Short-Term Outcomes and Lessons Learned From the Federal HIV Health Improvement Affinity Group for State Medicaid/Children’s Health Insurance Program Agencies and State Health Departments
| Autor: | Janet Heitgerd, Ijeamaka D. Okoye, Pamela W. Klein, Abigail H. Viall, Heather Hauck, Deirdra Stockmann, Ijeoma Ihiasota, Ekaterine Shapatava, Cathleen Davies, Michelle N. C. Browne |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Quality management Anti-HIV Agents media_common.quotation_subject HIV Infections 030312 virology Article Children's Health Insurance Program 03 medical and health sciences State (polity) Health care Agency (sociology) medicine Humans Pharmacology (medical) Child media_common 0303 health sciences business.industry Medicaid Public health United States Infectious Diseases Family medicine business Health department |
| Zdroj: | J Acquir Immune Defic Syndr |
| Popis: | BACKGROUND: Medicaid is the single largest source of health care coverage for people living with HIV (PLWH) in the United States. Therefore, high-quality HIV care and associated viral suppression among Medicaid beneficiaries have the potential to greatly impact the HIV epidemic. The HIV Health Improvement Affinity Group (HHIAG) supported state efforts to improve health outcomes for PLWH enrolled in Medicaid through new or enhanced collaborations between state public health departments and state Medicaid agencies. METHODS: Supported by multiple federal health agencies for 1 year, state health department and Medicaid staff from 19 states participated in state-to-state learning and sharing of promising approaches. This evaluation assessed the HHIAG’s processes, short-term outcomes, and lessons learned through review of state materials, a web survey, and telephone interviews. RESULTS: Of the 19 states, 13 (68%) ultimately established new, or refined existing, data-sharing agreements between Medicaid and public health departments. Nearly all states with data-sharing agreements successfully matched the data or streamlined the data-matching process (n = 12/13). Two-thirds of states (67%, n = 8/12) with matched data generated an HIV care continuum for state Medicaid/Children’s Health Insurance Program beneficiaries; 75% (n = 6/8) of these states also initiated quality improvement activities. CONCLUSIONS: The HHIAG created an unique opportunity for multiple federal agencies and states to collaborate and implement data-driven, state-specific solutions to improve care delivery and, ultimately, clinical outcomes for PLWH. The HHIAG model has the potential to be replicated to address other public health issues that cross agency and institutional boundaries, such as hepatitis C. |
| Databáze: | OpenAIRE |
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