The 'Medicaidization' of AIDS. Trends in the financing of HIV-related medical care
J. Green and P. S. Arno
Department of Health Policy Research, New York University Medical Center, School of Medicine, NY 10016.
Among patients with the acquired immunodeficiency syndrome (AIDS) who were
hospitalized in New York City, San Francisco, Calif, and Los Angeles,
Calif, from 1983 through 1988, we observed a marked shift in the payer
distribution toward Medicaid and away from private insurance. This trend,
which we refer to as the "Medicaidization" of AIDS, occurred among whites
as well as blacks and Hispanics and increased the burden on public
hospitals and emergency rooms. "Medicaidization" jeopardizes access to
office-based primary care because of very low reimbursement rates that are
paid to physicians by Medicaid relative to private insurance. Policies
designed to prevent the loss of employment-based private insurance would
slow or reverse the trend to public financing. Increasing Medicaid
reimbursement will improve access to care.
Cost of Care for Medicaid Recipients With Serious Mental Illness and HIV Infection or AIDS
Rothbard et al.
Psychiatr. Serv. 2003;54:1240-1246.
ABSTRACT
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Health and Federal Budgetary Effects of Increasing Access to Antiretroviral Medications for HIV by Expanding Medicaid
Kahn et al.
Am. J. Public Health 2001;91:1464-1473.
ABSTRACT
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Frequency and Predictors of Medically Attended Injuries in HlV-nfected Children
Turner et al.
CLIN PEDIATR 1999;38:625-635.
ABSTRACT
Clinical Progress and the Future of HIV Exceptionalism
Bayer
Arch Intern Med 1999;159:1042-1048.
ABSTRACT
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The Limits of Medicaid Reimbursement Incentives: An Evaluation of the Florida AIDS Nursing Home Admission Program
Cruise
Eval Health Prof 1996;19:443-464.
ABSTRACT
The $147,000 Misunderstanding: Repercussions of Overestimating the Cost of AIDS
Green et al.
Journal of Health Politics, Policy and Law 1994;19:69-90.
ABSTRACT
The Economic Impact of Tuberculosis in Hospitals in New York City: A Preliminary Analysis
Arno et al.
J Law Med Ethics 1993;21:317-323.