From Health Affairs Today <[email protected]>
Subject Uncovered Costs For PrEP
Date April 25, 2023 8:07 PM
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Forefront: A Health System Approach To Implementing
Technology-Facilitated Care
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Tuesday, April 25, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

The May issue of Health Affairs will cover a broad range of topics: how
markets affect prices and utilization, how government payment policies
affect health system behavior, the implications of inequities in
preventable heart failure admissions in the US South, and more.

Preorder your issue today and save $10
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Uncovered Costs For PrEP

Although HIV preexposure prophylaxis (PrEP) is highly effective in
reducing rates of HIV acquisition, cost remains a barrier to access.

In recent years, there have been changes to the US health insurance and
PrEP coverage landscapes that affect out-of-pocket spending for PrEP
medication and clinical care.

In this month's issue, Robert Bonacci and coauthors update estimates of
how many people in the US have uncovered costs for PrEP medication
<[link removed]>
and clinical care as well as the total annual uncovered costs under 2021
guideline and coverage conditions.

They find that 4 percent of US adults with PrEP indications have
uncovered costs for PrEP, totaling about $102 million in 2018. More than
90 percent of adults with uncovered costs were uncovered "for PrEP
clinical care only because they already qualified for PrEP medication
payment assistance."

Bonacci and coauthors note that increasing access to health insurance by
expanding Medicaid could improve access to PrEP and have significant
impacts in the southern US, "which has the lowest PrEP-to-need ratio
(the number of PrEP users divided by new HIV diagnoses) in the US."

Read More
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Elsewhere At Health Affairs

Today in Forefront, Antoinette Schoenthaler and coauthors discuss the
health equity challenges of implementing digital health solutions
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noting that technology-facilitated care may pose barriers to patients
with limited access to technology or low levels of digital literacy.

Read more on Forefront
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and learn more about how you can contribute
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Daily Digest

Estimated Uncovered Costs For HIV Preexposure Prophylaxis In The US,
2018
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Robert A. Bonacci et al.

A Health System Approach To Implementing Technology-Facilitated Care
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Antoinette Schoenthaler et al.

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Telemedicine Industry And Patient Preferences

Health Affairs Editor-in-Chief Alan Weil interviews Gillian SteelFisher
from the Harvard T.H. Chan School of Public Health and Harvard Opinion
Research Program on her recently published paper assessing the attitudes
of primary care physicians and patients toward telemedicine.

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