title: HIV care providers emphasize the importance of the Ryan White Program for access to and quality of care.
abstract: With the implementation of the Affordable Care Act (ACA) under way, some policy makers have questioned the continued relevance of the Ryan White HIV/AIDS Program as a safety net for people living with HIV/AIDS. We surveyed HIV care providers to understand the role of the Ryan White Program and to identify concerns regarding the ACA implementation. We also addressed whether the program is still relevant after ACA implementation and, if so, what elements should be retained. We found that providers consider the Ryan White Program to be critical in facilitating high-quality care for people living with HIV/AIDS. Most of the providers highlighted the program's support for providing medical and nonmedical case management as especially valuable and important to the entire continuum of care and for all patient subpopulations. Whether care is supplied by the Ryan White Program, Medicaid, or other means, our findings suggest that case management services will remain critical in treating HIV/AIDS as the health care landscape continues to evolve.
authors.forename: Neeraj
authors.initials: N
authors.lastname: Sood
authors.forename: Timothy
authors.initials: T
authors.lastname: Juday
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Vanderpuye-Orgle
authors.forename: Lisa
authors.initials: L
authors.lastname: Rosenblatt
authors.forename: John A
authors.initials: JA
authors.lastname: Romley
authors.forename: Desi
authors.initials: D
authors.lastname: Peneva
authors.forename: Dana P
authors.initials: DP
authors.lastname: Goldman
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D019090:Case Management / Q000706:statistics & numerical data; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000628:therapy / Q000635:transmission; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence*; D006306:Health Surveys; D006801:Humans; D019458:Insurance Coverage / Q000706:statistics & numerical data; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D011203:Poverty / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D064876:Safety-net Providers / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D014481:United States; D014600:Utilization Review
keywords: AIDS/HIV; Health Reform; Organization and Delivery of Care; Safety-Net Systems; Special Populations