increased
When cooking, be sure to use
more than 35 percent per serving.
low-calorie ingredients and look for
Why? Throughout the years, the
low-calorie recipe options. When
Administrators of Arkansas. To enroll, complete the attached
lope included in this magazine. The program starts when you enroll. After enrollment, you will begin
recipes have called for ingredients
trying to lose weight, every calorie
to receive information through the
higher in calories and small, but
counts.
mail, which you can read in the
Source: Annals of Internal Medicine
privacy of your own home and at
regular, increases in serving sizes. The calories and portion sizes reflect
your own pace. The program is completely voluntary, and you may
Average Calories of 18 classic recipes by The Joy of Cooking publication year
leave the program at any time. If you have further questions about the program, call the Health Educa-
1936
1963
2006
Average Total Calories Per Recipe
2123
2250
3051
1-800-686-2609.
Average Calories Per Serving
268
294
384
Average Number of Servings Per Recipe
12.9
12.7
12.7
Simply complete, sign and return the attached enrollment form in the self-addressed, postage-paid envelope.
Blue & You Summer 2009
tion Program’s toll-free number at
Wait before using some weight loss supplements If you are one of millions of Americans buying
in the United States.
over-the-counter (OTC) weight loss supplements sold
• Fluoxetine – a prescription antidepressant.
on various Web sites and in some retail stores and
• Bumetanide – a potent prescription diuretic.
beauty salons, you may be taking in more than you
• Furosemide – a potent prescription diuretic.
bargained for.
• Rimonabant – a drug not approved in the
The U.S. Food and Drug Administration (FDA) recently identified 72 weight loss products it considers to be tainted by undeclared active ingredients. That means
United States. • Cetilistat – an experimental obesity drug not approved in the United States.
the products contain ingredients that have not been
• Phenytoin – an anti-seizure medication.
approved by the FDA for sale in the United States and
• Phenolphthalein – a solution used in chemical
may put consumers’ lives at risk. Some of the products claim to be “natural” or to
experiments and a suspected cancer-causing agent that is not approved in the United States.
contain only “herbal” ingredients but actually contain
The FDA warns that these OTC supplements can
potentially harmful ingredients not listed on the prod-
cause profound health risks, including high blood pres-
ucts’ labels. The FDA has inspected a number of com-
sure, seizures, heart attack and stroke. If you have
panies associated with the sale of these illegal products
taken supplements containing any of these ingredients,
and currently is seeking product recalls. These products
you should talk to your doctor as soon as possible. Be-
are illegal and include the following undeclared active
fore starting a weight loss program, you should always
pharmaceutical ingredients:
discuss your plan with your doctor.
• Sibutramine – a prescription appetite suppressant and a controlled substance.
A complete list of the drugs can be found at fda.gov/ cder/consumerinfo/weight_loss_products.htm.
• Fenproporex – a controlled substance not approved
Blue & You Summer 2009
17
Busy life finds
time for
18
SilverSneakers
Blue & You Summer 2009
R
ita Nelson is always on the go. If she’s not at her home in
Gurdon, she’s at the lake house in Hot Springs. In fact it only was recently that she found the time to retire. But, if you think that opened the door for this spunky 88-year-old to slow down — think again! During her near-nine decades, she always has led a healthy lifestyle, and believes that taking care of yourself is an important part of taking care of business and others. Sometimes it’s mind over matter … sometimes it’s a matter of mind and body … and always, it’s heart and soul with Rita. Rita participates in yoga early in the week when she is in Gurdon. When she heard about the SilverSneakers® Fitness Program at the Hot Springs YMCA, she decided that would fit into her busy schedule for the second part of her week. After about 10 months of workouts, she can tell you, “You use your toes to your fingernails!” Rita said the SilverSneakers routine is “very invigorating” and “it does make you feel better” which is a good thing since she still does all her own housework. She also walks on a tread-
Not too many people can
19
keep up with
Rita.
mill in the morning to stay physically fit. Not too many people can keep up with Rita, but Ralph Berdikoski is giving it a go. The two have known each other for years, and Ralph started helping Rita by coming over to mow her three acres of land. Finally, one day, he asked her, “Why don’t we spend our golden years together?” Rita said they had a wonderful wedding on Oct. 2, 2004, with a reception at the Majestic Hotel in Hot Springs. She added that he is very active for an 84 year old! To enroll in SilverSneakers, Medi-Pak and Medi-Pak Advantage members can go to a participating fitness center near them and show their ID card. Fitness center staff will assist with enrollment and provide tours of the locations. Because new fitness centers are being added to the program regularly, members can go online to silversneakers.com to find all participating locations in Arkansas.
Blue & You Summer 2009
Senior Moments with Dr. David this is the most vital step to living the healthiest life possible. With this in mind, I have made it my mission to help everyone — of every age — to be empowered consumDavid A. Lipschitz, M.D, Ph.D.
ers of health care. Your relationship with your doctor is a two-way street — you must play an active role. The more educated you are about your health, the better the relationship. Know what to expect before you walk into the doctor’s office. Know what to ask. Do your homework, and be prepared. Trust me, there is a formula to developing a better relationship with your doctor. Here’s how:
20
1. Get an annual physical. This is the perfect opportunity to get a bottom-line assessment of your health. And, it’s the prime time to start building a trusting, healthy relationship with your primary care physician. Make sure he or she does a complete examination and discusses any health issues or concerns. Tell your physician you want to do everything possible to promote your health and ask him to help develop a lifestyle plan for disease prevention.
At your yearly physical, you should expect: • A comprehensive health history
You and your doctor
• A complete physical examination • Appropriate screening tests
Living a healthy life used to be simple — eat right
• A plan for the future
and exercise. Today, we have made living a healthy life so very, very complicated. Read this book, listen to this doctor and take this special, highly formulated just-foryou vitamin. It’s overwhelming!
2. If you have a health concern, educate yourself first! Remember, your doctor may not adequately
In this world of overly complex health care, there is
explain all of the details of your condition. It is criti-
one glaring void in the discussion. You may know what
cally important that you do as much research as you
vitamin to take or what exercise routine to follow, but
can before you put on the clinic gown.
most patients do not know how to build a healthy relationship with their doctors. More than anything else, Blue & You Summer 2009
Here are some tips: • Go online. Review reputable consumer health
BlueCard lands Satisfaction Award Nothing frusWeb sites such as WebMd.com. (If you’re not computer savvy, visit the library.) • Get the basics — What is your condition? What are the symptoms? What are the concerns or complications with this condition? What are your treatment options? • Take notes. When doing any health research, online or otherwise, you are going to have questions. Write them down and take them with you when you visit your doctor. 3. When developing a treatment plan, always ask these questions. • Why is this the recommended course of treatment? • What are the side effects? • What is the expected outcome, and what percentage of patients achieve successful results? • Is this the most affordable and rational treatment plan for me? Follow these three steps and you will be well on your way to being an educated consumer of health care. Remember — when it comes to building a healthy relationship with your doctor, take an active role. Both you and your doctor play a part when it comes to your health. So, get engaged and be empowered! Editor’s Note: David A. Lipschitz, M.D, Ph.D., is nationally recognized as a leader in the field of geriatrics. Arkansas Blue Cross and Blue Shield is honored to have him as a contributor to Blue & You magazine.
trates people more than getting caught in the middle of claims payment issues between the doctor’s office or hospital and the insurance company. At Arkansas Blue Cross and Blue Shield, we get it — in fact we get it so well that we received the
Left to right, Virginia Collier, manager of BlueCard Claims; Dan Stevens, manager of Provider Network Operations; and Alicia Clayton, manager of BlueCard Customer Service.
Provider Satisfaction Award for 2008. Arkansas Blue Cross and Blue Shield was in the top five Blue plans to achieve a service level greater than 80 percent on a national provider satisfaction survey for BlueCard, our program that allows members traveling or living outside the state to see doctors and hospitals contracted with other Blue plans. More than 600 surveys were conducted in the Arkansas Blue Cross market, and more than 30,000 were conducted nationally. Providers rated the plans on overall satisfaction and a variety of claims processing issues. What does that mean for you? It means we work hard to process claims quickly and accurately, so you won’t get a telephone call or letter from your provider asking for additional payments. It means that we are proactive in resolving issues and making providers happy. And by making your doctors and their staff happy, they can focus on the most important part of their job — taking care of you. Blue & You Summer 2009
21
ATU’s centennial celebrates education, growth and focuses on
health
A
rkansas Tech University in
Russellville is 100 years old this year, but through its partnership with Arkansas Blue Cross and Blue Shield, the faculty and staff are feeling as young as ever. “Our partnership works in many ways,” said Arkansas Tech President Robert Charles Brown, Ph.D. “The provisions of wellness information and preventive care are especially
David Moseley and staff members take a stroll through the Arkansas Tech campus as part of the Blue & You Fitness Challenge.
beneficial because they keep our faculty and staff healthy and ultimately help to keep our costs down.” Set in the Ozark foothills, Arkansas Tech serves almost 7,500
22
students with 862 faculty and staff members and offers a wide range of degrees and certificates. The campus has experienced tremendous growth in the past few years, something Brown said can put a strain on the budget. But while in today’s economy some businesses are looking to cut costs in areas like employee benefits, Brown said that Arkansas Tech recognizes the importance of maintaining good benefits. “It is fundamental to our business model,” he said. Perhaps the value of human resources is recognized more at Arkansas Tech because of their mission. “The only thing we offer Blue & You Summer 2009
is human resources … that’s what
holds professional development
tween Arkansas Tech and Arkansas
higher education is …” Brown said,
training for administrative profes-
Blue Cross is built on four things:
adding, “If you don’t have healthy
sionals, but this year, with about
accessibility, trust, value and cus-
professors you don’t have a good
70 faculty and staff entered into
tomer service.
learning environment for your students.” Arkansas Tech
the Blue & You Fitness Challenge, there has been such a focus
“All we have to do is call Dee Rodgers or Sonya George in the Central Regional Office,” he said of
joined the Arkansas
on health that they
the quick response they get to any
Blue Cross fam-
decided on healthy
question or concern. And, he added,
ily in 1993, and in
living as the theme.
“We trust Arkansas Blue Cross is
that long relation-
The seminar in-
going to do what they say they are
ship, Brown said, the
cluded tips from a
members have taken
nutritionist and other
advantage of health fairs, a diabetes lunch and learn, health
health-related topics. David Moseley, senior vice presi-
going to do.” Moseley said the long-term value is apparent whenever a faculty or staff member has to go to the doc-
dent of administration and finance,
tor or hospital. As far as customer
has been the liaison between Arkan-
service is concerned — “You can’t
education, but now a greater part
sas Tech and Arkansas Blue Cross,
beat it,” he said.
of that education is focused on
and said that he is living proof of the
education programs and more. Tech always has been focused on
health and wellness. The cafeteria often spotlights nutritional information on select items and Tech Fit, the fitness center is available to faculty, staff and students. Students in the wellness science degree program can even coach faculty on using the fitness center as part of their course work. Brown said the campus plans to go smoke free this summer and is looking into building a two-mile walking trail around the campus. Freshman orientation even includes a focus on maintaining good health
value of quality health insurance.
to help students avoid the dreaded
Moseley had a quadruple bypass in
“freshman 15” weight gain.
1999, and said that if it weren’t for
Mary Ann Rollans, dean of the school of Community Education, said that each year the campus
Students and faculty members can exercise at Tech Fit, a state-of-the-art fitness center on campus.
regular checkups, “my story could have been a whole lot different.” Moseley said the relationship beBlue & You Summer 2009
23
Health insurance is important!
Can
sports drinks
1. It protects you financially against catastrophic costs due to an accident or illness. 2. It provides you with a discount on the medical services you receive.
harm your teeth?
A recent study suggests you may be hurting your teeth after toning your body if you guzzle a large amount of sports drinks. Researchers at New York University College of Den-
24
tistry took cow teeth, which are similar to human teeth, cut them in half and soaked them in sports drinks for 75 to 90 minutes. Afterward, they found the acid from the drinks caused damage to the tooth enamel, the dentin (the second layer of the tooth) and caused considerable staining. While some opponents of the research say that the
Do the changes in
COBRA affect you?
study does not replicate real life, the implications of the research still may be valuable, especially for those
They might if you have recently lost your job.
who consume sports drinks on a regular basis. But,
The COBRA (Consolidated Omnibus Budget Recon-
you don’t have to give them up completely. The follow-
ciliation Act) subsidy, which was passed as part of the
ing are suggested in order to prevent the possibility of
economic stimulus package in February, gives 65 per-
tooth erosion:
cent of COBRA premiums, for nine months, to work-
• Drink sports drinks in moderation.
ers who are laid off between September 2008 and the
• Sip sports drinks through a straw.
end of this year. The subsidy applies only to workers
• Drink plenty of water to flush out the mouth.
laid off from companies with 20 or more workers. This
Ironically, because sports drinks soften tooth enamel, the researchers suggest you wait at least 30 minutes before brushing your teeth after consuming them. Instead of protecting your pearly whites, you could actually cause more damage. Sources: WebMD and CNN.com Blue & You Summer 2009
subsidy is not available to workers whose companies have closed their doors. For more information about COBRA, visit the U.S. Department of Labor Web site at dol.gov. If you are without a job and without insurance, we have a plan to meet your needs. Visit arkansasbluecross.com for more information.
The
Doctor’s
Corner
recommends the following: Take your fish oil today? • Go to bed at the same time The oil found in fish and fish oil every night. supplements (omega-3 fatty acids) • Avoid napping during the day. reduces the risk of macular degen• Avoid heavy foods and caffeine eration, a common cause of blindfour to six hours before bedtime. ness related to aging. Researchers • Exercise regularly but not right found that people who eat fish frebefore going to bed. quently (especially tuna and salmon) • Eliminate distracting light and or who take fish oil supplements are noise if possible. less than half as likely to develop • Avoid watching TV in bed. Watchmacular degeneration as they age. ing TV for some people can stimulate the mind, making it more difficult to go to sleep. • Make sure the room is cool. • Try not to think about the worries of the day after you go to bed.
Sleeping is good for your heart People who do not get enough sleep put their health at risk. A study published recently in the Archives of Internal Medicine showed that people who sleep less than seven and one-half hours per night are 59 percent more likely to have a heart attack, stroke or die suddenly from heart disease. If you have trouble sleeping, the University of Maryland Sleep Disorder Clinic
Generic vs. Brand-name heart medications? No difference! The U.S. Food and Drug Administration (FDA) requires that all generic drugs meet the same standards as the original drug. Despite this requirement, many people still wonder whether generic and brandname heart medications are equal in their effectiveness. A recent study published in the Journal of the American Medical Association
by Ray Bredfeldt, M.D., Regional Medical Director Northwest Region, Fayetteville
(JAMA) should alleviate those fears. Researchers reviewed 47 studies on drugs used for various heart conditions, and found no evidence that brand-name drugs were superior to generic drugs in actual medical practice.
Smoking and colon cancer It’s well known that smoking is the major cause of lung cancer. Doctors also know that smoking is strongly associated with throat, kidney, bladder, cervix, stomach and pancreas cancer. A new study recently published in the Journal of the American Medical Association (JAMA) has determined that colon cancer can be added to this long list. Smokers were found to be 18 percent more likely to develop colon cancer and 25 percent more likely to die from it than non-smokers.
Blue & You Summer 2009
25
Chiropractic medicine: About 80 percent of adults have experienced low back pain at some point, making it the fifth most common reason for all physician visits in the United States. In many cases, the pain subsides in a short period of time, but in other cases, the pain is ongoing, indicating a serious problem. The back is a complicated structure of bones, joints, ligaments and muscles. Injuring any of these tissues can lead to pain and possibly impair neck, arm or leg movement. A healthy lower back provides structural support for the entire body.
26
Medications frequently are prescribed for low back pain, though they only provide short-term benefits. More than 75 percent of patients are prescribed at least one medication for back pain at their initial office visit. But medications are not the only treatments available. Studies show that noninvasive treatments — such as spinal manipulation and massage therapy — often provide longer benefits than medications. A doctor of chiropractic medicine often provides these noninvasive treatments. Surgery is another option for treating low back pain. However, more than 40 percent of patients who underwent back surgery report being dissatisfied with the results. Before choosing surgery, it is recommended that patients experience at least two years of noninvasive interventions such as spinal manipulation. When it comes to managing acute and chronic back pain, there is no magic solution that works for everyone. However, chiroprac-
Blue & You Summer 2009
Studies show that noninvasive treatments — such as spinal manipulation and massage therapy — often provide longer benefits than medications.
An effective option for low back pain tic care has been successful for millions of Americans looking to avoid surgery and/or regular pain medication. Chiropractors are best known for their conservative care of back and neck pain. However, doctors of chiropractic medicine are capable of treating a broad range of conditions and injuries. Not only is chiropractic care beneficial for conditions such as these, but when other health conditions exist, it may complement or even support medical treatment. Patient satisfaction
• Spinal manipulation • Electrical muscle stimulation • Traction • Ultrasound • Soft tissue massage • Home treatment recommendations • Lifting posture and lifestyles modifications • Rehabilitative exercises A treatment plan also may involve collabora-
rates are high when hands-on therapies
tive care with other health-care provid-
were used for treatment of various
ers, such as your primary care physi-
conditions as an alternative to sur-
cian, orthopedist or neurologist.
gery or pharmaceuticals.
The extent of a patient’s
Chiropractic doctors consult
problems coupled with the
with their patients in ways
hands-on nature of chiroprac-
similar to medical doctors.
tic treatment may require
Laboratory tests or diagnostic
several office visits. While
imaging may be requested. A
many patients feel immedi-
chiropractic doctor will perform
ate relief following chiropractic
a physical examination, paying
treatment, it may take others two
close attention to the patient’s pos-
to three weeks before they achieve
ture, motion, balance, muscle strength and level of neurologic involvement. This allows the chiropractic doctor to put the patient in one of three
substantial progress. Your chiropractic doctor should tell you how long the treatment should last.
broad categories: 1) nonspecific low back pain related
When choosing a doctor of chiropractic medicine,
to joint and ligament laxity, strained or over-used mus-
the American Chiropractic Association (ACA) suggests
cles, or sprained ligaments; 2) back pain potentially as-
you select a chiropractic physician with whom you are
sociated with pinched nerves due to spinal stenosis or
comfortable, who thoroughly answers your questions
disc protrusion; and 3) back pain potentially associated
and explains the recommended treatment plan.
with other spinal causes such as progressive neurologic deficits, tumors or infection. Placing the patient in the
To locate a chiropractic doctor in your area, visit one of our Web sites listed on page 31.
correct category helps guide the treatment. Depending on the examination, a chiropractic treatment plan may include any one or combination of the
Sources: American Chiropractic Association (ACA), Consumer Reports, Annals of Internal Medicine
following:
Blue & You Summer 2009
27
BlueAnn Ewe and the Arkansas Blue Cross Heart Walk team.
Arkansas Blue Cross has a heart Arkansas Blue Cross and Blue Shield has a “heart”
28
sas Blue Cross’ health ambassador, joined more than
and encourages its employees to maintain a healthy
300 Arkansas Blue Cross employees on April 4 to walk
heart! As “You Have A Heart” sponsors of the Ameri-
in the American Heart Association’s Heart Walk held at
can Heart Association’s Heart Walk, Arkansas Blue
the North Shore Riverwalk in North Little Rock.
Cross formed a corporate team. BlueAnn Ewe, Arkan-
BlueAnn Ewe joins Perritt Primary School BlueAnn Ewe joined the annual “Just Say No” drug
the Badger and “No Smok-e-mon” were special guests
prevention walk hosted by Perritt Primary School in
at the rally. Clark County Sheriff’s Office and Arkadel-
Arkadelphia on April 10. BlueAnn led the fight against
phia Police Department officers, and members of the
drugs with hundreds of elementary students, high
Arkadelphia Fire Department Rescue Unit joined in the
school and college mentors, parents, teachers and
assembly.
administration staff, and community supporters. Perritt’s Nickelodeon singers got the day off to a great start with two musical numbers that fit with the theme. Arkadelphia High School cheerleaders and junior high drill team members led a workout on the school lawn. The students, along with BlueAnn, walked to the newspaper office for another rally and then headed back to the school, but not before stopping at the principal’s house for juice and cookies. Community and state leaders greeted the walkers, pledging their support in the fight against drugs. Ashlen Batson, Miss Arkansas 2008, served as the keynote speaker. BlueAnn, Barney
Blue & You Summer 2009
BlueAnn walks in the “Just Say NO” drug prevention walk hosted by Perritt Primary School in Arkadelphia.
Arkansas Blue Cross and Blue Shield Financial Information Privacy Notice
At Arkansas Blue Cross and Blue Shield and its affiliates (HMO Partners, Inc. d/b/a Health
purchase and use of our
use of confidential information by an
products.
employee can result in disciplinary
• Information related to the fact
Advantage, and BlueAdvantage
that you have been or currently
Administrators of Arkansas), we
are a member.
understand how important it is to keep your private information just that — private. Because of the nature of our business, we must collect some personal information from our members, but we also are committed to maintaining, securing and protecting that information.
Customer Information Arkansas Blue Cross and its affiliates only compile information necessary for us to provide the services that you, our member, request from us and to administer
Sharing of Information Arkansas Blue Cross and its
action up to and including termination of employment.
Disclosure of Privacy Notice Arkansas Blue Cross and its affiliates recognize and respect the
affiliates do not disclose, and do not
privacy concerns of potential, current
wish to reserve the right to disclose,
and former customers. Arkansas Blue
non-public personal information about
Cross and its affiliates are committed
you to one another or to other parties
to safeguarding this information.
except as permitted or required by
As required by state regulation, we
law. Examples of instances in which
must notify our members about
Arkansas Blue Cross and its affiliates
how we handle non-public financial
will provide information to one
information of our members. Nothing
another or other third parties are:
has changed in the way we conduct
• To service or process products that you have requested. • To provide information as per-
our business. If you would like to review the Financial Information Privacy Notices for all Arkansas Blue
your business. We collect non-public
mitted and required by law to
Cross members, you can visit our Web
personal financial information (defined
accrediting agencies.
site at arkansasbluecross.com or call
as any information that can be tied
• To provide information to com-
the appropriate Arkansas Blue Cross
back to a specific person and is
ply with federal, state or local
affiliate company to receive the Privacy
gathered by any source that is
laws in an administrative or
Notice. Our customer service areas
not publicly available) about our
judicial process.
are open from 8 a.m. to 4:30 p.m.,
members from:
• Applications for insurance coverage. The application includes
How We Protect Your Information Arkansas Blue Cross and its
Central time, Monday through Friday. To receive a copy of the Privacy Notice, members should call:
information such as name, ad-
affiliates use various security
Arkansas Blue Cross —
dress, personal identifiers such
mechanisms to protect your personal
1-800-238-8379.
as Social Security number and
data including electronic and physical
Health Advantage — 1-800-843-1329.
medical information that you
measures as well as company
BlueAdvantage Administrators of
authorize us to collect.
policies that limit employee access
Arkansas — Members should call
to non-public personal financial
Customer Service using the toll-free
information. Improper access and
telephone number on their ID card.
• Payment history and related financial transactions from the
Blue & You Summer 2009
29
Generic drugs: Use with confidence! FDA to sell generic versions. Since
specifications set by U.S. Phar-
affect everyone, especially older
they don’t have the investment, the
macopoeia, a non-profit, scien-
Americans, but many people
manufacturers sell the generic drug
tific body that sets standards for
worry that generic versions of their
at a lower price.
drug purity.
Rising prescription drug costs
The FDA review process for ge-
brand-name version. If you are one
neric drugs is almost identical to the
must continue to monitor the
of these people — stop worrying!
process for brand-name drugs:
drug’s stability. Firms making
Generic drugs can be used with confidence.
30
• Once on the market, the firm
medications are not as good as the
• A brand-name drug must be FDA-approved before a generic
sterile drugs must submit data assuring sterility. • The firm must comply with fed-
The U.S. Food and Drug Adminis-
can be created. The generic
tration (FDA) approves brand name
must have the same active
eral good manufacturing practice
and generic drug products sold in
ingredient or ingredients and the
regulations and undergo FDA
the United States, and the quality
same strength as the brand-
inspection to assure compliance.
standards are the same for both
name drug.
products. The difference in price
• The manufacturer must show
Generic competition keeps costs down and encourages drug compa-
comes from the cost of developing
the generic drug is bioequivalent
nies to develop newer and better
the drug.
to the brand-name drug. This
medicines. Generic drugs save
New drugs are developed under
means that it will react in the
Americans an estimated $8 to $10
patent protection. Pharmaceutical
same way in a person’s body.
billion a year (according to the Con-
companies invest large amounts
• The generic drug’s label must
gressional Budget Office). Billions
of money to be sure their products
be essentially the same as the
more are saved when hospitals use
are safe and effective, so they are
approved drug.
generics.
allowed to sell the drug while the
• The firm must document the ge-
So the next time you get a pre-
patent is in effect and they may sell
neric drug’s chemistry, manufac-
scription filled, ask your pharmacist
it at a higher cost to recoup their
turing steps and quality control
if a generic version is available. Use
investment. When patents on brand-
measures for FDA review.
generics with confidence!
name drugs near expiration, drug
• The raw materials and finished
manufacturers may apply to the
generic product must meet
From the
Source: U.S. Food and Drug Administration
Pharmacist
by Trey Gardner, Pharm D., Arkansas Blue Cross and Blue Shield
Blue & You Summer 2009
Arkansas Blue Cross helps city of Mena
We love to hear from you! May we help? For customer service please call:
Little Rock Number (501)
Medi-Pak members
378-3062 1-800-338-2312
Medi-Pak Advantage or Medi-Pak Rx Arkansas Blue Cross members
378-2010 1-800-238-8379 1-800-863-5561
Specialty Rx Pharmacy questions
1-866-295-2779
378-2363 1-800-843-1329
Pharmacy questions BlueAdvantage members
When the city of Mena was devastated by a tornado in April, Arkansas Blue Cross and Blue Shield looked for ways to help the residents recover from the storm. A $5,000 donation was made to heavily damaged Mena Middle School to replace academic equipment and help purchase physical education equipment. Arkansas Blue Cross employees raised an additional $2,573 to help Mena’s residents recover. “Arkansas Blue Cross is always looking for ways to improve the lives of all Arkansans, and when our neighbors are in need, we are there to lend a helping hand,” said Martha Carlson, regional executive of the West Central Regional Office, which serves Polk County where Mena is located. Carlson presented the donation to Mena Middle School. Arkansas Blue Cross continually provides donations to organizations and communities in need throughout Arkansas through corporate sponsorship, the Blue & You Foundation for a Healthier Arkansas and employee fundraisers.
1-866-390-3369
Pharmacy questions Health Advantage members
(Left to right) Ken Bell, managed care service representative for the West Central Region in Fort Smith; Cindy Long, vice president of Retail Banking and Human Development for the Union Bank of Mena; Dr. Diann Gathright, Mena School Superintendent; Martha Carlson, regional executive for the West Central Region; and P.T. Plunkett, chairman of the Bearcat Foundation, Inc.
Toll-free Number
1-800-863-5567
378-3600 1-888-872-2531
Pharmacy questions
1-888-293-3748
State and Public School members 378-2364 1-800-482-8416 Federal Employee members
378-2531 1-800-482-6655
Looking for health or dental insurance? We can help! For individuals, families and those age 65 or older
378-2937 1-800-392-2583
For employer groups 378-3070 1-800-421-1112 (Arkansas Blue Cross Group Services, which includes Health Advantage and BlueAdvantage Administrators of Arkansas) Prefer to speak with someone close to home? Regional Office telephone numbers: Pine Bluff/Southeast Region 1800 West 73rd St. Jonesboro/Northeast Region 707 East Matthews Ave. Hot Springs/South Central Region 100 Greenwood Ave., Suite C Texarkana/Southwest Region 1710 Arkansas Boulevard Fayetteville/Northwest Region 516 East Milsap Rd., Suite 103 Fort Smith/West Central Region 3501 Old Greenwood Rd., Suite 5 Little Rock/Central Region 320 West Capitol Ave., Suite 900
Web sites:
1-800-236-0369 1-800-299-4124 1-800-588-5733 1-800-470-9621 1-800-817-7726 1-866-254-9117 1-800-421-1112
arkansasbluecross.com healthadvantage-hmo.com blueadvantagearkansas.com blueandyoufoundationarkansas.org blueannewe-ark.com
Blue & You Summer 2009
31
At Arkansas Blue Cross and Blue Shield, we are always looking for new ways to be "Good for You." Here are some of our latest accomplishments.
32 Wellness Discounts are good for you As a member, you are entitled to numerous discounts!
Someone you know need insurance?
Our discount wellness program connects you with
Chances are, if you are receiving this
numerous resources such as health and fitness clubs,
magazine, you already have insurance
weight management plans, sporting goods and fitness
with Arkansas Blue Cross and Blue
and safety equipment vendors and more. For more
Shield or one of our affiliated com-
information, visit us online at arkansasbluecross.com,
panies. However, you may have
healthadvantage-hmo.com or blueadvantagearkansas.
a child who has “aged off” your
com depending on your policy.
plan, a brother who no longer has insurance through his employer, or an uncle who just turned 65
Take our survey Tell us what you think. Go to arkansasbluecross.com and fill out the survey on the home page for a chance to win a gift card. We value your input.
Blue & You Summer 2009
and now is eligible for a Medicare plan. Whatever the need, we can help. Share our telephone number — 1-800-392-2583 — with someone today who needs health insurance, and we’ll help them find a plan to fit their needs and budget.