Early evidence from California on transitions to a reformed health insurance system for persons living with HIV/AIDS.

ABSTRACT:

Background

Many uninsured people living with HIV/AIDS (PLWHA) will obtain managed health insurance coverage when the Affordable Care Act (ACA) is implemented in January 2014. Since 2011, California has transitioned PLWHA to Medicaid managed care (MMC) and to the Low-Income Health Program (LIHP).

Objectives

To draw lessons for the ACA implementation from the transitions into MMC and the LIHP.

Methods

Surveys about clients and services provided before and after the transition to MMC and the LIHP were sent to 43 HIV service providers. Usable responses were obtained from 18 (42%).

Results

Although total client loads were similar in the pre- (January 2011) and posttransition periods (June 2012), many clients transitioned from fee-for-service (FFS) Medicaid to MMC. O

SUBMITTER: Leibowitz AA 

PROVIDER: S-EPMC3934430 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature