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Insurance coverage and financing landscape for HIV treatment and prevention in the USA.
Kates, Jennifer; Dawson, Lindsey; Horn, Tim H; Killelea, Amy; McCann, Nicole C; Crowley, Jeffrey S; Walensky, Rochelle P.
  • Kates J; Henry J Kaiser Family Foundation, Washington, DC, USA. Electronic address: jkates@kff.org.
  • Dawson L; Henry J Kaiser Family Foundation, Washington, DC, USA.
  • Horn TH; National Alliance of State and Territorial AIDS Directors (NASTAD), Washington, DC, USA.
  • Killelea A; National Alliance of State and Territorial AIDS Directors (NASTAD), Washington, DC, USA.
  • McCann NC; Department of Medicine, Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA, USA.
  • Crowley JS; O'Neill Institute for National and Global Health Law, Georgetown University, Washington, DC, USA.
  • Walensky RP; Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA, USA.
Lancet ; 397(10279): 1127-1138, 2021 03 20.
Artigo em Inglês | MEDLINE | ID: covidwho-1525996
ABSTRACT
In 2010, the US health insurance system underwent one of its most substantial transformations with the passage of the Affordable Care Act, which increased coverage for millions of people in the USA, including those with and at risk of HIV. Even so, the system of HIV care and prevention services in the USA is a complex patchwork of payers, providers, and financing mechanisms. People with HIV are primarily covered by Medicaid, Medicare, private insurance, or a combination of these; many get care through other programmes, particularly the Ryan White HIV/AIDS Program, which serves as the nation's safety net for people with HIV who remain uninsured or underinsured but offers modest to no support for prevention services. While uninsurance has drastically declined over the past decade, the USA trails other high-income countries in key HIV-specific metrics, including rates of viral suppression. In this paper in the Series, we provide an overview of the coverage and financing landscape for HIV treatment and prevention in the USA, discuss how the Affordable Care Act has changed the domestic health-care system, examine the major programmes that provide coverage and services, and identify remaining challenges.
Assuntos

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Infecções por HIV / Síndrome de Imunodeficiência Adquirida / Cobertura do Seguro / COVID-19 / Seguro Saúde Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Adulto / Idoso / Feminino / Humanos / Masculino / Meia-Idade País/Região como assunto: América do Norte Idioma: Inglês Revista: Lancet Ano de publicação: 2021 Tipo de documento: Artigo

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Infecções por HIV / Síndrome de Imunodeficiência Adquirida / Cobertura do Seguro / COVID-19 / Seguro Saúde Tipo de estudo: Estudo diagnóstico / Estudo observacional / Estudo prognóstico Limite: Adulto / Idoso / Feminino / Humanos / Masculino / Meia-Idade País/Região como assunto: América do Norte Idioma: Inglês Revista: Lancet Ano de publicação: 2021 Tipo de documento: Artigo