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HIV Policy 2012

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Planning in a time of uncertainty and change

This presentation was originally conducted at the Office of HIV Planning's Community Empowerment Workshop held at St. Luke's Church on October 16, 2012.

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HIV Policy 2012

  1. 1. HIV Policy 2012Planning in a time of uncertainty and change
  2. 2. Let’s remember how far we have comehttp://youtu.be/haEPLCA_H2Y
  3. 3. 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
  4. 4. 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
  5. 5. Ryan White MedicaidReauthorization Expansion 2014 2013 Uncertainty Elections Essential HealthNovember 2012 Benefits
  6. 6. http://youtu.be/vmdbllWOOzs
  7. 7. Affordable Care ActExpansion of MedicaidNo discrimination by insurance companies No $ limits Subsidies for Essential Coordination premiums andhealth benefits of care cost-sharing
  8. 8. Ryan White and Medicaid Expansion 51% Medicaid (disability) ~90%+ Ryan White clients Medicaid eligible in Medicaid 2014 Expansion to cover 133% FPL
  9. 9. Ryan White Clients Insurance Ryan White Clients Status, 2009 Income, 2009 Unknown 1% <100% FPL 100-199% 200-299% >300%Other None Private 4% 5%Public 17% 17% 1% 13% Medicare 13% Medicaid 78% 51%
  10. 10. Estimated Changes to Insurance Status for Philadelphia EMA Ryan White Clients Following the Full Implementation of the ACA9000 83158000 79427000 625060005000 Medicaid4000 ESI Uninsured3000 2,047 1,5352000 2,071 1,5351000 891 518 0 Baseline RW 2014 Average 2014 Enhanced Participation Participation
  11. 11. Health Reform and Ryan White Medicaid 75/25 rule?? Expansion??
  12. 12. Health Reform and Ryan White Programhttp://vimeo.com/46052691
  13. 13. National HIV AIDS Strategy Reduce HIV rate Coordinate d response Increase access to care for people Reduce HIV- living with HIV and related health improve their inequalities health outcomes
  14. 14. Ryan White MedicaidReauthorization Expansion 2014 2013 Uncertainty Elections Essential HealthNovember 2012 Benefits
  15. 15. resources HIVHealthReform.org Kaiser Family Foundation  www.kff.org Commonwealth Fund  www.commonwealthfund.org/ Office of HIV Planning  www.hivphilly.org Nicole Johns Office of HIV Planning 215-574-6760 ext. 108 Nicole.johns@gmail.com

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