prescription assistance program (pap) mission “aiding individuals in obtaining needed medication...
TRANSCRIPT
Prescription Assistance Prescription Assistance Program (PAP)Program (PAP)
Mission
“Aiding individuals in obtaining needed medication for maintaining and
improving healthy lives.”
History of PAPHistory of PAP
- Established in 2003 as a collaborative effort between SCASC, Dakota Medical Foundation and regional health care providers
- Piloted in Valley City and furthered developed with an office in Fargo
- Currently serving clients and health care providers in ND, MN, SD and four additional states
Need for PAPNeed for PAP
- Address the barriers disadvantaged individuals face when attempting to access needed medication:Low-income, lack health insurance, lack prescription coverage and seniors in the Medicare Part D Coverage Gap
- Reduce operating costs for health care providers in relation to prescription
assistance processing
Statistical NeedStatistical Need
Assessments conducted with Dakota Medical Foundation:
11.2
Average hours of service per PAP client annually
56%
Average savings per client PAP provides on operating costs to providers
Average ClientAverage Client
- Lacks major form of health insurance
- Below 250% of Federal Poverty Level
- Seeks assistance for 5+ medications
- Receives $10,500+ prescription savings annually
Services ProvidedServices Provided
Prescription Assistance Processing(Five-step process including initial referral, coordination between client and health care
provider and submission of materials to pharmaceutical manufacturers)
Case-Management(Average client receives three refills per medication annually)
Services Provided Cont.Services Provided Cont.
Health Insurance Counseling(Certified through North Dakota
Insurance Department)
Outreach(Service information to health care and human
service providers and responsible prescription use information to clients.
Presentations to electronic newsletters.)
How Prescription How Prescription Assistance WorksAssistance Works
Initiated by referral from health care provider, human service organization or self-initiated
Continues with five step processing consisting of coordination between patient, health care provider,
and pharmaceutical manufacturer
Ends with individual receiving 90-day supply of medication (mailed to home or doctors office) and
being eligible for three refills per medication annually
How $$$ Is SavedHow $$$ Is Saved
Patients(Savings on prescription medication and office visit co-pays)
Providers(Savings on operating costs)
Manufacturers(Tax incentive to provide medications to 501(c)3 programs
and low income individuals)
PAP OrganizationPAP Organization
Program Director (1)
Part-Time Staff / Technicians (3)
Contributors:Courier systems between offices and providers
and provider enrollment / credentialing services
2010 Annual Snapshot2010 Annual Snapshot
262Health Care Providers Served
465Clients Served
2,727Medications Processed
$4,892,040Prescription Savings Obtained
Top Medications Obtained Top Medications Obtained 20102010
Medication Cost Use ____________ Glucose Test Strips $839,640.90 Diabetic Testing SupplyNovoLog $538,877.36 Rapid-Acting InsulinLantus $290,596.95 Long-Acting InsulinHumira $164,588.40 Arthritic Anti-InflammatorySymbicort $109, 591.70 Respiratory SteroidHumalog $102,093.90 Rapid-Acting InsulinLamictal $100,171.30 AnticonvulsantAdvair Diskus $90,806.47 Respiratory Inhalation Neurontin $85,650.30 Anticonvulsant
Abilify $75,015.90 Anti-Psychotic / Dementia
Provider Assessment Provider Assessment ResultsResults
100% Believe the patients they refer are able to
maintain or improve their overall health
100%Save operating time and costs due to being
able to refer clients to PAP
Client Assessment ResultsClient Assessment Results
100%Believe they are able to maintain or improve overall
health due to access to PAP services
98%Of individuals who lack basic health insurance benefit
by being able to access PAP services
60%Do not engage in lifestyle activities that are
detrimental to their prescription use
Strategic Plan 2011Strategic Plan 2011
1. Expansion of services and service area (Balance rural and urban needs)
2. Development of acute medication voucher (Reduce systemic costs if left untreated)
3. Development of “Fill The Pill” fundraising drive (Diversification)
4. Development of “Responsible Patient Initiative” User Manual (Further develop overall mission of PAP)
QuestionsQuestions
For further questions please contact:
Ty Hegland
Director / Public Affairs Officer(701) 364-0398