Transcript Patient Access Network Foundation 2009 Provider Survey Results

August 4, 2014
PAN Foundation
Offering Help and Hope for a Healthy Tomorrow
Agenda
• PAN Overview
• HIV/AIDS Financial Assistance Fund
• Application Process and Instant Approval
• Summary and Questions/Answers
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Who We Are
Mission
Established in 2004, PAN Foundation offers help and hope to people with chronic or lifethreatening illnesses for whom cost limits access to breakthrough medical treatments.
Independent Board of Directors
11-member board with diverse expertise in healthcare, non-profit, financial
management, public policy industries
Proud to Say…
Helped over 295,000 patients in the last 10 years
99% of patient and providers report satisfaction with our services
95% of each dollar donated goes directly to patient assistance
Nearly 60 disease-specific programs cover a wide range of patient needs by partnering
with the largest providers and 20+ manufacturers
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PAN Assistance Programs
Oncology
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Anaplastic Large Cell Lymphoma
Basal Cell Carcinoma
Bone Metastases
Chemotherapy Induced Neutropenia
Chronic Lymphocytic Leukemia
Chronic Myeloid 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
Neuroendocrine Tumors of Pancreatic
Origin
Non-Hodgkin’s Lymphoma
Renal Cell Carcinoma
Thyroid Cancer
Rare Disease
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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
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Chronic Illness
 Asthma
 Auto-Immune Diseases
• Ankylosing Spondylitis
• Plaque Psoriasis
• Psoriatic Arthritis
• Rheumatoid Arthritis
 Chronic Iron Overload
 Cytomegalovirus
 Growth Hormone Deficiency
 Hepatitis B
 Hepatitis C
 HIV/AIDS
 Idiopathic Thrombocytopenic Purpura
 Inflammatory Bowel Disease
• Crohn’s Disease
• Ulcerative Colitis
 Lower Extremity Ulcers
 Macular Diseases
 Multiple Sclerosis
 Postmenopausal Osteoporosis
 Respiratory Syncytial Virus
 Retinal Vein Occlusion
 Secondary Hyperparathyroidism
 Solid Organ Transplant
Immunosuppressants
Homozygous Familial
Hypercholesterolemia
Short Bowel Syndrome
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Patient Demand Continues to Grow
• YTD June—110,910 patients have been approved for financial assistance vs. 43,262
the prior year
Total Patients Approved
32000
31023
Number of Patients Assisted
27000
22000
15489 17022
17000
16376
16349
14651
12000
2000
7018
2578
1185
January
2012
10101
9358
7000
2011
7257
5259
1216 1551
February
March
5966
5685
4491 4184
1060
April
816
May
8095
4895 5468
3290 3692
34205715
888 1136
1101
June
July
August
5389
4054
1100
September
7929
4389
850
October
2013
6849
3957
982
6870
2014
4356
1858
November December
-3000
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Key Performance Indicators
Inbound Calls
• YTD, PAN has received 279,856 calls
• Average speed to answer 43 seconds*
Patient Approvals and Payments
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YTD, PAN has approved 114,921 applications
99% of application are processed within a business day
Approval rate of 97%
No. 1 reason for denial is income greater than criteria
Total payments YTD $238,564,874.11**
Application Point of Entry
15%
Provider Portal
22%
42% 21%
SP Portal
Phone
Website
Referral Sources
• 45% of referrals come from providers
• Pharmacy referrals have increased
significantly to 38%
*Average speed to answer is calculated using the last six months.
**Total payments is calculated through June 2014.
Referral Sources
4%
11%
Provider
15%
Reimbursement Support
38%
Patient Advocacy
Website
45%
Pharmacy
1%
Case Manager/Social Worker
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Patient and Provider Satisfaction Surveys
Objectives
•Understand effect of co-pay assistance on adoption of therapy and
continuity of care
•Assess patient and provider satisfaction with PAN services
Key Findings in 2012
•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
•Overall, patients and providers were satisfied with PAN’s services
538 Patient surveys completed; 430 Provider surveys completed
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2012 Satisfaction Survey Findings
98% of patients are satisfied
with PAN’s services
89% of providers are satisfied with PAN services
Q7. Using a scale from 1 to 5, where 1 is Very Unsatisfied and 5 is Very Satisfied; please rate your Satisfaction with PAN Foundation services? N=530
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Co-pay 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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Patient Compliance Increases
In 2012, assistance from PAN allowed 97% of patients to
comply with taking their medications vs. 39% without
assistance.
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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HIV/AIDS FINANCIAL ASSISTANCE FUND
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HIV/AIDS Program Assistance
Patient eligibility criteria:
• Patient is insured and insurance
covers medication for which
seeking assistance
• Patient's income must be below
500% of the Federal Poverty
Level
Relationship Flow:
DONOR
Patient
Reporting
Donor
Agreement
& Donations
Application
Approval / Denial Letter
• Patient must reside and receive
treatment(s) in the US and its
territories
• $4,000 per year, with the ability
to receive another $4,000 if
funding is available
Application
PAN
Foundation
Approval / Denial Letter
Medication
Information
SP/Provider
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PAN: The Only Co-Pay Foundation Providing
Financial Assistance to Patients with HIV/AIDS
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Since April 2014, PAN has provided financial assistance to 1,617 patients with
HIV/AIDS
Requests for PAN financial assistance from patients with HIV/AIDS has continuously
increased over the last few months
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HIV/AIDS Monthly Patient Activity 2014
800
696
Number of Patients Assisted
700
665
600
500
400
300
2014
256
200
100
0
April
May
June
July
August
September
October
November
December
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Specialty Pharmacy & Provider Relationships
PAN partners with many key specialty pharmacies, including:
and many providers…as well as patient advocacy
organizations
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Specialty Pharmacies are an Important Role in
Point of Entry & Referrals
Majority of applications for the HIV fund are submitted
electronically, via specialty pharmacies or large practices
HIV Application Point of Entry
HIV Referral Sources
Provider
Portals
26%
31%
Phone
43%
Website
26%
3%
5%
Reimbursement Support
34%
Patient Advocacy
Website
Pharmacy
30%
Case Manager/Social Worker
2%
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APPLICATION PROCESS AND INSTANT
APPROVAL
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Streamlined Channels for Accessing
PAN Assistance
• Apply Online: www.PANfoundation.org
• Apply Over the Phone: 866-316-PANF (7263)
• Specialty Pharmacy/ Provider Online Portal
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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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Portal Enrollments: Submission Validation
Immediately Displayed in Online Portals
• Same streamlined enrollment application, now with immediate results
• Once application is submitted, pop-up will appear to show in-process
determination
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Portal Enrollments: Patient Eligibility and
Billing Information Instantly Shared
• In under ONE minute, eligibility determination, billing information and
available balance will be populated within the Portal allowing for instant
dispensing of medications
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Provider/SP Portal – “Real-Time” Patient Status
Specific Patient
Information for
Provider/SP
‒ Allows Provider to
view information on
all of their enrolled
patients
‒ Alerts remind
Provider that there
is missing
information that
must be completed
for an application
review
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“Real-Time” Mechanism for
Tracking Claims & Account Data
Specific Patient
Information for
Provider/SP
‒Amount allocated to
patient
‒ Payments pending
‒Total payments made
‒Patient’s account
balance
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Summary —PAN Offers Hope for Patients and
Help for Families
• Significant Growth:
– Thousands of patients are able to comply with their medication regimen
because of financial assistance from PAN
• Disease Programs:
– Improved application process
• PAN’s Instant Approval system has made our enrollment acceptance time the fastest
in the industry
– Efficiencies
• Patient transaction cost has been reduced by more than 40%
• Service Excellence:
– Despite significant increase in demand, customer service is excellent
• Experienced and well-trained staff
• Solid infrastructure in place to handle current and future growth
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Contact Information
http://PANfoundation.org
Korab Zuka
Vice President, External Relations and Patient Services
Tel: 202.347.9273
Cell: 202.344.5551
E-mail: [email protected]
Facebook.com/PANfoundation Twitter.com/PAN_Foundation
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