April, 2014

PAN FoundationOffering Help and Hope for a Healthy Tomorrow

Agenda

PAN Foundation Overview

Program Assistance

2012 Patient & Provider Survey

Contact Information

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Who We Are

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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

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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

Oncology

‒ 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

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 Disease

‒ 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

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PAN Financial Assistance Programs

Travel Assistance

‒ Metastatic Castrate Resistant Prostate Cancer

Premium Assistance

‒ Homozygous Familial Hypercholesterolemia

‒ Short Bowel Syndrome

By The Numbers

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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

Application

Approval Letter

SP/Provider

Patient

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

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Relationship Flow:

Program Assistance

PANFoundation

Approval Letter

Application

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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

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

Name: John Jones

ID #: PF100200

Group #: R2005

Rx Bin # 539355

Convenience

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Patients are issued an electronic benefit card to ensure seamless electronic submissions

2012 Impact & Satisfaction Survey

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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

11Q. 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 AssistanceValuable

12Q3. 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 ComplianceIncreased

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Complied39%

Unable to comply

61%97%

Complied

3% Unable to Comply

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

Percentage of patients able to take their medications as prescribed increased from 39% to 97%

Proud To Say…

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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

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1-866-316-7263

www.PANfoundation.org

Contact Information