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APHA 1996 Abstract: HIV Managed Care through a Hospital-Based System
of Care: The Johns Hopkins HIV Care Program
Presented at: American Public Health Association 124th Annual Meeting, November 1996
HIV Managed Care through a Hospital-Based System of Care: The Johns
Hopkins HIV Care Program
John G. Bartlett, MD. The Hopkins HIV Care Program provides
HIV primary care to approximately 2,600 patients. In 1994, John Hopkins University
received an award from the Health Resources and Services Administration through the
Special Projects of National Significance to evaluate the ethics, cost and quality of the
managed care system administered through the Hopkins HIV Care Program. Components of the
Hopkins program include a large outpatient clinic, a 21-bed inpatient unit, chronic care
facility, subspecialty services, a comprehensive database, clinical research and quality
assurance activities. The current proposal for capitated HIV care program is for a service
delivery system jointly administered by the Hopkins HIV Care team, John Hopkins Healthcare
and an HMO which is being determined. The managed care rate is based on historic data for
payment for Maryland Medicaid patients defined under the 1993 definition of AIDS.
Available data on service utilization and cost indicate that acute hospital care exerts
the largest impact on financial risk. The major anticipated financial risk is new
pharmaceuticals which are not in the historic rate. This presentation will present the
major challenges to the development of a managed care plan for persons with HIV disease in
a hospital-based setting including risk sharing, quality assurance, assessment and
financial security.
Copyright © 1996-2005 by The Measurement Group LLC. All rights reserved. This may not be current and will not be updated.