![]() This can increase the likelihood of your dog ingesting more hair than necessary.īecause there are many potential causes of hairballs in dogs, it is important to identify which is causing the condition in your pet. It is for this reason that breeders often shave the belly of the mother dog.īehavioral issues like boredom and anxiety can make dogs chew or nibble at their fur. This is true if the mother dog has excessive hair around its nipples. If puppies develop hairballs, it is often a consequence of their nursing activities. These can be the hair of the prey they feast on. It is possible that the hair that forms into ball inside their gut is not their own hair. There are dogs that live their predatory instincts to the fullest by eating small prey animals like rodents. If the dog is not getting the right amounts of these nutrients, then you can expect it to have more pronounced hair loss. Two of the most important nutrients necessary for hair health are proteins and omega-3 fatty acids. ![]() This can lead to the faster formation of hairballs during self-grooming. If the dog is not getting enough nutrients to strengthen its fur, there’s a chance that it will experience more severe hair loss. Read here our guides on Essential Oils for Fleas on Dogs, Flea Treatment for Dogs and Flea Powder. Allergic reactions and food allergies can also lead to irritated and itchy skin. Bacterial and fungal infections can also bring about skin irritation. Skin irritation can be a sign of flea or tick infestation. It is unfortunate that by doing so, the dog can also ingest some of the loose hair. The dog will try to lick or bite on the irritated skin in an attempt to soothe the irritation. However, it is still possible that hairballs can develop if there are too many strands of hair present in the gut.ĭry and irritated skin almost always leads to hair loss in the affected area. If it is functioning normally, then the strands of fur can pass through the gut with relative ease. The incidence of hairball formation is dependent on the functional status of their digestive tract. This is often seen in dogs with long coats and breeds that are heavy shedders. When they do, they lick dirt, debris, and loose fur from their coat. Here is a list of the possible causes of hairballs in dogs.ĭogs also groom themselves, although not as frequent as cats. Now that we have a clear idea of what hairballs in dogs are, let us look at why dogs have this condition. If this continues, there’s a possibility that your dog will have malnutrition. It may lose its appetite and not feed for a few days. We all know what happens if the dog has either diarrhea or constipation. The blockage in the dog’s gut prevents the successful movement of stool. If there is complete obstruction, this can lead to constipation. The stool turns out watery because only the liquid portion of the stool makes it through the rectum. This occurs because only some of the fecal matter moves through the partially-obstructed gut. If there is a partial obstruction in the dog’s gut, this can lead to diarrhea. If the dog cannot vomit the hairball, the hairball can grow in size. This makes it very susceptible to irritation coming from the acidic contents of the stomach. The inner lining of the esophagus is not as thick as the ones in the stomach and intestines. It can be painful most of the time since this also entails vomiting some of the gastric contents. The dog will try to vomit the hairball out through its esophagus and mouth. That is why it can produce an awful retching sound that many pet parents consider as the dog hairball sound. It is natural for the dog to try to eliminate this mass of hair that is blocking its intestines. This can lead to partial or complete blockage of the intestines and cause a variety of symptoms. Over time, they accumulate and harden to form a solid mass of fur. Hairballs occur because hair follicles that the dog ingests do not move through the gut for it to pass out in the stool. As such, it is more cylindrical in shape. It is not a ball per se, owing to the tubular anatomy of the gut. Hairballs in Dogsīefore we start talking about the best homemade hairball remedy for your pet, let us first get a clear idea of what a hairball is.Īs the term implies, a hairball is a clump of hair follicles that accumulate in the dog’s intestines. This is a requirement if we want to deal with such a condition in a more effective manner. In this article, we will explore some of the reasons why dogs get hairballs. While self-grooming is one of the most common causes of hairballs, they can be the result of other activities that dogs engage in. They can get it in pretty much the same way as cats. Dogs, too, can have these balls of fur in their digestive tract. Many pet parents think that only cats can get hairballs.
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It lightens hyperpigmentation and age spots, reduces fine lines and wrinkles, minimizes most stretch marks, and reduces the effects of sun damage and acne scarring, leaving skin smoother and more youthful with no downtime. This safe, highly effective skin resurfacing treatment uses a fine stream of micro-crystals to quickly and painlessly exfoliate and polish the skin. ![]() Hot or cold skin therapies may be applied. Using a range of carefully selected products specific to your skin type, this facial includes a deep cleanse and extractions, facial massage, and the application of a treatment mask and. Hot or cold skin therapies may be applied.Ī customized skincare treatment that focuses on deep cleansing and exfoliation of the skin. Using a range of carefully selected products specific to your skin type, this facial includes extractions, facial massage, and the application of a treatment mask and. This treatment includes prolonged extractions and LED light therapy and is best enhanced with an advanced booster.Ī customized skincare treatment focusing on restoring skin health and anti-aging techniques. Sara is moving to Miami in a couple of weeks so sadly you will not be able to take her class here BUT if visiting Miami you can check her out at the Equinox gyms there and check her out on Facebook to stay tuned for upcoming yoga retreats to attend! And get to see her do more crazy cool yogi master poses like this one □ facebook.HydraFacial Express treatment that uses hydradermabrasion to deeply cleanse, exfoliate, and hydrate skin while infusing super-serums rich in antioxidants, peptides and hyaluronic acid.Ī non-invasive, multistep hydra dermabrasion treatment to deeply cleanse, exfoliate, and hydrate skin while infusing super-serums rich in antioxidants, peptides and hyaluronic acid. A wonderful harmony of relaxation mixed with some definite challenging physical work made for a beautiful vinyasa flow in this amazing outdoor urban sanctuary. The class was a mixture of beginners to more advanced yogis and Sara provided modifications/options for various levels. ![]() This class is a vigorous, more athletic approach to yoga techniques characterized by flowing poses and sequences that are linked to the breath. ![]() The Starving Yogi’s appetite was getting revved up for our dinner at Red Lantern! A Saturday evening in Boston and we began to smell aromas of burgers and/or Chinese food (we debated back and forth) being cooked at a nearby restaurant, wafting through the air. She instructed us through some poses we had never done before and that was refreshing and fun to try some new “asanas”. Words that resonated with us throughout the class while breathing and moving on our mats together. Sara kicked off the class in a very calming way, we set intentions and she expressed to us her manta of “Live Free”. We definitely still sweated a bit but not to the point where we needed to change our clothing post-workout before heading to dinner. It was probably in the low 70’s if we were to guestimate. Since this class was outdoors (and fully in the shade due to the time of day and positioning of the building), it was not very hot temperature-wise. There is also a juice/smoothie bar, “Squeeze” right outside of the gym for you to “juice up” on the way out.Ĭlass: (This write up is about the 4:30pm Outdoor Vinyasa Flow class with Sara) ![]() This particular class was held on Equinox’s outdoor patio (uh hello, what city gym has an amazing outdoor space to use for classes weather-permitting?!)Īs for other amenities, mats are available. It’s super spacious inside, the locker room (with amenities like a sauna and steam room) is more like a luxury spa than a gym, and the yoga studio feels very Zen-like, plenty of room for you to sprawl out in delightful savasanas, with dimmed lighting and plenty of props. You need to be a member to take classes (or if you have friends who are members they can get you in with a guest pass to try a class). Equinox is a temple of well-being, featuring world-class personal trainers, group fitness classes, and spas. Studio: This class is held at Equinox on Dartmouth St. Studios that inspire you to perform and luxury amenities that keep you feeling your best. 54 MURRAY STREET NEW YORK NY 10007 EQUINOX.COM EQUINOX MON - THU: 5:30AM - 10:00PM FRI: 5:30AM - 8:00PM SAT - SUN: 8:00AM - 6:00PM GROUP FITNESS MANAGER SIGNATURE CLASSES. log in sign up gyms near me » gyms in United States » gyms in Massachusetts » gyms in Boston. This write up is about the Saturday 4:30-5:45pm Outdoor Vinyasa Flow Yoga class with Sara Grossi Do you want to known what amenities and classes are available on this gym Just click Gym Equinox Dartmouth in Boston, Massachusetts ranking: 3.4/5, count: 29. What if I could give students enough scaffolding, through an outline organizer and accompanying peer response, that their rough drafts included everything I wanted? In my lesson plan file I wrote, in huge red font so I wouldn’t ignore it: “Do whatever it takes for this not to happen in the future!” ![]() Grading them while sitting next to a hotel pool on spring break made me want to toss them into the water. These papers were not long – about two pages, double spaced – but they felt like it. Vague words such as bad, good, great, and sad carried the day. Quotations were not always embedded well, and facts were not sufficiently paraphrased. A lofty topic sentence bore little relation to the evidence within the paragraph. Yet the writing in many instances simply didn’t gel. ![]() The papers were well sourced, and many of them had strong thesis statements because we had worked on them in class together. history research papers and realized that if I wanted to be teaching writing in history class – which I very much did – this was not the way to do it. The final tipping point in convincing me to read rough drafts came more recently than I’d like to admit, when I yet again dug into a set of final eighth-grade U.S. So, what I’ve ended up doing in recent years with research papers is to grade rough drafts deeply, grade final drafts hardly at all – and, crucially, structure the writing so that rough drafts become something I actually want to read. This is not a zero-sum game: It’s actually negative when you look at the wear and tear on us as teachers. Little learning on the part of the student. ![]() Lots of effort on the part of the teacher. Because, unless we ask students to do corrections or respond to our comments, the comments we make will – as we well know – disappear into the ether, never to be recovered. In fact, giving comments only on final drafts can actually be worse than giving them on rough drafts. I might have continued this dance of avoidance indefinitely, until I realized (a little late to the game): If students don’t receive and process meaningful comments on rough drafts, whether from me or their peer responders or both, their final papers will read like rough drafts. I envisioned slogging through paper after paper, then having to trudge through them all again, like trampling on dirty snow.Įarlier in my career, I actually did do that slog, for nobility’s sake, and later thought: No way. I thought I didn’t have time – and that if I commented on the rough drafts I would be doubling my paper load. For many years, with major writing assignments, I avoided reading my students’ rough drafts. ![]() Planting time: 2-4 weeks after the last frost.Image Credit: WxMom via Flickr (Image Use Allowed With Attribution) Big Max The “Big Max” fruits maintain their quality for 70 days after removal. The unique coloring on the pumpkin, usually a combination of black and orange color, resembles a batwing - hence, how it got its name ‘Bat Wing.’ Although some will be completely orange and completely black, there is usually a unique mixture of both colors. This variety usually grows and develops within 80 days and reaches between half a pound and 1 pound at its maximum growth! Since this pumpkin is so tiny, it can work well for decorations inside your house in small spaces. If you love something unique and different than your typical orange pumpkin, then the Batwing has your name all over it. Batwing Batwing pumpkins resembles a bat’s wing, hence the name! Key Characteristics The long handle makes it easy to carry and transport between locations in your house or your garden. With a bright orange color and deep skin, this pumpkin usually grows upwards of 4 pounds on average. ![]() This is considered the best quality for pumpkin pies for cooking and baking on your own. This variety is an all-purpose gourd and vegetable that typically ripen within 100-105 days. Baby Pam Baby Pam has a bright, dark orange color. Baby Boo is white and is typically used in Halloween decorations to add a spooky feel to your house. This interestingly-colored pumpkin is unique compared to the other orange pumpkins on this list. Baby Boo Baby Boo is a pumpkin with decorative fruits that remain decorative until next year. This All-America Selections winner is a deep orange color, features 1.5-2.5 pound fruits, and averages around eight pumpkins per vine.įor gardeners who want to eat pumpkin pies, we recommend the Baby Bear! Not only can you use it for decor on or outside of your house, but this variety is excellent for roasting and cooking. Plant Spacing: Short-row spacing 4-5 feetīaby Bear is a uniquely-shaped pumpkin that has a smaller base and a longer stem, making it easy for caring and transporting between locations.Transplanting: 2-3 seeds every 2” apart.Culture: Fertile with pH of soil between 5.8-6.8.Baby Bear The mini-cultivar ‘Baby Bear’ produces exceptionally tasty fruits 12-15 cm in diameter. When looking at types of pumpkins, the Autumn Gold is a real winner for those who want a pop of color in their garden. Typically, this pumpkin grows to between 7-10 pounds and contains between 3-5 pumpkins per vine. The pumpkin is great for gardeners who want to make pies with their fresh fruit and vegetables. Key CharacteristicsĪutumn Gold is known for its bright orange color, specialty use for Halloween purposes, and slight rubbing/lines down the sides of the pumpkin. Autumn Gold Autumn Gold is a golden-orange pumpkin that turns golden weeks before other pumpkins. This variety requires 15-20 inches of water during the primary growing season and requires 5-10 days to emerge. The Atlantic Giant is one of the biggest pumpkins you can purchase, with the world record reaching upwards of 1,469 pounds! This variety is high in fiber, contains various metals, and has bright orange-colored flesh.īefore you can purchase the Atlantic Giant, you need to know how to take care of this plant. Atlantic Giant Atlantic Giant – the largest pumpkin variety in the world. Since they are versatile, they are fun to row, great for carving, and suitable for teaching your kids about pumpkin carving.īefore purchasing this Appalachian pumpkin, make sure you have enough room to grow and spread out since they can pollinate with other species. The Appalachian pumpkin typically grows to full size within 95 days and comes in various sizes, shapes, and colors. This specific type of pumpkin usually grows between 20-25 pounds and contains deep orange skin. This variety is best used for carving during the fall season and Halloween time! If you enjoy making Jack O’Lanterns with your friends during the month of October, then you will love purchasing this Appalachian pumpkin. Characteristics: Decorative fruit, seed start.Appalachian This variety is native to Central America. As an example, December data will typically be posted sometime during the first week of January.Īny questions about this product should be directed to the CNRFC. Unfortunately for the Valley economy, which is highly dependent on water, January through March was nearly bone dry as California’s drought continued for a. Note, monthly data is collected during the first week of the following month and will be posted to this webpage when received from the National Weather Service cooperative observers. Fresno has received 4.66 inches of rain since Oct. Daily Precipitation in 2022 in Fresno Link. The data for this report comes from the Fresno Air Terminal Airport. In addition the percent of normal will not be calculated. 2022 Weather History in Fresno California, United States. If a station has any missing data, it's WY to Date total will also be missing. In this aerial photo, a debris flow from the Sheep Creek Wash. NA means that 30 year averages do not exist for this station. Areas just north of Los Angeles were also hit hard, seeing 2 to 6 inches of rain, producing localized flash flooding, Cordeira said. ![]() Precipitation data is provided for each month of the most recent water year, total precipitation for the water year, the percent of normal for the water year to date, and the percent of the entire water year we have received to date. There is also a count of the number of days with wet weather, when precipitation amounts to 0.01 inches (0.25 millimetres) or more. Each place has a total for the amount of precipitation it usually receives in a year. The tables below give yearly averages for rainfall at cities in California. The water year starts on October 1 of the previous reference year and ends on September 30 of the reference year. Average Annual Precipitation for Cities in California. The 30 year averages are shown just below the current year's rainfall, tan background. NOTE: not all weather observatories update at the same frequency which is the reason why some locations may show data from stations that are further away than. The current year's data has a green background. The following is data from National Weather Service cooperative observers as of the end of last month. This table compares rainfall amounts from previous years with the current year. Forecasters with the NWS office in Hanford said they expected the storm to taper off Monday evening before another rainmaker – not as strong as Monday’s drencher – flows through the region on Tuesday.Monthly Precipitation Summary Water Year 2023 More rain coming TuesdayĤ:30 p.m.: Monday’s storm dropped more than 1.3 inches of rain at Fresno Yosemite International Airport since midnight Monday morning, according to data from the National Weather Service. ![]() and noon, a six-hour period in which more than four inches of precipitation drenched the town. The heaviest pummeling took place between 6 a.m. Fresno San Luis Obispo No Raitt Angeles San Diego No Rain Sarda P Flagstaff El. Monday evening, the National Weather Service reported that about 6.6 inches of rain fell in Shaver Lake since midnight. 98 White Hiver North Yakima Misschila 4 Sheridan 20. at Fresno Yosemite International Airport, that figure was dwarfed by what was happening throughout the day in the unincorporated mountain community of Shaver Lake, a mere 40 miles or so from central Fresno.īy 5 p.m. 5:30 p.m.: While rainfall totals from Monday’s storm continued to climb in Fresno, approaching 1.5 inches between midnight and 5:15 p.m. In late 2021, posts complaining about hog-rider-based decks became more common on the /r/ClashRoyale subreddit, many claiming hog rider decks need to be nerfed and that they're overused by players. ![]() On May 13th, YouTuber Los bartkos 2 posted an edit of the hog rider trailer where the rider yells the n-word followed by an intense bass boost to the backing track, gaining over a million views in seven months. On May 4th, Instagram user clsamet shared fan art of the troop he'd been drawing, gaining over 9,000 likes in seven months (shown below, right). On April 5th, Instagram user illegalminecraft posted a meme comparing hog rider to the pig jockey mob in Minecraft, gaining over 30,000 likes in eight months (shown below, left). The video was reposted by Instagram user realerstiffy the same day, gaining over 199,000 views and 21,000 likes. On January 22nd, 2021, Instagram user lilmotherfigure posted a video of the GIF with additional music, gaining over 70,000 views and 17,000 likes in 11 months (shown below). On October 3rd, 2020, Tenor user DestroyingRobot posted a 2016 GIF from GFYcat showing a man getting on a pig and riding away with the additional bottom text "HOG RIDER" (shown below). The video gained over 92 million views in five years. On November 19th, 2016, the Clash of Clans YouTube page posted a 360-degree AR video to YouTube that allows the viewer to rotate the camera from the POV of a hog rider running through a field (shown below). It gained over 122 million views in six years (shown below). The trailer ends on a freeze-frame of the riders right before they charge. They answer the call to action and ride to battle. Numerous identical hog riders hear the call as it echoes across the land. ![]() A hog rider jumps onto the battlefield and yells "hog riders!" in a high-pitched tone. In the ad, a clan is being overpowered while storming a keep. On May 11th, 2015, the official Clash of Clans YouTube channel posted an animated television advertisement for the mobile game focusing on the hog rider troop. Now, it is important to know that some times we find factory spares that are of worse quality even than used spare parts, all depends on the maker. When to purchase new spares near Riverbank, CA?Īs previously mentioned, it is possible that the acquisition of an OEM spare part is more low-priced than the purchase of an identical second hand spare. On the other hand, there are others that influence to a lesser extent the safety of the car, in that situation it is possible to resort to a salvage yard, even so it is always more intelligent to ask to be sure of what is its function. ![]() If it is one of these spare parts, it's best to purchase it straight from a certified center. There are spares of your beloved truck that are especially fundamental in establishing the security of others. The important thing is not to finish installing in the truck a piece that will stop working after travelling a few miles! Test the safety of the used piece you have bought near Riverbank, CA Additionally, it is fundamental that you ask the recycler if this spare sells it as used, refurbished or remanufactured. ![]() With this you will have the info you need to be sure if it is a reliable dealer that you can acquire parts without troubles and with the expected guarantees.Hear the story of the second hand truck partīefore getting an used spare part in Riverbank, CA that can fit your truck, it's a good idea to review in detail the history of that spare part you are aimed to acquire, both the miles traveled and its age. If you are aimed to purchasing used spares for your beloved truck in a trustworthy junk yard, we recommend that you take your time to inquire the basic questions: how they select the pieces and how they arrange them for sale. Many junk yards focused on trucks near USA are professional enough to check the second-hand spare parts they market, but not all of them deliver so much attention to detail. Using this simple task you can avoid yourself the trouble of spending your money on an incompatible spare. It is basic to review the SN of the spare part at least a couple of times before making the investment and see that it it corresponds to the truck's VIN. ![]() Something crucial to purchase the best used piece for your truck near USA and don't be disapointed after a while is to be absolutely assured of having purchased the right piece for your truck model. Do not forget that there exist prohibitive laws in diverse states on the distribution of certain second hand components, such as catalytic converters, so you must inform yourself before buying. There are more eventualities in which it is more intelligent to get an OEM spare part rather of second hand, for example when it comes to air or oil filters, or other pieces such as: brake pads, engine belts, light bulbs, airbags. It's necessary to know this detail before investing our dollars, so it's usually advisable to investigate. Now, it is essential to be aware that some times we find factory components that are of lower quality even than second hand spare parts, everything depends on the manufacturer. When to buy brand new pieces near USA?Īs mentioned before, it is possible that the buyout of a new part is cheaper than the purchase of an identical second-hand spare. However, there are some that involve to a lesser extent the security of the auto, in that situation it's possible to resort to a salvage yard, even so it is always advisable to double check to be sure of what is its function. In the case of one of these components, it is a better idea to obtain it straight from an authorized center. ![]() There are spares of your truck that are absolutely important in affecting the safety of others. The fundamental issue is not to finish installing in the truck a spare that could break after driving a few miles! Check the security of the junk spare you've bought near USA Additionally, it's basic that you inquire the recycler if this piece is sold as second hand, repaired or rebuilt. Before buying a second hand part in USA that can fit your truck, it is advisable to review in detail the history of that spare part you are aimed to obtain, both the miles traveled and its age. ![]() By changing the vanishing points of the object, one can make increase or decrease the size of the object. An object’s vertical lines do not relate to the perspective rules of the horizontal lines. In two-point perspective, there exist two points from which an object’s lines radiate from the sides of the object vanish to one of two vanishing points on the horizon line. In one point perspective, there is one point that all lines radiate from. All of the perspectives include a horizon line and a stationary point (the position of the observer). They include one point perspective, two-point perspective, and three-point perspective. There are three types of linear perspective. It is called “linear” perspective because objects and figures and space are re-created in a realistic manner through the use of intersecting lines drawn horizontally and vertically. Please leave a comment below to let me know what you think.Linear Perspective relates to the mathematical system of creating objects that are created three-dimensionally on a two-dimensional surface. ![]() If you like this lesson, please hit the “LIKE” button on this page and also share it with all your friends using the social sharing buttons on this page. So that’s it for today’s perspective lesson. Now if you are already subscribed to my free drawing newsletter, all you have to do is watch your inbox for an email from me tomorrow.īut if you have not signed up yet, you can do that for free by entering your email into the form below… In tomorrow’s video, we are going to dive into the different types of perspective and I’ll explain just how one point perspective works. So that’s basically all the elements of a perspective drawing. We will talk more about vanishing points in future lessons. Vanishing points are a huge component of perspective drawing because they help artist to determine how to draw all the straight lines in the drawing. Therefore, in a perspective drawing, as things recede away from the observer, they get smaller and smaller until they appear to disappear (or vanish) into a vanishing point. Vanishing points are created because of the fact that as things move further away from our eyes, they appear smaller. It takes in all the 3D images in the scene and transform it into a 2D drawing. The picture plane can be though of as your drawing paper itself. Therefore, it is much better to remember that the horizon line is always the same as the eye level of the observer. ![]() This is a true and useful definition for outdoor landscape drawings where that line is clearly visible.īut it is not a useful definition for scenes indoor where the sky and the ground are covered up. Some artist like the define the horizon line as the line where the sky meets the ground. The eye level is also one and the same as the horizon line in a perspective drawing. If the observer’s eyes are 6 feet off the ground, then the eye level will be at 6 feet. The eye level is quite simply the height of the observer’s eyes from the ground. The cone of vision is important because it determines what is going to be in our perspective drawing. The cone of vision is defined as the scope of what the observer can see clearly when looking into a scene. ![]() The observer is like the main character and we are essentially see the scene through his/her eyes. For a more detail explanation, please refer to the video above.) The ObserverĮvery perspective drawing or picture is seen from the point of view of the observer. (Note: Below are a brief summary of the definitions of all the perspective elements. So here are all the elements of a perspective drawing that you need to know about: So in today’s lesson, we are going to break down all the basic component of a perspective drawing so you can have a really comprehensive view of the whole picture and really know how everything fits together. Perspective Lesson 1 – Introduction To Perspective Drawing Just in case you missed the previous lesson, be sure to click the link below to watch it now: Hi and welcome back to the second video in this lesson series on how to draw perspective. ![]() Large employers are driving most accumulator uptake. While commercial payers initially used copay accumulator programs given the ease of operationalizing them, over the past three years, commercial payers have moved to offering both accumulators and maximizers. While copay maximizers are a bit more patient-friendly since the total value of a manufacturer's financial assistance is applied evenly over the benefit year, the assistance still does not count against the patient's cost-sharing obligations.Īs of 2020, 60 percent of payers are targeting copay assistance with accumulators and/or maximizers. This trend underscores the need for copay assistance to help alleviate the financial burden of high OOP costs.Īs the utilization of copay assistance has skyrocketed over the last decade, a growing number of commercial health plans are deploying copay accumulators or copay maximizers, which exclude the use of copay assistance from the patient's OOP cost accrual or calculation. To manage this cost, both commercial and health insurance exchange plans have adapted their benefit designs to require greater cost-sharing for specialty pharmaceuticals. Insights from an Xcenda Managed Care Network survey conducted over the last three years reveal that commercial health plans identify specialty drugs as a key cost driver. How could the impact of these tactics impact patient adherence? What operational solutions should manufacturers consider for mitigating the potential negative effects on patients? Payers' cost control efforts In recent years, however, many payers have adopted copay accumulator programs that block a manufacturer's copay support from applying to the patient's deductible or out-of-pocket accrual. Traditionally, this financial assistance counted toward a patient's OOP cost accrual for the purposes of exhausting the deductible and hitting the plan OOP maximum, with the insurance plan covering subsequent prescription costs once the patient reaches the annual limit. As a result, patients are increasingly relying on manufacturer-sponsored copay assistance to help cover the cost of their medications, particularly for specialty drugs. when sharing experiences with a certain (product/medicine/diet/etc), you must state HOW LONG you have been using said (product/medicine/diet/etc).Over the last decade, commercial health insurance plans have placed more of the cost-sharing burden on patients via higher out-of-pocket (OOP) obligations. The more context you give other users, the less misinformation is spread. ![]() Please provide as much detail when sharing your experiences with different treatments/diets/etc. Your doctor knows your situation best, and is a trained professional. However, be cautious before taking medical advice from anyone online. Surveys may be posted with mod approval on Mondays Subreddit guidelines:ĭon't be afraid to ask questions. Comments telling people to stop taking their medications will be removed and may result in a ban. Our personal doctors are the only people qualified to instruct us on what medications to take or stop taking. Don't instruct others to stop taking their prescription medication. Posting multiple text posts with the same content is not allowed. Posting the same link more than once is not allowed. Toxic, harmful, and oppressing comments will be removed. ![]() Any offences after this will result in a permanent ban. Multiple rule offences (moderator digression) will result in a 30 day ban. It eventually can cause the affected vertebrae to join together, effectively fusing the spine, which severely limits mobility. This is a place where patients, family, and friends of AS can find discussion, help, and support.Īnkylosing Spondylitis is a degenerative autoimmune disease, that is a form of inflammatory arthritis that mainly affects the lower back and hip joints. ![]() ![]() Theatrical representation is for illustrative purposes only. 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