Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.
Sri Lanka has achieved strong health outcomes over and above what is commensurate with its income level. The country has made significant gains in essential health indicators, witnessed a steady increase in life expectancy among its people, and eliminated malaria, filariasis, polio and neonatal tetanus. The Sri Lanka HiT review presents a comprehensive overview of the different aspects of the country’s health system, and the background and context within which the health system is situated. The review also presents information on reforms to address emerging health needs such as the growing challenge of noncommunicable diseases (NCDs) and serving a rapidly ageing population
MSC presents a report on the out-turn of Covid-19 on the significant elements of India's healthcare system framework- provision of health services and community health workers.
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.
Sri Lanka has achieved strong health outcomes over and above what is commensurate with its income level. The country has made significant gains in essential health indicators, witnessed a steady increase in life expectancy among its people, and eliminated malaria, filariasis, polio and neonatal tetanus. The Sri Lanka HiT review presents a comprehensive overview of the different aspects of the country’s health system, and the background and context within which the health system is situated. The review also presents information on reforms to address emerging health needs such as the growing challenge of noncommunicable diseases (NCDs) and serving a rapidly ageing population
MSC presents a report on the out-turn of Covid-19 on the significant elements of India's healthcare system framework- provision of health services and community health workers.
This review outlines the main organizational, financing, human resources and service delivery features of the health-care system. Although there has been implement in overall health outcomes since the 1990’s the current levels are still below average for the country’s Pacific neighbors. The remoteness of the many rural communities has hampered improvements in health services. This is one of the major challenges that the country faces in order to achieve SDG heath targets by 2030. This Hits highlights steps taken to overcome challenges especially in the face of epidemiological change in disease burden that is slowly taking place in the country.
Attaining Millennium Development Goals 4 and 5 through Kalusugang Pangkalahat...Michelle Avelino
Presentation of Dr. Francisco Z. Soria, Jr., officer-in-charge and vice president, Quality Assurance Group of the Philippine Health Insurance Corporation at the PhilHealth Maternal, Newborn and Child Health Summit
MEASURE Evaluation PIMA poster on maternal morbidity and mortality. Access a larger version at https://www.measureevaluation.org/pima/maternal-and-reproductive-health/maternal-mortality-poster.
The Thailand HiT reports that sustained political commitment to the health of the population since the 1970s has resulted in significant investment in health infrastructure, in particular primary health care, district and provincial referral hospitals, and strengthened the overall functioning of the Thai health system. After Thailand achieved universal health coverage in 2002, public expenditure on health significantly increased from 63% to 77% and out-of-pocket expense was reduced from 27.2% to 12.4% of the total health spending in 2011.
This presentation has made to health workers who have more than two decades of experience of managing/implementing public health programs in Nepal, especially at district level and below.
Health eNav: Developing a System of Digital HIV Care Navigation in San FranciscoYTH
Health eNavigation or Health eNav is an innovative HIV care navigation model being tested by the San Francisco Department of Public Health. This session will explain how Health eNav will utilize comprehensive digital navigation strategies including text-messaging, social media and geo-spatial platforms to meet youth where they are. Health eNav will also extend the system of tailored, personalized support outside traditional hours of operation. Health eNav harnesses the promise of mhealth within the world’s most complex public health department to develop a system of digital HIV care navigation. Health eNav is your digital companion to help guide you through important decisions, whenever, wherever and however you want it. Health eNav will also extend the system of tailored, personalized support outside traditional work hours. Connection is health. Health eNav is bringing connection to those who need it most to improve health outcomes to create and connect a healthier San Francisco.
Global Medical Cures™ | HIV TESTING IN USA
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
This review outlines the main organizational, financing, human resources and service delivery features of the health-care system. Although there has been implement in overall health outcomes since the 1990’s the current levels are still below average for the country’s Pacific neighbors. The remoteness of the many rural communities has hampered improvements in health services. This is one of the major challenges that the country faces in order to achieve SDG heath targets by 2030. This Hits highlights steps taken to overcome challenges especially in the face of epidemiological change in disease burden that is slowly taking place in the country.
Attaining Millennium Development Goals 4 and 5 through Kalusugang Pangkalahat...Michelle Avelino
Presentation of Dr. Francisco Z. Soria, Jr., officer-in-charge and vice president, Quality Assurance Group of the Philippine Health Insurance Corporation at the PhilHealth Maternal, Newborn and Child Health Summit
MEASURE Evaluation PIMA poster on maternal morbidity and mortality. Access a larger version at https://www.measureevaluation.org/pima/maternal-and-reproductive-health/maternal-mortality-poster.
The Thailand HiT reports that sustained political commitment to the health of the population since the 1970s has resulted in significant investment in health infrastructure, in particular primary health care, district and provincial referral hospitals, and strengthened the overall functioning of the Thai health system. After Thailand achieved universal health coverage in 2002, public expenditure on health significantly increased from 63% to 77% and out-of-pocket expense was reduced from 27.2% to 12.4% of the total health spending in 2011.
This presentation has made to health workers who have more than two decades of experience of managing/implementing public health programs in Nepal, especially at district level and below.
Health eNav: Developing a System of Digital HIV Care Navigation in San FranciscoYTH
Health eNavigation or Health eNav is an innovative HIV care navigation model being tested by the San Francisco Department of Public Health. This session will explain how Health eNav will utilize comprehensive digital navigation strategies including text-messaging, social media and geo-spatial platforms to meet youth where they are. Health eNav will also extend the system of tailored, personalized support outside traditional hours of operation. Health eNav harnesses the promise of mhealth within the world’s most complex public health department to develop a system of digital HIV care navigation. Health eNav is your digital companion to help guide you through important decisions, whenever, wherever and however you want it. Health eNav will also extend the system of tailored, personalized support outside traditional work hours. Connection is health. Health eNav is bringing connection to those who need it most to improve health outcomes to create and connect a healthier San Francisco.
Global Medical Cures™ | HIV TESTING IN USA
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
NTTAP Webinar Series - June 7, 2023: Integrating HIV Care into Training and E...CHC Connecticut
In order for health centers to provide compassionate and respectful HIV prevention, care, and treatment in comprehensive primary care settings, the clinical workforce must be knowledgeable, confident, and competent in their ability to do so.
We’ll explore the need to integrate HIV care into training and education for the clinical care team, as well as educational models to train the next generation. Using Community Health Center Inc.’s Center for Key Populations Fellowship for Nurse Practitioners (NPs) as a framework for best practices, experts will discuss how to implement specialty care for key populations in your training programs. Additionally, participants will gain awareness of the importance of training the clinical workforce on key population competencies in HIV programs (e.g. HCV, MOUD, LGBTQI+ health, homelessness, and harm reduction).
This webinar discussed how to educate Nurse Practitioners who have completed Community Health Center. Inc’s NP Residency or NPs who have significant experience as a Primary Care Provider on the integration of specialty care for key populations, including:
• HIV care
• Hepatitis C management
• Medication-assisted treatment for opioid use and other substance use disorders
• Sexually transmitted disease (STI) screening and management
• Lesbian, Gay, Bisexual, Transgender, Questioning, Intersex, Asexual (LGBTQIA+) health, including hormone replacement therapy and gender affirming care.
Panelists:
• Charise Corsino, MA, Program Director, Nurse Practitioner Residency Programs, Community Health Center, Inc.
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
Theodoros F. Katsivas, M.D., M.A.S., of UC San Diego Owen Clinic, presents "San Diego Primary Care Providers' Attitudes to HIV and HIV Testing" at AIDS Clinical Rounds
An overview of the issues related to the criminalisation of HIV exposure and transmission in Australia.
This presentation was given by Sally Cameron, HIV Education and Health Promotion Officer with AFAO, at the AFAO National HIV Forum, 17 October 2014.
Formative study on hiv workplace for health workers - copySEJOJO PHAAROE
Heterogeneity of the HIV epidemic in Lesotho
Formative Assessment: MOHSW
SECTORAL RESPONSE -MOHSW
ACTIONS TAKEN AND TOOLS AVAILABLE - TO DATE
DISSEMINATION- tools
ADVOCACY FOR BUY IN- - PPP
WELLNESS CHAMPIONS AND STRUCTURES
ADVOCACY-WELLNESS ACTIVITIES
M/E Tools
Cost benefit analysis
Learning and sharing
Action Research : Sejojo Phaaroe
3D MEDIA
Join us as we discuss best practices for integrating HIV prevention (e.g. HIV testing, PrEP and linkage to care) into primary care within the context of enhancing clinical workforce development.
Panelists:
• Marwan Haddad, MD, MPH, AAHIVS, Medical Director, Center for Key Populations, Community Health Center, Inc.
• Jeannie McIntosh, APRN, FNP-C, AAHIVS, Family Nurse Practitioner, Center for Key Populations, Community Health Center, Inc.
Health Intelligence & the role of the South West Public Health Observatory (S...South West Observatory
Paul Brown from SWPHO delivers an opening presentation on the role of the South West Public Health Observatory and the fundamentals in understanding public health intelligence.
Similar to HIV Prevention in the Biomedical Era, presented by Brett Palmer (20)
Dr. Kathleen Brady's presentation on PrEP (pre-exposure prophylaxis) for HIV, as given to the Philadelphia HIV Prevention Planning Group (HPG) on March 25, 2015.
Behavioral Health Navigator Presentation by Emerson Evans 12-12-13Office of HIV Planning
Emerson Evans (AACO) presented on a SAMHSA-funded behavioral health navigator program on 12-12-13. This program in Philadelphia was discussed with the Philadelphia EMA Ryan White Part A Planning Council.
Dr. Kathleen Brady (AACO)'s annual epidemiological update. This presentation was given to the Philadelphia EMA Ryan White Planning Council on Thursday, February 20, 2014.
Evelyn Torres and Sebastian Branca's update on AACO's Client Services Unit (CSU), Housing Services Program (HSP), and Quality Improvement (QI) programs
Dr. Sarah Wood and Kimberley Desir's presentation to the RWPC's Positive Committee on Children's Hospital of Philadelphia's PrEP program, Project PrEPare, from April 2013.
Consultant Matthew McClain presented these guidelines and suggestions for updates to the Prevention Planning Group (PPG), based on earlier suggestions from the body.
AACO's Annual Client Services Unit, Housing, and Quality Management PresentationOffice of HIV Planning
Evelyn Torres and Sebastian Branca presented on Philadelphia's AIDS Activities Coordinating Office's Client Services Unit, Housing Services Program, and Quality Management program at the February 6, 2013 meeting of the Needs Assessment Committee of the Philadelphia EMA Ryan White Planning Council.
Nicole Johns of the Office of HIV Planning presented this updated version of the very popular "Where We Live Matters" to the Positive Committee on January 14, 2013.
Dr. Kathleen Brady of Philadelphia's AIDS Activities Coordinating Office (AACO) gave this presentation at the January 9, 2013 Comprehensive Planning Committee meeting.
Reaching the goals of the National HIV/AIDS Strategy. 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.
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.
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Presentation by Jared Jageler, David Adler, Noelia Duchovny, and Evan Herrnstadt, analysts in CBO’s Microeconomic Studies and Health Analysis Divisions, at the Association of Environmental and Resource Economists Summer Conference.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
What is the point of small housing associations.pptxPaul Smith
Given the small scale of housing associations and their relative high cost per home what is the point of them and how do we justify their continued existance
A process server is a authorized person for delivering legal documents, such as summons, complaints, subpoenas, and other court papers, to peoples involved in legal proceedings.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
2024: The FAR - Federal Acquisition Regulations, Part 36
HIV Prevention in the Biomedical Era, presented by Brett Palmer
1. Regional Resource Network Program U.S. Department of Health & Human Services
HIV Prevention
in the Biomedical Era
Thursday, August 27, 2014
Brett J. Palmer, MEd
Regional Resource Coordinator HIV/AIDS
U.S. Department of Health and Human Services
Office of the Assistant Secretary for Health
Region III – DE, DC, MD, PA, VA, WV
2. Regional Resource Network Program
Goals
• Educate and promote to regional HIV/AIDS stakeholders, both
governmental and non-governmental, the:
• National HIV/AIDS Strategy (NHAS)
• Affordable Care Act
• Viral Hepatitis
• HIV/AIDS Treatment Cascade Model
• Foster or facilitate increased opportunities among regional
stakeholders for better local coordination in HIV/AIDS prevention,
planning, and service delivery consistent with the NHAS’s priorities
and principles.
Regional Resource Network Program U.S. Department of Health & Human Services
3. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
2. What is biomedical HIV prevention?
3. Why a shift to biomedical prevention?
4. Three major policies impacting biomedical prevention.
Regional Resource Network Program U.S. Department of Health & Human Services
4. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
2. What is biomedical HIV prevention?
3. Why a shift to biomedical prevention?
4. Three major policies impacting biomedical prevention.
Regional Resource Network Program U.S. Department of Health & Human Services
7. Kaiser Family Foundation - U.S. Federal Funding for HIV/AIDS: The President’s FY 2015 Budget Request
http://kff.org/global-health-policy/fact-sheet/u-s-federal-funding-for-hivaids-the-presidents-fy-2015-budget-request/
Regional Resource Network Program U.S. Department of Health & Human Services
8. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
2. What is biomedical HIV prevention?
3. Why a shift to biomedical prevention?
4. Three major policies impacting biomedical prevention.
Regional Resource Network Program U.S. Department of Health & Human Services
9. Biomedical Prevention:
Male Circumcision
For men, lowers the risk of:
• Acquiring HIV from female
partner
• STDs
• Penile cancer
• Infant urinary tract infection
For women, lowers the risk of:
• HPV and cervical cancer
• Genital ulceration
• Bacterial vaginosis
• Trichomoniasis
Centers for Disease Control and Prevention: http://www.cdc.gov/hiv/prevention/research/malecircumcision/index.html
Regional Resource Network Program U.S. Department of Health & Human Services
10. Biomedical Prevention:
Pre-Exposure Prophylaxis (PrEP)
Medication to reduce risk for non-positive people:
• Daily pill
Used consistently:
• Effective in MSM, MSW, WSM
Centers for Disease Control and Prevention: http://www.cdc.gov/hiv/prevention/research/prep/index.html
Regional Resource Network Program U.S. Department of Health & Human Services
11. Biomedical Prevention:
Treatment as Prevention
Full prevention benefit of treating HIV infection, four tenets:
• HIV testing is foundation for both prevention and care efforts
• Early identification of infection empowers individuals to take action
• Early treatment reduces risk of transmitting HIV to others
• Prevention benefit of treatment can only be realized with the continuum
of care
ART as prevention may be promising if:
1. Widespread testing and early identification of infected persons
2. Ongoing counseling to support maintenance of safer sexual behaviors
3. Adequate clinical follow-up to monitor for adverse effects of ART
4. Geographic and financial accessibility of treatment for affected persons
Centers for Disease Control and Prevention: http://www.cdc.gov/hiv/prevention/research/tap/index.html
Centers for Disease Control and Prevention: http://www.cdc.gov/hiv/prevention/research/art/index.html
Regional Resource Network Program U.S. Department of Health & Human Services
12. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
2. What is biomedical HIV prevention?
3. Why a shift to biomedical prevention?
4. Three major policies impacting biomedical prevention.
Regional Resource Network Program U.S. Department of Health & Human Services
13. Why a Biomedical Approach:
HIV Cost-Effectiveness
HIV testing cost per
new diagnosis
• In health care settings:
$1,900 – $10,000
• In non-health care settings:
$10,334 – $20,413
Cost of HIV treatment
• Annual: $23,000
• Lifetime: $379,668
Centers for Disease Control and Prevention: http://www.cdc.gov/hiv/prevention/ongoing/costeffectiveness/index.html
Regional Resource Network Program U.S. Department of Health & Human Services
14. Annual HIV-related healthcare costs
Acute HIV 10–500
Asymptomatic HIV – Untreated 3,000–6,000
Symptomatic HIV – Untreated 5,000–9,000
Symptomatic HIV – Treated with ART (excludes ART costs) 5,000–7,000
AIDS – Untreated 15,000–26,000
AIDS – Treated with ART (excludes ART costs) 6,000–17,000
Annual non-HIV-related healthcare costs for uninfected and infected
individuals
3,000–6,000
Annual cost of ART 12,500–19,000
Cost of PrEP
TDF/FTC (30-day supply) 300–1,118
STI testing 25–75
Blood urea nitrogen and serum creatinine testing 10–40
Physician visit 10–200
Cost of HIV testing and counseling – Antibody test
Uninfected 5–25
HIV-infected 50–100
Pre-test counseling 0–100
Post-test counseling for HIV-negative persons 0–50
Post-test linkage/counseling for HIV-positive persons 0–100
Cost of HIV diagnosis 125–1,200
The Cost-Effectiveness of Preexposure Prophylaxis for HIV Prevention in Men Who Have Sex with Men in the United States; Jessie L. Juusola, Margaret L. Brandeau, Douglas K. Owens,
Eran Bendavid; Ann Intern Med. 2012 April 17; 156(8): 541–550. doi: 10.1059/0003-4819-156-8-201204170-00001; PMCID: PMC3690921
Regional Resource Network Program U.S. Department of Health & Human Services
15. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
2. What is biomedical HIV prevention?
3. Why a shift to biomedical prevention?
4. Three major policies impacting biomedical prevention.
1. Routine HIV Testing
2. Affordable Care Act
3. Continuum of Care
Regional Resource Network Program U.S. Department of Health & Human Services
16. Routine HIV Testing in Medical Settings:
The U.S. Preventive Services Task Force
Rationale:
• Identification and treatment of HIV infection means reduced risk of:
• HIV progression to AIDS
• AIDS-related events
• Death in individuals with immunologically advanced disease
• Earlier ART means reduced risk for AIDS-related events or death
• ART decreases risk for transmission from HIV-positive persons
• Identification and treatment of HIV-positive pregnant women reduces
rates of mother-to-child transmission
• “The overall benefits of screening for HIV infection in adolescents,
adults, and pregnant women are substantial”
U.S. Preventive Service Task Force: Screening for HIV: http://www.uspreventiveservicestaskforce.org/uspstf13/hiv/hivfinalrs.htm
Regional Resource Network Program U.S. Department of Health & Human Services
17. Routine HIV Testing in Medical Settings:
The U.S. Preventive Services Task Force
Recommendations:
• Clinicians screen for HIV infection in adolescents and adults ages 15
to 65
• Younger adolescents and older adults who are at increased risk
should also be screened
• Clinicians screen all pregnant women for HIV
U.S. Preventive Service Task Force: Screening for HIV: http://www.uspreventiveservicestaskforce.org/uspstf13/hiv/hivfinalrs.htm
Regional Resource Network Program U.S. Department of Health & Human Services
18. Routine HIV Testing in Medical Settings:
The U.S. Preventive Services Task Force
Screening intervals:
• One-time screening of adolescent and adult patients
• Repeated screening:
• “At lease annually” for those who are very high risk:
• Men who have sex with men
• Active injection drug users
• “Somewhat longer intervals” (3–5 years) for those at increased risk
based on behavioral risk factors:
• Having unprotected vaginal or anal intercourse
• Having sexual partners who are HIV-infected, bisexual, or
injection drug users
• Exchanging sex for drugs or money
U.S. Preventive Service Task Force: Screening for HIV: http://www.uspreventiveservicestaskforce.org/uspstf13/hiv/hivfinalrs.htm
Regional Resource Network Program U.S. Department of Health & Human Services
19. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
2. What is biomedical HIV prevention?
3. Why a shift to biomedical prevention?
4. Three major policies impacting biomedical prevention.
1. Routine HIV Testing
2. Affordable Care Act
3. Continuum of Care
Regional Resource Network Program U.S. Department of Health & Human Services
22. The Affordable Care Act:
Improving Access to Coverage
Insurers can no longer:
• Deny coverage to anyone based on pre-existing conditions
• Impose annual limits on coverage or lifetime caps on insurance
benefits
Tax subsidies available:
• Based on financial need
• Only through the Health Insurance Marketplaces
Medicaid expansion:
• Not available in all states
Prescription benefits:
• Closing the Medicare Part D prescription drug benefit “donut hole”
• AIDS Drug Assistance Program
AIDS.GOV: http://aids.gov/federal-resources/policies/health-care-reform/
Regional Resource Network Program U.S. Department of Health & Human Services
24. The Affordable Care Act:
Ensuring Quality Coverage
Better information
• Plans must provide user-friendly
information
Quality, comprehensive care
• 10 essential health benefits
Preventive care
• HIV screening
Coordinated care
• Patient-centered medical home
model of care
AIDS.GOV: http://aids.gov/federal-resources/policies/health-care-reform/
Regional Resource Network Program U.S. Department of Health & Human Services
25. The Affordable Care Act:
Preventive Health Services
Free Preventive health services for adults
• HIV screening for everyone ages 15 to 65, and other ages at
increased risk
Free Preventive health services for women
• HIV screening and counseling for sexually active women
Free Preventive health services for children
• HIV screening for adolescents at higher risk
AIDS.GOV: http://aids.gov/federal-resources/policies/health-care-reform/
Regional Resource Network Program U.S. Department of Health & Human Services
26. The Affordable Care Act:
Enhancing the Capacity of the
Health Care System
Major investments
• Community health centers to provide more opportunities for HIV care
delivery
Technical assistance
• Help those not providing HIV care to develop the capacity to do so
• Especially in minority communities
Expand capacity
• To deliver culturally competent care to populations heavily impacted
by HIV
• National LGBT Health Education Center funded by HRSA
AIDS.GOV: http://aids.gov/federal-resources/policies/health-care-reform/
Regional Resource Network Program U.S. Department of Health & Human Services
27. The Affordable Care Act:
Increasing Opportunities for Health
and Well-Being
Prevention and wellness
• Investments in prevention, wellness, and public health activities
• Improve public health surveillance, community-based programs, and
outreach efforts
• Increase coverage for HIV testing
Diversity and cultural competency
• Expand cultural competency training for health care providers
• Ensure all populations are treated equitably
Health care providers for underserved communities
• Expand the health care workforce
• Increase funding for community health centers
AIDS.GOV: http://aids.gov/federal-resources/policies/health-care-reform/
Regional Resource Network Program U.S. Department of Health & Human Services
28. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
2. What is biomedical HIV prevention?
3. Why a shift to biomedical prevention?
4. Three major policies impacting biomedical prevention.
1. Routine HIV Testing
2. Affordable Care Act
3. Continuum of Care
Regional Resource Network Program U.S. Department of Health & Human Services
29. What is the HIV/AIDS Care Continuum
Model used to identify issues related
to improving services for people living
with HIV:
• HIV Diagnosis
• Linked to Care
• Retained in Care
• Prescribed ART
• Virally Suppressed
AIDS.gov: http://aids.gov/federal-resources/policies/care-continuum/
Regional Resource Network Program U.S. Department of Health & Human Services
30. HIV/AIDS Care Continuum Uses
How is the HIV care continuum
being used?
• Federal level:
• Inform how best to prioritize
and target available
resources
• Monitor national progress
• State and local levels:
• Assess where resources
are needed
• Target resources
accordingly
AIDS.gov: http://aids.gov/federal-resources/policies/care-continuum/
Regional Resource Network Program U.S. Department of Health & Human Services
31. Importance of the HIV/AIDS Care Continuum
Why is the HIV Care Continuum
important?
• Pinpoint where gaps exist
• Better health for people living
with HIV/AIDS
• Helps achieve goals of the
NHAS
AIDS.gov: http://aids.gov/federal-resources/policies/care-continuum/
Regional Resource Network Program U.S. Department of Health & Human Services
32. Challenges of the HIV/AIDS Care Continuum
Challenges Developing an
HIV/AIDS Care Continuum
• Collection of data
• Lack of resources at the state
and local level
AIDS.gov: http://aids.gov/federal-resources/policies/care-continuum/
Regional Resource Network Program U.S. Department of Health & Human Services
33. HIV/AIDS Care Continuum Example
Hivcontinuum.org: http://hivcontinuum.org/city-complete.html?city=Philadelphia,%20PA&cd=phl
Regional Resource Network Program U.S. Department of Health & Human Services
34. Presentation Overview
HIV Prevention in the Biomedical Era
1. What has changed in federal prevention funding?
• HIV funding has increased for care and remained steady for
prevention. However, as the epidemic expands, the limited
resources available are being distributed to more locations.
2. What is biomedical HIV prevention?
• PrEP
• Treatment as Prevention
• Male Circumcision
• Testing in Clinical Settings
Regional Resource Network Program U.S. Department of Health & Human Services
35. Presentation Overview
HIV Prevention in the Biomedical Era, Continued
3. Why a shift to biomedical prevention?
• Many cost effectiveness analysis indicate that prevention in a
clinical setting is less expensive than prevention at CBO/ASOs
4. Three major policies impacting biomedical prevention.
• Routine HIV Testing
• Affordable Care Act
• Continuum of Care
Regional Resource Network Program U.S. Department of Health & Human Services
Editor's Notes
a high-prevalence setting is a geographic location or community with an HIV seroprevalence of at least 1%. These settings include sexually transmitted disease (STD) clinics, correctional facilities, homeless shelters, tuberculosis clinics, clinics serving men who have sex with men, and adolescent health clinics with a high prevalence of STDs
Starting in 2014, states will have the option, which is fully Federally funded for the first three years, to generally include individuals with income below 133% of the Federal poverty line ($14,400 for an individual and $29,300 for a family of 4), including single adults without children who were previously not generally eligible for Medicaid. As a result, in many states, a person living with HIV who meets this income threshold will no longer have to wait for an AIDS diagnosis in order to become eligible for Medicaid.
giving Medicare enrollees living with HIV and AIDS the peace of mind that they will be better able to afford their medications. Beneficiaries receive a 50% discount on covered brand-name drugs while they are in the “donut hole,” a considerable savings for people taking costly HIV/AIDS drugs. And in the years to come, they can expect additional savings on their prescription drugs while they are in the coverage gap until it is closed in 2020.
This is a huge relief for ADAP clients who are Medicare Part D enrollees, since they will now be able to move through the donut hole more quickly, which was difficult, if not impossible, for ADAP clients to do before this change.
Starting in 2014, states will have the option, which is fully Federally funded for the first three years, to generally include individuals with income below 133% of the Federal poverty line ($14,400 for an individual and $29,300 for a family of 4), including single adults without children who were previously not generally eligible for Medicaid. As a result, in many states, a person living with HIV who meets this income threshold will no longer have to wait for an AIDS diagnosis in order to become eligible for Medicaid.
giving Medicare enrollees living with HIV and AIDS the peace of mind that they will be better able to afford their medications. Beneficiaries receive a 50% discount on covered brand-name drugs while they are in the “donut hole,” a considerable savings for people taking costly HIV/AIDS drugs. And in the years to come, they can expect additional savings on their prescription drugs while they are in the coverage gap until it is closed in 2020.
This is a huge relief for ADAP clients who are Medicare Part D enrollees, since they will now be able to move through the donut hole more quickly, which was difficult, if not impossible, for ADAP clients to do before this change.
Starting in 2014, states will have the option, which is fully Federally funded for the first three years, to generally include individuals with income below 133% of the Federal poverty line ($14,400 for an individual and $29,300 for a family of 4), including single adults without children who were previously not generally eligible for Medicaid. As a result, in many states, a person living with HIV who meets this income threshold will no longer have to wait for an AIDS diagnosis in order to become eligible for Medicaid.
giving Medicare enrollees living with HIV and AIDS the peace of mind that they will be better able to afford their medications. Beneficiaries receive a 50% discount on covered brand-name drugs while they are in the “donut hole,” a considerable savings for people taking costly HIV/AIDS drugs. And in the years to come, they can expect additional savings on their prescription drugs while they are in the coverage gap until it is closed in 2020.
This is a huge relief for ADAP clients who are Medicare Part D enrollees, since they will now be able to move through the donut hole more quickly, which was difficult, if not impossible, for ADAP clients to do before this change.
Starting in 2014, states will have the option, which is fully Federally funded for the first three years, to generally include individuals with income below 133% of the Federal poverty line ($14,400 for an individual and $29,300 for a family of 4), including single adults without children who were previously not generally eligible for Medicaid. As a result, in many states, a person living with HIV who meets this income threshold will no longer have to wait for an AIDS diagnosis in order to become eligible for Medicaid.
giving Medicare enrollees living with HIV and AIDS the peace of mind that they will be better able to afford their medications. Beneficiaries receive a 50% discount on covered brand-name drugs while they are in the “donut hole,” a considerable savings for people taking costly HIV/AIDS drugs. And in the years to come, they can expect additional savings on their prescription drugs while they are in the coverage gap until it is closed in 2020.
This is a huge relief for ADAP clients who are Medicare Part D enrollees, since they will now be able to move through the donut hole more quickly, which was difficult, if not impossible, for ADAP clients to do before this change.
Starting in 2014, states will have the option, which is fully Federally funded for the first three years, to generally include individuals with income below 133% of the Federal poverty line ($14,400 for an individual and $29,300 for a family of 4), including single adults without children who were previously not generally eligible for Medicaid. As a result, in many states, a person living with HIV who meets this income threshold will no longer have to wait for an AIDS diagnosis in order to become eligible for Medicaid.
giving Medicare enrollees living with HIV and AIDS the peace of mind that they will be better able to afford their medications. Beneficiaries receive a 50% discount on covered brand-name drugs while they are in the “donut hole,” a considerable savings for people taking costly HIV/AIDS drugs. And in the years to come, they can expect additional savings on their prescription drugs while they are in the coverage gap until it is closed in 2020.
This is a huge relief for ADAP clients who are Medicare Part D enrollees, since they will now be able to move through the donut hole more quickly, which was difficult, if not impossible, for ADAP clients to do before this change.