Estimated Uncovered Costs For HIV Preexposure Prophylaxis In The US, 2018

Health affairs (Project Hope) · 5 authors, 5 centres

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AGENT 01 · STRUCTURED SUMMARY

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TL;DR

The total estimated annual uncovered cost for medication, clinical visits, and lab testing was $102.4 million.

Full summary

161 CHARS

This study used population-based surveys and published data to model the number of US adults with PrEP indications who had uncovered costs for PrEP care in 2018.

STUDY TYPE

other

SPECIALTY

infectious disease

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10206677

Estimated Uncovered Costs For HIV Preexposure Prophylaxis In The US, 2018

Health affairs (Project Hope)

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ABSTRACT

Abstract The cost of HIV preexposure prophylaxis (PrEP) medication and care is a key barrier to PrEP use. Using population-based surveys and published information, we estimated the number of people with uncovered costs for PrEP care among US adults with PrEP indications, stratified by HIV transmission risk group, insurance status, and income. Accounting for existing PrEP payer mechanisms, we estimated annual uncovered costs for PrEP medication, clinical visits, and laboratory testing based on the 2021 PrEP clinical practice guideline. Of 1.2 million US adults with PrEP indications in 2018, we estimated that 49,860 (4 percent) of them had PrEP-related uncovered costs, including 32,350 men who have sex with men, 7,600 heterosexual women, 5,070 heterosexual men, and 4,840 people who inject drugs. Of those 49,860 people with uncovered costs, 3,160 (6 percent) incurred $18.9 million in uncovered costs for PrEP medication, clinical visits, and lab testing, and 46,700 (94 percent) incurred $83.5 million in uncovered costs for only clinical visits and lab testing. The total annual uncovered costs for adults with PrEP indications were $102.4 million in 2018. The proportion of people with uncovered costs for PrEP is less than 5 percent among adults with PrEP indications, but the magnitude of costs is significant.

CITATION EXPORT

Robert A Bonacci, Michelle Van Handel, Rebecca Huggins et al.. Estimated Uncovered Costs For HIV Preexposure Prophylaxis In The US, 2018. Health affairs (Project Hope). (2023). https://doi.org/10.1377/hlthaff.2022.00523

AUTHORS

5 · 5 CENTRES

Robert A Bonacci, Michelle Van Handel, Rebecca Huggins, Seidu Inusah, Dawn K Smith

1Centers for Disease Control and Prevention, Atlanta, Georgia.
2Centers for Disease Control and Prevention.
3Centers for Disease Control and Prevention.
4Centers for Disease Control and Prevention.
5Centers for Disease Control and Prevention.