Emerging Practices and Policy in Medicaid Managed Care for People with HIV/AIDS: Case Studies of Six Programs
As treatment strategies for HIV/AIDS undergo rapid change, states struggle with the dual challenges of providing quality health care and containing costs. By June 1996, in an effort to meet those challenges, 35 states (including the District of Columbia) reported enrolling at least some people living with HIV/AIDS (PLWHIV) in their risk-based Medicaid managed care programs.
The six Medicaid managed care programs studied for this report – Massachusettes, New Jersey, Tennessee, Texas, San Francisco (California) and Orange County (California) — cope with overseeing changes in HIV/AIDS treatment in different ways. These programs treat PLWHIV the same as other populations in certian areas, including: marketing/enrollment, consumer involvement, and capitated benefits.
| 1998.Aug_.emerging.practices.policy.medicaid.managed.care_.hiv_.aids_.case_.studies.pdf | 3.9 MB |

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































