U.S. hospital care for HIV-infected persons and the role of public and private teaching hospitals: 1988-1991
Article Abstract:
Financing policies for HIV and AIDS should seek to expand support for care outside hospitals while providing needed funding for inhospital treatment. Public and teaching hospitals in the U.S. are shouldering the burden of care for HIV-related illnesses and AIDS, and reporting losses that eventually may require them to ration health care. Of 1,981 hospitals participating in a 1991 survey, 773 reported treating HIV patients, with a 68% increase in numbers of HIV patients treated between 1988 and 1991. The average loss to hospitals was $92,025 for treating these patients. Medicaid paid for 45.5% of AIDS inpatient visits and 53.3% of other HIV-related illnesses. Changes in Medicaid and reimbursement arrangements should be instituted to meet a greater demand for hospital inpatient care.
Publication Name: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Subject: Health
ISSN: 1077-9450
Year: 1995
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Costs to Medicaid of advancing immunosuppression in an urban HIV-infected patient population in Maryland
Article Abstract:
Medicaid costs to treat HIV-infected patients increase substantially as the disease progresses. Researchers analyzed Medicaid payments for 606 patients cared for by the Johns Hopkins HIV Service between Jul 1992 and Jun 1995. During that time, Medicaid paid $18,223,700 to treat these patients. Those with advanced disease incurred about twice the charges than patients with moderate disease. Monthly costs ranged from $1,015 in those with moderate disease to $2,436 in those with advanced disease. Within 6 months of death, the monthly cost increased to $4,600.
Publication Name: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Subject: Health
ISSN: 1077-9450
Year: 1997
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U.S. hospital care for HIV-infected persons and the role of public, private, and Veterans Administration hospitals
Article Abstract:
The treatment provided to AIDS patients with Pneumocystis carinii pneumonia will vary depending on whether they are admitted to a public, private or VA hospital. Researchers analyzed data on outcomes and costs in 2,174 AIDS patients treated in VA and non-VA hospitals in 5 US cities. Public hospitals received the sickest patients but used the fewest resources to care for them. Those treated at VA hospitals received a level of care in between that of public and private hospitals. However, mortality rates were highest at VA hospitals.
Publication Name: Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology
Subject: Health
ISSN: 1077-9450
Year: 1996
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- Abstracts: Hospital admissions of HIV-infected patients from 1988 to 1992 in Maryland. Effects of an incentive and education program on return rates for PPD test reading in patients with HIV infection
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- Abstracts: Third stage of labor: analysis of duration and clinical practice. Changes in health care delivery: a threat to academic obstetrics
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