Transcript PAN Foundation

April, 2014
PAN Foundation
Offering Help and Hope for a Healthy Tomorrow
Agenda
PAN Foundation Overview
Program Assistance
2012 Patient & Provider Survey
Contact Information
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Who We Are
Mission
The Patient Access Network Foundation (PAN) offers help and
hope to people with chronic or life-threatening illnesses for
whom cost limits access to breakthrough medical treatments
Background
 Established in 2004, PAN is an independent, national
501 (c) 3 organization
 Founded to help reduce the financial burden of underinsured
critically and chronically ill patients and provide hope for
leading productive and healthy lives again
 Governed by an 11-member Board of Directors with
expertise in medicine, healthcare administration, non-profit
management, finance and public policy
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What We Do
PAN provides financial assistance to individuals who have
insurance but lack the means to pay for out-of-pocket costs
associated with life-saving specialty medications
Who Qualifies
 Individuals with Medicare, Medicaid or private health
insurance who meet disease-specific eligibility criteria
Amount of Assistance
 Depending on the illness, between $500 - $15,000 in
copayment assistance for a 12-month period
Disease Funds
 Nearly 60 disease-specific programs covering a wide range of
patient needs
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PAN Financial Assistance Programs
Oncology
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Advanced Basal Cell Carcinoma
Anaplastic Large Cell Lymphoma
Bone Metastases
Chemotherapy Induced Neutropenia
Chronic Lymphocytic Leukemia
Colorectal Cancer
Cutaneous T-cell Lymphoma
Gastrointestinal Stromal Tumors
Immunotherapy for Genitourinary
Cancers
Hodgkin’s Lymphoma
Lung Cancer (Non-Small Cell)
Mantel Cell Lymphoma
Metastatic Breast Cancer
Metastatic Castrate Resistant Prostate
Cancer
Metastatic Melanoma
Multiple Myeloma
Myelodysplastic Syndrome
Myeloproliferative Neoplasms
Non-Hodgkin’s Lymphoma
Progressive Neuroendocrine Tumors of
Pancreatic Origin
Philadelphia Chromosome Positive
Acute Lymphoblastic Leukemia
Renal Cell Carcinoma
Well-Differentiated Thyroid Cancer
Chronic Disease
‒ Age Related Macular Degeneration
‒ Ankylosing Spondylitis
‒ Asthma
‒ Chronic Iron Overload
‒ Cytomegalovirus
‒ Diabetic Foot Ulcers
‒ Diabetic Macular Edema
‒ Growth Hormone Deficiency
‒ Hepatitis B
‒ Hepatitis C
‒ HIV/AIDS
‒ Idiopathic Thrombocytopenic
Purpura
‒ Inflammatory Bowel Disease
‒ Kidney Transplant
Immunosuppressants
‒ Multiple Sclerosis
‒ Plaque Psoriasis
‒ Postmenopausal Osteoporosis
‒ Psoriatic Arthritis
‒ Retinal Vein Occlusion
‒ Respiratory Syncytial Virus
‒ Rheumatoid Arthritis
‒ Secondary Hyperparathyroidism
‒ Solid Organ Transplant
Immunosuppressants
‒ Venous Leg Ulcers
Rare Disease
‒ Acromegaly
‒ Cushing’s Disease
‒ Gaucher Disease
‒ Homozygous Familial
Hypercholesterolemia
‒ Methicillin-resistant
Staphylococcus Aureus (MRSA)
‒ Short Bowel Syndrome
‒ Tuberous Sclerosis Complex
‒ Uveitis
‒ Wilson Disease
Travel Assistance
‒ Metastatic Castrate Resistant
Prostate Cancer
Premium Assistance
‒ Homozygous Familial
Hypercholesterolemia
‒ Short Bowel Syndrome
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By The Numbers
Since 2004
 PAN has helped more than 200,000 patients
 Provided nearly $400,000,000 million in patient assistance
In 2013
 PAN received more than 330,000 calls
 Approved nearly 91,000 applications
 Processed applications in less than 1 minute
 98% approval rate
 Partnered with more than 21,000 providers and 81 specialty
pharmacies at 158 locations to help their patients obtain assistance
from PAN
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Program Assistance
Relationship Flow:
Patient eligibility criteria:
-
Myelofibrosis (MF)
Polycythemia Vera (PV)
Essential Thrombocythemia (ET)
Patient
Application
• Patient has insurance coverage and is
prescribed a high cost specialty therapy
Approval
Letter
• Patient's income must be at or below
500% of the Federal Poverty Level
• Patient must reside and receive
treatment(s) in the US and its territories
$7,500 per year with the ability to
receive additional funding, if
available
Application
PAN
Foundation
Approval
Letter
SP/Provider
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Application & Claims: A Rapid Response
• PAN offers a variety of ways for patients, providers, and
advocates to submit applications for financial assistance for
high-cost specialty medications
‒ Ability to “virtually “sign the application
across all points of entry
Patients or
Advocates
seek
assistance
By Phone
Staff approve
patients
according to
PAN eligibility
criteria
Patients
receive
treatment
PAN pays
claims to
pharmacies,
physicians or
patients
Website/Portals
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Convenience
Name: John Jones
ID #: PF100200
Group #: R2005
Rx Bin # 539355
Patients are issued an electronic benefit
card to ensure seamless electronic
submissions
 Offers access to our national network of pharmacies
 Can be used by pharmacies or physicians to submit electronic or
manual claims
 Helps patients avoid making out-of-pocket payments for their
medications
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2012 Impact &
Satisfaction Survey
Objectives
 Assess patient and provider satisfaction with PAN services
 Understand effect of copay assistance on adoption of therapy and
continuity of care
Key Findings
 High out-of-pocket expenses associated with medications are #1
reason why patients fail to begin or continue treatment
 Assistance from PAN helps patients comply with their medical
regimen
 Assistance from PAN allows patients to pay other bills, relieves
stress, and positively impacts their overall health
538 Patient surveys completed; 430 Provider surveys completed
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Copay Expense:
#1 Barrier to Treatment
Q. 1 Which factors, if any, affected your ability to begin the treatment recommended by your doctor? Q2. Which factors, if any, have affected
your ability to continue (comply) with your treatment recommended by your doctor? (Check all that apply.) 2011 N=~500, 2012 N= 512
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PAN’s Assistance
Valuable
Q3. Using a scale from 1 - 5 where 1 is Not at All Valuable and 5 is Extremely Valuable, please rate how PAN’s assistance has affected your ability to
stay on track with your treatment? N=528
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Patient Compliance
Increased
Percentage of patients able to take their medications as
prescribed increased from 39% to 97%
Before PAN's Assistance
After PAN's Assistance
3% Unable
to Comply
Unable to
comply
61%
Complied
39%
97%
Complied
Q.4 Prior to receiving assistance from PAN, were you able to take your medication as prescribed by your doctor? N=504 Q.5 Now that you are
receiving co-payment assistance from PAN, are you able to take your medications as prescribed by your doctor? N=520
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Proud To Say…
98% of patients are satisfied with
PAN’s services
97% of providers select PAN as their
first choice for financial assistance
even when same assistance exists
elsewhere
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Summary
Efficient and High Touch Service
High Patient and Provider Satisfaction
Strong Network of Physicians and Pharmacies
Data-Based Decision Making
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Contact Information
www.PANfoundation.org
1-866-316-7263