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.

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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 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."
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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, 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 and learn more about how you can contribute to the publication.
 
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Daily Digest
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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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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