Health care utilization and HIV clinical outcomes among newly enrolled patients following Affordable Care Act implementation in a California integrated health system: a longitudinal study.
Derek D SatreSujaya ParthasarathyMichael J SilverbergMichael HorbergKelly C Young-WolffEmily C WilliamsPaul VolberdingCynthia I CampbellPublished in: BMC health services research (2020)
In this sample of PWH newly enrolled in an integrated health care system in California, findings suggest that enrollment via the Exchange and higher deductibles were negatively associated with some aspects of service utilization, high deductibles were associated with worse HIV outcomes, but support from ADAP appeared to help patients achieve viral suppression. Race/ethnic disparities remain important to address even among those with access to insurance coverage.
Keyphrases
- affordable care act
- healthcare
- end stage renal disease
- health insurance
- antiretroviral therapy
- ejection fraction
- human immunodeficiency virus
- newly diagnosed
- hiv infected
- chronic kidney disease
- hiv positive
- hepatitis c virus
- peritoneal dialysis
- primary care
- type diabetes
- patient reported outcomes
- sars cov
- adipose tissue
- metabolic syndrome
- south africa
- insulin resistance
- weight loss
- long term care