Sustaining HIV/AIDS and Viral Hepatitis Services: Leveraging Third-Party Reimbursement

By Liisa M. Randall, Consultant and Amy Killelea, Senior Manager, Health Care Access, NASTAD

Medical Bills by federal and state funding for HIV/AIDS and viral hepatitis services increasingly constrained, it is essential that health departments explore alternative sources of support to ensure the sustainability of vital services. Full implementation of the Affordable Care Act (ACA) provides new opportunities for health departments and implementing partners to leverage resources made available through third-party reimbursement. Please visit NASTAD’s health reform website for resources on what the ACA means for HIV/AIDS and viral hepatitis programs and services, and how health departments are preparing for reform. Continue reading

Patient Navigator Program Funding Announcement: Ensuring ACA Outreach and Enrollment Resources Reach People Living with HIV and Hepatitis

By Amy Killelea, Senior Manager, Health Care Access, NASTAD

State Decisions For Creating Health Insurance ExchangesOn April 9th, the Centers for Medicare and Medicaid Services (CMS) released a funding opportunity announcement (FOA) for eligible entities to serve as Patient Navigators in federally facilitated and partnership exchanges/marketplaces (state-run exchanges/marketplaces will be administering their own Patient Navigator programs). To access the funding opportunity announcement, visit:, and search for CFDA #93.750. See the Kaiser Family Foundation map to the right to see which type of exchange/marketplace your state will have.

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Responding to Viral Hepatitis through Health Reform

By Oscar Mairena, Manager of Viral Hepatitis and Policy and Legislative Affairs, NASTAD

Oscar Mairena, Manager, Viral Hepatitis/Policy and Legislative Affairs, NASTAD

Oscar Mairena, Manager, Viral Hepatitis/Policy and Legislative Affairs, NASTAD

This weekend marks the third anniversary of the passage of the Patient Protection and Affordable Care Act (ACA). The ACA improves access to care and preventive services through expansion of public and private insurance, reforms that eliminate discriminatory insurance practices and make insurance coverage more affordable, and significant investments in prevention, care coordination, and health workforce and infrastructure. In the case of viral hepatitis, the ACA provides an opportunity to not only improve access to essential care and treatment for people living with viral hepatitis, but to diagnose viral hepatitis earlier and prevent new infections. In light of the ACA’s anniversary, NASTAD released a primer today on viral hepatitis and the ACA, The Affordable Care Act and the Silent Epidemic: Increasing the Viral Hepatitis Response through Health Reform. The primer provides an overview of how health reform impacts viral hepatitis prevention, screening, linkage and retention to care, and treatment.

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Addressing HIV and Viral Hepatitis Among Native Gay Men and Two Spirit People

By Lynne Greabell, Director of Member Services and Leadership Development, NASTAD

Native HIV/AIDS Awareness Day 2012In conjunction with the seventh annual National Native HIV/AIDS Awareness Day, NASTAD published an issue brief, Native Gay Men and Two Spirit People and HIV/AIDS and Viral Hepatitis Programs and Services. The issue brief, developed by NASTAD’s Native American Networking Group (NANG) and Gay Men’s Health Equity Work Group (GMHEWG), provides specific recommendations for health departments to address HIV and viral hepatitis in Native American communities, consistent with the NASTAD and National Coalition for STD Directors’ joint policy statement “Getting to Zero: Scaling-Up Health Department Strategies for Gay Men/MSM.”

Native gay men and Two Spirit people (i.e., men who have sex with men [MSM] or what we would call male-bodied Two-Spirit individuals) face unique and specific challenges and opportunities related to their health and well-being such as stigma and discrimination due to their sexual orientation and gender status. Yet tribal traditions and connections through Two Spirit and lesbian, gay, bisexual, and transgender (LGBT) networking also can serve as protective factors (e.g., opportunities for cultural pride and education about prevention of disease acquisition) for Native gay men and Two Spirit people. Continue reading

Affordable Care Act (ACA) Celebrates Third Birthday: Many Successes, but Much Still To Do

By Amy Killelea, Senior Manager, Health Care Access, NASTAD

Signing of the ACAOn March 23, 2010 the Affordable Care Act (ACA) was signed into law. Three years later, many reforms are already helping people living with HIV and viral hepatitis access care and treatment:

  • AIDS Drug Assistance Program (ADAP) contributions now count toward Medicare Part D out-of-pocket spending, helping people living with HIV get through the coverage gap (“donut hole”) quicker.
  • Thousands of ADAP clients have been able to access insurance through Pre-existing Condition Insurance Plans (PCIPs).
  • Private insurance plans are now required to cover a range of preventive services (including services with a United States Preventive Services Task Force grade A or B as well as women’s preventive services) without cost sharing.
  • Several states have implemented the Medicaid Health Home program, which allows states to provide care coordination services – such as peer counseling, targeted social services referrals, and treatment management – for people with multiple chronic conditions, including HIV. Continue reading