Loading presentation...

Present Remotely

Send the link below via email or IM


Present to your audience

Start remote presentation

  • Invited audience members will follow you as you navigate and present
  • People invited to a presentation do not need a Prezi account
  • This link expires 10 minutes after you close the presentation
  • A maximum of 30 users can follow your presentation
  • Learn more about this feature in our knowledge base article

Do you really want to delete this prezi?

Neither you, nor the coeditors you shared it with will be able to recover it again.


Some Considerations for Ryan White Service Providers

March 18, 2013

Nicole Johns

on 13 September 2017

Comments (0)

Please log in to add your comment.

Report abuse

Transcript of Some Considerations for Ryan White Service Providers

Federal Funding
What does the future hold for HIV services?
More Medicaid-eligible clients
Sustainable services that meet the needs of the community
Quest for the Future
2013 and beyond
Funding Decreases
Health Homes
Enhanced reimbursement for Primary Care
More people insured
Let's check our map
of Ryan White clients live at or below poverty
Before we get started with our adventure, let's remind ourselves of a few key facts
1.5 trillion over 10 years
At least 80% of RW clients will be Medicaid Eligible with expansion
Health care system
Ryan White System
Payer of Last Resort?
Eligible Services?
Eligible Clients?
Certain networks or teams of health care providers
can form a Health Home
Enhanced reimbursement , temporarily
State Medicaid oversee Health Home programs, with federal approval
Eligible individuals have at least one chronic condition, includes HIV and mental health
Essential Health Benefits
Mental Health
and infant care
Care coordination
Ambulatory services
Behavioral Health
Substance Abuse
Disorder Services
7,400 ADAP clients
424,000 HIV tests
Across the board cuts of >5%
Includes kids' dental and vision
Preventative services,
include HIV tests
Tests, Labs, Xrays
Emergency services
Chronic disease management
Prescription drugs
Pediatric care
Rehabilitative and habiliative services
Adapting programs to fit the reimbursement models of the future health care system
Preparing for the shifting tides in the Ryan White Program
So what does that mean?
Ryan White will not be reauthorized this fall.
HRSA working on "administrative fixes" for outstanding issues
Supportive Congress members and HRSA are looking for community input on the future of Ryan White
White House and Congress are in support of the Ryan White program
Essential Community Providers
Must ensure a sufficient number and geographic distribution of community providers
Must ensure reasonable and timely access to a broad range of such providers
Any willing provider must be accepted into a network
Patient Navigator and Assister Programs
Philadelphia EMA
What we stand to lose nationally:
Health Insurance Plans:
Full transcript