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Fall 2017

Building a Healthcare Revolution From a Mom & Pop Healthcare Practice to a National Healthcare Revolution

The Benefits of Building a Great Culture Using Healthcare to Build Business

Make Your Next Trip to the Pharmacy a Smart One

Chronic Pain is No Match for Stem Cell Therapy

Is Your Child’s Backpack Too Heavy?


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Contents

Fall 2017 4 VITALITY n Then and Now, New BPH Treatment is Changing Lives n Stay in the Game

10 INNOVATION n The Benefits of Building a Great Culture n Help is On the Way

25 HEALTH & WELLNESS n Weight Off Their Shoulders n Script Savings n Knee Pain Relief at Last

32 LIFESTYLE & NUTRITION n The True Cost of Health Insurance n Touchdown Treats

16 COVER Making Healthcare Easy and Affordable for Everyone From a Mom & Pop Healthcare Practice to a National Healthcare Revolution

36 PUZZLE

4 FEATURE Stay in the Game Chronic Pain No Match for Innovative Stem Cell Therapy Visit us online at healthstylemagazine.com

Fall 2017 • Healthstyle Magazine

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Editor’s Letter

The Power of Listening

I Doug Houvener is a devoted husband, dad, marketing manager, and graphic designer with a passion for motivating people to be their best and making them laugh in the process. He believes wholeheartedly in the magic of working together with a supportive team to provide incredible experiences and outcomes. Fall is easily his favorite season: it marks the return of football, hockey, cool weather, and pumpkinflavored everything.

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‘ll never forget the eagerness I felt walking into a Blockbuster on Friday night. My dad would walk over to the movies, entire walls filled with VHS tapes, checking behind each display box to see if they still had the ‘must-have’ movie of the month in stock. I would rush over to the game aisles with my sister in search of our next N64 adventure. The thrill of finding out they still had Pokemon Snap or Cruisin’ USA was uncompromised. When people join our team, I tell them a cautionary tale about Blockbuster. You may have noticed, it’s no longer around. Those memories I’ve described above a relic of the past – all replaced by Netflix. So what happened? Netflix listened. It’s as simple as that. Few things compared to the frustration of returning a Blockbuster movie a day late, only to find out you have a $20 late fee charge next time you stopped in. Netflix knew that, and they built a system that put the customer ahead of bad profits like late fees, surcharges, and upcharges for hot commodities. In fact, they got rid of the due date entirely. And if you lost a DVD? All good, just tell them what happened, and they’d forgive it (up to 3 times per year). At Blockbuster, that lost movie cost you $40. Netflix built a business to address the inefficiencies of the pre-existing movie rental business, and once they found the perfect blend of growth and customer satisfaction, they hit ‘go.’ The rest, as they say, is history. In this issue of Healthstyle, we’re talking about a healthcare revolution – and it all starts with listening to the customer. We profile Redirect Health extensively – a

Healthstyle Magazine • Fall 2017

company that was started simply by asking people what they want from their healthcare. Gone are the days of stuffy waiting rooms and long wait times. You don’t have to wait 2 weeks to see a doctor when you don’t feel well. But most importantly – they’ve built a system that offers affordable and easy health plans. You read that right. Healthcare has reached a pivotal moment in America - I hope you enjoy this inside look into its future.

Doug Houvener EDITOR-IN-CHIEF


Special Thanks

On the Cover David Berg, DC, and Janice Johnston, M.D., have been leaders in the national healthcare revolution for more than two decades. The husband and wife team is putting care first, and insurance and its many inefficencies dead last.

Special Thanks Jonathan Agins Adrienne Amarillas Mike Bechtol David Berg Guy Berry Rachel Brock Ryan Caracciolo

Robert Cucitrone Eric Dickerson Shaun Gustafson Doug Houvener Paul Johnson Janice Johnston Seth Joyner

Quinn Kelly Mark Lipczynski Armando Mendoza Deepesh Shah David Slepak Andrea Travis

Creative Development Director ISAAC MOYA IMoya@RepublicMedia.com

Editor-in-Chief DOUG HOUVENER Doug.Houvener@ RedirectHealth.com Managing Editor RACHEL BROCK Rachel.Brock@ RedirectHealth.com

Editor JIM WILLIAMS JLWilliams@RepublicMedia.com A division of The Arizona Republic 200 E. Van Buren St. Phoenix, AZ 85004

Project Manager NICK KOSTENKO NKostenko@RepublicMedia.com

General Manager CAMI KAISER CKaiser@RepublicMedia.com

Design CARL BEZUIDENHOUT CarlBez@me.com

Healthstyle Magazine is proudly produced by Redirect Health Contact Us Have a question, comment or idea for a future story? Want to advertise in Healthstyle? Contact us at info@redirecthealth.com Follow Redirect Health on:

For general advertising inquiries, contact Republic Media at 602-444-8000.

Fall 2017 • Healthstyle Magazine

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Vitality

Then and Now, New BPH Treatment is Changing Lives Procedure is Minimally Invasive, Much Shorter Recovery Time BY KRISTINE BURNETT

E

very once in a while a new medical technology or technique comes along and challenges the status quo. The UroLift® System is one of those treatments, and it is shifting the way doctors treat the symptoms of age-related prostate enlargement known as benign prostatic hyperplasia or BPH. For men like 70-year-old Larry White, the relatively new procedure that has no sexual side effects is a welcome relief. “Before UroLift, treatment for BPH included daily medication, which is a temporary fix and only slows the progression of symptoms, or surgery, which has side effects in the vast majority of patients,” explained Jonathan Agins, MD, a urologist at Valley Urologic Associates.

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Healthstyle Magazine • Fall 2017


Getting relief from the burden of enlarged prostate symptoms can lead to a better night’s sleep.

NTER O

E

F

X

E

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Dr. Jonathan Agins First Urolift Center of Excellence in Arizona

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Learn about a proven approach to BPH treatment that doesn’t require ongoing medication or major surgery.

C

ELLEN

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To learn more about the UroLift® System today, call Dr. Jonathan Agins at (877) 578-0855 or visit valleyurologicassociates.com

Valley Urologic Associates

www.urolift.com

Dr. Agins


Vitality

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The Problem in Men

Proven Track Record

The Urology Care Foundation estimates that half of all men between 51 and 60 have BPH; it affects approximately 90 percent of men over age 80. The prostate is a gland located between the bladder and penis that surrounds the urethra, the channel through which urine and semen travels. As the prostate gets bigger, the channel gets compressed. The bladder must work harder to push urine through the narrowed urethra. As the urethra is narrowed and the bladder weakens, men experience increased frequency of urination, weak stream, inability to hold urine, sudden or urgent need to urinate, and the need to urinate several times during the night. “It’s a matter of plumbing,” said Dr. Agins. “As the prostate grows and the channel gets squeezed, patients develop many irritative and obstructive symptoms. They have to pee more frequently, and they start getting up several times a night to pee. Getting up once is normal. Getting up more than once is not.” Surgical treatment of BPH is transurethral resection of the prostate, commonly referred to as TURP. While it is effective in relieving symptoms, Dr. Agins says TURP causes damage to the prostate that leads to sexual dysfunction in most patients. More specifically, it prohibits the release of semen during sex, leading to dry orgasm.

Today’s patients have an exciting new option – the UroLift System from NeotTract. This minimally invasive in-office procedure uses only a local anesthetic and nets much shorter recovery times (48 hours compared to 2 - 3 months), zero threat of sexual dysfunction, little to no downtime and no need for opioid pain medication. Rather than cut through, heat or remove prostate tissue, the UroLift System uses a microscopic camera inserted through the penis to deliver a stich that pulls back the enlarged prostate to relieve urethral

Healthstyle Magazine • Fall 2017


compression. Dr. Agins likens it to pulling back curtains instead of ripping them down. UroLift was unveiled in Australia in 2005, and it debuted in the U.S. in 2013. Dr. Agins was among the first urologists in the country to use the system. He has since performed the procedure hundreds of times, monitoring patients and tracking outcomes along the way. One of the things that impresses him most? The fact that it’s virtually painless. “I have not written a single prescription for pain medication and none of my patients have had any side effects,” Dr. Agins commented. “It [UroLift] has completely changed my practice.”

Making a Difference UroLift also changed Larry White’s life. “I began noticing symptoms in my late 50s,” Larry said. “It didn’t affect my [sexual] performance, but it progressively interfered with my ability to urinate normally. Then I started having leakage.” Larry met Dr. Agins when his wife, Shirley, was one of the doctor’s patients. “I liked his frank style and honesty,” Larry recalled. “I

had a lot of faith in him after seeing what he did for my wife. I made a comment in passing about my issues and he said he could help me. It turns out he could.” In 2014, Dr. Agins used the UroLift System to successfully alleviate Larry’s prostate-related issues. “I saw symptom relief within about 48 hours,” Larry shared. “It was easy. I’m pleased and my wife is pleased as well.” Shirley says she noticed a vast improvement, both mentally and physically.

“Center of Excellence” Distinction Dr. Agins was among the first physicians in the country to use the UroLift System. His five years of patient data demonstrate consistency in clinical expertise, a commitment to excellent patient care and a robust track record for successful outcomes. All of this and more earned Valley Urologic Associates, on behalf of Dr. Agins, distinction as a UroLift Center of Excellence. There are only 15 UroLift Centers of Excellence across the country. Dr. Agins is the first in Arizona to achieve the coveted designation.

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Vitality

Stay in the Game Chronic Pain No Match for Innovative Stem Cell Therapy BY SUSIE STECKNER

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e’ve all seen the stories about elite athletes undergoing stem cell therapy to maintain peak performance. But if you think those treatments are only for the pros, think again. Every day, chronic pain sufferers are seeking out stem cell therapies to help treat a range of ailments and conditions. Not only are patients experiencing less pain but they are reducing reliance on opioids and boosting their overall quality of life. “Stem cell therapy is used for a multitude of degenerative conditions, including joint pain, arthritis, tendinitis, tendinosis and soft tissue injuries,” said Dr. Deepesh Shah, director of pain and anesthesia at Arrowhead Health Centers and board certified in both interventional pain medicine and anesthesiology. “It has evolved, as some consider it closer to first or second line therapy,” he said. “Placental tissue (stem cell therapy) is one of the only treatments that has the potential to truly regenerate new tissue.”

Dramatic Results Former NFL stars Eric Dickerson and Seth Joyner spent their careers in the most punishing professional sports league and those years took a toll on their bodies. Both players sought out stem cell therapies at Arrowhead Health Centers and today they are living active lives. In fact, professional athletes across all sports — from Arizona Cardinals running back Chris Johnson to tennis star Rafael Nadal to Los Angeles Lakers legend Kobe Bryant — have turned to stem cell therapy for game-changing treatment. Whether a professional athlete, or simply someone living with chronic pain, stem cell therapy can bring dramatic results. Most regenerative medicine is currently focused on stem cells. Stem cells are versatile — they don’t yet have a particular function — so under the right conditions, they can support the growth of new soft tissues like cartilage, ligaments or tendons.

Common conditions. Stem cell therapy can help degenerative conditions or soft tissue injuries that flair up, including muscle pain and joint pain in any part of the body, Shah said. Athletes in particular extend their bodies to the max more frequently than most, and regenerating injured tissue will enable them to further extend themselves, play longer, improve flexibility and decrease pain. Innovative program. Arrowhead Health Centers focuses on choosing the right therapies for your condition and experts are skilled at targeting the exact location of the pain or injury, Shah stated. Patients meet with a regenerative medicine specialist to discuss options Eric Dickerson and devise a game plan best suited to each case. Reduce opioid use. “The focus of regenerative medicine is to repair tissue, promote healing, and improve function with minimal to no side effects,” Shah said. While opioids can, in the short term, improve quality of life and function, they also can cause health issues and lead to addiction and death, he commented. Next steps. “If you have pain and a condition that can be repaired, you are a candidate,” Shah noted. “Some patients use this as their first step, as they are encouraged by the repair process. Some patients prefer to try more traditional means to help, and try regenerative processes only if those are unsuccessful.” “I recommend a consultation with an expert prior to deciding the best plan of action for each individual case,” Shah said.

What You Should Know Here are four things to know when considering this therapy: Seth Joyner

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Healthstyle Magazine • Fall 2017


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Consider the costs of comprehensive pain management: multiple physician visits, injections, MRIs, CT scans, X-Rays, narcotic prescriptions, physical therapy, and travel time. With one consultation and injection(s), these treatments could provide all the relief you’re seeking. Plus, you can use your HSA or MSA!

Our treatments offer non-surgical pain relief with simple, painless injections. The goal of these treatments is to help restore or improve the function of muscles, joints, and other damaged tissues while reducing the pain associated with damage to those areas.

The regenerative medicine offered at Arrowhead Health Centers is safe, effective, and easy to inject. Our Placental Tissue Matrix product is obtained from placental/amniotic tissues. Our PRP product is created by drawing your blood in-office, then spinning it to pull out the plasma.

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H Innovation

The Benefits of Building a Great Culture Using Healthcare to Build Your Business BY ELISE RILEY

I

magine being a part of a team that’s fixing the healthcare system. Think of what it could be like to help patients in real time, getting them the care that they need at the time they need it. What would it be like if your employer paid for your healthcare, as well as your family’s? That’s every day at Redirect Health. Employees at Redirect Health are taking a big step forward in leading the way to improve a fragmented healthcare system. By providing healthcare plans to employers, Redirect Health is helping to lower costs for both businesses and their employees — all while improving outcomes.

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Healthstyle Magazine • Fall 2017

“We focus on providing healthcare benefits to companies that have an under-served worker population,” said Shaun Gustafson, Redirect Health’s talent acquisition director. “Our goal is to make healthcare easy and affordable for people that the current system doesn’t work for.”

Culture Redirect Health believes so strongly in its product that it uses healthcare as one of its main recruiting tools. “We provide free healthcare for all our employees and their families,” Gustafson said. “That’s obviously a fantastic benefit, and something that our employees love.” It’s the foundational part of a work culture that’s fast-


paced and open to change. Employees enjoy a “raise your hand” policy, where ideas from any employee are welcome to fix a process, improve a customer’s experience or make the workplace better. “People want to work in a great environment, in an environment where they feel welcome,” Gustafson said. “This is a team environment, and if someone sees a process that’s broken or could be better, we want to make improvements.”

“This is a team environment, and if someone sees a process that’s broken or could be better, we want to make improvements.” –SHAUN GUSTAFSON

Recruiting

Retention

Redirect Health is available in all 50 states, and it’s growing. Gustafson is routinely seeking employees in a variety of areas. Nurse practitioners help patients directly. Enrollment specialists bring companies onboard the Redirect Health system and help ease their employees into the system. Medical assistants provide the first line of care for patients. They help route them to the right pharmacy, doctor or lab. “When we post a job, we make it clear — right in the title — that we offer free healthcare for employees,” Gustafson said. “It means people know what we value, and we get a lot of responses.”

Gustafson also is focused on keeping Redirect Health’s employees satisfied and thriving in their careers. “One of the best things that we can do is provide excellent benefits for our employees,” he said. “We know it’s hard to leave an organization when you know you and your family are taken care of.” Gustafson said that Redirect Health’s mission of making healthcare easier also is an inspiration. “If someone’s passionate about the direction we’re going, how we’re making healthcare easier and more affordable, we know they’re going to be a good fit,” he said. “We’re passionate about our mission.”

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Innovation H

Help is on the Way Redirect Health Perfect for Business of Any Size BY DEBRA GELBART

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ith all the debate in Washington swirling around how to create improved healthcare laws, a company with a better idea already is helping thousands of Americans receive healthcare seamlessly and affordably. Redirect Health is ideal for businesses with a minimum of two employees that currently do not provide health insurance as a benefit. Redirect Health’s goal can help you and your company obtain an affordable plan that provides superior care.

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H Innovation

Through Redirect Health’s EverydayCARE™ plan, an employee pays just $105 a month for individual coverage or $300 a month for family coverage. That premium entitles members to unlimited routine, preventative and chiropractic care; no co-pays or deductibles; immunizations and routine lab tests; same-day or next-day appointments with no waiting; a prescription savings plan; and assistance with coordinating and managing the cost of non-routine care.

Plan Covers Most of the Healthcare You’ll Need “Our EverydayCARE healthcare plan provides enrollees with at least 90 percent of the medical care they’ll need with no additional out of pocket expenses,” said Mike Bechtol, director of membership at Redirect Health. “For medical care that’s not routine, such as an x-ray for a possible broken arm, we negotiate with providers for you so you’ll pay much, much less. Typically, an x-ray would

“Our EverydayCARE healthcare plan provides enrollees with at least 90 percent of the medical care they’ll need with no additional out of pocket expenses.” – MIKE BECHTOL cost a patient about $200 out of pocket; but through our relationships with radiology facilities, our patients pay only about $38,” Bechtol said. The EverydayCARE plan meets all of the requirements of the current healthcare law that mandates what’s called minimum essential coverage. “No other company besides Redirect Health will issue a healthcare policy to a company with only two employees,” Bechtol explained. “And by offering health insurance benefits, your company can be more competitive when recruiting new employees.” Redirect Health also offers other benefit plans for employers looking to provide more comprehensive coverage.

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Healthstyle Magazine • Fall 2017


Continue to See Your Preferred Provider One of the best parts of the EverydayCARE plan: members are not limited to a small network of providers. When an employee needs medical attention, he or she calls into the Redirect Health 24/7 care logistics line. A care logistics specialist hears the symptoms or issues the enrollee is experiencing, consults with a medical professional and relays to the enrollee the recommended course of action. Depending on the nature of the problem, the member may not need to visit a doctor; the necessary diagnosis and prescription could be delivered over the phone. If a visit to a doctor is required, the member may go to any provider they wish. You may be wondering what happens if an employee faces a catastrophic medical event. “Our benefits experts work with a network of specialists to make payment arrangements and reduce the patient’s out of pocket costs and we research all opportunities for financial assistance,” Bechtol said. “We’ve been very successful in

these circumstances. By working with a patient assistance program, we got a patient’s $63,000 bill for a serious medical problem reduced to $16,000, for example, and then we arranged for a federal assistance program to pay the entire $16,000. Researching these opportunities now takes us just hours instead of months like it used to.” Bechtol pointed out that only one percent of all medical claims in the U.S. represent catastrophic medical events totaling more than $20,000.

How to Learn More The vast majority of people in the U.S. are simply looking for an affordable health plan that lets them visit a doctor when necessary for routine matters without additional expenses. That’s what Redirect Health provides. To learn more about Redirect Health, visit redirecthealth.com.

Accidents Can Be Scary. We understand — that’s why we developed our motor vehicle accident program. You know choosing the right medical provider can be the difference between relief and a long-term injury after an accident. We’re here to make treatment easy for you. With convenient Valley-wide locations, same day & next day appointments, and a coordinated team of multi-specialty providers, Arrowhead Health Centers helps make recovering from an injury after an accident easy.

Have you or a loved one been in an accident? Call us 24/7/365.

888-570-6988

Fall 2017 • Healthstyle Magazine

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Innovation H

Making Healthcare Easy and Affordable for Everyone From a Mom & Pop Healthcare Practice to a National Healthcare Revolution BY BRIAN SODOMA

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ontrary to news media and political spin, healthcare can be easily accessible and very affordable for everyone. It’s a mission that Janice Johnston, MD, and David Berg, DC — who started Arrowhead Health Centers (AHC) in 1997 — have been furthering for quite some time. In fact, today, after 20 years in business, the husband and wife team is now ushering forth a healthcare revolution – putting care first, insurance and its numerous inefficiencies dead last, and the results are impressive: happier, healthier people who receive timely, efficient and world-class care at an extremely affordable price. And the solution is helping a wide range of people that today’s healthcare and health insurance systems are largely overlooking: business owners that struggle to offer benefits as well as lower wage employees who can’t afford quality care. Here’s a look at how David and Janice’s honest, common sense approach is now disrupting the long-held healthcare/health insurance status quo.

A Broken System Becomes the Best Teacher Janice and David met in college in Canada in the 1980s. After David completed chiropractic school, he started working in a Toronto clinic. He was passionate about chiropractic care. As a young teen, he was involved a horrific automobile accident and chiropractor visits helped him overcome severe headaches and mobility issues. Firm believers in coordinated multi-specialty care, he and Janice, a family practice physician, felt both approaches offered in one location would greatly benefit patients. In 1995, they moved to Arizona, eager to embark on the next leg of their professional journey. However, they quickly learned of patient dissatisfaction in the American healthcare system. Patients were frustrated with having to run from doctor to doctor to receive care. So, in 1997, David and Janice created a patient-first model in Arrowhead Health Centers by combining their expertise, along with other rehabilitative offerings, into one clinic.

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“Wouldn’t it just be better for people to get the care they need in one place where everyone worked together in an organized and well-planned way?” — DAVID BERG

“Wouldn’t it just be better for people to get the care they need in one place where everyone worked together in an organized and well-planned way?” David asked.

Listen, Learn, Revolutionize Arrowhead’s customer-centric model brought unique touches like patient parking, an on-time promise and fast, courteous service. Eventually, online scheduling also worked its way into the mix, too. AHC’s popularity grew quickly. David and Janice craved more patient input, but also looked internally for insights. Employees told them what was and wasn’t working for patients and for their employment

experience, too. Processes shifted and got better, thanks to practices like quarterly surveys, a “Raise-A-Hand” system calling attention to process breakdowns and immediately solving them, and employee recognition programs. In 2011, AHC earned the distinction of becoming the only privately-owned multispecialty network of healthcare centers to be awarded Level 3 designation for PatientCentered Medical Homes by the National Committee for Quality Assurance (NCQA). Studies have demonstrated that medical homes like AHC improve access to care and reduce unnecessary costs.


Innovation H

How Companies Can Leverage Healthcare to Build Their Business Healthcare benefits are one of the highest costs for business owners, on average topping $6,000 a year per employee. But what if businesses could offer their employees unlimited primary care, routine and rehabilitative care like chiropractic services, physical therapy, massage (with no copays) and much more for less than $1,300 a year? Great news: today, businesses can! For $105 a month, a business owner can offer Redirect Health’s EverydayCARE™ plan for absolutely no cost to the employee. Now, that business owner can use free healthcare as a recruiting tool, while saving thousands over their old premiums. With healthcare costs so low, EverydayCARE™ plans can also be offered to part-time and contract (1099) employees, too! Here’s how small businesses are winning the employee recruitment battle with Redirect Health:

Employers … • Control their own benefits and reduce costs by up to 50 percent. • Take control of their healthcare budget and become ACA compliant. • Build a pipeline of job candidates by offering free healthcare. • Drastically reduce worker’s compensation insurance costs. • By eliminating costly insurance claims that cost five to 30 times more.

Fall 2017 • Healthstyle Magazine

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H Innovation

The Next Battle: Getting Great Care With Insurance Standing in the Way By the mid-2000’s, however, David and Janice, like so many other small business owners, struggled to offer health insurance to their own employment base. Premiums and other costs were skyrocketing and there seemed no stopping them. Standing in the way, it seemed, was an insurance industry that offered nothing in the way of price transparency, was riddled with administrative waste and plenty of cream for shareholder dividends, and sadly putting patient care dead last. Undeterred, David and Janice dared to ask an ugly question. They wondered if they could control their costs for primary and routine care, maybe insurance wouldn’t even be needed after all? So, they studied the market and their own costs internally. Here are a couple examples of what they learned: A CT scan shouldn’t be a $1,300 conversation when David and Janice knew it only costs about $300; a prescription for Amoxicillin should only cost $4 or $5, so a patient shouldn’t have to contend with a hospital or middle man claiming it costs $100. Applying these learnings to hundreds of primary-care scenarios helped them deliver great care at a fraction of the cost.

A Healthcare Revolution Timeline

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1995

1997

2007

David Berg, DC, and Janice Johnston, MD, move from Toronto to Phoenix to work as healthcare providers.

Listening to patient concerns about system inefficiencies, they open Arrowhead Health Centers (AHC) on a philosophy of integrating primary care.

AHC relocates to a nearly 40,000 square-foot office in Glendale to accommodate growth. AHC also shifts from fullyinsured to a selffunded health plan for its employees.

Healthstyle Magazine • Fall 2017

2011

AHC opens its first satellite location in Mesa and earns NCQA Patient Centered Medical Home Level 3 designation.

2012

AHC opens two more satellite locations in Scottsdale and Surprise, Ariz.


2013

2015

2016

2017

2018

Redirect Health opens its doors serving Arizona local businesses.

Redirect Health expands regionally, serving Arizona, Nevada, Oregon, Idaho and Washington.

AHC begins offering FREE healthcare to its team. Redirect Health expands nationwide into 40 states.

Redirect Health also launches an individual healthcare plan in Arizona as an affordable alternative to traditional insurance.

Arrowhead Health Centers becomes part of the Redirect Health national brand.


H Innovation

Exploration Pays Off “We really started developing strategies for navigating the system and only paying fair prices. … We needed to experiment and learn how to chart a common-sense system,” David said. In 2007, Arrowhead Health Centers moved from fully insured to a self-funded health plan and agreed to only pay a fair price for services and prescriptions. Arrowhead Health Centers cut administrative costs by two-thirds and employees were healthier and more productive than ever. In fact, AHC employees regularly exceeded all public health statistical outcomes around the country.

Building the Solution After proving the concept with their own employees, answering the question of how this knowledge could help small businesses and their employees became the mission. David and Janice experienced first-hand how small businesses struggle to compete with larger enterprises to provide healthcare benefits. Meanwhile, the couple also learned that 51 percent of U.S. employees make $15 an hour or less. When these employees are faced with high copays and skyrocketing prescription prices, it can mean the difference between living well or providing basic necessities for their family. In 2013, David and Janice started Redirect Health, and brought to market its flagship offering, EverydayCARE, to address the plight of small businesses and their employees.

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For only $105 a month, the plan offers unlimited primary care, chiropractic and rehabilitation with no copays. Telemedicine is free and each patient receives concierge service from Redirect Health’s care logistics team, which also finds the absolute lowest prices for prescriptions, medical services and lab tests, frequently at a fraction of insurance copays and standard rates.

National Expansion With Redirect Health, about 70 to 80 percent of care is handled through telemedicine and seemingly acute situations like broken bones or severe illnesses can be tended to efficiently and cost-effectively usually without needing insurance. Healthcare costs for employers who use Redirect Health have been reduced by as much as 50 percent. “All we wanted to do was take the good parts of the Canadian and American systems and meld them together, and then protect our customers from the confusing, annoying and wasteful parts,” David added. Rolled out locally, then statewide and regionally, this year Redirect Health expanded nationally, currently serving members in 40 states. With Redirect Health, you’re putting healthcare first, insurance last, and David and Janice are proud to say that. And they’re even prouder to say that now they can deliver healthcare that works — for everyone.

To learn more about how Redirect Health is changing healthcare for Americans, visit redirecthealth.com or call 888-995-4945 to get a quote for your business.


Get the Shot, Not the Flu. Protect yourself this flu season and get a flu shot! Call to schedule your shot, or simply walk in to one of our conveniently-located clinics across the Valley to get yours today.

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Health & Wellness

Weight Off Their Shoulders Is Your Child’s Backpack Too Heavy? BY JULIE MAURER

M

ounds of homework can be trying on young minds — but what parents don’t realize is it can be tough on their backs as well. Studies have shown that heavy backpacks, or wearing them incorrectly, can cause injuries including muscle strain and back pain. “I don’t think parents often put two and two together to correlate that it can be affecting kids backs,” said Robert Cucitrone, DC, Director of Chiropractic & Rehab at Arrowhead Health Centers.

“A child’s backpack should weigh no more than 10 percent of their body weight.” – ROBERT CUCITRONE, DC

Fall 2017 • Healthstyle Magazine

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Health & Wellness

Too Much Strain A 2013 study from the U.S. Consumer Product Safety Commission reports that more than 20,000 back-pack related injuries were treated within a two-year period. “It’s not uncommon for us to see kids come in with back pain due to the weight they are carrying. The average backpack weighs 15-30 percent of a child’s weight, and that causes a lot of strain,” Dr. Cucitrone said. A study published in Journal of Clinical Chiropractic Pediatrics, children carry an average of 22 percent of their body weight in their backpacks, and more than 70 percent of students carry it on one shoulder. According to Dr. Cucitrone — this is way too much weight. “A child’s backpack should weigh no more than 10 percent of their body weight,” he said. “If your child is leaning forward when they’re walking or complaining of neck or back pain, or headaches, it could be an indication that they need to reduce the weight they are carrying.” And while it may seem strange to put your child’s backpack on the scale — prevention is the key to stopping potential pain. “The first thing a parent should do to prevent back strain this is weigh their child’s backpack,” Dr. Cucitrone noted. “It’s not something you usually think about doing.”

Shopping for a Backpack Dr. Cucitrone recommends that parents purchase backpacks with wider straps, and to keep those straps tight. “Sagging puts a lot of pressure on the shoulders,” he added. Backpacks with several compartments can also help distribute the weight evenly throughout. The American Academy of Orthopedic Surgeon recommends backpacks with padded backs, wide padded shoulder straps and a waist strap when possible. If allowed at your child’s school, parents can consider rolling backpacks that can be pulled instead of worn.

Tips For Wearing It Well Use both straps — Dr. Cucitrone notes that while most kids sling it over one shoulder, that can be damaging to posture and cause muscle strain. Keep the straps tight to prevent sagging — The American Academy of Pediatrics (AAP) recommends the bottom of the backpack should sit at the child’s waist.

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Make it balanced — if your child must bring home heavy books, carrying some in their arms can help distribute the weight evenly. Double up — Dr. Cucitrone noted that many schools have books for school and at home so children don’t need to carry them back and forth. Keep it clean — AAP recommends parents go through their children’s backpacks weekly to remove any unnecessary papers and supplies. Distribute the weight — besides using all the compartments, AAP recommends placing heavier items so they will rest toward the center of the back. By making sure your child is packing and wearing their backpack properly, you can go a long way to keeping their posture straight and their back free from pain.


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Health & Wellness

Script Savings Make Your Next Trip to the Pharmacy a Smart One BY JOAN WESTLAKE

Prescription Savings Hacks Talk to your doctor about these options:

Ask about lower-cost drug alternatives:

Brand-to-Generic 90-Day 90-day prescriptions can be cheaper

Switch to a generic version of the drug

Therapeutic Alternatives Take a lower-cost alternative in the same drug class

Over-the-Counter

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Replace a prescription with an over-the-counter alternative

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Search for the best prices:

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Combination Splits Break an expensive combination drug into its cheaper parts

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Healthstyle Magazine • Fall 2017

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kyrocketing drug prices continue to dominate the headlines. Americans’ efforts to cope with drug costs are causing nearly a fourth to not fill prescriptions and a third to cut spending on food and other necessities, according to recent Kaiser Family Foundation poll. Mike Bechtol, director of membership for Redirect Health, suggests some tips to cope. There are ways to be proactive and find fair pricing for prescriptions. One of Redirect Health’s 24/7 care logistics services includes researching and finding the best price for medications. “Prices for the same drug can vary greatly from pharmacy to pharmacy,” said Bechtol. “An $80 prescription at one pharmacy may be $4 at another. Supermarket pharmacies often offer the lowest prices. Our 24/7 care team has expertise in researching pricing as well as the knowledge to ask questions of the prescribing physician about options for finding affordable versions of the medication. The general public can use some of the tools our experts do, such as price comparison websites like GoodRX.com.” Redirect Health has gathered some of its best strategies and offered them to the general public in the infographic, Prescription Saving Hacks. From pill cutting to finding less expensive drug equivalents, these tips offer ways to rein in costs.

“An $80 prescription at one pharmacy may be $4 at another.” – MIKE BECHTOL

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(602) 843-1265

Fall 2017 • Healthstyle Magazine

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Health & Wellness

Knee Pain Relief at Last Three-pronged Approach Helps People with Knee Arthritis Live Pain Free BY CANDACE HOFFMANN

S

ome people call it a “grinding” sensation. Others say it’s “bone on bone” or “stiffness.” Whatever the description, if you have chronic osteoarthritis of the knee, you know it’s downright painful. You are not alone. The Centers for Disease Control and Prevention estimates that with some type of OA affecting nearly 27 million Americans, one out of every two will be diagnosed with OA knee pain in their lifetime. Beyond pain, the condition can cause disability and adversely affect one’s quality of life and mobility. “People with knee arthritis can become sedentary and depressed because they cannot do normal activities,“ said Adrienne Amarillas, a Durable Medical Equipment Coordinator with Arrowhead Health Centers’ OsteoArthritis of the Knee Program. “One patient told me that she just wanted to be able to walk her dog again.”

New Alternative While most people think the only solution is surgery, the program at Arrowhead Health Centers offers a three-pronged approach of injections, rehabilitation therapy, and bracing. “This eight-week program is an alternative to knee replacement surgery for people with osteoarthritis of the knee,” said Andrea Travis, Care Logistics supervisor at Arrowhead Health Centers. She explained how it works.

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Healthstyle Magazine • Fall 2017


Patients receive hyaluronic acid injections in the knee once a week for five weeks. “This is a substance the body already makes, but over time has stopped producing. By injecting it back into the space between the joints it acts as a cushion and shock absorber, Travis said. A live motion X-ray is used to ensure the fluid is put exactly where it is needed. Rehabilitation for about an hour, two-three times a week, is the next step to strengthen the muscles around the knee. This further stabilizes the joint. Travis noted that while the injections or the therapy alone alleviates pain, done together, patients get longer pain relief. Adding braces contributes further to the program’s 91 percent success rate. Adrienne Amarillas, also known to patients as the “brace lady,” explained the third part of the program — bracing. “When people think of knee braces they think ‘Forrest Gump’ or polio braces, but times have changed,” she said. The braces, which weigh less than a pound and are customized for each patient, are comfortable and fit under most clothing. Amarillas said that they have patients from age 20 to their 90s in braces.

Preventing Further Damage Unlike over-the-counter braces that provide support and compression, these customized knee braces open the joints and offloads weight to prevent further knee damage. Lastly, bracing offers support and stability, Amarillas said. “I have personal experience with this because my dad went through the program and he’s done very well,” she noted. “I have had people cry in my office because the brace gives them the immediate ability to walk without pain, something they hadn’t done in a long time.” Travis said that there is no downtime — patients can work the program around their schedules. The effect of the injections can last for six months to a year and people will often come back for another round. Medicare and most other insurances cover the program, Travis added.

For more information about the Osteoarthritis of the Knee Program at Arrowhead Health Centers call 888-996-0366 or visit MyBetterKnees.com

Looking for

Knee Pain Relief? We Can Help You! Imagine being able to golf, shop, or hike without knee pain. Picture spending a whole day playing with your grandkids, and being able to keep up with them without feeling pain in your knees. Millions of Americans are diagnosed with OsteoArthritis (OA) every year. The good news? It’s very treatable. In fact, several Valley residents have discovered the OA of the Knee program at Arrowhead Health Centers, and they’re loving the new freedom it’s given them. It’s Time to Get Back to Doing What You Love. Arrowhead Health Centers is offering a no obligation one-on-one consultation with one of their doctors. • Covered by Medicare & most major insurers • FDA-approved non-surgical process

• Custom knee bracing for support where you need it most • Performed by specially trained & accredited medical providers

Call Arrowhead Health Centers to Schedule Today Join the 91% of people experiencing relief from knee pain

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Fall 2017 • Healthstyle Magazine

31


Lifestyle

The True Cost of Health Insurance Unraveling Healthcare’s Hidden Fees BY LEIGH FARR

W

hen choosing health insurance for their employees, many business owners view a plan’s premium as a measuring stick for the cost of coverage. But experts say the true cost of insurance extends far beyond that monthly fee which is just the tip of the insurance iceberg. “The premium represents just a fraction of the cost of insurance,” says Mike Bechtol, director of membership at Redirect Health, a Scottsdale company providing affordable healthcare solutions for businesses. He encourages consumers of healthcare (be it a business owner, or individual consumer/ employee) to consider all out-of-pocket costs including copays, deductibles and out of pocket maximums when evaluating an insurance plan. “Say you’ve got a $10,000 deductible for your family, and your monthly premium is $415, the average premium in Arizona for a family. You need to spend $10,000 to reach your deductible before your insurance starts paying for treatment and with

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Healthstyle Magazine • Fall 2017

your monthly premium, that’s $15,000 a year you’re paying for insurance—plus the cost of your copays—before insurance pays for your medical expenses.” With more than half of the American workforce making $15 per hour or less, that total amounts to more than half of their income. Fortunately, says Bechtol, there are plans that bypass enormous out-of-pocket expenses, making healthcare affordable for everybody.

Healthcare, Not Insurance One of those plans is Redirect Health’s EverydayCARE™, a solution for companies that bypasses hidden costs and focuses on providing high-quality healthcare solutions at an affordable rate. For a fixed fee of $105 per month, employees receive unlimited routine care, chiropractic, telemedicine, low-cost prescriptions and other common medical services — with zero copays or deductibles. “The care we need 80 to 90 percent of the time is routine care — the sore back, the cold, the flu — so we created a plan that


covers high-quality routine healthcare with no hidden out-ofpocket expenses,” says Mike Bechtol, director of membership. “We created a team that is available 24/7 for all our members to call in, and we help people become great healthcare consumers. So you don’t have to remember where to pick up your prescription or where you should go for an MRI. You have a team to guide your care and take care of you.” Bechtol says it’s exciting to see that when the numerous excessive costs associated with traditional insurance in the form of premiums, copays, and deductibles are gone, people take better care of themselves. “What we’ve seen is that people don’t wait to get care because it’s free. They don’t wait until the weekend because they can call at six o’clock at night and get on the phone with a medical provider,” he says. For the rare emergency, Redirect Health helps members combine their plan with traditional coverage. “Insurance has a place and it’s important, but we put it last because we only want to use it when it’s necessary and when we can save our members money,” says Bechtol. “We advise putting a plan in place with no out-of-pocket costs that gives you real benefit to your routine care, and then you can strategically buy the insurance that makes sense.”

A 360-degree approach to wellness. An all-around inspiring lifestyle.

Out-of-Pocket Insurance Costs: PREMIUM—Amount you pay monthly to maintain insurance coverage. COPAY—Charge for office visits and prescriptions. DEDUCTIBLE—Amount you pay before your insurance company provides coverage. CO-INSURANCE—The percentage of costs of a covered health care service you pay (20%, for example) after you’ve paid your deductible. OUT OF POCKET MAXIMUM—An out-of-pocket maximum is the most you’ll have to pay during a policy period (usually a year) for health care services. Once you’ve reached your out-of-pocket maximum, your plan begins to pay 100 percent of the allowed amount for covered services.

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Fall 2017 • Healthstyle Magazine

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Lifestyle & Nutrition

Touchdown Treats Win Big with Guilt-Free Game-Day Recipes BY MICHELLE JACOBY

W

hether you’re cheering your team on in a stadium packed with a few thousand of your closest friends or from the comfort of your living room armchair, football just season isn’t complete without your favorite gridiron goodies. From nachos to wings to the “best” slow cooker chili you’ll ever have, try these healthy takes on your football party favorites.

Mediterranean Chicken Wraps 1/4 cup plain fat-free Greek yogurt 1 tsp. lemon juice or red wine vinegar 1 clove garlic, minced 1/4 tsp. dried dill weed, crushed 2 8-inch, low-carb, high-fiber tortillas 1 cup cooked chicken breast (4 oz.), shredded 1/3 cup fresh baby spinach 1 cup assorted fresh vegetables strips (cucumber, red sweet pepper, carrot, yellow summer squash) In a small bowl, stir together yogurt, lemon juice, garlic and dill weed. Evenly divide chicken, spinach and vegetable strips on tortillas. Spoon yogurt mixture evenly over top. Roll up tortillas. Secure with toothpicks. Cut rolls in half.

Triple-Pepper Nachos 5 7- to 8-inch whole wheat flour tortillas or 4 oz. baked tortilla chips (about 5 cups) 1 15-oz. can black beans, rinsed and drained 3/4 cup chunky salsa 1 cup reduced-fat Colby and Monterey Jack cheese, shredded 1 jar roasted red sweet peppers, drained and cut into strips 2 to 4 tbsp. pepperoncini salad pepper, seeded and cut into strips 1 jar sliced pickled jalapeno chile peppers, chopped Light dairy sour cream Green onions, thinly sliced 1.

Preheat oven to 425 degrees. If using whole wheat flour tortillas, lightly coat both sides of each tortilla with nonstick cooking spray. Cut each tortilla into six wedges. Place wedges in a single layer on a very large ungreased baking sheet. Bake for 8 to 10 minutes or until lightly browned and crisp, turning once halfway through baking. Tortilla wedges will continue to crisp as they cool. 2. Meanwhile, in a medium saucepan combine black beans and the 3/4 cup salsa; cook and stir over medium heat just until heated through. 3. On a very large ovenproof platter, arrange tortilla chips one to two layers deep, overlapping slightly. Spoon bean mixture on chips. Sprinkle cheese, roasted red peppers, pepperoncini pepper, and jalapeno peppers over bean mixture on chips. 4. Bake about 5 minutes or until cheese is melted. If desired, top sour cream with green onions. Serve nachos immediately. If desired, serve with sour cream and additional salsa.


Best Vegetarian Slow Cooker Chili 1/2 cup olive oil 4 onions, chopped 4 cloves garlic, minced 4 celery stalks, cut 1/4 inches crosswise 4 red, yellow or orange bell peppers, seeded and chopped 1 can black beans (15.5 oz.), rinsed and drained 1 can cannellini beans, rinsed and drained 1 can pinto beans, rinsed and drained 1 can kidney beans, rinsed and drained 1 can diced tomatoes 6 tbsp. chili powder 2 tbsp. dried oregano 2 tsp. salt 2 tsp. ground cumin 1/2 tsp. ground black pepper 2 tbsp. distilled white vinegar 1 tbsp. hot sauce 1.

Heat olive oil in a large skillet over medium-high heat. Add onions and garlic, sauté until they soften but don’t brown, about 5 minutes. Add the peppers and celery, and sauté until lightly browned and tender, about 5 minutes. 2. Set your slow cooker to low. Add the beans, vegetables, diced tomatoes, spices, vinegar, and hot sauce. Stir to combine and cover. Cook on low heat for 6 to 8 hours.

Cauliflower Pizza Bites 1 cauliflower head, medium 1 egg 1/4 cup Parmesan cheese, shaved 1/2 cup Italian cheese blend (or mozzarella), shredded 1 cup pizza sauce 1/4 cup mini pepperoni 1/2 tbsp. Italian seasoning (optional) 1.

Preheat oven to 400 degrees. Pulse cauliflower in a food processor until the florets have broken down into crumbs, resembling a rice-like consistency. Transfer cauliflower rice to a microwavable bowl and loosely cover with a paper towel. Microwave on high for 5 minutes. 2. Once the cauliflower rice has cooled, transfer to a dish cloth (you may want to do this in two batches) and squeeze out as much of the juice as possible. Transfer the dried cauliflower to another dry dish cloth and squeeze again to ensure you have gotten as much of the juice out as possible. Transfer the dried cauliflower to a bowl and mix in the egg, Parmesan cheese and seasoning. 3. Spray a mini cupcake pan with nonstick cooking spray and spoon a tablespoon of the mixture to each opening. Use your thumb to press down into the middle to create a dip in each cauliflower base. Bake for 20 minutes or until golden brown. 4. Remove pan from the oven and add some pizza sauce to each cauliflower base along with a little cheese and some mini pepperonis. Return to oven to bake for 10 minutes or until the cheese has fully melted.

Fall 2017 • Healthstyle Magazine

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Puzzle

ACROSS 1 Theater districts 8 Friendly 15 See 44-Down 20 Based on logic, not fact 21 Retirement payment 22 Blossom part 23 Time when those people are most available? 25 Perk 26 Sweetie 27 Boggy area 28 Yoo- — (drink brand) 29 Detergent brand 31 Fighter of Frazier 32 Cain’s eldest son 35 Film parts 38 Boston fish 39 Got the title 40 Class that’s become stylish again? 43 Carpenter’s intent gaze? 46 Gobbling bird 47 Martini liquor 48 Old Pontiac 49 Idling sort 52 “Old man” 53 Big show featuring female horses? 59 Part of the conspiracy 61 Court hearings 63 Flub it up 64 Child of the ’60s or ’70s 65 Ancient Greek physician 66 Flubs it up 67 Singing syllable 68 Jai — (court sport) 69 Planetary center’s top and bottom?

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Healthstyle Magazine • Fall 2017

74 Fillies’ feed 75 Where you live: Abbr. 76 Sioux City citizen 77 Central church areas 78 Golf club VIP 79 Certain sib 80 Kebab stick 82 Not moving 83 Reserve tire produced in Andalusia’s capital? 86 Gp. once led by Arafat 87 Rd. with a number 88 — Wayne (rapper) 89 Fillies’ feed 90 Disentangle again, as hair 93 Lay the blame on Mr. Flintstone? 97 What happens when a low-value playing card is microwaved? 102 French Dada artist Jean 103 Weed whacker 104 Home of Italy 106 Make a goal 107 — Moines 108 QED part 110 PC-game “City” dweller 111 Early 1960s atty. gen. 114 China’s Sun — -sen 115 Old numbing compound 117 Very unusual breeds of house pets? 122 Lyons’ river 123 Scrutinize 124 Be quite revealing 125 Having eaten enough 126 Malady 127 Pizzeria herb

DOWN 1 Kind of 2 Galaxy rival 3 “Am too!” retort 4 Twice XXVI 5 Craggy peak 6 “Carmina Burana” composer Carl 7 Filly’s father 8 Chimp, e.g. 9 Net fabrics 10 Chant 11 “... old woman who lived in —” 12 Life, in brief 13 Uncouth sort 14 Fermi of physics 15 Leadfoot 16 — Luthor 17 Metropolis in Ontario 18 Pizzeria, e.g. 19 Stritch of “30 Rock” 24 Occur next 30 Full-size pickup model 33 Old PC part 34 Famed escape artist 36 Shout 37 Dips in pools 41 Suffix with bureau 42 Endorsed 44 With 15-Across, inclined 45 “Mazel —!” 47 Hair fixative 49 Settings for circus acts 50 Clueless 51 Associate of Stalin 53 Slight quarrel 54 More rash 55 Aired anew 56 Old flame 57 Most imminent 58 Port of eastern Italy 60 Suffix with 50-Down or 84-Down 61 Throw lightly 62 Aussie critter 66 “Silly” birds 67 Simeon I of Bulgaria, e.g. 68 Rent- — 70 Extract via a borehole, as oil 71 Hockey great Gordie 72 Ovine female 73 Buries 79 Moved like a snake 80 Garden shovel 81 Big jewelry brand 82 Felipe of baseball 84 Not in good health 85 Doe or sow 86 Highly toxic pollutant, for short 90 Sales agt. 91 Observers 92 U.K. TV network 93 Soundboard controls 94 Soul great Franklin 95 End result 96 Brought up 97 Daughter of Richard Nixon 98 Natives of Italy’s capital 99 Common Jesuit school name 100 2006 action-fantasy film 101 Begins, as a task 105 “I’m at your disposal” 109 Hailed ride 112 Burkina — 113 Tree knot 116 Tijuana-to-Phoenix dir. 118 Univ. dorm supervisors 119 Golfing peg 120 Anil or henna 121 First name among U.N. leaders

Puzzle answers online at healthstylemagazine.com/ fall-2017/


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