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Introduction to Health Services Research : A Self-Study Course
Case Description | Case Background | Case Objectives | Case Exercise
Case 5: HIV/AIDS, the AIDS Drug Assistance Program (Page 7 of 38)
Phase One: Thinking About the Issues
Q2. What types of cost-containment measures might states employ in their AIDS Drug Assistance Programs (ADAPs)?
Suggested Solution
States have responded in several ways. Some of these responses are outlined in the National ADAP Monitoring Report, 2004 listed below. The responses have included (but are not limited to):
- Capping client enrollment
- Waiting lists
- Limiting and/or reducing ADAP formularies
- Monthly or annual limits on per capita expenditures
- Drug purchasing strategies (discount programs, rebates, purchasing alliances and coalitions)
- Insurance continuation and purchasing
- Cost recovery (drug rebates, third party billing)
More information can be found in the following (and other) documents:
- Kaiser Family Foundation: The Medicare Prescription Drug Benefit Fact Sheet. November 19, 2013. [Online] Site URL:
http://kff.org/medicare/fact-sheet/the-medicare-prescription-drug-benefit-fact-sheet/
- HRSA: Aids Drug Assistance Program Cost Containment Strategies. [Online] Site URL:
//www.hrsa.gov/opa/programrequirements/reports/adapcostcontainment092000.pdf
Describes the challenges faced by states as a result of rapid growth in ADAP enrollment, the number of prescriptions per enrollee, and the cost of treatments.
- NASTAD/KFF: National ADAP Monitoring Project, 2006 Annual Report. [Online] Site URL:
http://www.kff.org/hivaids/upload/7464.pdf
Extensive list of detailed findings with numerous charts.
- National ADAP Monitoring Report, 2004. May 19, 2004. [Online] Site URL: http://www.kff.org/hivaids/hiv051904pkg.cfm
The National ADAP Monitoring Report, 2004 "provides the latest data on state AIDS Drug Assistance Programs (ADAPs). ADAPs, authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, provide HIV/AIDS-related prescription drugs to uninsured and underinsured individuals living with HIV/AIDS. ADAPs operate in 57 U.S. states, territories, and associated jurisdictions." (Website).
- Kaiser StateHealthFacts.org. AIDS Drug Assistance Program (ADAP). AIDS Drug Assistance Program (ADAP) Cost-Containment Measures, Instituted During Last Year, as of March 2007. April 2007. [Online] Site URL:
http://www.statehealthfacts.org/cgi-bin/healthfacts.cgi?
action=compare&category=HIV/AIDS&subcategory=
AIDS+Drug+Assistance+Program+(ADAP)&topic=ADAP+
Cost-Containment+Measures
This page offers information on states that have made cost-containment changes in the last year.
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