AIDS Drug Assistance Program Improving Health... Promoting Wellness
OUR MISSION To Provide Life-Saving Medications, Disease Management Training and Information to Our Clients in a Cost- Effective Way.
100% Federal Poverty Level RW 2009/2010 Clients Enrolled 18,022 90% 80% 70% 60% 50% 40% 30% 54% 10 0 % 10 1 13 3 % 13 4 2 0 0 % 2 0 1 3 0 0 % 3 0 1 4 0 0 % 20% 14% 17% 12% 10% 3% 0% 2009/2010 Source: Database. Reported on September 23, 2010.
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
% 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% 2 2-12 13-24 25-44 45-64 65 AGE Source: database. Reported on March 29, 2010. * Total number of clients as of the last day of the fiscal year, March 31.
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, 2010. * 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.
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, 2010. * 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.
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% 2006/07 2007/2008 2008/2009 2009/10 April 2010 - August 2010 Source: database. * Total number of clients as of August 2010. ** Please note that we have considered HAART treatment as clients on at least 3 anti-retrovirals from at least 2 different drug classes.
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% 2004/2005 2005/2006 2006/2007 2007/2008 2008/2009 2009/2010 Source: database. Reported on March 29, 2010.
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 2,735 2851 2,500 2385 2,000 1915 1,500 1467 1,000 818 500 368 - Oct-09 Nov-09 Dec-09 Jan-10 Feb-10 Mar-10 Source: database. Reported on April 14, 2010. * Total number of clients enrolled in open status during the given timeframe. note that number varies according to month.
Trends Affecting HIV TESTS 1,000,000 330,639 373,102 395,299 100,000 10,000 2007 2008 2009
Trends Affecting AIDS INSURANCE CONTINUATION PROGRAM 450 400 350 300 250 200 150 100 50 Cumulative Wait-List 416 390 353 308 267 247 210 162 141 124 106 70 0 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
Trends Affecting 20000 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 Clients New to CD4 between 350 and 500 cells/mm 3 14,396 15,569 18,022 11,128 1081 1589 1731 1894 2007/08 2008/09 2009/10 as of 9/23 >350 *Waiting List implemented June 1, 2010
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-10 331 335 301 330 317 297 367 268 357 372 357 376 367 394 1,704 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 2,000 2009/2010 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 1,000 500 0 New Enrollments Recertifications Enrollments
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 2,000 0 2006/2007 2007/2008 2008/2009 2009/2010 Source: database. Figures shown reflect clients in open status anytime during the given year. Report released on July 2, 2010.
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.
Cost Containments Waiting List Timeline 2010
Trends Affecting Ryan White FY 2010-2011 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
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.
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
Point/CounterPoint 100% 1 0 0 % 1 0 1 1 3 3 % FPL: MEDICAID EXPANSION Clients Enrolled 11,128 90% 80% 1 3 4 2 0 0 % 2 0 1 3 0 0 % 3 0 1 4 0 0 % 70% 60% 50% 50% 40% MEDICAID 2014 30% 20% 15% 20% 13% 65% 10% 3% 0% PERCENTAGE OF CLIENTS AS OF 9/23/10 Source: Database. Reported on September 22, 2010.
Number of Clients Point/CounterPoint 6000 5466 Rule 64D Client Enrollment Based on FPL 5000 4000 3000 2174 2000 1623 1456 1000 0 232 114 2 100% 101 133 134 200 201 300 301 350 351-400 >= 401 FPL % Source: Database Open Clients as of 9/27/10
Point/CounterPoint Cap On Drug Expenditures 7000 6000 6080 55% 5000 <$10,800 4000 3593 32% $10,801-15,000 $15,001-20,000 3000 $20,001-25,000 $25,001-30,000 2000 1000 0 994 9% 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
Point/CounterPoint 6000 5000 Medical Eligibility Criteria CD4 Counts 5185 (47%) 4000 3000 2494 (23%) 2000 1000 1366 (12%) 1234 (11%) 788 (7%) 0 200 201-300 301-350 351-500 501 Source: Database 9/27/10
Point/Counter Point Recertification
Future Trends Affecting Eligibility Screening Changes to the Eligibility Manual SOAR Training Medicaid FMMIS Training 27 Source: Database. Reported on August 30, 2010.
Point / Counter-Point
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.
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.
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.
AIDS Drug Assistance Program Improving Health... Promoting Wellness Lorraine Wells