Ryan White HIV/AIDS Program Assistance and HIV Treatment Outcomes

Details

• Alternative Title:
  Clin Infect Dis
• Personal Author:
  Bradley, Heather ; Viall, Abigail H. ; Wortley, Pascale M. ; Dempsey, Antigone ; Hauck, Heather ; Skarbinski, Jacek
• Description:
  Background
  
  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).
  
  Methods
  
  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.
  
  Results
  
  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 Medicaid were 5% and 12% less likely, respectively, to be virally suppressed (P ≤ .02) than those with RWHAP only. Patients whose private or Medicaid coverage was supplemented by RWHAP were more likely to be prescribed ART and virally suppressed than those without RWHAP supplementation (P ≤ .01).
  
  Conclusions
  
  Uninsured and underinsured HIV-infected persons receiving RWHAP assistance were more likely to be prescribed ART and virally suppressed than those with other types of healthcare coverage.
  
  
• Subjects:
  Adolescent Adult Article Female HIV Infections Humans Male Middle Aged Patient Protection And Affordable Care Act Treatment Outcome Young Adult

  More +
• Source:
  Clin Infect Dis. 62(1):90-98.
• Pubmed ID:
  26324390
• Pubmed Central ID:
  PMC5087096
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States ; PS09-937/PS/NCHHSTP CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  62
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e7c5fdf90014d8e43e519e3bacec299b0af0e15c86bb9211ba399dc14ad37822
• Download URL:
  https://stacks.cdc.gov/view/cdc/42704/cdc_42704_DS1.pdf
• File Type:
  [PDF - 447.57 KB ]