Project Achievements: AIDS Healthcare Foundation

HRSA HIV/AIDS Bureau's Special Projects of National Significance [1994 - 1999]:

AIDS Healthcare Foundation

Completed by: Peter D. Reis
Last Updated: May 1999

Achievement 1: Secured Medicaid contact to deliver Capitated AIDS Care.

Key Elements for
Success:

Legislative action that created a vehicle.

Factors that Limited
Success:

The State Department of Health’s unwillingness.

Factors that Ensured
Success:

AHF’s vigor as it pursued the contract.

*Achievement 2:* Launched Positive Healthcare.
Key Elements for Success: Clinical preparation; financial preparation.	Factors that Limited Success: Voluntary enrollment vs. mandatory enrollment.	Factors that Ensured Success: Strong desire to set a precedent for risk adjusted AIDS care.

*Achievement 3:* Four years of clinical and financial success.
Key Elements for Success: Health plan is specialized and run by experienced professionals.	Factors that Limited Success: Somewhat uncooperative relationship with State of California.	Factors that Ensured Success: Experienced administration and quality medical direction.

*Achievement 4:* Completed data collection on evaluation portion of project.
Key Elements for Success: Addition of a qualified evaluator and data manager.	Factors that Limited Success: Internal lack of capacity initially.	Factors that Ensured Success: Concerted effort in the final 2 years.

*Achievement 5:* Linkage with other projects for form a more powerful voice specialized, risk-adjusted, capitated AIDS care.
Key Elements for Success: Cooperative spirit, mutual respect.	Factors that Limited Success: Distance/scheduling.	Factors that Ensured Success: None listed.