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Description:The Health Models: Pay-for-Performance is a financial incentives intervention to improve engagement in HIV care and to achieve and maintain viral suppression among HIV clinic patients attending HIV care. The program was piloted by the Louisiana Department of Health as part of the Care and Prevention in the United States (CAPUS) Demonstration Project. Patients receive financial incentives for initial or re-engagement appointments and retention-related outcomes (i.e. attending appointments and completing laboratory work). The largest amount of financial incentives is for achieving and maintaining viral suppression. Financial incentives are given as cash payments on reloadable debit cards or cash equivalent gift cards, depending on the clinic. Health Models coordinators are employed by each clinic and manage and administer financial incentives for HIV patients. In some clinics, these duties are delegated to nursing staff. Health Models coordinators and nursing staff members also provide enrollees with patient navigation services, treatment adherence counseling, and HIV health education. Incentive amounts range from $10 for attending lab or supportive service referral appointments to $75 for attaining or maintaining viral suppression. Patients are eligible to receive most incentives at any time, based on the following incentive fee schedule: initial enrollment—limited to 1 per person; supportive service referrals—limited to 1 per year; attending HIV care medical appointment—no limits; attending lab appointments—no limits; attaining or maintaining viral suppression—no limits. The Health Models:
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