People with HIV are living longer in age of ART.
Over 50% of them are now >50y, and many aging into Medicare.
In new @Health_Affairs work, we take a close look at how HIV affects $$ in Medicare patients.
@EmilyHyle @IngridKatzMD @ashishkjha
healthaffairs.org/doi/10.1377/hl…
Over 50% of them are now >50y, and many aging into Medicare.
In new @Health_Affairs work, we take a close look at how HIV affects $$ in Medicare patients.
@EmilyHyle @IngridKatzMD @ashishkjha
healthaffairs.org/doi/10.1377/hl…
Key Findings:
1. Medicare patients with HIV spend more than 3 times as non-HIV pts (~$50K vs ~$16K/yr) across Parts A, B, and D.
2. Over half (~$26K/yr) of spending among HIV pts is on antiretroviral therapy (ART)!
@Health_Affairs
1. Medicare patients with HIV spend more than 3 times as non-HIV pts (~$50K vs ~$16K/yr) across Parts A, B, and D.
2. Over half (~$26K/yr) of spending among HIV pts is on antiretroviral therapy (ART)!
@Health_Affairs
3. ART appears to be associated with *less spending* related to other chronic conditions and mental health disorders.
In other words, ART is potentially leading to savings in Parts A and B.
The more months on ART, the bigger the Medicare savings (excluding drugs).
In other words, ART is potentially leading to savings in Parts A and B.
The more months on ART, the bigger the Medicare savings (excluding drugs).
4. Overall, ART appears to be a miracle. HIV pts on 12mo of ART spend nearly identical levels as those without HIV. It’s as if they didn’t have HIV.
However, high ART costs need to be addressed!
On average, Medicare HIV patients spending >$3K in out-of-pocket costs for ART.
However, high ART costs need to be addressed!
On average, Medicare HIV patients spending >$3K in out-of-pocket costs for ART.
5. Major concern: Only 51% of HIV patients consistently filling ART prescriptions.
And #disparities unfortunately exist in Medicare program
Black Medicare HIV patients less likely to be consistently on ART.
More work on ART adherence and ART prices is needed to ensure equity
And #disparities unfortunately exist in Medicare program
Black Medicare HIV patients less likely to be consistently on ART.
More work on ART adherence and ART prices is needed to ensure equity
Special thanks to co-authors/mentors @ashishkjha @EmilyHyle @IngridKatzMD for their help on this work that took over 2 years to complete!
And appreciate @HarvardCFAR for supporting this work!
@Health_Affairs
healthaffairs.org/doi/10.1377/hl…
And appreciate @HarvardCFAR for supporting this work!
@Health_Affairs
healthaffairs.org/doi/10.1377/hl…
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