Ryan White HIV/AIDS Program Assistance and HIV Treatment Outcomes

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
Heather BradleyJacek Skarbinski

Abstract

The Ryan White HIV/AIDS Program (RWHAP) provides persons infected with human immunodeficiency virus (HIV) with services not covered by other healthcare payer types. Limited data exist to inform policy decisions about the most appropriate role for RWHAP under the Patient Protection and Affordable Care Act (ACA). We assessed associations between RWHAP assistance and antiretroviral therapy (ART) prescription and viral suppression. We used data from the Medical Monitoring Project, a surveillance system assessing characteristics of HIV-infected adults receiving medical care in the United States. Interview and medical record data were collected in 2009-2013 from 18 095 patients. Nearly 41% of patients had RWHAP assistance; 15% relied solely on RWHAP assistance for HIV care. Overall, 91% were prescribed ART, and 75% were virally suppressed. Uninsured patients receiving RWHAP assistance were significantly more likely to be prescribed ART (52% vs 94%; P < .01) and virally suppressed (39% vs 77%; P < .01) than uninsured patients without RWHAP assistance. Patients with private insurance and Medicaid were 6% and 7% less likely, respectively, to be prescribed ART than those with RWHAP only (P < .01). Those with private insurance and Medicai...Continue Reading

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Citations

Feb 20, 2016·Current HIV/AIDS Reports·Abigail H ViallPascale Wortley
Sep 23, 2016·MMWR. Morbidity and Mortality Weekly Report·Nicholas P DeGrooteHeather Bradley
Apr 28, 2017·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Karen L DiepstraApril D Kimmel
Sep 14, 2017·Journal of the International Association of Providers of AIDS Care·Kathy K ByrdLytt I Gardner
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Nov 16, 2018·AIDS Care·Amy R BaugherUNKNOWN Medical Monitoring Project
May 31, 2019·AIDS Research and Human Retroviruses·Kathleen A McManusTabor E Flickinger
Aug 20, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David P SerotaSandra A Springer
Feb 26, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Carlos Del RioJames Curran
Jul 28, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Sandra A Springer
Aug 21, 2020·Journal of the International Association of Providers of AIDS Care·Mary Jo TrepkaRobert A Ladner
May 26, 2018·Current HIV/AIDS Reports·Asher J SchranzWilliam C Miller
Sep 18, 2020·Open Forum Infectious Diseases·Joshua P HavensSara H Bares
Nov 2, 2018·International Journal of Environmental Research and Public Health·Hanna B DemekeHazel D Dean
Aug 31, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kathleen A McManusRebecca Dillingham
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Jun 18, 2019·SAGE Open Medicine·Julie SteinbrinkJames Riddell
Dec 29, 2019·International Journal of Environmental Research and Public Health·Hanna B DemekeLinda Beer
Dec 28, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Julia RaifmanUNKNOWN HIV Research Network
Nov 9, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Anne K MonroeAmanda D Castel
Oct 29, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ravi GoyalBoyd Gilman
Feb 19, 2021·Open Forum Infectious Diseases·Kathleen A McManusElizabeth T Rogawski McQuade
Sep 30, 2021·AIDS Research and Human Retroviruses·Jun Yang Jiang, Erin Gourley Reid

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