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Established in 2004, PAN Foundation provides financial assistance to people with chronic or life-threatening illnesses, ensuring access to breakthrough medical treatments. Partnering with providers and manufacturers, PAN offers disease-specific programs and assistance in a wide range of areas.
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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
Mission Established in 2004, PAN Foundation offers help and hope to people with chronic or life-threatening 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 Who We Are
PAN Assistance Programs Rare Disease Chronic Illness Oncology • 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 • 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 • 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 4
Patient Demand Continues to Grow • YTD June—110,910 patients have been approved for financial assistance vs. 43,262 the prior year
Key Performance Indicators Inbound Calls • YTD, PAN has received 279,856 calls • Average speed to answer 43seconds* Patient Approvals and Payments • 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 Referral Sources 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.
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
2012 Satisfaction Survey Findings 98% of patients are satisfied with PAN’s 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 89% of providers aresatisfied with PAN services
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
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 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
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 • 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 Relationship Flow: DONOR Patient Reporting Donor Agreement & Donations Application Approval / Denial Letter Application PANFoundation Approval / Denial Letter SP/Provider Medication Information 12
PAN: The Only Co-Pay Foundation Providing Financial Assistance to Patients with HIV/AIDS • 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
Specialty Pharmacy & Provider Relationships PAN partners with many key specialty pharmacies, including: and many providers…as well as patient advocacy organizations 14
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
Streamlined Channels for Accessing PAN Assistance • Apply Online: www.PANfoundation.org • Apply Over the Phone: 866-316-PANF (7263) • Specialty Pharmacy/ Provider Online Portal
Application & Claims: A Rapid Response • Ability to “virtually “sign the application across all points of entry Staff approve patients according to PAN eligibility criteria Patients receive treatment PAN pays claims to pharmacies, physicians or patients Patients or Advocates seek assistance By Phone Website/Portals 18 PAN offers a variety of ways for patients, providers, and advocates to submit applications for financial assistance for high-cost specialty medications
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
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
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
“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
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
Contact Information http://PANfoundation.org Korab Zuka Vice President, External Relations and Patient Services Tel: 202.347.9273 Cell: 202.344.5551 E-mail: kzuka@panfoundation.org Facebook.com/PANfoundation Twitter.com/PAN_Foundation