Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention

1. Presented By: Michelle Shanks Program Director, CDC/PAF Cancer Prevention and Survivorship Partnership Senior 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 2

3. Annual Patients Served2002-2007 Total Case Count Total Contacts for Direct Patient Services (shown in millions)

4. Analysis of PAF Patients Ethnicity Gender Female 62.95% Male 37.05% Source: 2007 Patient Data Analysis Report

5. 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

6. 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

7. 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 line 800-516-9256

8. National African American Outreach Program Congressional Black Caucus THE NATIONAL COUNCIL OF NEGRO WOMEN, INC. Annual Session of theNational Baptist Convention

9. 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 York 2003: 7.22% of PAF patients were Hispanic/Latino 2004: 7.47% of PAF patients were Hispanic/Latino 2007: 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 American 2004: 13.92% of PAF patients were African American 2007: 16.26% of PAF patients were African American Source: Patient Data Analysis Reports

10. Patient Educational OpportunitiesPAF 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

11. 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.

12. Patient Testimonial “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.

13. 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:Early Detection and Survivorship of Cancer in Underserved Populations

14. 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

15. 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

16. Co-Pay Relief (CPR) Program Co-Pay Relief may be the answer. The Patient Advocate Foundation helps insured patients with: • 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 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.

17. 700 Thimble Shoals Blvd, Suite 200Newport News, VA 23606 Phone: 1-800-532-5274 Fax: (757) 873-8999 Internet: www.patientadvocate.org E-Mail: info@patientadvocate.org 700 Thimble Shoals Blvd., Suite 201 Newport News, VA 23606 Phone:  1-866-512-3861 Fax: (757) 952-0118 Internet: www.copays.org E-Mail: cpr@patientadvocate.org Contact Us

18. PAF would like to thank the Centers for Disease Control and Prevention for their commitment to improving oncology care for underserved patients nationwide. Patient Advocate Foundation