CVS Health Fights Back on High Cost Drugs by Launching Industry’s Most Comprehensive Approach to Saving Patients Money

LinkedIn

New CVS Health initiative seeks to solve one of the nation’s most pressing problems and a major source of consumer financial worry.

Recognizing the threat of rising drug prices and high out-of-pocket costs, CVS Health providing most advanced solutions for prescribers, pharmacists and patients.

CVS Pharmacists are key resource for patients in identifying opportunities to maximize their prescription benefits and save money at the pharmacy counter in communities nationwide.

CVS Caremark mitigating impact of high drug costs by providing members and prescribers with robust information and innovative tools to choose lower-cost prescription drugs.

The high cost of prescription drugs is one of the nation’s most pressing problems and a major source of financial worry for consumers across the nation. While CVS Health (NYSE: CVS) has made significant progress in mitigating the impact of high list prices set by pharmaceutical manufacturers, for too many Americans annual out-of-pocket drug costs are still significant. In response, CVS Health announced today that it is fighting back by launching the most comprehensive program in the industry to help patients save money on their medications.

According to a recent national poll, commissioned by CVS Health, 83 percent of Americans said they were concerned personally about the impact of rising prescription drug prices.[1] As prescription drug prices continue to rise and enrollment in high deductible health plans grows, many patients are shouldering higher costs for their prescription medicine.

CVS Health will address this problem with a robust set of initiatives, including the new CVS Pharmacy Rx Savings Finder, which will enable the company’s retail pharmacists for the first time to evaluate quickly and seamlessly individual prescription savings opportunities right at the pharmacy counter. This new tool further enhances existing savings opportunities the company’s pharmacy benefit manager (PBM) CVS Caremark is currently offering its clients such as the preventive drug lists that make medications for many common, chronic conditions available at a $0 copay. In addition, CVS Caremark provides real-time, member-specific drug costs and lower-cost alternatives to prescribers through their electronic health record system and to CVS Caremark members through the member portal and newly updated app. These programs are part of CVS Health’s commitment to helping consumers find the lowest cost prescription drugs by offering more pricing transparency for prescribers, pharmacists and patients.

“Today’s consumers are faced with higher prescription drug prices than ever before and many of them are now paying for a larger share of their prescription drug costs out of their own pockets at the pharmacy counter due to growth in high deductible health plans,” said Thomas Moriarty, Chief Policy and External Affairs Officer, CVS Health. “Until now, patients haven’t had the appropriate tools available to them to help them manage these costs. To address this, CVS Health is giving expanded tools to patients, prescribers and pharmacists so they can evaluate prescription drug coverage in real-time and identify lower-cost alternatives. We are committed to finding the right drug at the lowest possible cost for patients to ensure they are able to access and stay on the medications they need. That’s our promise.”

At the Pharmacy Counter

The new CVS Pharmacy Rx Savings Finder enables the retail pharmacist to quickly and seamlessly review a patient’s prescription regimen, medication history and insurance plan information to determine the best way for them to save money on out-of-pocket costs – with the primary goal of helping the patient find the lowest cost alternative under their pharmacy benefits plan.

“Our direct experience is that patients who are confronted with high out-of-pocket costs at the pharmacy counter are less likely to pick up their prescriptions and are less likely to be adherent to their prescribed therapy,” said Kevin Hourican, Executive Vice President, Retail Pharmacy, CVS Pharmacy.

“Armed with the information available through our Rx Savings Finder, our more than 30,000 CVS pharmacists can play an important role by helping patients save money on their medications, providing advice on how and when to take them, and ultimately helping them achieve better health outcomes,” Hourican added. “We are beginning this process with our CVS Caremark PBM members and expect to roll it out more broadly throughout the year.”

The Rx Savings Finder will show pharmacy teams:

  1. First, if the prescribed medication is on the patient’s formulary and is the lowest cost option available.
  2. Second, if there are lower-cost options covered under the patient’s pharmacy benefit – such as a generic medication or therapeutic alternative with equivalent efficacy of treatment.
  3. Third, if the patient may be able to save money by filling a 90-day prescription rather than a 30-day prescription.
  4. Finally, if neither a generic nor a lower-cost alternative is available, other potential savings options for eligible or uninsured patients where allowed by applicable laws and regulation.[2]

Pharmacists can also help patients enroll in the ExtraCare Loyalty Program and sign them up for Pharmacy and Health Rewards. Through Pharmacy and Health Rewards, patients receive $5 in ExtraBucks for every 10 prescriptions filled, earning up to $50 in ExtraBucks annually.

At the Doctor’s Office

Another component of the company’s comprehensive savings approach is the recently launched real-time benefits program, which helps bring greater drug price transparency to prescribers and CVS Caremark members. At the point-of-prescribing, providers are able to see the member-specific cost for a selected drug, based on a member’s coverage, along with up to five lowest-cost, clinically appropriate therapeutic alternatives based on the patient’s formulary. PBM members have access to the same information on the CVS Caremark app and member portal. Early results show that prescribers accessing the real-time benefits information through their electronic health record switched their patient’s drug from a non-covered drug to a drug on formulary 85 percent of the time. In addition, when the patient’s drug is covered, prescribers using real-time benefits switch their patient to a lower-cost alternative 30 percent of the time. When the prescriber switched to a lower-cost drug, the difference was approximately $75 per prescription.
“We have been working hard to keep prescription medications affordable for patients,” said Troyen A. Brennan, M.D., Executive Vice President and Chief Medical Officer, CVS Health. “In fact, in 2017, nearly 90 percent of our PBM plan members spent less than $300 out-of-pocket for their prescription medicines. While this signals progress, for those patients that cost is not insignificant. That is why we are committed to doing even more across our enterprise to help patients find and access the lowest cost drug at the pharmacy which ultimately will help improve clinical outcomes and remove higher downstream medical costs from the system.”

Using Pharmacy Benefit Management Solutions

CVS Health is also making a variety of PBM solutions available to help further drive down drug trend for its PBM clients and drug costs for the patients they support. The company’s Point of Sale (POS) rebate offering allows the value of negotiated rebates on branded drugs to be passed on directly to patients when they fill their prescriptions – and the savings from this program can be significant. In 2013, CVS Health led the industry with the introduction of POS rebates to clients, and today nearly 10 million members are covered by and able to benefit from the program.

In 2017, despite manufacturer brand list price increases on drugs near 10 percent, CVS Health PBM strategies reduced drug trend for CVS Caremark commercial clients to the lowest level in five years, keeping drug price growth at a minimal 0.2 percent. In fact, 42 percent of CVS Caremark commercial clients spent less on their pharmacy benefit plan in 2017 than they had in 2016. CVS Caremark helped members reduce monthly out-of-pocket costs and improve adherence to its highest level in seven years in key categories such as diabetes, hypertension and hyperlipidemia.

Prescription drug trend is the measure of growth in prescription spending per member per month. Trend calculations take into account the effects of drug price, drug utilization and the mix of branded versus generic drugs as well as the positive effect of negotiated rebates on overall trend. The 2017 trend performance is based on a cohort of CVS Health PBM commercial clients, employers and health plans.

About CVS Health

CVS Health is a pharmacy innovation company helping people on their path to better health. Through its more than 9,800 retail locations, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with more than 94 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a leading stand-alone Medicare Part D prescription drug plan, the company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.

###

[1] The Morning Consult poll was conducted from February 22-26, 2018, among a national sample of 1992 registered voters. The interviews were conducted online and the data were weighted to approximate a target sample of registered voters based on age, race/ethnicity, gender, educational attainment, and region. Results from the full survey have a margin of error of plus or minus 2 percentage points.

[2] Prescriptions submitted for reimbursement to Medicare, Medicaid or other federal or state programs are not eligible.

Yes I Can—Program and Book Discovered by a Veteran, for Veterans

LinkedIn
Ray Simmons' Yes I Can Book

Yes I Can’s Guide to Better Living for Veterans

My name is Ray Simmons, and I am the President and Founder of Yes I Can, a non- profit organization. I wrote the book “A Guide to Better Living for Veterans” hoping it will transform the lives of Veterans in a positive way.

It was Joe Gallant, a Vietnam Veteran that inspired me to write this guide. He shared some stories with me about how many Veterans return home after fighting for our country, feeling unappreciated for all the sacrifices they’ve made for this country. Not to mention, our Veterans are committing suicide at such a high rate. This guide touches on several different subjects such as; Negative Attitude, Positive Attitude, Self Esteem, Motivation, Goals, Persistence, Patience, Procrastination, Art of Listening, and Communication. We included these subjects in our guide hoping it will change the psyche of our Veterans; generate values that are practical, meaningful and supportive of a healthy, vital lifestyle.

My goal is to make sure that every Veteran receives a Guide for Better Living as a gift from us, the Citizens of America whose freedom they fought to protect. I’m asking you to please help me put a guide in each Veterans hand. You can help a Veteran that you know by purchasing a Guide for him or her. If you don’t happen to know a Veteran you can still donate a guide to one. Did you know that there are 892,221 veterans in New York State? If each one of our Veterans were afforded the chance to receive a guide, it will be a life changing experience for a low cost of $13.90!

If you would like to learn more about Yes I Can you can visit our website https://yesicanforvets1.wixsite.com/yesicanforvets or if you would like to assist us in anyway to fulfill our goals in providing a guide to our Veterans, feel free to call our offices toll free number 1-888-612-3893 or 914-497-5509. You can also order a copy by paying via PayPal- YESICANVETS@gmail.com.  All donations are tax deductible!!!!!

Thank you for giving me the wonderful opportunity to share a few valuable lessons that I have learned in my lifetime. The main purpose of this book is to help our Veterans change their perspective from negative to positive. I also want to heighten there self –esteem. For example, if it is low, this guide will give them the motivation that is necessary to reach any goal in life!

-Ray Simmons, Author of Yes I Can: A Guide to Better Living For Veterans

About the Program:
Purpose of Program: The purpose of the program is to bring a successful mind set to our CAN DO format. We will generate values that are practical, meaningful and supportive of a healthy, vital lifestyle for our participants.

Duration of Program: The program is delivered through workshops twice a week for one hour a day over the course of eight weeks.

Purpose of Subjects: The workshop is made up of ten subjects that will change the psyche of our Veterans. Below is a brief synopsis of each subject’s purpose.

The first subject is Negative Attitude. The goal of this subject is for participants to identify where negativity comes from. Throughout the workshop, we point out how negativity is habit forming, just like drugs, alcohol, and food. In addition, we show how negativity can affect your health, even shorten your life. As a result, it will help our participants rid negative habit(s), if they possess one.

The second subject is Positive Attitude. This subject points out the benefits of having a positive attitude.  Throughout the workshop, we show the participants how having a positive attitude can keep them healthy, help them to live longer, as well as prevent diseases.

The third subject is Self Esteem.  Throughout the workshop the participants will gain an understanding that having a high positive self -esteem is extremely essential for a happy and fulfilling life and they are what they think they are. This subject will help them to think highly of themselves. As a result, the participants will have high positive selves esteem and love to appreciate themselves. Also, realize how special they are.

The fourth subject is Motivation. This subject will help the participants identify what motivates their thoughts and actions. They will understand that their thoughts and actions create their realities. As a result, they will be aware of what motivates them so their realities will be what they desire them to be.

The fifth subject is Goals. This subject teaches the participants how to set goals and fulfill their goals in life.  They will learn that life means to have purpose and goals. On the contrary, death means to do nothing and go nowhere. As a result, this subject will motivate the participants to soar to heights that they didn’t know they could reach.

The sixth subject is Persistence. This subject teaches the participants how to continue to pursue goals when faced with opposition. They will learn how to endure the storm of disappointments no matter how many times the door of rejection closes. As a result, they will know that a winner never quits, and a quitter never wins.

The seventh subject is Patience. This subject teaches the participants how to calmly tolerate delay. They will start to realize anything worth having is worth waiting for. As a result, they will become wise enough to know that there is a time for everything and you can get where you need to be if you just be patient.

The eighth subject is Procrastination. This subject teaches the participants the value of getting the job done today and not waiting for tomorrow. The goal is to help the participants realize that every minute that passes, is a minute that they’ve missed an opportunity. In addition, they are taught how to manage their time so that they will learn to appreciate time and its value.

The ninth subject is the Art of Listening. This subject teaches the participants how to be an empathetic listener. Throughout this workshop, they will learn the art of listening to understand, opposed to listening to reply. In addition, we point out how important it is for someone to know that you truly understand his or her problem. As a result, the participants will listen to understand.

The tenth subject is Communication. This subject teaches the participants that communication is the most important skill in life. They will learn how to read body language because sixty percent of a message is told by the body not the words.

Get the details about the program and order your copy of the book today at yesicanforvets.com

Breakthrough Therapy for PTSD

LinkedIn
Army man sitting

The U.S. Food and Drug Administration (FDA) have hailed methylenedioxymethamphetamine (MDMA) a breakthrough treatment for people with post-traumatic stress disorder (PTSD). MDMA, also known as ecstasy, is a synthetic drug that alters mood and perception.

After years of research, the medical uses of MDMA have officially been recognized by the U.S. government, with the FDA granting therapists the right to treat PTSD patients with the drug.

Forbes.com reports: MAPS, which has been championing and fundraising for MDMA research for roughly 30 years, explained in a press release that the FDA’s granting of a Breakthrough Therapy Designation indicates the agency “has agreed that this treatment may have a meaningful advantage and greater compliance over available medications for PTSD.” It also designates the agency’s intent to help develop and review the treatment faster than other candidate therapies.

According to MAPS, the nonprofit organization has reached an agreement with the FDA under the Special Protocol Assessment Process for the design of two Phase 3 trials for MDMA-assisted psychotherapy for patients with severe PTSD in the near future.

“Reaching agreement with [the] FDA on the design of our Phase 3PTSD Therapyprogram and having the ability to work closely with the agency has been a major priority for our team,” said Amy Emerson, executive director of the MAPS Public Benefit Corporation, in a release. “Our Phase 2 data was extremely promising with a large effect size, and we are ready to move forward quickly. With breakthrough designation, we can now move even more efficiently through the development process in collaboration with the FDA to complete Phase 3.”

The drug’s ability to help people with PTSD cope with the lingering effects of trauma is attributed in large part to its capacity to produce feelings of euphoria, empathy, and heightened emotional and physical sensations – in other words, perhaps, giving sorely stressed brains the kind of neurochemical getaway that begets a little peace of mind. Those effects also seem to motivate recreational users, but unlike the self-dosed Saturday night version, official MDMA-assisted psychotherapy involves three administrations of the drug combined with established psychotherapeutic techniques.

Rick Doblin, founder and executive director of MAPS, commented in a statement, “For the first time ever, psychedelic-assisted psychotherapy will be evaluated in Phase 3 trials for possible prescription use, with MDMA-assisted psychotherapy for PTSD leading the way. Now that we have agreement with FDA, we are ready to start negotiations with the European Medicines Agency.”

In Phase 2 trials completed by MAPS, 61 percent of the 107 participants no longer qualified for PTSD two months after they underwent three sessions of MDMA-assisted psychotherapy, according to the group. After a year, that number grew to 68 percent, and among participants who had all suffered from chronic, treatment-resistant PTSD, on average for 17.8 years.

The randomized, placebo-controlled Phase 3 trials will assess the efficacy and safety of MDMA-assisted psychotherapy in a group of 200 to 300 participants with PTSD aged 18+ at sites in the U.S., Canada, and Israel. As Science reported, the trials could begin as soon as next spring and wrap up by 2021 if MAPS is able to find the estimated $25 million needed to conduct them.

As Science reflected, “That an illegal dancefloor drug could become a promising pharmaceutical is another indication that the efforts of a dedicated group of researchers interested in the medicinal properties of mind-altering drugs is paying dividends.”

David Nutt, a neuropsychopharmacologist at Imperial College London, told Science, “This is not a big scientific step. It’s been obvious for 40 years that these drugs are medicines. But it’s a huge step in acceptance.”

Source: maps.org

PTSD at Work: How Managers Can Help

LinkedIn
Woman with PTSD

By Jordan Brewer, Talent Acquisition Manager and Veteran Liaison at Aveanna Healthcare

Every workplace has its own stressors—from deadlines to workload and everything in between. But when you combine the stress of the daily grind with the chronic anxiety of post-traumatic stress disorder (PTSD), a simple “day at the office” can seem like anything but.

Such is the struggle faced by the millions of veterans with PTSD. As they transition into civilian life—a world of résumés, interviews and deadlines—they’re still shouldering the anxiety of their worst, most grueling days in service. How can we help them?

For starters, we have to meet them where they are: As a recruiter at Aveanna Healthcare, a pediatric home care company that made it its mission to hire veterans (and as a five-year Navy vet myself), I’ve learned that PTSD comes in all shapes and sizes. Not every service member has it, and of those who do, not everyone expresses it the same way.

For example, PTSD can range from an occasional forgetfulness to something more intense, like anger, and it affects those who saw combat along with those who didn’t. Some people experience it for a short while after service, while others have the anxiety follow them for years to come. And not everybody who has it knows they do.

But regardless of the traits and duration of an employee’s PTSD, there are a few things every manager and co-worker can do to help:

  1. Learn to spot the signs. I always tell people that PTSD isn’t what you see in the movies. There may not be some huge outburst or war flashback. Sometimes, the signs may be subtler, like if someone forgets little things or has trouble concentrating. Another indicator might be if they interact with colleagues differently—being more terse or withdrawn in a gradual or sudden fashion.
  2. Communicate. Employees may just need someone to listen—or they may not. But never let someone struggle in silence without at least asking if you can help. However, you also have to know when to walk away. Everyone manages stress differently, and like war, some battles just take time to work through.
  3. Embrace flexibility. I’ve seen veterans do best when their managers accommodate their needs in creative and flexible ways, as opposed to asking everyone to meet some uniform policy. Rearrange their schedule so they can miss the anxiety-ridden morning traffic jam, allow them to take frequent breaks during the day to recharge, or give the option to telecommute once a week. Ask them what works best for them, and go from there.
  4. Consider workspace design. See if you can change anything about the employee’s physical workspace to meet their needs. For example, if they feel anxious when startled, place their desk facing the door so that they can see as people approach, rather than being surprised from behind. If crowds or noise trigger them, consider placing them in a quiet spot instead of areas with high foot traffic, like near the elevators or break room.
  5. Engage and train HR. At Aveanna, we hire for about 180 locations—but as a recruiter, my job isn’t just to fill one opening and then move on to the next one. Rather, recruiters should be involved at every step of that person’s employment over the long haul. As challenges arise that could be attributed to PTSD, such as employee-to-employee conflict or performance issues, it’s important to have a human resource staff trained to help job candidates through the process with compassion and understanding.
  6. Create a resource list. When I tell veterans about the multitude of free resources they have available to them from nonprofits, licensed therapists and other local groups, they’re amazed. That’s why it’s integral to build up a resource list and a strong referral base to send employees when they need help.

No two veterans are the same—so PTSD will never be a one-size-fits-all issue. But with a little compassion and genuine flexibility, we can help veterans feel included, welcome and heard in the workplace.

Paws of War to Take Therapy Dogs to Nursing Home

LinkedIn
Therapy Dog

Dogs can often brighten the day of anyone, providing them with companionship, laughs, and giving them a reason to smile. The senior residents at the Dominican Village Assisted Living Community, located at 565 Albany Avenue in Amityville, New York, will be all smiles on June 15, 2018 from 1 p.m. to 2 p.m. That’s because the Paws of War organization will be stopping by with seven therapy dogs to visit with the residents, many of whom are veterans and retired police officers.

“This is going to be a real treat for the residents of Dominican Village,” says Joanne Contegiacomo, director of the dog therapy program at Paws of War. “Many of these heroes we will be visiting are humble, yet have saved many lives. We want them to know their courage and valor has not been forgotten.”

Paws of War is an organization that focuses on serving veterans, law enforcement, and first responders. Some of the seniors that the therapy dogs visit are suffering from such conditions as dementia, while others are in good health. Numerous of the veterans that will be visited have been awarded Purple Hearts. Everyone typically gets something beneficial from the time they spend with the dogs. Paws of War is also partnering with the Fraternal Order of Police (FOP) New York lodge 911 to provide this beneficial service to the assisted living community. The FOP will also have therapy dogs at the event.

Therapy DogThe purpose of the visits is to provide the residents with an opportunity to connect with the dogs, have their spirits lifted, and to benefit from the calming, soothing nature that they bring with them. According to the National Institutes of Health, interacting with animals has been shown to decrease stress-related hormones and lower blood pressure. Other studies have shown that interactions help to reduce loneliness, boost your mood, and provide feelings of social support.

“Being able to take our dogs there to spend an hour is exciting,” added Joanne Contegiacomo, director of the dog therapy program at Paws of War. “It’s our mission to help and give back when and where we can, and we know this is going to help lift some spirits.”

Paws of War is an non profit organization that provides assistance to military members and their pets, and provides service and service dogs to veterans suffering from PTSD. To learn more about Paws of War or make a donation to support their efforts, visit their site at:pawsofwar.org

Therapy DogAbout Paws of War
Paws of War is a 501c3 organization devoted to helping both animals and veterans. The Paws of War goal is to train and place shelter dogs to serve and provide independence to our United States military veterans that suffer from the emotional effects of war such as PTSD. In turn each veteran can experience the therapeutic and unconditional love only a companion animal can bring. To learn more about Paws of War, visit the site at pawsofwar.org

Iraq War Veteran Awarded Brand New Vehicle Through TrueCar DrivenToDrive Program

LinkedIn
U.S. Army Sgt. Michael Goodrich

TrueCar and AutoNation today donated a 2018 Honda Ridgeline to Ret. U.S. Army Sgt. Michael Goodrich at a special event held at the AutoNation Honda Dulles in Sterling, VA.

The vehicle donation marked the second year of the DrivenToDrive program, a partner program between TrueCar and DAV (Disabled American Veterans). DrivenToDrive was created to help injured veterans regain the freedom they’ve fought and sacrificed so much for, by helping them get back behind the wheel of vehicles retrofitted for their needs.

Father of two kids, Goodrich suffered traumatic brain and leg injuries in combat while serving the country during deployments in Iraq and Afghanistan. The injured leg is confined to a brace which prevents Goodrich from driving or sitting in a compact vehicle for more than 20 minutes at a time due to discomfort and pain.

“After my time in the service, my wife and I decided to dedicate our lives to helping other veterans rehabilitate and recover through art therapy,” said Sgt. Goodrich. “I would not be able to reach and help as many people without the help of this new vehicle.”

Goodrich’s military-themed art has garnered national acclaim, with his work having been exhibited at the National Museum of Health and Medicine and appearing in a number of national publications.

“AutoNation is honored to join with TrueCar in recognizing Sgt. Michael Goodrich and his family for their service and presenting them a brand new Honda Ridgeline,” said Marc Cannon, Executive Vice President and Chief Marketing Officer for AutoNation.

In addition to Goodrich and his family, the event was attended by AutoNation CMO Marc Cannon, Assistant Executive Director of DAV National Service and Legislative Headquarters Randy Reese, and TrueCar CEO Chip Perry.

For more information about DrivenToDrive and its mission, please visit truecar.com/driventodrive.

About TrueCar
TrueCar, Inc. (NASDAQ: TRUE) is a digital automotive marketplace that provides comprehensive pricing transparency about what other people paid for their cars and enables consumers to engage with TrueCar Certified Dealers who are committed to providing a superior purchase experience. TrueCar operates its own branded site and its nationwide network of more than 15,000 Certified Dealers also powers car-buying programs for some of the largest U.S. membership and service organizations, including USAA, AARP, American Express, AAA and Sam’s Club. Over one half of all new car buyers engage with the TrueCar network during their purchasing process. TrueCar is headquartered in Santa Monica, California, with offices in San Francisco and Austin, Texas. For more information, go to truecar.com. Follow us on Facebook or Twitter.

About DAV
DAV empowers veterans to lead high-quality lives with respect and dignity. It is dedicated to a single purpose: fulfilling our promises to the men and women who served. DAV does this by ensuring that veterans and their families can access the full range of benefits available to them; fighting for the interests of America’s injured heroes on Capitol Hill; providing employment resources to veterans and their families and educating the public about the great sacrifices and needs of veterans transitioning back to civilian life. DAV, a non-profit organization with more than one million members, was founded in 1920 and chartered by the U.S. Congress in 1932. Learn more at dav.org.

About AutoNation, Inc.
AutoNation, America’s largest automotive retailer, through its bold leadership, innovation and its comprehensive brand extensions, is transforming the automotive industry. As of March 31, 2018, AutoNation owned and operated over 325 locations from coast to coast. AutoNation has sold over 11 million vehicles, the first automotive retailer to reach this milestone. AutoNation’s success is driven by a commitment to delivering a peerless experience through customer-focused sales and service processes. Through its Drive Pink initiative, AutoNation is committed to drive out cancer, create awareness and support critical research. AutoNation continues to be a proud supporter of the Breast Cancer Research Foundation and other cancer-related charities.

Please visit investors. autonation.com, autonation.com, autonationdrive.com, twitter.com/autonation, twitter.com/CEOMikeJackson, facebook.com/autonation, and facebook.com/CEOMikeJackson, where AutoNation discloses additional information about the Company, its business, and its results of operations.

###

Managing Your Emotions When Your Spouse is Deployed

LinkedIn

Having your spouse deployed can bring up a wide range of emotions, starting from when you first learn about the deployment and continuing until after your spouse has returned home. You may experience fear, anger, loneliness, joy, relief, and anticipation. Follow these tips to help you cope with your spouse’s deployment.

Before the deployment

As departure day nears, some spouses begin to feel:

  • Confused, stressed, resentful, or depressed
  • Detached or withdrawn as their service member invests more time and commitment in the mission
  • Hopeless and impatient
  • Emotionally and physically distant

To help keep things positive and loving with your spouse during the pre-deployment period, it’s important to:

  • Keep the lines of communication open. Talk about your feelings and discuss what you expect from each other during the deployment, including how you’ll communicate.
  • Create opportunities for lasting memories during the separation. Spend time together in a relaxed atmosphere to create memories that will sustain you during the deployment.
  • Get to know other military spouses who are going through the same experience. Get involved with family readiness activities and other unit or installation events.

During the deployment

During the first weeks after your service member leaves, you may feel sad, disoriented, anxious, and angry. However, soon you will experience a growing sense of self-confidence and independence. These suggestions can help you cope:

  • Find things to look forward to. Take a class, volunteer, or start a project you’ve always wanted to do.
  • Reach out to others who are in the same situation. Plan an event with other families who are coping with a deployment, or find a support group through your military community.
  • Don’t try to hide your feelings. It’s normal to feel sad, lonely, or angry when you’ve been separated from your spouse.
  • Concentrate on what you can control, and try to focus on things you can control, like spending time with family and friends or signing up for a class or volunteer opportunity.
  • Learn some stress management techniques that work for you. Try out some different ways to relieve stress, such as an exercise class, a journal of your thoughts and feelings, meditation, or deep breathing.
  • Take care of yourself. Get enough sleep, exercise, eat healthy meals, and drink plenty of water.

Homecoming and the post deployment period

The post deployment period can last from a few weeks to several months. Along with your relief and joy, there may be an adjustment period for you and your spouse. This may be especially difficult if your service member is having difficulty disengaging from combat or is suffering from combat stress.

Focus on the following to reduce stress for you and your family:

  • Maintain a positive, nonjudgmental attitude. The right attitude will help lower stress and frustration when getting back together doesn’t seem to be going the way you expected.
  • Talk openly and honestly about your experiences during the deployment and how you’ve changed. It can help you re-establish a foundation of healthy communication and encourage your service member to trust you with his or her deployment experiences.
  • Try to be patient. It may be some time before you and your spouse feel relaxed and comfortable together.
  • Make plans. Making plans together, whether it’s for a weekend outing or something more elaborate, can help you focus on your life together and help you feel closer.

Asking for help

Speaking with a counselor can help you manage emotions and challenges that come up throughout the deployment cycle. The following services offer free face-to-face confidential non-medical counseling:

  • Military OneSource. In addition to confidential face-to-face counseling, you can meet with a counselor online, by phone, or through secure video connection.
  • The Military and Family Life Counseling program. This service is available through your installation’s Military and Family Support Center.

Source: militaryonesource.mil

From Farmer to Fortune, How One Medical Device Revolutionized An Industry

LinkedIn
iwalk-free

Each year, many entrepreneurs bring their products to market. Yet, research shows that the majority of them will not make it. Among those new products each year, there will be rare items that not only make it, but that completely revolutionize an industry. That’s exactly what happened with the iWALK2.0, a medical device that is essentially giving crutches and scooters a run for their money and longevity. In fact, the company has seen such success from the sales of the device that they expect to hit their 100,000th unit sold this year.

“Crutches have been around for 5,000 years, but the iWALK2.0 has already earned its place in the industry as the device of choice for those who have a lower leg injury,” explains Brad Hunter, the innovator of iWALK2.0 and the chief executive officer of the company, iWALKFree, Inc. “Not only have we won multiple awards for the device, but the feedback we’ve gotten and the sales statistics we’re experiencing all point to a robust future for the iWALK2.0.”

The story of the iWALK2.0 begins with a farmer who created the original version to give himself an easier way to be more mobile while recovering from a lower leg injury. Little did he know he was sitting on a billion dollar idea. It was when Hunter came along and saw the potential in the product that the idea was brought to fruition for the mass market. Hunter purchased half of the company, took the device concept to a whole new level, and introduced it to the world.

During Hunter’s first year, the company had a million dollars in sales, confirming what Hunter had suspected, which was that this was going to be a successful product launch. A serial entrepreneur, he was no stranger to the hard work and dedication that it took to help products find their place in the market. While the device continued to do well, it really saw a huge increase in interest and popularity when Harrison Ford was seen using it. Ford then used it again, for a different injury, which further boosted awareness. Since that time, additional celebrities and athletes have used it, including surfer Kelly Slater and hockey player Nick Bonino, among others.

Hunter knows that there is more that goes into a successful company than just having a great product. His secrets to entrepreneurial success include:

  • Have a clear vision before you start anything, and stick with it – no matter what.
  • Do your homework and lay a strong foundation before you make your first commitment.
  • If others say you can’t do it, prove them wrong.
  • Don’t give it 100%. Give it 150%… or more.
  • Hope for the best, but plan for the worst.
  • Mediocrity is the enemy of excellence.
  • Build a strong team.
  • Watch your finances – daily. Always know exactly where you are.
  • Be proficient at changing hats minute by minute. Advanced multi-tasking capabilities are essential.
  • Know when to quit. Here’s a hint – never.

“Creating a truly great product is really hard. Building a truly great company is even harder,” adds Hunter. “But if you are dedicated to your vision, work hard, and believe in what you are doing you will increase your chances of success. Believing in yourself is a large part of the equation. I’m thrilled with where the iWALK2.0 is and in its future.”

Sales have soared, the company has won awards for the design and concept of the device, and it is literally revolutionizing the industry. Increasingly, people are opting for the iWALK2.0, which resembles a high-tech pirate’s peg leg, and makes it easier for them to be mobile while they are recovering from a lower leg injury. The iWALK2.0 attaches just below the knee, attaching to and recruits the user’s leg, giving people the ability to stand and walk as they normally do, thus replacing the need for crutches or a scooter. With this route, they are hands-free, which allows them to do things they are used to doing, such as walking their dog, drinking their coffee, using their cellphone, or carrying groceries. In 2017, sales were up 50% over the prior year, and on Amazon the sales were up 154% over the prior year.

The iWALK2.0 is hands-free, easy to learn to use, it’s intuitive, and safe. From the knee up, the leg is doing the same walking motion that comes naturally to it. The device is essentially a temporary lower leg, which gives people their independence and mobility back as they recover from an injury. The device is pain-free, and makes it possible for people to engage in many of their normal routine activities, such as walking the dog, grocery shopping, and walking up or down stairs.

Clinical research, the results of which are on the company website, shows that patients using the iWALK2.0 heal faster, and have a higher sense of satisfaction and a higher rate of compliance. The iWALK2.0 sells for $149 and is available online and through select retailers. Some insurance companies may cover the cost of the device. The device can be used with a cast or boot, and comes with a limited warranty. For more information on the iWALK2.0, visit the site at iwalk-free.com. To see a video of the iWALK2.0 in action, visit iWALK2.0 video on You Tube.

About iWALKFree

The iWALK2.0 is a hands-free knee crutch, made by iWALKFree, Inc. It’s a mobility device used instead of traditional crutches and knee scooters. It offers more comfort and independence, with the hands and arms remaining free. The device offers people a functional and independent lifestyle as they are recovering from many common lower leg injuries. For more information on the iWALK2.0, visit the site at iwalk-free.com

# # #

Kirstie Ennis: Going “Full Throttle”

LinkedIn
Kirstie Ennis

By Brady Rhoades

Veteran Kirstie Ennis is one of the best Paralympian snowboarders in the world, and she’s also eying the seven great summits, recently climbing 19,341-foot Mt. Kilimanjaro in Africa and 16,024-foot Carstensz Pyramid in Indonesia. On one leg.

As a Marine Corps sergeant. in Afghanistan—a helicopter door gunner—she wrecked a leg when the helicopter she was in crashed. That leg was amputated above the knee in 2015.

Her jaw was destroyed, she lost teeth, she injured discs in her spine, and she suffered facial lacerations, traumatic brain injury, and PTSD.

In the process of undergoing more than 40 surgeries, she came to a realization, acquiring a come-to-terms toughness and wisdom that would help motivate her to train as a snowboarder for the 2018 Winter Paralympic Games in Pyeongchang County, in the Gangwon region of South Korea.

And to attempt to conquer the tallest peaks on all seven continents.

Countless times a day, she repeats one of her mantras: Stop worrying about what you lost. Look at what you’ve got. Or: What counts is what’s behind your rib cage and six inches between your ears.

She’s only 26, but her near-death experience offered an invaluable lesson on how precious time is.

“I go full throttle,” she said. “I come up with obnoxious goals and I go after them.”

It’s hard to believe that this fifth-gear athlete chasing Paralympian goals—and literally ascending historic heights for an above-the-knee-amputee mountain climber—spent months in hospital beds, nearly lifeless, filled with doubt, enveloped in depression. She wondered how she’d ever get around, go on. What would she do? Would she ever wear a dress again? Would anyone ever be attracted to her?

Idle time can be a wounded warrior’s worst enemy. Fathers can be their best friends.

“Dad said, ‘People in the Middle East couldn’t kill you, and now you’re going to collapse?'” she recalls. “The light went on and I said, ‘I made it home. Nobody owes me a damn thing.'”

Kirstie Ennis

Ennis had to mine for the toughness that is at her core, but her sense of humor? That comes effortlessly.

The same year her leg was amputated, she participated in the Walking with the Wounded event, in which wounded warriors trek 1,000 miles, ending at Buckingham Palace in London. Ennis left dozens of dog tags bearing the names of fallen comrades along the way. She also met Prince Harry, a veteran of the war in Afghanistan.

Prince Harry, not one to shirk his duties, logged many miles during the event. At one point, he turned to Ennis and complained that his knee ached.

“I looked over and was like, ‘That’s (expletive) cute, really,’” Ennis said. Prince Harry cracked up.

Ennis and Prince Harry became fast friends. At the conclusion of her walk, she presented the final dog tag to him.

Their embrace was photographed and zoomed across the wires, making her a celebrity in a matter of minutes.

For her service to the country, Ennis has earned the NATO Medal, Combat Action Wings with three gold stars, National Defense Medal, Global War on Terrorism Medal, Navy and Marine Corps Achievement Medal, Air Medal, Good Conduct Medal, Afghanistan National Campaign Medal, two Letters of Appreciation, Certificate of Commendation, and a Certificate of Appreciation.

But who says you can’t be uber-tough and sexy?

ESPN called, asking her to grace the cover of ESPN The Magazine‘s 2017 Body Issue, with rather risqué photos of her on the inside pages. They wanted her to climb Joshua Tree, sans clothes.

She had her doubts. But Ennis tends to run toward challenges, toward fear.

“I thought about it and considered the demographic and the people Kirstie Ennisthat would see it, and I realized that it wasn’t about me anymore,” she said. “Any man, woman, or child facing some sort of adversity has the potential to be inspired by these pictures of someone who has only been missing her leg for a few years go out and do things she wasn’t doing with two legs.”

Ennis appeared in the Body Issue, along with other great athletes, such as Javier Baez (baseball), A.J. Andrews (softball), and Malakai Fekitoa (rugby).

The daughter of two Marines, Ennis enlisted out of Florida when she was 17 years old, in 2008. She served for four years as a helicopter door gunner and airframes mechanic when disaster struck on June 23, 2012.

While on her second deployment in Afghanistan, Ennis’ CH-53D helicopter crashed in the Helmand Province.

Badly injured, she fought to remain on active duty but was medically retired in 2014. After her below-the-knee amputation on November 23, 2015, Ennis contracted the antibiotic-resistant MRSA and, because of a resulting infection, doctors were forced to remove her knee a month later.

“A below-the-knee amputation is night-and-day from above-the-knee,” she said. “You have to relearn everything. You’re basically a toddler.”

When she was told that surgeons would have to perform above-the-knee surgery, she said she “lost it.” She cried. She wailed.

“It’s one curveball after another,” she said.

She still struggles, emotionally. “I’d be lying if I said it’s easy,” she said.

Two years after her life-altering surgery, she’s adapted, and she’s developed coping skills, which is a critical component of recovery.

Focus on what you have, not on what you don’t.

Set lofty goals.

Stay busy.

And true to her military training, be of service to others.

“When I’m having a bad day, I help someone who’s missing three limbs,” she said. “There’s this common misconception about what strength is. In the grand scheme of things, we’re in this together. You have to realize that you have to turn to somebody.”

Some of her best days involving helping other wounded warriors—whether it be through her notoriety as a star Paralympian or simply visiting a hospital.

“I know I’m on a platform,” she said. “I want to inspire people to reach their potential.”

She recalls a wounded warrior uttering eight words that she’ll never forget and that make her journey—as harrowing as it has been—worth it.

“You inspired me to walk another 10 steps,” the woman said.

 

New Technology Alleviates Tinnitus by Retraining the Brain to Ignore Ringing in the Ears

LinkedIn
Tinntinitus

In Time for Tinnitus Week: New Approach Used During Sleep Offers Hope to Millions of People Who Suffer From the Most Common Health Condition in the U.S.

LOS ANGELES—David Giles, 57, began suffering from tinnitus as a teenager, when a firecracker went off near his ear. Giles says the debilitating condition, commonly known as “ringing in the ears,” has grown overpowering without going away.

He is one of as many as 50 million Americans suffering from tinnitus. Musicians, factory workers, military veterans and many others endure its effects, including problems with concentration, sleep, anxiety and depression.

Giles, who lives in Columbus, Ohio, traveled four hours to a doctor in East Lansing Michigan to try the Levo System, an FDA-approved technology that mimics the specific sounds of a patient’s individual tinnitus. The patient listens to the sounds through earbuds while sleeping. Because the brain is most responsive to sensory input during sleep, it grows accustomed to the sounds after a few months of treatment. It is a radically different approach that retrains the brain to ignore “ringing in the ears.”

New research underscores the promise of this approach.

A recently released randomized study by the National Center for Rehabilitative Auditory Research at the VA Portland Health Care System demonstrated improved clinical outcomes for tinnitus patients using the Levo System. The study was led by James Henry, PhD.

Study participants were assigned to the brain retraining technique using the Levo System or a commonly-used white noise masking machine. Patients using the Levo System reported the greatest improvement in tinnitus symptoms and the biggest decline in cognitive-related problems. These participants also reported the most significant improvement in their enjoyment of social activities and relationships with family and friends, key quality of life indicators.

For Giles, the Levo System was a life-changer. After a 90-day treatment, he reports that his tinnitus is no longer overpowering or debilitating, and has faded to the background, allowing him to enjoy his life as he once did.

Tinnitus affects a range of people, including those who are exposed to continuous noise. It is the leading service-related disability among U.S. veterans, according to the American Tinnitus Association.

The Levo System approach is grounded in the idea of personalized medicine. Rather than machines or doctors selecting sound matches in the customary fashion, patients choose the actual sounds they hear when they sleep. When patients take an active role addressing their tinnitus, they often feel a sense of mastery and control.

“It is gratifying to see so many people experience relief from a condition that has defied a long-term solution,” said Michael Baker, president and Oregon-based CEO of Otoharmonics Corp., which produces the Levo System. “Patients report the greatest improvement when they drive decisions about their treatment.”

The Levo System has been cleared by the Food and Drug Administration for marketing in the U.S. Cedars-Sinai in Los Angeles is Otoharmonics’ majority stakeholder.

V.A. Study  http://AJA.pubs.asha.org/article.aspx?doi=10.1044/2017_AJA-17-0022

# # #

United We Stand: Recognizing Black History Month

LinkedIn
henry johnson

In the early pre-dawn hours of May 14, 1918, Army Pvt. Henry Johnson, part of the all-black 369th Infantry Regiment, took part in a five-man patrol to defend against enemy ambushes in the Argonne Forest in France.

At 2:30 a.m., 24 German soldiers attacked the patrol’s position. Johnson defended his comrades by throwing all the grenades he could find at the enemy and then fired his own weapon until it jammed. When the enemy soldiers swarmed the trench Johnson was defending, he fought them off with the butt of his rifle and then his bare hands.

Johnson, wounded 21 times, sent the Germans into retreat. This encounter became known as “The Battle of Henry Johnson” and was reported in national newspapers in the United States later in the year.

France subsequently awarded Johnson the Croix de Guerre avec Palme (War Cross with Palm), France’s highest award for valor. And in a memo later that same month, Gen. John Pershing, commander of the American Expeditionary Force during World War I, called Johnson’s actions “a notable instance of bravery,” and Johnson was promoted to sergeant.

But after the war, Johnson was nearly completely disabled due to his wounds. Despite his noted heroics, he and other black soldiers were denied medical care and disability pay. He would be posthumously awarded the Medal of Honor by President Barack Obama on June 2, 2015, but the recognition came far too late. Johnson died in poverty at 32 years old, according to the Smithsonian and a study released by the Equal Justice Initiative (EJI).

As we celebrate Black History Month, the EJI offers a historical and detailed account of the injustices black veterans like Johnson endured in the late 19th and early 20th centuries, including instances of violence and abuse, inequality of military pay and denial of earned veterans benefits.

During World War I, more than 350,000 African Americans served in segregated units. When World War II erupted, more than a million were drafted or volunteered to serve. The Korean War saw the decommissioning of some, though not all, segregated units, despite a 1948 executive order to integrate the military. And after entering the Vietnam War, America saw the highest proportion of black service members—but also casualty rates as high as 25 percent.

In spite of African Americans’ proud military heritage predating the Revolutionary War, the EJI study sheds light on the treatment of black veterans after service.

“It’s important that, as individuals and veterans, we show that the history of how our country treated minority veterans in the past is not a pleasant one,” said DAV (Disabled American Veterans) National Commander Delphine Metcalf-Foster, whose father was a Buffalo Soldier. “We should never forget the painful lessons this teaches. DAV knows the veteran community is made stronger by diversity, and we will continue our mission of advocacy for all veterans.”

The entire EJI report can be found at eji.org/reports/online.

Source:  Dav.org