This document discusses opportunities for hepatitis C (HCV) treatment under the Affordable Care Act. It notes that about 4 million Americans are exposed to HCV, with 85% developing chronic disease and 75% of cases undiagnosed. Only 36% of eligible HCV patients had health insurance previously. The ACA aims to expand access to care through provisions like eliminating pre-existing condition exclusions, free preventive care, increased research funding, and accountable care organizations.

1. Affordable Care Act
Opportunities for Care
for People with Hepatitis C
Lorren Sandt

2. We Have a Cure, but…
~ 4 Million Americans exposed to HCV
~85% will have chronic disease
~75% Undiagnosed
25%
Diagnosed
Undiagnosed
75%

3. We Have a Cure, but…
250,000
306,000
Cure
Treated No Cure
People with HCV
4,000,000
2002 - 2008 Estimated Number of
Previously Treated and Cured
Assumptions
•The cure rate over time is 45% (taking into account the higher re-treatment in the early years, the
larger number of G2/G3 in the early years and higher G1 naive today)
Source: IMS Xponent Data (Retail TRx data)

4. We Have a Cure, but…
Only 36% of HCV-positive patients who
were eligible for antiviral therapy had
health insurance
"Access to care for HCV patients is critical. Our
results have important implications for HCV-
infected patients and should be considered as
new health care reform legislation takes effect,"
Dr. Younossi
"Insurance Status and Treatment Candidacy of Hepatitis C Patients:
Analysis of Population-based Data from the United States." Maria
Stepanova, Fasiha Kanwal, Hashem B. El-Serag, Zobair M. Younossi.
Hepatology; Published Online: February 11, 2011 (DOI:
10.1002/hep.24131); Print Issue Date: March 2011.
http://onlinelibrary.wiley.com/doi/10.1002/hep.24131/abstract. 4

5. Hepatitis C: Rarely A Single Disease
Depression
Co- Liver
infection Disease
HCV
Patient
Substance
Diabetes
Use
5

6. ACA Opportunities for People with HCV
Public
Health
Prevention
Fund
6

7. ACA Opportunities for People with HCV
Eliminate
Pre-Existing
Conditions
• National
Program
July 2010
• State Program
Jan 2014
7

8. ACA Opportunities for People with HCV
Free
Preventive
Care
8

9. ACA Opportunities for People with HCV
Patient-
Centered
Outcomes
Research
Institute
(PCORI)
9

10. ACA Opportunities for People with HCV
Accountable
Care
Organizations
10

11. ACA Opportunities for People with HCV
They Are
Listening
It is up to
us to
Participate
11