ArticleJournal of acquired immune deficiency syndromes (1999)2013
Early evidence from California on transitions to a reformed health insurance system for persons living with HIV/AIDS.
Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The Ryan White HIV/AIDS Program after the Patient Protection and Affordable Care Act full implementation: a critical review of predictions, evidence, and future directions.Topics in antiviral medicine · 2019Review
- Comprehensive Ryan White Assistance and Human Immunodeficiency Virus Clinical Outcomes: Retention in Care and Viral Suppression in a Medicaid Nonexpansion State.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017Article
- Promotion of Research on the HIV Continuum of Care in the United States: The CFAR HIV Continuum of Care/ECHPP Working Group.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Transitioning From Medicaid Disability Coverage to Long-Term Medicare Coverage: The Case of People Living With HIV/AIDS in California.AIDS education and prevention : official publication of the International Society for AIDS Education · 2017Article
- Implementation and Operational Research: Affordable Care Act Implementation in a California Health Care System Leads to Growth in HIV-Positive Patient Enrollment and Changes in Patient Characteristics.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Healthcare Coverage for HIV Provider Visits Before and After Implementation of the Affordable Care Act.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Article
- HIV Testing, Care, and Treatment Among Women Who Use Drugs From a Global Perspective: Progress and Challenges.Journal of acquired immune deficiency syndromes (1999) · 2015Review
- Addressing the challenges of the HIV continuum of care in high-prevalence cities in the United States.Journal of acquired immune deficiency syndromes (1999) · 2015Article
- Article
- NIH support of Centers for AIDS Research and Department of Health Collaborative Public Health Research: advancing CDC's Enhanced Comprehensive HIV Prevention Planning project.Journal of acquired immune deficiency syndromes (1999) · 2013Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundMany uninsured people living with HIV/AIDS (PLWHA) will obtain managed health insurance coverage when the Affordable Care Act (ACA) is implemented in January 2014. Since 2011, California has transitioned PLWHA to Medicaid managed care (MMC) and to the Low-Income Health Program (LIHP).
objectivesTo draw lessons for the ACA implementation from the transitions into MMC and the LIHP.
methodsSurveys about clients and services provided before and after the transition to MMC and the LIHP were sent to 43 HIV service providers. Usable responses were obtained from 18 (42%).
resultsAlthough total client loads were similar in the pre- (January 2011) and posttransition periods (June 2012), many clients transitioned from fee-for-service (FFS) Medicaid to MMC. Over this period, responding agencies served 43.5% fewer PLWHA in FFS Medicaid, whereas the share of PLWHA covered by MMC rose from 16.9% to 55.5%. Managed care covered a smaller number of services than either FFS Medicaid or Ryan White sites. Ryan White providers reported that 53% of the clients they served in January 2011 had transitioned to the LIHPs. Nonetheless, they continued to provide services to many of these clients, and Ryan White caseloads did not decline.
conclusionsPLWHA enrolled in the MMC continue to depend on Ryan White sites to supply the full range of services that will allow them to take full advantage of increased access to care under ACA.
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