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August 4, 2014 PAN Foundation Offering Help and Hope for a Healthy Tomorrow

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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 - PowerPoint PPT Presentation

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Page 1: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

August 4, 2014

PAN FoundationOffering Help and Hope for a Healthy Tomorrow

Page 2: 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

2

Page 3: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Who We Are

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MissionEstablished 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 Directors11-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

Page 4: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Oncology 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 Acromegaly Cushing’s Disease Gaucher Disease Homozygous Familial

Hypercholesterolemia Methicillin-resistant

Staphylococcus aureus (MRSA) Short Bowel Syndrome Tuberous Sclerosis Complex Uveitis Wilson Disease

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

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PAN Assistance Programs

Travel Assistance Metastatic Castrate Resistant

Prostate Cancer

Premium Assistance Homozygous Familial

Hypercholesterolemia Short Bowel Syndrome

Page 5: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Patient Demand Continues to Grow

5

1185 1216 1551 1060 816 1101 888 1136 1100 850 982 1858

2578

70185259 4491 4184

34203290 3692 4054 4389 3957 4356

9358 10101

72575966 5685 4895 5468

80955389 7929 6849

6870

31023

15489 17022 16376 16349

14651

5715

-3000

2000

7000

12000

17000

22000

27000

32000

January February March April May June July August September October November December

Num

ber o

f Pati

ents

Ass

iste

d

Total Patients Approved

2011

2012

2013

2014

• YTD June—110,910 patients have been approved for financial assistance vs. 43,262 the prior year

Page 6: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Key Performance Indicators

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Inbound Calls

Patient Approvals and Payments

Referral Sources

• YTD, PAN has received 279,856 calls• Average speed to answer 43 seconds*

• 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**

• 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.

22%

21%42%

15%Provider Portal

SP Portal

Phone

Website

Application Point of Entry

45%

11%4%

15%

38%

1%

Provider

Reimbursement Support

Patient Advocacy

Website

Pharmacy

Case Manager/Social Worker

Referral Sources

Page 7: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Patient and Provider Satisfaction Surveys

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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

Emily Kitchen
Page 8: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

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

2012 Satisfaction Survey Findings

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Page 9: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Co-pay Expense: #1 Barrier to Treatment

9 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

Page 10: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Patient Compliance Increases

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After PAN's AssistanceBefore 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

In 2012, assistance from PAN allowed 97% of patients to comply with taking their medications vs. 39% without assistance.

Page 11: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

HIV/AIDS FINANCIAL ASSISTANCE FUND

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Page 12: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Medication Information

Application

SP/Provider

Donor Agreement

& Donations

ReportingPatient

DONOR

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

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Relationship Flow:

HIV/AIDS Program Assistance

PANFoundation

Approval / Denial Letter

Application

Approval / Denial Letter

Page 13: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

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

256

665

696

0

100

200

300

400

500

600

700

800

April May June July August September October November December

Num

ber o

f Pati

ents

Ass

iste

d

HIV/AIDS Monthly Patient Activity 2014

2014

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Page 14: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Specialty Pharmacy & Provider Relationships

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PAN partners with many key specialty pharmacies, including:

and many providers…as well as patient advocacy organizations

Page 15: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

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

31%

43%

26%Portals

Phone

Website 30%

5%3%

26%

34%

Provider

Reimbursement Support

Patient Advocacy

Website

Pharmacy

Case Manager/Social Worker2%

HIV Referral SourcesHIV Application Point of Entry

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Page 16: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

APPLICATION PROCESS AND INSTANT APPROVAL

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Page 17: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

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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Page 18: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

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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

Website/Portals

Staff approve patients

according to PAN eligibility

criteria

PAN pays claims to

pharmacies, physicians or

patients

By PhonePatients orAdvocates

seek assistance

Patients receive

treatment

‒ Ability to “virtually “sign the application across all points of entry

Page 19: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Portal Enrollments: Submission Validation Immediately Displayed in Online Portals

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• Same streamlined enrollment application, now with immediate results• Once application is submitted, pop-up will appear to show in-process

determination

Page 20: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

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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Page 21: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Provider/SP Portal – “Real-Time” Patient Status

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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

Page 22: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

“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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Page 23: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Summary —PAN Offers Hope for Patients and Help for Families

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• 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

Page 24: PAN Foundation Offering Help and Hope for a Healthy Tomorrow

Korab ZukaVice President, External Relations and Patient Services

Tel: 202.347.9273Cell: 202.344.5551

E-mail: [email protected]

Facebook.com/PANfoundation Twitter.com/PAN_Foundation

http://PANfoundation.org

Contact Information

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