PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Slides:



Advertisements
Similar presentations
Patient Assistance Programs for Hepatitis C Products PLEASE USE THEM!
Advertisements

Value & Coverage Issue Brief Slides A Closer Look at Health Plan Coverage Policies and Approaches.
Patient Assistance Programs for Hepatitis C Products PLEASE USE THEM!
1.03 Healthcare Finances Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.
Colorado Department of Health Care Policy and FinancingColorado Department of Health Care Policy and Financing 1 Information for Insurance Brokers.
Medical Insurance. Overview  Many people in the US are uninsured – they assume all responsibility for health care costs.  The number of uninsured is.
One Illness Away National Congress on the Un- and Under Insured December 11, 2007 Washington, DC The crisis of the underinsured.
Patient Advocacy. Access, Affordability, and understanding treatment costs.
Case for Support. Blood Cancers More than 1 million North Americans are fighting blood cancers, the third leading cause of cancer deaths. Early detection.
Medicare and Your Medicare Rights By Sylvia Gaddis Florida Medical Quality Assurance, Inc.
2008 CHIP & aB Disenrollment Survey April 16, In 2008, Market Decisions interviewed 405 prior adultBasic enrollees and parents or guardians of 801.
The Arkansas Health Insurance Premium Payment Program Sponsored by the Arkansas Department of Human Services, Division of Medical Services Information.
Colorado Department of Health Care Policy and FinancingColorado Department of Health Care Policy and Financing 1 Information for Employee Benefits Coordinators.
1.03 Healthcare Finances. Health Insurance Plans Premium-The periodic amount paid to an insurance company for healthcare or prescription drugs Deductible-Amount.
Colorado Department of Health Care Policy and FinancingColorado Department of Health Care Policy and Financing 1 Information for Health-Related Support.
 Agreed upon fees paid for coverage of medical benefits for a defined benefit period. Premiums can be paid by employers, unions, employees, or shared.
1.03 Healthcare Finances Understand healthcare agencies, finances, and trends Healthcare Finances Government Finances Private Finances 2.
Your Local State Health Insurance Assistance Program (SHIP) office: Tom Everett ex. 104 This presentation may.
Access to Care: Essential to Winning the Fight Against Cancer Ruth Parriott MWD Government Relations Director.
1.03 Healthcare Finances.
Private Insurance Payers and Plans Chapter 3
HEALTH INSURANCE PLANS
Methods of Payment for Healthcare
Health Coverage Enrollment in Michigan
Methods of Payment for Healthcare
Medication Therapy Management (MTM)
Health Insurance Options and Benefits.
Health Insurance Key Definitions & Frequently Asked Questions
Clinical Medical Assisting
An Introduction to Health Care and Health Policy in the United States
Young, Uninsured and In Debt:
1.03 Healthcare Finances.
Who pays for today’s healthcare?
Skills for Independent Living: Volume III - Health
Health Insurance.
Percent of adults ages 19–64 with single policies
HEALTH CARE POLICY.
1.03 Healthcare Finances.
Total U.S. prescription drug spending, in $ billions:
Prescription Assistance Programs
Billing and Financial Issues
2:4 Health Insurance Plans
HEALTH INSURANCE PLANS
Methods of Payment for Healthcare
Health Coverage Enrollment in Michigan
Health Coverage Enrollment in Michigan
1.03 Healthcare Finances.
What Are the Differences? (Part 1)
HIV Program Policy Updates
Methods of Payment for Healthcare
Health Insurance Options and Benefits.
1.03 Healthcare Finances.
Methods of Payment for Healthcare
Brevard Public Schools Humana Vision Plan
1.03 Healthcare Finances.
For Patients: Frequently Asked Questions
For Patients: Frequently Asked Questions
Figure 1. Distribution of Individuals Covered by Private Health Insurance, by Type of Health Plan, 2005–2007 Comprehensive = health plan with no deductible.
1.03 Healthcare Finances.
How Well Does Insurance Coverage Protect Consumers from Health Care Costs? Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2016 Sara.
Subsidized private insurance
Vice President, Health Care Coverage and Access
Component 1: Introduction to Health Care and Public Health in the U.S.
1.03 Healthcare Finances.
Section 24.2 Participating in Your Healthcare Objectives
SAMPLE ONLY Dominion Health Center: Excellence in Medicaid Managed Care (or another defining message) Dominion Health Center is a community health center.
SAMPLE ONLY Dominion Health Center: Your Community Partner for Excellent Care (or another defining message) Dominion Health Center is a community health.
SAMPLE ONLY Dominion Health Center: Your Community Healthcare Home (or another defining message) Dominion Health Center is a community health center.
SAMPLE ONLY Dominion Health Center: Your Community Partner for Excellent Care (or another defining message) Dominion Health Center is a community health.
Financial Options when living with Cancer
Presentation transcript:

PAN Foundation Offering Help and Hope for a Healthy Tomorrow April, 2014 PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Agenda PAN Foundation Overview Program Assistance 2012 Patient & Provider Survey Contact Information

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

What We Do Who Qualifies Amount of Assistance Disease Funds 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

PAN Financial Assistance Programs Oncology Chronic Disease Rare Disease 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 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 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 5

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

Program Assistance Relationship Flow: Patient eligibility criteria: Myelofibrosis (MF) Polycythemia Vera (PV) Essential Thrombocythemia (ET) Patient has insurance coverage and is prescribed a high cost specialty therapy 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 Patient Application Approval Letter Application PAN Foundation Approval Letter SP/Provider 7

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 Staff approve patients according to PAN eligibility criteria Patients receive treatment PAN pays claims to pharmacies, physicians or patients By Phone Website/Portals 8

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 9

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

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

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

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 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

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

Summary Efficient and High Touch Service High Patient and Provider Satisfaction Strong Network of Physicians and Pharmacies Data-Based Decision Making 15

Contact Information www.PANfoundation.org 1-866-316-7263