Health

EXERCISE

The Best Time of Day to Exercise for Metabolic Health

The exercise routines were identical, intermingling brief, intense intervals on stationary bicycles one day with easier, longer workouts the next. The exercisers worked out for five consecutive days, while continuing the high-fat diet. Afterward, the researchers repeated the original tests.

The results were somewhat disturbing. After the first five days of fatty eating, the men’s cholesterol had climbed, especially their LDL, the unhealthiest type. Their blood also contained altered levels of certain molecules related to metabolic and cardiovascular problems, with the changes suggesting greater risks for heart disease.

Early-morning exercise, meanwhile, did little to mitigate those effects. The a.m. exercisers showed the same heightened cholesterol and worrisome molecular patterns in their blood as the control group.

Evening exercise, on the other hand, lessened the worst impacts of the poor diet. The late-day exercisers showed lower cholesterol levels after the five workouts, as well as improved patterns of molecules related to

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DENTAL

2021 Health Choice Generations (HMO SNP) in AZ Plan Benefits Details

2021 Medicare Advantage Plan Details Medicare Plan Name: Health Choice Pathway (HMO D-SNP)

Location: Coconino, Arizona

Plan ID: H5587 – 002 – 0     Click to see other plans Member Services: 1-800-656-8991 TTY users 711

— Enrollment Options — Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227)
TTY users 1-877-486-2048


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Speak to a licensed sales agent to learn more and enroll.
Call Medicare Solutions at 855-373-9484 / TTY 711

Monday ‐ Friday 8:30am — 10pm EST

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Email a copy of the Health Choice Pathway (HMO D-SNP) benefit details
— Medicare Plan Features —

Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below)

Annual Deductible: $0 for people who qualify for both Medicare and Medicaid.

Annual Initial Coverage Limit (ICL): $4,130

Health Plan Type: Local HMO

Special Needs Plan (SNP)
Eligibility Requirement:
Dual-Eligible

Additional
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DENTAL

Medicare Advantage – CHRISTUS Health Plan

Part D Prescription Drugs

The CHRISTUS Health Plan Generations Medicare Plan includes coverage of
Medicare Part D prescription drugs, as well as those covered under Medicare
Part B. The following chart depicts the pharmacy related services provided
by CHRISTUS Health Plan Generations, the entity responsible for providing
or addressing questions regarding the service, as well as the contact
information.

Pharmacy Related Service

Part D Prescription Drugs (ESI)

Pharmacy Department: 1-844-470-1531
Pharmacy Help Desk: 1-800-922-1557
Pharmacy Fax Number: 1-877-329-3760

Coverage Determination (ESI)
Standard/Expedited Coverage Review: 1-800-935-6103

Formulary Exceptions (ESI)

Coverage Review:

1-800-935-6103

ePA Coverage Review:

Learn More

Medication Therapy Program (ESI)

Pharmacy Department: 1-844-470-1531

Pharmacy Help Desk: 1-800-922-1557

Fax Number: 1-877-329-3760

Covered Vaccines Under Part B (CHRISTUS)

Member Services: 1-844-282-3026

Covered Vaccines Under Part D (ESI)

Fax claim form to: 1-608-741-5483

Express Scripts:

Attn: Med D Claims

P.O. Box 2858

Clinton, IA 52733-2858

Pharmacy claims are processed by Express Scripts (ESI),

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DENTAL

Individual & Family Plans – CHRISTUS Health Plan

CHRISTUS Health Plan includes coverage for prescription drugs. Pharmacy
claims are processed by Express Scripts (ESI), the CHRISTUS Health Plan
pharmacy benefit management vendor. The formulary includes coverage of
generic drugs, as well as many brand-name drugs, non-preferred brands and
specialty drugs. Formularies are reviewed by a Pharmacy and Therapeutics
Committee composed of provider and pharmacists. Providers can view a copy
of the formulary on the CHRISTUS Health Plan website. Some of these drugs
have precertification or step-therapy requirements or quantity limits,
defined as:

  • Prior Authorization (PA): CHRISTUS Health Plan requires the provider to
    get prior authorization before the drug will be approved for coverage,
  • Quantity Limits (QL): For certain drugs, CHRISTUS Health Plan limits
    the amount of the drug it will cover for a given duration of time (i.e.
    30 pills every 30 days).
  • Step Therapy (ST): In some cases, CHRISTUS Health Plan requires trial
    and failure of
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DENTAL

Provider Management – CHRISTUS Health Plan

Care Management

According to the Case Management Society of America, care management is a
collaborative process that assesses, plans, implements, coordinates,
monitors and evaluates options and services to meet an individual’s health
needs through communication and available resources to promote quality,
cost-effective outcomes.

We attempt to assist in the efficient utilization of medical resources for
members with special health care needs, including highly complex chronic
and catastrophic cases to improve access to quality care and avoid
unnecessary medical costs.

Members who might benefit from these services are identified for care
management through utilization management activities, health risk
assessments and screening of administrative data.

Treating providers may refer members for care management services by
contacting the Medical Management Department at the numbers at the bottom
of this page. Members may also self-refer for care management.

Disease Management

There are currently Disease Management programs for asthma and diabetes.
Members receive education, coaching

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DENTAL

Prior Authorization – CHRISTUS Health Plan

Some health care services require prior authorization before members receive them. If members do not follow our requirements for prior authorization, CHRISTUS Health Plan may not pay for the services. In most cases, physicians and other providers will be responsible for getting the prior authorization from the health plan. We have instructions and procedures in place for providers to request prior authorization.

The clinical department will evaluate the request to assess the Medical Necessity and coverage of proposed treatment. CHRISTUS Health Plan will also check that the treatment is being provided at the appropriate level of care. Prior authorizations are approved or denied based on current evidence- based clinical standards of care and guidelines and not on incentives or bonus structures. The member and provider will receive notification of CHRISTUS Health Plan’s decision, whether approved or denied.

Generally, the following types of services require prior authorization:

  • Surgery
  • Durable Medical Equipment
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DENTAL

Join Our Provider Network – CHRISTUS Health Plan

We are dedicated to providing high-quality, cost-effective, outcomes-oriented care to our members. You are our ally in achieving that goal, and we are grateful for your participation.

In support of our commitment to high-quality health care for our members, we have formal, structured credentialing and contracting processes in place for new providers.

To apply to join our network, please complete a letter of interest and the completed Prospective Provider Form, and fax to or email to addresses below:

CHRISTUS Health Plan
Fax: 469-282-3012
Email: CHP.networkdevelopment@christushealth.org

You can also call 1-844-282-3100 with questions or suggestions. Upon receiving your letter and your Prospective Provider Form, you must complete the following steps to be eligible and meet the following criteria to provide care to our members:

  • Have privileges at a participating hospital as applicable to your specialty type
  • Hold a current and valid state medical license to practice, free of sanctions, board orders,
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FITNESS

Starling Fitness – Fitness, diet, and health weblog

You can’t tell from the picture, but the sticker on the binder said $1.50. I was at the local thrift store and the binder looked pretty nice.

When I opened it, I noticed the words, “Exercises,” and “Recipes,” on the tabs. I shut the binder and decided that this was something I should buy if it’s only a buck fifty. When I got it home, I very quickly surmised that this was a program designed to sell supplements. Mostly, because the second page told me to plan ahead and buy supplements.

Amway Trim Body System from Starling Fitness

Not only supplements, but shakes and bars as well.

Amway Trim Body System from Starling Fitness

It was as if I had stepped back into the Nineties when SlimFast and Optifast ruled the airways. I looked at the date of the book and it said 2004. I did a little research and connected the book with Amway based on a PRNewswire:

ADA, Mich., Nov. 19 /PRNewswire/

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EXERCISE

‘Strength training for breathing muscles’ holds promise for host of health benefits — ScienceDaily

Working out just five minutes daily via a practice described as “strength training for your breathing muscles” lowers blood pressure and improves some measures of vascular health as well as, or even more than, aerobic exercise or medication, new CU Boulder research shows.

The study, published June 29 in the Journal of the American Heart Association, provides the strongest evidence yet that the ultra-time-efficient maneuver known as High-Resistance Inspiratory Muscle Strength Training (IMST) could play a key role in helping aging adults fend off cardiovascular disease — the nation’s leading killer.

In the United States alone, 65% of adults over age 50 have above-normal blood pressure — putting them at greater risk of heart attack or stroke. Yet fewer than 40% meet recommended aerobic exercise guidelines.

“There are a lot of lifestyle strategies that we know can help people maintain cardiovascular health as they age. But the reality is, they

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HEALTH

More than 30 crore vaccine doses provided by Centre to states/UTs: Health ministry | India News

NEW DELHI: More than 30 crore vaccine doses have been provided by the Centre to states and union territories so far, Union Health Ministry informed on Thursday.
As per the latest data, 30,33,27,440 vaccine doses have been provided by the Centre through the government of India (free of cost channel) and through the direct state procurement category. Of this, the total consumption, including wastages, is 28,43,40,936 doses.
“The new phase of universalization of Covid-19 vaccination commenced from 21st June 2021. The vaccination drive has been ramped up through availability of more vaccines, advance visibility of vaccine availability to States and UTs for enabling better planning by them, and streamlining the vaccine supply chain,” the official statement read.
As part of the nationwide vaccination drive, the government of India has been supporting the states and Union Territories by providing them Covid vaccines free of cost.
In the new phase of the
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