Supporting Access to HIV Pre-Exposure Prophylaxis in a Shifting Financial and Insurance Landscape

Supporting Access to HIV Pre-Exposure Prophylaxis in a Shifting Financial and Insurance Landscape

Blog Article

Introduction: Implementing HIV iphone 14 price san francisco pre-exposure prophylaxis in the U.S.is critical to decreasing HIV transmission.

However, regional disparities in pre-exposure prophylaxis use exist, with the southern U.S.having the lowest uptake relative to need.

Community-based organizations in the South provide pre-exposure prophylaxis to many consumers, including those without health insurance.Methods: The authors convened a community-building pre-exposure prophylaxis summit in April 2023 with representatives from diverse pre-exposure prophylaxis providers, including community-based organizations in Dallas, Texas, to evaluate the impact of recent changes in pre-exposure prophylaxis funding mechanisms on their capabilities to provide pre-exposure prophylaxis.Participants completed surveys (n=17) and focus groups (n=14 individuals in 2 groups).

Results: The authors found that reduced reimbursements from pre-exposure prophylaxis manufacturers have significantly altered the financial health of community-based organizations in Dallas, Texas, and jeopardized their capacity to provide pre-exposure prophylaxis.Community-based organizations reported difficulty in sustainably providing pre-exposure prophylaxis to uninsured clients because of fewer funds to cover unreimbursed costs for pre-exposure prophylaxis care.Many community-based organizations have diverted resources away from client outreach for pre-exposure prophylaxis and toward helping clients to enroll in commercial insurance plans that cover pre-exposure prophylaxis.

These changes have further stressed community-based feline 1-hcpch vaccine organizations by increasing the time spent by staff on managing prior authorizations for pre-exposure prophylaxis.Despite finding some success with workarounds, community-based organizations described continued financial fragility.Conclusions: These findings suggest that fragmented funding streams jeopardize the ability of these vital organizations to continue providing pre-exposure prophylaxis services in a jurisdiction with high HIV incidence.

Potential solutions include enhanced collaboration across community-based organizations and stable financial support from a national pre-exposure prophylaxis program.