AIDS Drug Assistance Program. Improving Health... Promoting Wellness
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1 AIDS Drug Assistance Program Improving Health... Promoting Wellness
2 OUR MISSION To Provide Life-Saving Medications, Disease Management Training and Information to Our Clients in a Cost- Effective Way.
3
4 100% Federal Poverty Level RW 2009/2010 Clients Enrolled 18,022 90% 80% 70% 60% 50% 40% 30% 54% 10 0 % % % % % 20% 14% 17% 12% 10% 3% 0% 2009/2010 Source: Database. Reported on September 23, 2010.
5 GENDER & RACE/ETHNICITY 1% (18,022 CLIENTS) 1% 28% 26% 28% 71% 9% 36% MALE FEMALE TRANSGENDER RACE/ETHNICITY OTHERS* (193 CLIENTS) WHITE NON-HISPANIC BLACK NON-HISPANIC HAITIAN HISPANIC OTHERS* 45% 31% 14% 9% Fiscal Year 2009/10 (April 1st thru March 31st) ASIANS PACIFIC ISLANDERS NATIVE AMERICANS MULTIPLE RACES
6 % OF CLIENTS GENDER & RACE/ETHNICITY Fiscal Year 2009/2010 (18,022 CLIENTS) 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Male Female 37% 31% 12% 14% 0% 0% 0% 0% 2% 1% 2% 1% AGE Source: database. Reported on March 29, * Total number of clients as of the last day of the fiscal year, March 31.
7 Apr-07 May-07 Jun-07 Jul-07 Aug-07 Sep-07 Oct-07 Nov-07 Dec-07 Jan-08 Feb-08 Mar-08 Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Trends Affecting 100% Drug Pickup (page 1 of 2) 90% FISCAL YEAR 07/08 14,396 clients FISCAL YEAR 08/09 15,569 clients 80% 70% 69% 66% 64% 71% 68% 70% 72% 71% 71% 73% 72% 74% 76% 68% 75% 73% 71% 77% 60% 50% 42% 45% 42% 41% 44% 49% 40% 30% 20% 10% 0% Source: Database. Reported on September 23, * The total number of clients for each fiscal year represent clients open anytime during the given year. The percentages represent clients who picked up at least once within the month.
8 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Trends Affecting Drug Pickup (page 2 of 2) 100% 90% FISCAL YEAR 09/10 18,022 clients 84% 84% 85% 80% 73% 71% 70% 75% 72% 74% 76% 71% 79% 75% 74% 79% 78% 76% 70% 60% 50% 40% 30% 20% 10% 0% Source: Database. Reported on September 23, * The total number of clients for each fiscal year represent clients open anytime during the given year. The percentages represent clients who picked up at least once within the month.
9 Trends Affecting Clients on ART Treatment CLIENTS ON HAART 100% 90% 80% 70% 72% 83% 81% 79% CLIENTS ON HAART 87% 60% 50% 40% 30% 20% 10% 0% 2006/ / / /10 April August 2010 Source: database. * Total number of clients as of August ** Please note that we have considered HAART treatment as clients on at least 3 anti-retrovirals from at least 2 different drug classes.
10 PROGRAM GOAL 100% 90% NUMBER OF CLIENTS WITH SUPPRESSED VIRAL LOAD ( 75 copies/ml) 80% 70% 60% 50% 40% 30% 31% 38% 49% 56% 68% 70% 20% 10% 0% 2004/ / / / / /2010 Source: database. Reported on March 29, 2010.
11 Trends Affecting R.A.M.P MONTHLY ENROLLMENTS 4,000 3,500 3,603 3,285 Number of clients eligible for RAMP Number of clients enrolled in RAMP 3,000 2,931 2,785 2,733 2, , , , , Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Source: database. Reported on April 14, * Total number of clients enrolled in open status during the given timeframe. note that number varies according to month.
12 Trends Affecting HIV TESTS 1,000, , , , ,000 10,
13 Trends Affecting AIDS INSURANCE CONTINUATION PROGRAM Cumulative Wait-List Jul-Oct O9 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May-10 Jun-10 Jul-10 Aug-10 Sep-10
14 Trends Affecting Clients New to CD4 between 350 and 500 cells/mm 3 14,396 15,569 18,022 11, / / /10 as of 9/23 >350 *Waiting List implemented June 1, 2010
15 Apr-09 May-09 Jun-09 Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Apr-10 May ,704 1,560 1,521 1,662 1,662 1,824 1,765 1,559 1,983 1,646 1,776 2,215 1,909 2,115 Trends Affecting 3,000 2,500 2, /2010 MONTHLY ENROLLMENTS (RW FY April 1st thru March 31 st ) 2,591 2,509 2,340 2,276 2,035 1,992 1,979 2,121 2,132 2,018 2,133 1,895 1,822 1,827 1,500 1, New Enrollments Recertifications Enrollments
16 ANNUAL ENROLLMENTS Trends Affecting 20,000 18,000 16,000 14,000 15,732 14,396 15,569 18,022 12,000 10,000 8,000 6,000 4,000 2, / / / /2010 Source: database. Figures shown reflect clients in open status anytime during the given year. Report released on July 2, 2010.
17 Federal Funding Client Enrollments Trends Affecting FUNDING & CLIENT ENROLLMENTS $89M $88M $87M $86M $88,022,839 15,732 14,396 15,569 18,022 20,000 18,000 16,000 14,000 12,000 $85M 10,000 $84M $83M $83,621,697 $83,509,558 $83,621,697 8,000 6,000 4,000 $82M 2,000 $81M FY06/07 FY07/08 FY08/09 FY09/10 - State Funding $10.5M $10.5M $10.5M $9.5M FEDERAL ALLOCATION CLIENTS ENROLLED Source: database. Figures shown reflect clients in open status anytime during the given year. Report released on July 2, 2010.
18 Cost Containments Waiting List Timeline 2010
19 Trends Affecting Ryan White FY Funding for Ryan White $ 85,188,435 General Revenue $ 9,500,000 Total $ 94,688,435 Ryan White (Pharmaceuticals) $ 74,221,505 General Revenue (Pharmaceuticals) $ 9,500,000 Pharmaceutical Contracts: Miami $ 3,241,945 Insurance Continuation (AICP) $ 2,683,311 Administration $ 5,041,674 Total $ 94,688,435
20 Trends Affecting MIAMI CONTRACTS $3.5 MIL RW PART B $75.6 mil (65%) GAP $18-19 mil (16-17%) SHORTFALL RELIEF $6.9 mil SUPPLEMENTAL (6%) $2.2 mil (2%) PART B SWEEPS $1.7 mil (1%) STATE FUNDING $9.5 mil (8%) Reported on September 23, 2010.
21 6,404,400 4,318,09 2,086,307 Future Trends Affecting TrOOP: Medicare Cost Savings $7,000,000 $6,000,000 $5,000,000 $4,000,000 $3,000,000 $2,000,000 $1,000,000 $0 Example: 593 Clients Prior to 2010 SAVINGS COST AS OF 2011
22 Point/CounterPoint 100% % % FPL: MEDICAID EXPANSION Clients Enrolled 11,128 90% 80% % % % 70% 60% 50% 50% 40% MEDICAID % 20% 15% 20% 13% 65% 10% 3% 0% PERCENTAGE OF CLIENTS AS OF 9/23/10 Source: Database. Reported on September 22, 2010.
23 Number of Clients Point/CounterPoint Rule 64D Client Enrollment Based on FPL % >= 401 FPL % Source: Database Open Clients as of 9/27/10
24 Point/CounterPoint Cap On Drug Expenditures % 5000 <$10, % $10,801-15,000 $15,001-20, $20,001-25,000 $25,001-30, % 313 3% 84 1% 64 1% >$30,001 Source: Database, clients in open status as on 9/27/10, with at least 1 pick in August 2010
25 Point/CounterPoint Medical Eligibility Criteria CD4 Counts 5185 (47%) (23%) (12%) 1234 (11%) 788 (7%) Source: Database 9/27/10
26 Point/Counter Point Recertification
27 Future Trends Affecting Eligibility Screening Changes to the Eligibility Manual SOAR Training Medicaid FMMIS Training 27 Source: Database. Reported on August 30, 2010.
28 Point / Counter-Point
29 Point / Counter-Point Labs Reduce CD4 and Viral Load Tests clients are permitted up CD4/CD8 to four (4) HIV Viral Load laboratory Tests and four (4) CD4/CD8 laboratory tests a year through the DOH, Bureau of Statewide Laboratories. Viral Load Testing Discontinue Tropism (Trofile ) Assay clients are permitted a Tropism (Trofile ) Assay laboratory test (with approval from the medical unit in the Bureau of HIV/AIDS). Source: Database. Reported on August 30, 2010.
30 Point / Counter-Point Proposed Cost Containments Eliminate Exception Requests (Pregnant Women Continue to be exempted) Institute Asset Caps Eliminate provision of drugs in Jails Enforce Policy for Closures (No Grace Periods) Overdue for pick-ups Overdue for Enrollment 30 Source: Database. Reported on August 30, 2010.
31 Point / Counter-Point Proposed Cost Containments Clients W/ Unaffordable Copays and Deductibles Pre-existing Conditions Medicaid Share of Cost Last on First off 31 Source: Database. Reported on August 30, 2010.
32 AIDS Drug Assistance Program Improving Health... Promoting Wellness Lorraine Wells
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