scholarly journals Transparency of Industry-Sponsored Oncology Patient Financial Assistance Programs Using a Patient-Centered Approach

2017 ◽  
Vol 13 (3) ◽  
pp. e240-e248 ◽  
Author(s):  
S. Yousuf Zafar ◽  
Jeffrey Peppercorn ◽  
Akwasi Asabere ◽  
Alex Bastian

Objective: Pharmaceutical manufacturers sponsor drug-specific patient assistance programs that provide eligible patients with financial assistance, either in the form of providing the drug free of charge or copayment assistance. Describing these programs and determining who receives assistance is an important first step in understanding the impact and role of financial assistance in cancer care. Our objective was to describe eligibility criteria and benefits for cancer-specific, manufacturer-sponsored patient assistance programs. Methods: We conducted a prospective review of patient assistance program Web sites and called patient assistance program telephone hotlines from the perspective of a patient or caregiver requesting program details. Results: We identified 24 manufacturers with patient assistance programs, covering 87% of Food and Drug Administration–approved oncology drugs. For free drug programs, the average maximum annual income for qualification was $86,279. For copayment assistance programs, the average was $104,790. Thirty-five percent of free drug programs and 53% of copayment assistance programs declined to provide details on how financial need was determined. None of the programs shared details on patient usage statistics. Conclusion: Variation exists in the quality and quantity of data available to patients seeking financial assistance for cancer treatment via manufacturer Web sites and hotlines. Greater transparency among patient assistance programs would enhance utility for patients and help to determine the net impact on costs and adherence.

2020 ◽  
Vol 11 (2) ◽  
pp. 9
Author(s):  
Carlos Colon ◽  
Raiza Cotto ◽  
Militza Diaz ◽  
Isabel Martinez ◽  
Paulette Salas ◽  
...  

Background: Patient assistance programs, including medication management and counseling, have the potential to improve care in chronic disease states with complex therapies. Incorporating technology as a tool to foster adherence is becoming more commonplace in practice. Objectives:  The purpose of this report is to identify barriers of medication adherence and review the impact of patient assistance programs and technology on medication adherence. Methods: A literature search was conducted in secondary databases, PubMed/MEDLINE and EBSCOhost of peer-reviewed systematic reviews, experimental, quasi-experimental, and observational reports published in English within the last fifteen years. Terms searched included patient assistance program, pharmacist role, technology, adherence or compliance, income and health. Results: Ten studies met our prespecified criteria. Male sex, several self-reported chronic diseases, negative expectancy of treatment, engagement in polypharmacy, financial hardships and lower education level correlated with lower medication adherence. Patient care assistance programs and utilization of technology (e.g., use of a mobile application) improved medication adherence. Conclusions: Patient assistance programs and technological tools, such as mobile applications, are necessary resources in improving medication adherence.   Article Type: Idea Paper


2020 ◽  
pp. 107815522097026
Author(s):  
Seyram S Fudzie ◽  
Brandon Luong ◽  
Stephanie J Jean ◽  
Suzanne J Francart

Introduction Medication prior authorizations (PA) required by insurance payers can be time-consuming to complete and may lead to delays in treatment for cancer patients. The primary objective of this study is to assess the impact of Medication Assistance Program (MAP) specialists embedded in adult hematology and oncology clinics on the PA and financial assistance process. Methods This was a retrospective chart review study performed at a large academic medical center that examined medication referrals completed by MAP specialists in four hematology and oncology clinics. The primary outcome was the median PA turnaround time, defined as time from initial referral creation to final referral completion. Secondary outcomes assessed median turnaround time for financial assistance programs and total patient savings. Results A total of 176 prior authorization, 92 manufacturer patient assistance program (PAP), and 37 copay assistance referrals were completed. The median turnaround times were 24, 154, and 19 hours for PA, manufacturer PAP, and copay assistance program referrals, respectively. Total cost savings amounted to over $1.8 million for patients approved to receive medications through manufacturer PAPs. Conclusions Embedding MAP specialists in adult hematology/oncology clinics supports an efficient and timely process for PA approvals while also providing patient cost-savings.


2020 ◽  
Vol 41 (S1) ◽  
pp. s293-s294
Author(s):  
Prachi Patel ◽  
Margaret A. Dudeck ◽  
Shelley Magill ◽  
Nora Chea ◽  
Nicola Thompson ◽  
...  

Background: The NHSN collects data on mucosal barrier injury, laboratory-confirmed, bloodstream infections (MBI-LCBIs) as part of bloodstream infection (BSI) surveillance. Specialty care areas (SCAs), which include oncology patient care locations, tend to report the most MBI-LCBI events compared to other location types. During the update of the NSHN aggregate data and risk models in 2015, MBI-LCBI events were excluded from central-line–associated BSI (CLABSI) model calculations; separate models were generated for MBI-LCBIs, resulting in MBI-specific standardized infection ratios (SIRs). This is the first analysis to describe risk-adjusted incidence of MBI-LCBIs at the national level. Methods: Data were analyzed for MBI-LCBIs attributed to oncology locations conducting BSI surveillance from January 2015 through December 2018. We generated annual national MBI-LCBI SIRs using risk models developed from 2015 data and compared the annual SIRs to the baseline (2015) using a mid-P exact test. To account for the impact of an expansion in the MBI-LCBI organism list in 2017 from 489 organisms (32 genera) to 1,003 organisms (89 genera), we removed the MBI-LCBI events that met the newly added MBI organisms and generated additional MBI SIRs for 2017 and 2018. Results: The annual SIRs remained above 1 since 2015, indicating a greater number of MBI-LCBIs identified than were predicted based on the 2015 national data (Fig. 1). Each year’s SIR was significantly different than the national baseline, and the highest SIR was observed in 2017 (SIR, 1.377). In 2017, 12% of MBI events were attributed to an organism that was added to the MBI organism list, and in 2018 it was 10%. After removal of MBIs attributed to the expanded organisms, the 2017 and 2018 SIRs remained higher than those of previous years (1.241 and 1.232, respectively). Conclusions: The distinction of MBI-LCBIs from all other CLABSIs provides an opportunity to assess the burden of this infection type within specific patient populations. Since 2015, the increase of these events in the oncology population highlights the need for greater attention on prevention strategies pertinent to MBI-LCBI in this vulnerable population.Funding: NoneDisclosures: None


1992 ◽  
Vol 86 (9) ◽  
pp. 402-407 ◽  
Author(s):  
M.M. Uslan

This article discusses two major obstacles that visually impaired persons face when considering the purchase of assistive technology—cost and lack of information about technology and financial assistance programs. The results of a survey of direct service organizations and three telephone surveys of visually impaired persons are presented to document the problem. Implications for administrators who wish to develop a financial assistance program are discussed.


2021 ◽  
Author(s):  
Alyce Adams ◽  
Raymond Kluender ◽  
Neale Mahoney ◽  
Jinglin Wang ◽  
Francis Wong ◽  
...  

2017 ◽  
Vol 2 (1) ◽  
pp. 83-93
Author(s):  
Syarul Azman Shaharuddin ◽  
Zulkifli Abd Hamid ◽  
Fakhri Sungit

The knowledge about zakat distribution method is a vital issue because it leaves an impact to the converts regarding fairness and satisfaction. The aim of the study is to analyze the zakat distribution method in the state of Selangor. In addition, the study is to delve the statisctics in the form of assistance programs received by the converts in Selangor. The study employs mixed method which adopts both quantitative and qualitative studies. The quantitative study employs the questionnaire instrument to 454 converts in Selangor. Meanwhile, the qualitative study employs the library study. The finding of the study indicates that there are twelve zakat distribution methods. The study also shows the statistics in the form of assistance program received by converts.There are fifteen forms of aid received by converts. In the one hand, the highest form of assistance program received by converts are hari raya allowance and monthly financial assistance which are amounted to 54.4% and 47.6% respectively. On the other hand, the lowest form of assistance program is printing and publication assistance which is amounted to 7%. The implication signifies that the zakat distribution method is dessiminated either in the form of money as well as services. Thus, the study finds that the zakat authority in Selangor has fairly distributed the funds into 1/8 of the right of zakat recipients.


2016 ◽  
Vol 51 (7) ◽  
pp. 572-576 ◽  
Author(s):  
Limin Gao ◽  
Jivin Joseph ◽  
Marcelle Santoro-Levy ◽  
Alan S. Multz ◽  
Vladimir K. Gotlieb

Author(s):  
Marwanto Harjowiryono ◽  
Windraty Ariane Siallagan

This study investigates the impact of the COVID-19 pandemic on MSMEs and how Government intervention affects their capacity to survive. Through a survey of 368 respondents, namely debtors/beneficiaries, aid distributors, policymakers, and supervisors, this case study finds that the COVID-19 pandemic has resulted in business delays. The finding means that the government assistance schemes are the key to business continuity for MSMEs during the COVID-19 pandemic. With the help from the Government, the business actors in the sample of this study can maintain their business. Although some MSMEs reduced the number of workers employed, some MSMEs still survived, even increased their workers and business turnover. While the research identifies key success factors of Government programs, there are also some challenges in their implementation. This study recommends that the Government continues giving assistance programs for MSMEs. In addition, the Government should relax requirements while focusing on new beneficiaries. Building an integrated MSME database is also necessary, and in the future, the Government must integrate the assistance program with financial literacy and innovation programs. The policy implication of this research is that the future programs of government poverty alleviation need to focus on MSMEs.


Author(s):  
Gina J. Fung ◽  
Laura K. Jefferies ◽  
Michelle A. Lloyd Call ◽  
Dennis L. Eggett ◽  
Rickelle Richards

Background: Previous research has suggested many households are meeting the Federal Emergency Management Agency’s 3-day emergency food and water storage recommendations. The impact of limited economic household resources on emergency preparedness practices related to food and water is uncertain. The purpose of this study was to compare emergency preparedness practices in households participating in United States’ food assistance programs with households not participating in these programs. Methods: A convenience sample of adults (n = 572) completed an online Qualtrics survey. Descriptive statistics, chi-square statistics, and independent t-tests were used to measure differences between households participating in food assistance programs vs. non-participating households. Results: Most households participating in food assistance programs felt prepared to provide household members with food and water during an emergency, which did not significantly differ from non-participating households. Households using food assistance programs had less accessible cash but had similar foods on-hand for an emergency compared to non-participating households. However, they more frequently reported having baby formula/food and less frequently reported having vitamin/mineral supplements compared to non-participating households. Conclusions: Food assistance programs may be effective in providing enough food and water to help low-income families be prepared for an emergency.


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