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In this episode, we hear from a patient who…" /> <link rel="canonical" href="https://www.bio.org/podcast/faceless-middleman-between-you-and-your-doctor" /> <meta property="og:title" content="The Faceless Middleman Between You and Your Doctor | BIO" /> <meta property="og:description" content="A troubling disconnect between medical expertise and insurance mandates is putting patients' health at risk. Policies like step therapy and prior authorization are forcing individuals into treatments not recommended by their doctors—often with devastating consequences. In this episode, we hear from a patient who…" /> <meta property="og:image" content="https://www.bio.org/act-root/bio/assets/images/bio-social-v2.png" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:description" content="A troubling disconnect between medical expertise and insurance mandates is putting patients' health at risk. Policies like step therapy and prior authorization are forcing individuals into treatments not recommended by their doctors—often with devastating consequences. 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class="act-pane__region layout__region layout__region--col-1 col-lg-12 col-md-12 col-sm-12"><div class="oc-podDetail act-component"><div class="oc-podDetail__rgnInner act-component-inner"><div class="oc-podDetail__rgnMain"><div class="oc-podDetail__rgnLeft"><div class="oc-podDetail__image" ><img src="/sites/default/files/2024-11/istock-1331029732.jpg" alt="podcast" class="af-image"></div><div class="oc-podDetail__intro" ><div class="af-text">Episode 90  •  Nov 19, 2024  •  27 min</div></div></div><div class="oc-podDetail__rgnRight"><div class="oc-podDetail__rgnInfo"><div class="oc-podDetail__title" ><div class="af-text">The Faceless Middleman Between You and Your Doctor</div></div><div class="oc-podDetail__rgnTopic"><div class="oc-podDetail__topicTitle" ><div class="af-text">Episode Topic:</div></div><div class="oc-podDetail__topicList"><div class="oc-podDetail__topic" ><a class="af-link" href="/podcast?topic=2071#filters" aria-label="Patients" >Patients</a></div></div></div><div class="oc-podDetail__body" ><div class="af-text"><p>A troubling disconnect between medical expertise and insurance mandates is putting patients' health at risk. Policies like step therapy and prior authorization are forcing individuals into treatments not recommended by their doctors—often with devastating consequences. In this episode, we hear from a patient who endured months of suffering due to her insurer's 'fail-first' requirements. We also talk with a doctor navigating this impossible system and a biotech leader fighting to ensure innovative treatments reach the patients who need them most. </p></div></div></div><div class="oc-podDetail__player" ><div class="af-text"><p><iframe style="border-radius:10px;max-width:660px;overflow:hidden;width:100%;" allow="autoplay *; encrypted-media *; fullscreen *; clipboard-write" frameborder="0" height="175" sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-storage-access-by-user-activation allow-top-navigation-by-user-activation" src="https://embed.podcasts.apple.com/us/podcast/the-faceless-middleman-between-you-and-your-doctor/id1485561811?i=1000677449900"></iframe></p></div></div><div class="oc-podDetail__rgnGuest"><div class="oc-podDetail__guestTitle" ><div class="af-text">Episode Guests</div></div><div class="oc-podDetail__guestList"><div class="oc-podDetail__guest"><div class="oc-podDetail__guestPhoto" ><img src="/sites/default/files/2024-11/arcutis-frank-watanabe.png" alt="Wantanabe" class="af-image"></div><div class="oc-podDetail__guestInfo"><div class="oc-podDetail__guestName" ><div class="af-text">Frank Watanabe</div></div><div class="oc-podDetail__guestPosition" ><div class="af-text">President & CEO, Arcutis Biotherapeutics Inc</div></div></div></div><div class="oc-podDetail__guest"><div class="oc-podDetail__guestPhoto" ><img src="/sites/default/files/2024-11/deb_constien.jpg" alt="Deb Constien" class="af-image"></div><div class="oc-podDetail__guestInfo"><div class="oc-podDetail__guestName" ><div class="af-text">Deb Constien</div></div><div class="oc-podDetail__guestPosition" ><div class="af-text">Patient from Madison, Wisconsin</div></div></div></div><div class="oc-podDetail__guest"><div class="oc-podDetail__guestPhoto" ><img src="/sites/default/files/2024-11/hpn_photo.png" alt="Harrison Nguyen" class="af-image"></div><div class="oc-podDetail__guestInfo"><div class="oc-podDetail__guestName" ><div class="af-text">Harrison Nguyen, MD, MBA, MPH, FAAD</div></div><div class="oc-podDetail__guestPosition" ><div class="af-text">Dermatologist</div></div></div></div></div></div></div></div><div class="oc-podDetail__rgnRelated"><div class="oc-podDetail__relatedTitle" ><div class="af-text">Recommended Episodes</div></div><div class="oc-podDetail__relatedList"><div class="oc-podDetail__relatedItem"><div class="mc-podTeaser act-component"><div class="mc-podTeaser__rgnInner act-component-inner"><div class="mc-podTeaser__thumbnail" ><img src="/sites/default/files/2024-10/istock-2116552524.jpg" alt="podcast" class="af-image"></div><div class="mc-podTeaser__rgnInfo"><div class="mc-podTeaser__title" ><div class="af-text">How Love Combined with Science Leads to Hope for Rare Disease</div></div><div class="mc-podTeaser__subtitle" ><div class="af-text">Episode 89  •  Oct 22, 2024  •  27 min</div></div><div class="mc-podTeaser__rgnDetail"><div class="mc-podTeaser__body jsMoreContent"><p>There are over 7000 rare diseases identified in the U.S. alone. 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Established in 1992, the Accelerated Approval Program allows the FDA to speed approval of drugs for patients with serious and life-threatening conditions. In this episode we talk with the father of children with a rare disease, a company CEO working to treat rare diseases and two policy experts on Accelerated Approval.</p></div><a href="#" class="mc-podTeaser__moreLink jsMoreToggle">Read More</a></div></div><div class="mc-podTeaser__rgnCTA"><div class="mc-podTeaser__ctaButton" ><a class="af-link" href="/podcast/accelerating-hope-pathway-cures" aria-label="Listen Now" >Listen Now</a></div></div></div></div></div><div class="oc-podDetail__relatedItem"><div class="mc-podTeaser act-component"><div class="mc-podTeaser__rgnInner act-component-inner"><div class="mc-podTeaser__thumbnail" ><img src="/sites/default/files/2024-02/episode_52-01.png" alt="podcast" class="af-image"></div><div class="mc-podTeaser__rgnInfo"><div class="mc-podTeaser__title" ><div class="af-text">The Surprising Role of Patient Advocates in Drug Development</div></div><div class="mc-podTeaser__subtitle" ><div class="af-text">Episode 63  •  Oct 18, 2022  •  20 min</div></div><div class="mc-podTeaser__rgnDetail"><div class="mc-podTeaser__body jsMoreContent"><p>Patient Advocates do more than raise money—they are active participants in the drug development process. While the ALS Ice Bucket Challenge garnered global attention, lesser-known patient advocates also flex their expertise to drive new treatments and cures.  In this episode, we talk with two moms, one who is a patient herself, about their work as partners in research and development, helping bring treatments for two rare diseases to the market. </p></div><a href="#" class="mc-podTeaser__moreLink jsMoreToggle">Read More</a></div></div><div class="mc-podTeaser__rgnCTA"><div class="mc-podTeaser__ctaButton" ><a class="af-link" href="/podcast/surprising-role-patient-advocates-drug-development" aria-label="Listen Now" >Listen Now</a></div></div></div></div></div></div></div></div></div></div></div></div></div></div> </div> <div class="field field--name-webform field--type-webform field--label-hidden field__item"><span id="webform-submission-podcast-contact-us-form-node-42496-form-ajax-content"></span><div id="webform-submission-podcast-contact-us-form-node-42496-form-ajax" 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