scholarly journals Affordable Care Act Qualified Health Plan Enrollment for AIDS Drug Assistance Program Clients: Virginia's Experience and Best Practices

2016 ◽  
Vol 32 (9) ◽  
pp. 885-891 ◽  
Author(s):  
Kathleen A. McManus ◽  
Robert C. Rodney ◽  
Anne Rhodes ◽  
Steven Bailey ◽  
Rebecca Dillingham
Keyword(s):  
Best Practices ◽  
Health Plan ◽  
Affordable Care Act ◽  
Assistance Program ◽  
Aids Drug Assistance Program

scholarly journals Affordable Care Act Qualified Health Plan Coverage: Association With Improved HIV Viral Suppression for AIDS Drug Assistance Program Clients in a Medicaid Nonexpansion State

2016 ◽  
Vol 63 (3) ◽  
pp. 396-403 ◽  
Author(s):  
Kathleen A. McManus ◽  
Anne Rhodes ◽  
Steven Bailey ◽  
Lauren Yerkes ◽  
Carolyn L. Engelhard ◽  
...  
Keyword(s):  
Health Plan ◽  
Affordable Care Act ◽  
Viral Suppression ◽  
Assistance Program ◽  
Aids Drug Assistance Program ◽  
Hiv Viral Suppression

scholarly journals 2014 Affordable Care Act Enrollment of AIDS Drug Assistance Program Clients and Associated HIV Outcomes

2015 ◽  
Vol 2 (suppl_1) ◽  
Author(s):  
Kathleen Mcmanus ◽  
Anne Rhodes ◽  
Lauren Yerkes ◽  
Steven Bailey ◽  
Rebecca Dillingham
Keyword(s):  
Affordable Care Act ◽  
Assistance Program ◽  
Aids Drug Assistance Program

scholarly journals Year 2 of Affordable Care Act Qualified Health Plans (QHPs) in a Medicaid Nonexpansion State: QHPs Associated With Viral Suppression for Virginia AIDS Drug Assistance Program Clients

2018 ◽  
Vol 5 (12) ◽  
Author(s):  
Kathleen A McManus ◽  
Anne Rhodes ◽  
Lauren Yerkes ◽  
Carolyn L Engelhard ◽  
Karen S Ingersoll ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Affordable Care Act ◽  
Viral Suppression ◽  
Care Delivery ◽  
Binary Logistic Regression ◽  
Health Plans ◽  
Assistance Program ◽  
Financial Status ◽  
Aids Drug Assistance Program

Abstract Background For year 1 of the Affordable Care Act (ACA), Virginia AIDS Drug Assistance Program (ADAP) clients with Qualified Health Plans (QHPs) achieved a higher rate of viral suppression. This study characterizes the demographic and health care delivery factors associated with QHP enrollment in year 2 and assesses the relationship between 2015 QHP coverage and HIV viral suppression. Methods The cohort included Virginia ADAP clients who were eligible for ADAP-funded QHPs. Data were collected from 2014 to 2015. Multivariable binary logistic regression was conducted to assess the association of demographic and health care delivery factors with QHP enrollment and viral suppression. Results In year 2, 63% of the cohort (n = 4631) enrolled in QHPs; 2015 ADAP-funded QHP enrollment was associated with 2014 ADAP-funded QHP (adjusted odds ratio [aOR], 111.11; 95% confidence interval [CI], 90.91–166.67), 2014 engagement in care (aOR, 2.16; 95% CI, 1.65–2.82), age (P < .001), race/ethnicity (P = .03), financial status (P < .001), and region (P < .001). For clients engaged in care (n = 2501), viral suppression was higher (83.3%) for those with ADAP-funded QHP coverage than for those who received medications from ADAP (79.9%). In multivariable binary logistic regression, achieving viral suppression was associated with 2015 QHP coverage (aOR, 1.27; 95% CI, 1.01–1.60), an initially undetectable viral load (aOR, 2.69; 95% CI, 2.13–3.39), gender (P = .03), age (P = .01), no AIDS diagnosis (aOR, 1.41; 95% CI, 1.12–1.78), financial status (P = .004), and region (P < .001). Conclusions Virginia ADAP client 2015 QHP enrollment increased compared with year 1 and varied based on demographic and health care delivery factors. QHP coverage was again associated with viral suppression, an essential outcome for individuals and for public health.

Colorectal Cancer Screening in a Nationwide High-deductible Health Plan Before and After the Affordable Care Act

Medical Care ◽  
2016 ◽  
Vol 54 (5) ◽  
pp. 466-473 ◽  
Author(s):  
J. Frank Wharam ◽  
Fang Zhang ◽  
Bruce E. Landon ◽  
Robert LeCates ◽  
Stephen Soumerai ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Plan ◽  
Affordable Care Act ◽  
Before And After ◽  
The Affordable Care Act ◽  
High Deductible Health Plan

scholarly journals Best Practices and Innovative Solutions to Overcome Barriers to Delivering Policy, Systems and Environmental Changes in Rural Communities

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1012 ◽  
Author(s):  
Lindsey Haynes-Maslow ◽  
Isabel Osborne ◽  
Stephanie Jilcott Pitts
Keyword(s):  
Rural Communities ◽  
Best Practices ◽  
Online Survey ◽  
Technical Assistance ◽  
Environmental Changes ◽  
Implementation Barriers ◽  
Assistance Program ◽  
Innovative Solutions ◽  
Nutrition Assistance ◽  
Policy Systems

To better understand the barriers to implementing policy; systems; and environmental (PSE) change initiatives within Supplemental Nutrition Assistance Program-Education (SNAP-Ed) programming in U.S. rural communities; as well as strategies to overcome these barriers, this study identifies: (1) the types of nutrition-related PSE SNAP-Ed programming currently being implemented in rural communities; (2) barriers to implementing PSE in rural communities; and (3) common best practices and innovative solutions to overcoming SNAP-Ed PSE implementation barriers. This mixed-methods study included online surveys and interviews across fifteen states. Participants were eligible if they: (1) were SNAP-Ed staff that were intimately aware of facilitators and barriers to implementing programs, (2) implemented at least 50% of their programming in rural communities, and (3) worked in their role for at least 12 months. Sixty-five staff completed the online survey and 27 participated in interviews. Barriers to PSE included obtaining community buy-in, the need for relationship building, and PSE education. Facilitators included finding community champions; identifying early “wins” so that community members could easily see PSE benefits. Partnerships between SNAP-Ed programs and non-SNAP-Ed organizations are essential to implementing PSE. SNAP-Ed staff should get buy-in from local leaders before implementing PSE. Technical assistance for rural SNAP-Ed programs would be helpful in promoting PSE.

Impact of Zidovudine-Based Triple Combination Therapy on an AIDS Drug Assistance Program

2000 ◽  
Vol 23 (4) ◽  
pp. 302-313 ◽  
Author(s):  
Josephine A. Mauskopf ◽  
Jerry M. Tolson ◽  
Kit N. Simpson ◽  
Sissi V. Pham ◽  
James Albright
Keyword(s):  
Combination Therapy ◽  
Triple Combination ◽  
Assistance Program ◽  
Triple Combination Therapy ◽  
Aids Drug Assistance Program
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