Presented By:
Michelle ShanksProgram Director, CDC/PAF Cancer Prevention
and Survivorship PartnershipSenior Case Manager
2
Eliminating patient obstacles to ensure access to quality health
care.
PAF provides assistance to patients through effective mediation to assure access to quality health care, maintenance of employment and
preservation of financial stability.
Our Mission
Annual Patients Served2002-2007
3314 3750
22231
27424
39782
44812
0
5000
10000
15000
20000
25000
30000
35000
40000
45000
2002 2003 2004 2005 2006 2007
Total Case Count
2.52.9
3.2
4.1
6.46.9
0
1
2
3
4
5
6
7
2002 2003 2004 2005 2006 2007
Total Contacts for Direct Patient Services (shown in
millions)
Native Hawaiian and Other
Pacific Islander0.10%
Asian1.45%
American Indian/
Alaskan Native0.58%
Caucasian72.22%
African American16.26%
Hispanic/ Latino8.31%
Middle Eastern0.51%
Blended Ethnicity
0.42% Caribbean Islander0.15%
Gender
Ethnicity
Source: 2007 Patient Data Analysis Report
Male 37.05%Male 37.05%
Female 62.95%Female 62.95%
Analysis of PAF Patients
Direct Patient Services
•Negotiating pre-authorization approvals•Negotiating resolutions to coding and billing errors•Mediating insurance appeals•Negotiating access to pharmaceuticals agents, chemotherapy, medical devices and surgical procedures•Coordinating benefits•Brokering resources to supplement the limits of insurance and to assure access to care for the uninsured•Providing assistance in expediting the Social Security Disability application and appeals process•Resolving debt crisis related to diagnosis•Resolving insurance issues in the public and private sector
•All services provided FREE of charge
PAF Programs and Partnerships
• Direct Case Management• Centers for Disease Control Program to Increase Cancer Survivorship in Underserved Populations (SCUP)• Centers for Disease Control Hematologic
Cancer Education and Outreach Program • LAF SurvivorCare Partnership • Co-Pay Relief (CPR), A Patient Assistance Program• Colorectal CareLine (CCL)• Lymphedema CareLine (LCL)• Virginia Cares Uninsured Program (VCUP)• ACS/PAF Partnership Program
National Hispanic/Latino Outreach Program
Mission Statement
The program seeks to improve access to healthcare for patients diagnosed with a chronic, debilitating or life threatening
illness within the Spanish speaking communities by increasing awareness of
Patient Advocate services.
Spanish 24 hour message line800-516-9256
National African American Outreach Program
THE NATIONAL COUNCIL OF
NEGRO WOMEN, INC.
Congressional Black Caucus
Annual Session of the
National Baptist Convention
Disparate Population Outreach Programs
National Hispanic Latino Outreach Program: bi-lingual case managers serve Spanish speaking patients nationwide and conduct 8 hours per week of targeted outreach. Office locations include: California, New York2003: 7.22% of PAF patients were Hispanic/Latino2004: 7.47% of PAF patients were Hispanic/Latino2007: 8.31% of PAF patients were Hispanic/Latino
The National African American Outreach Program: educates specifically on diseases which are high risk for this population by attending and speaking at local and national meetings. 2003: 13.72% of PAF patients were African American2004: 13.92% of PAF patients were African American2007: 16.26% of PAF patients were African American
Source: Patient Data Analysis Reports
Patient Educational OpportunitiesPatient Educational OpportunitiesPAF PublicationsPAF Publications
• Managed Care Answer Guide• The Patient Pal• Your Guide to the Appeals Process• The National Financial Resources Guidebook for Patients: A State-by- State Directory• First My Illness, Now Job Discrimination• Your Guide to the Disability Process• Promoting a Healthier African American Community• Promoting a Healthier American Indian & Alaskan Native Community• “A Greater Understanding” Pamphlet Series of 10 Pamphlets
Clinical Trial Education and Enrollment
• PAF provides clinical trial information to patients who have access to care issues.
• We encourage patients to talk to their physician about clinical trials.
206 269
683
1443
0200400600800
1000120014001600
2003-2004
2004-2005
2005-2006
2006-2007
Patients Screened for Clinical Trials
Patient Patient TestimonialTestimonial
“Words can not adequately express my gratitude to PAF for your tremendous help during the difficult time in my life. I pray that the kindness that you have shown to me will be multiplied back to you as answer to your heart's desire.”
Joyce SpenceBreast CancerBessemer, AL
PAF successfully rectified an error in billing of surgery charges.
DP08-815:Early Detection and Survivorship of Cancer in Underserved Populations
Goal 1: Increase survivorship and enhance quality of life by providing outreach to and direct case management services for patients with breast, cervical, ovarian, colorectal, prostate, and skin cancers in underserved populations.
Goal 2: Providing outreach to increase awareness of services available to uninsured, underinsured, minority or disparate populations.
Goal 3: Provide educational materials that are culturally competent and disease specific for the targeted populations.
DP08-815: Evaluation of Success
Social Security Death Master File Annual Query:Measures the mortality rate of SCUP patients served
Patient Satisfaction Evaluation: Post case resolution evaluation completed with SCUP patient, allowing PAF to evaluate the impact of the services provided
Patient Advocate Foundation
The Colorectal CareLine provides assistance to patients who have been diagnosed with colorectal
cancer and are seeking education and access to care. The Colorectal
CareLine is staffed by a team of clinical case managers with both
nursing and social work backgrounds.
Phone: 1.866.657.8634
Patient Advocate Foundation's Co-Pay Relief (CPR), A Patient Assistance Program provides co-payment assistance for pharmaceutical products to insured Americans who financially and medically qualify. CPR provides direct financial assistance to qualified patients to assist them in the ability to afford the co-payments their insurance requires. The Program offers personal service to all patients through the use of CPR call counselors.
Breast Cancer
Lung Cancer
Prostate Cancer
Secondary issues resulting from
cancer treatment
Kidney Cancer
Sarcoma
Colon Cancer
Diabetes
Osteoporosis
Auto Immune Disorders
Head and Neck
Malignant Brain Tumors
Pancreatic Cancer
Multiple Myeloma
Co-Pay Relief may be the answer. The Patient Advocate Foundation helps insured patients with:
Co-Pay Relief (CPR) Program
Contact Us
700 Thimble Shoals Blvd, Suite 200Newport News, VA 23606
Phone: 1-800-532-5274
Fax: (757) 873-8999
Internet: www.patientadvocate.org
E-Mail: [email protected]
700 Thimble Shoals Blvd., Suite 201Newport News, VA 23606
Phone: 1-866-512-3861
Fax: (757) 952-0118
Internet: www.copays.org
E-Mail: [email protected]
Patient Advocate Foundation
PAF would like to thank the Centers for Disease Control and Prevention for their commitment to
improving oncology care for underserved patients nationwide.