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Area of Science:

  • Public Health
  • Health Informatics
  • Epidemiology

Background:

  • Viral load suppression is crucial for persons with HIV (PWH) to maintain health and prevent transmission.
  • Data to Care (D2C) improves HIV outcomes but can be resource-intensive.
  • Michigan aimed to enhance D2C by integrating Medicaid and HIV programs.

Purpose of the Study:

  • To assess gaps in HIV care for Medicaid beneficiaries in Michigan.
  • To leverage data sharing between Medicaid and HIV programs to improve care outcomes.
  • To evaluate the efficiency of D2C strategies.

Main Methods:

  • Established data use agreements between Michigan Medicaid and HIV programs.
  • Used Link Plus software to match HIV surveillance data with Medicaid beneficiary files.
  • Identified persons with HIV (PWH) enrolled in Medicaid as of December 31, 2015.

Main Results:

  • 4822 PWH were identified as Medicaid beneficiaries in 2015.
  • 597 (20%) of HIV-positive Medicaid beneficiaries had no documented HIV care.
  • This highlights a significant gap in care for PWH within the Medicaid population.

Conclusions:

  • D2C strategies are effective for improving HIV care continuum outcomes.
  • Public health infrastructure alone may be inefficient for D2C implementation.
  • Partnerships between Medicaid and public health can enhance D2C efficiency and effectiveness.