Do United States-based medicaid spend-down programmes make public sense for persons with HIV/Aids
Bibliographic Data
| ID | 19442915 |
|---|---|
| Authors | Kathryn Whetten (0000-0002-4841-7695, Center for Child and Family Health, corresponding author), C W Zhu (New School) |
| Year | 2004 |
| Volume | 16 |
| Issue | 6 |
| Pages | 781-785 |
| Publication date | 2004-08-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540120412331269611 |
| PMID | 15370065 |
| OpenAlex | W1989660694 |
| Language | EN |
| Citations received | 1 |
| References cited | 7 |
Medicaid is a US government insurance programme designed primarily for poor individuals, with expenditures that rose more than 13% in 2002. Thirty-five states have programmes allowing individuals to incur medical expenses at a rate that would make them poor enough to meet Medicaid eligibility criteria. This paper examines the cost of providing care to those spending-down to Medicaid compared to those eligible without spending-down. This longitudinal cohort study compiled inpatient, outpatient and Medicaid data from three academic Infectious Diseases clinics serving approximately 40% of the reported HIV-positive population in North Carolina. Participants included all HIV-positive patients who received care in one of three clinics and received Medicaid coverage at any time from 1996 to 2000 (1,495 individuals). Overall, those who needed to spend-down to Medicaid incurred higher medical costs, following a distinctive pattern of high costs when initially qualified and when ending coverage, and low costs while on spend-down. US states may wish to consider expanding Medicaid's categorically eligible criteria or significantly reducing the frequency with which persons must spend-down to become eligible for Medicaid
Cohort · Economic growth · Environmental health · Family medicine · Health care · Medicaid · Population · Demography · Healthcare Policy and Management · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Gerontology
Declining Morbidity and Mortality among Patients with Advanced Human Immunodeficiency Virus Infection
The Care of HIV-Infected Adults in the United States
Adherence to Haart Regimens
Cost-Effectiveness of Earlier Initiation of Antiretroviral Therapy for Uninsured HIV-Infected Adults
Health and Federal Budgetary Effects of Increasing Access to Antiretroviral Medications for HIV by Expanding Medicaid
| Citations per year | 0.09 |
|---|---|
| Citation span | 2015 - 2015 (1) |
| Highly cited | No |