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Three-Part Series: Improving Care for People Living with HIV: Opportunities for State Medicaid-Ryan White HIV/AIDS Program Collaboration
/in Policy Illinois, Louisiana, New Jersey, New York, Rhode Island, Wisconsin Reports Administrative Actions, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, HIV/AIDS, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Prescription Drug Pricing, Quality and Measurement, State Rx Legislative Action /by Lyndsay SanbornStates play critical roles in ensuring that people living with HIV (PLWH) have access to quality care through their Medicaid and Ryan White HIV/AIDS programs. PLWH can be among the most medically complex individuals covered by state health programs, and their care can cost five-times more than the average Medicaid beneficiary. Given limited resources, state policymakers are working to develop policies and strategies to ensure that care to PLWH is accessible, well-coordinated, and effective.
This three-part series explores policy levers and strategies that states are utilizing to focus limited resources and provide comprehensive and accessible care to PLWH.
- State Strategies to Improve Collaboration Between Medicaid and AIDS Drug Assistance Programs: This report explores how Illinois, Louisiana, New Jersey, New York, Oklahoma, Rhode Island, Washington, DC, and Wisconsin are using policy levers to more effectively deploy limited resources and provide better care to PLWH.
- States Strengthen Medicaid-Ryan White Collaboration to Improve Care Coordination for People Living with HIV: This report explores how Medicaid and Ryan White HIV/AIDS Programs in California, New York, Washington, and Wisconsin have partnered to improve care coordination services for people living with HIV.
- Maintaining Access: State Strategies to Coordinate Eligibility between Medicaid and Ryan White Programs: This report examines how Colorado, Illinois, Maryland, Phoenix (AZ), Texas, and Vermont have coordinated eligibility between Medicaid and Ryan White HIV/AIDS Programs in order to help ensure consistent access to care for people living with HIV.
Strategies for Coordination Between Medicaid and Ryan White HIV/AIDS Programs
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHP, Jennifer Dolatshahi and Katharine WitgertState Medicaid programs are the primary source of health coverage for the majority of people living with HIV/AIDS (PLWHA) in the U.S. Coordination between Medicaid and Ryan White HIV/AIDS Programs (RWHAP) is integral to ensuring that PLWHA have access to comprehensive care. NASHP interviewed Medicaid and RWHAP officials in 14 states about successful coordination efforts. This brief highlights those examples, along with additional promising practices for coordination that facilitate delivery improvements for PLWHA. The Health Resources and Services Administration (HRSA) provided support for this brief.
| Attachment | Size |
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| Click for the Publication | 149.92 KB |
| Click for the Associated Webinar | 489.7 KB |
Better Together: State Strategies for Medicaid-Ryan White HIV/AIDS Program Coordination
/in Policy Webinars Health Coverage and Access /by NASHPSuccessful coordination between Medicaid and Ryan White HIV/AIDS programs is one key to improving care and services for persons living with HIV/AIDS. As more people living with HIV/AIDS gain health insurance coverage, effective coordination between programs remains critical. During this webinar, state officials will discuss promising practices for coordination in the areas of inter-agency communication, program eligibility, access to care, benefits, and prescription drugs. This webinar is supported through a cooperative agreement with the Health Resources and Services Administration.
Speakers:
- Kathy Witgert, Program Director, NASHP
- Dr. Karen Mark, Chief, Office of AIDS, Center for Infectious Diseases,Department of Public Health, California
- Dr. David Collier, Associate Medical Director, Bureau of TennCare, Tennessee
- H. Dawn Fukuda, Director, Office of HIV/AIDS, Bureau of Infectious Disease, Department of Public Health, Massachusetts
- Barbara Lantz, Manager, Quality and Care Management, Washington State Health Care Authority
| Click for the Webinar Slides | 489.7 KB |
| Click for the Associated Publication | 149.92 KB |
Trends in Serving People with HIV/AIDS through Medicaid Managed Care
/in Policy Reports Chronic and Complex Populations /by NASHPThis report compares 1996 and 1998 survey data on states serving people with HIV/AIDS through risk-based Medicaid managed care. Looking at trends since 1996 is important because of the emergence of combination therapy – in which people take several drugs (including at least one protease inhibitor) to decrease their amount of active HIV – which has revolutionized treatment. HIV/AIDS is now considered a chronic disease. Medications have displaced hospitals and hospices to take “center stage” in treatment. Standards of care have continued their rapid pace of development, affecting a number of areas detailed throughout the report. While this survey cannot capture all program design details which could affect this population, it should provide a general understanding.
| 1999.Feb_.trends.serving.people.hiv_.aids_.medicaid.managed.care_.pdf | 4.1 MB |
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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. 























































































































































