HIV Policy 2012
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HIV Policy 2012 Planning in a time of uncertainty and change
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Transcript of HIV Policy 2012
HIV Policy 2012
Planning in a time of uncertainty and change
HIV in the 21st Century National HIV/AIDS Strategy Ryan White Program Health Reform ‘Medical Model’ Clinical Care Team ‘Treatment as Prevention’ Test and Treat Strategy High Impact HIV Prevention Prevention with Positives Enhanced Comprehensive HIV Prevention
Planning
HIV Programs in US Ryan White Program Medicaid Medicare Housing Opportunities for People With AIDS -
HOPWA Centers for Disease Control and Prevention-
CDC AIDS Drugs Assistance Program - ADAP Substance Abuse and Mental Health Services
Administration - SAMHSA Veterans Administration - VA
Ryan White Reauthorization
2013
Medicaid Expansion 2014
Elections November 2012 Essential Health
BenefitsUncertain
ty
Affordable Care Act
Expansion of Medicaid
No discrimination by insurance companies
Essential health
benefits
Subsidies for premiums and cost-sharing
No $ limits
Coordination of care
Ryan White and Medicaid Expansion51%
Medicaid
(disability)
Medicaid
Expansion to cover 133% FPL
~90%+ Ryan White clients
Medicaid eligible in
2014
78%
13%
6%
4%
Ryan White Clients Income, 2009
<100% FPL 100-199%200-299% >300%
Private17%
Medicare13%
Medicaid51%
Other Public
1%None17%
Unknown1%
Ryan White Clients In-surance Status, 2009
Estimated Changes to Insurance Status for Philadelphia EMA Ryan White Clients Following the Full Implementation of the ACA
Baseline
RW
2014
Ave
rage P
articip
ation
2014
Enha
nced P
articip
ation
0100020003000400050006000700080009000
62507942
8315
2,047 1,5351,5352,071
891 518MedicaidESIUninsured
Health Reform and Ryan WhiteMedicaid Expansio
n??75/25 rule??
Health Reform and Ryan White Program
http://vimeo.com/46052691
National HIV AIDS Strategy
Coordinated
response
Reduce HIV rate
Reduce HIV-related health
inequalities
Increase access to care for
people living with HIV and improve their
health outcomes
Ryan White Reauthorization
2013
Medicaid Expansion 2014
Elections November 2012 Essential Health
BenefitsUncertain
ty
resources HIVHealthReform.org Kaiser Family Foundation
www.kff.org Commonwealth Fund
www.commonwealthfund.org/ Office of HIV Planning
www.hivphilly.org
Nicole JohnsOffice of HIV Planning
215-574-6760 ext. [email protected]
