What does the PAN Foundation cover?
What does PAN cover? Our 12-month grants offer financial assistance for out-of-pocket medication costs, including co-pays, health insurance premiums, and transportation costs associated with medical care. Co-pay funds: assistance with deductibles, co-pays, and coinsurance for medications.
What is Pan program?
The Patient Access Network (PAN) Foundation is an independent, national 501 (c)(3) organization dedicated to helping federally and commercially insured people living with life-threatening, chronic and rare diseases with out-of-pocket costs for their prescribed medications.
What does the PAN Foundation stand for?
The PAN Foundation is an independent, national 501 (c)(3) organization dedicated to helping federally and commercially insured people living with life-threatening, chronic and rare diseases with the out-of-pocket costs for their prescribed medications.
What is Pan in medical billing?
The Patient Access Network is a great resource to assist people who have insurance but who lack the means to pay for medications to treat chronic diseases, rare conditions or cancer.
Is the PAN Foundation legitimate?
The PAN Foundation is a national, nonprofit organization with 501(c)(3) tax-exempt status.
What is patient access in healthcare?
At its most basic, “patient access” is defined quite literally. It refers to the availability of healthcare, the ability of consumers to access care and treatment. Patient access is an integral part of the Affordable Care Act (ACA).
What does HealthWell foundation cover?
Which services does HealthWell provide? HealthWell provides financial assistance to eligible individuals to cover coinsurance, copayments, health care premiums and deductibles for certain medications and therapies.
What is PANF funding?
PANF shall provide assistance on a fund-by-fund basis that is based on a reasonable, verifiable, and uniform measure of financial need that is applied to all patients within the fund in a consistent manner.
What is PANF in healthcare?
Patient Access Network Foundation (PANF) hereby enters into this Integrity Agreement (IA) with the Office of Inspector General (OIG) of the United States Department of Health and Human Services (HHS) to promote compliance with the statutes, regulations, and written directives of Medicare, Medicaid, and all other Federal health care programs (as defined in 42 U.S.C. § 1320a-7b(f)) (Federal health care program requirements). Contemporaneously with this IA, PANF is entering into a Settlement Agreement with the United States.
What is the penalty for failing to comply with PANF?
A Stipulated Penalty of $1,000 (which shall begin to accrue on the day after the date the obligation became due) for each day PANF fails to establish, implement or comply with any of the following obligations as described in Section III:
How long does it take to notify PANF of a crime?
Within 30 days after discovery, PANF shall notify OIG, in writing, of any ongoing investigation or legal proceeding known to PANF conducted or brought by a governmental entity or its agents involving an allegation that PANF has committed a crime or has engaged in fraudulent activities. This notification shall include a description of the allegation, the identity of the investigating or prosecuting agency, and the status of such investigation or legal proceeding. PANF shall also provide written notice to OIG within 30 days after the resolution of the matter, and shall provide OIG with a description of the findings and/or results of the investigation or proceeding, if any.
What is PANF compliance?
PANF represents that prior to the Effective Date of this IA, it adopted and maintained a compliance program that includes a policy on donor interactions and the seven elements identified by OIG in its compliance guidance documents for health care compliance (Comp liance Program). PANF shall continue the Compliance Program throughout the term of the IA and shall do so in accordance with the terms set forth below. PANF may modify the Compliance Program as appropriate. However, at a minimum, PANF shall ensure that during the term of this IA, it shall maintain a compliance program to comply with the obligations set forth in this IA.
Does PANF require covered persons to disclose their eligibility?
PANF shall screen all prospective Covered Persons against the Exclusion List prior to engaging their services and, as part of the hiring or contracting process, shall require such Covered Persons to disclose whether they are Ineligible Persons.
Does PANF cover specialty drugs?
g. PANF shall not limit its assistance to high-cost or specialty drugs. Instead, PANF shall make assistance available for, at a minimum, all prescription medications, including generic or bioequivalent drugs, approved by the FDA for treatment of the disease state(s) covered by the fund. PANF may choose to provide assistance for a broader scope of drugs (e.g., all prescription medications covered by the patient’s insurance plan when prescribed for the disease state(s) covered by the fund). However, PANF shall apply the same drug coverage methodology across all its funds. For example, if one fund provides assistance for all prescription medications covered by the patient’s insurance, another fund cannot be limited to prescription medications that are approved by the FDA for the treatment of the disease state(s) covered by the fund.
How much did PANF pay for the False Claims Act?
d/b/a Good Days from CDF (“CDF”), and Patient Access Network Foundation (“PANF”), have agreed to pay $2 million and $4 million, respectively, to resolve allegations that they violated the False Claims Act by enabling pharmaceutical companies to pay kickbacks to Medicare patients taking the companies’ drugs.
Which pharmaceutical companies are allowed to use PANF?
It is further alleged that, from 2011 through 2014, PANF permitted four pharmaceutical companies – Bayer, Astellas, Dendreon, and Amgen – to use PANF as a conduit to pay kickbacks to Medicare patients taking their drugs. Details of the conduct can be found in attached addendum.
How did CDF and PANF work?
The government alleged that CDF and PANF worked with various pharmaceutical companies to design and operate certain funds that funneled money from the companies to patients taking the specific drugs the companies sold. These schemes enabled the pharmaceutical companies to ensure that Medicare patients did not consider the high costs that the companies charged for their drugs. The schemes also minimized the possibility that the companies’ money would go to patients taking competing drugs made by other companies.
What is an IA for PANF?
CDF and PANF each entered a three-year Integrity Agreement (IA) with OIG as part of their respective settlements. The IAs require, among other things, that the foundations implement measures designed to ensure that they operate independently and that their arrangements and interactions with pharmaceutical manufacturer donors are compliant with the law. In addition, the IAs require compliance-related certifications from the Boards of Directors and detailed reviews by independent review organizations.
When did CDF open an ARI fund?
On July 1, 2013, at Astellas’ request, CDF opened an ARI fund. Astellas alone financed CDF’s ARI fund. As CDF intended, Xtandi patients received nearly all of the money that the fund disbursed. CDF’s Multiple Myeloma Travel Fund for Onyx.
How did the Medicare scheme help the pharmaceutical companies?
These schemes enabled the pharmaceutical companies to ensure that Medicare patients did not consider the high costs that the companies charged for their drugs. The schemes also minimized the possibility that the companies’ money would go to patients taking competing drugs made by other companies. When a Medicare beneficiary obtains ...
Who paid kickbacks to Medicare patients?
The United States alleged that, from 2010 through 2014, CDF conspired with five pharmaceutical companies – Novartis, Dendreon, Astellas, Onyx, and Questcor – to enable them to pay kickbacks to Medicare patients taking their drugs. It is further alleged that, from 2011 through 2014, PANF permitted four pharmaceutical companies – Bayer, Astellas, Dendreon, and Amgen – to use PANF as a conduit to pay kickbacks to Medicare patients taking their drugs. Details of the conduct can be found in attached addendum.
What is the Pan Foundation?
The PAN Foundation is a national, nonprofit organization with 501 (c) (3) tax-exempt status. Its mission is to help underinsured people with life-threatening, chronic and rare diseases get the medications and treatment they need by paying for their out-of-pocket costs and advocating for improved access and affordability.
What is the phone number for Pan Foundation?
Fax: 215-689-3885 (please include the PAN Foundation as the company name with your report) Smartphone app: The Anonymous Reporting app is available in the Apple App Store and Google Play Store. On the app, use the keyword panfoundation to save and submit your report.
What is a confidential compliance hotline?
A confidential Compliance Hotline is available for employees and others to report fraud, waste or abuse concerns/issues anonymously. If someone knows or suspects that a law, regulation or organizational policy or procedure is not being followed, it should be reported.
What makes PAN’s compliance program exceptional?
We comply with guidelines and advisory opinions issued by the Office of Inspector General in the U.S. Department of Health and Human Services.
