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Implementation of Health Insurance Navigation for Racial/Ethnic Minority Men Who Have Sex With Men Presenting for

Katherine B Roland1, Craig B Borkowf1, Ilya Teplinskiy1,2

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Summary

Health insurance navigation offered during HIV testing successfully engaged Black/African American and Hispanic/Latino men who have sex with men (MSM). This intervention improved health insurance enrollment and satisfaction, addressing disparities and supporting public health goals.

Keywords:
Black or African AmericanHIVHispanic or LatinoMSMMedicaidpatient navigationsocial sciences

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Area of Science:

  • Public Health
  • Health Services Research
  • Health Equity

Background:

  • Health insurance is crucial for accessing HIV prevention and treatment.
  • Lack of insurance presents a significant barrier for many individuals, particularly minority groups.
  • Previous interventions have not fully addressed the intersection of HIV testing and insurance navigation.

Purpose of the Study:

  • To assess the implementation and outcomes of a health insurance navigation intervention.
  • To evaluate the uptake and immediate results of health insurance navigation among men who have sex with men (MSM).
  • To determine the acceptability and feasibility of integrating insurance navigation with HIV testing services.

Main Methods:

  • A randomized structural intervention was conducted in Chicago from 2018-2020.
  • 230 Black/African American and Hispanic/Latino MSM were offered a single session of health insurance navigation post-HIV testing.
  • Descriptive statistics were used to analyze socio-demographics, navigation uptake, and insurance outcomes.

Main Results:

  • Half of participants (50.0%) accepted health insurance navigation.
  • Among uninsured participants, 8.7% enrolled in insurance and 18.3% started the process.
  • Most participants were satisfied with the navigation services received (99.1% for time, 93.0% for services).

Conclusions:

  • Health insurance navigation integrated with HIV testing is an acceptable and feasible strategy.
  • This intervention effectively engages Black/African American and Hispanic/Latino MSM in insurance enrollment.
  • Community-based structural interventions can reduce insurance disparities and advance public health objectives, including Ending the HIV Epidemic (EHE) goals.