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Virginia ADAP Data Report January 2013

Virginia ADAP Data Report January 2013. Anne Giuranna Rhodes, Services Analyst HIV Care Services, Division of Disease Prevention Virginia Department of Health. VA ADAP 2010-2012. ADAP Waitlist History.

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Virginia ADAP Data Report January 2013

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  1. Virginia ADAP Data Report January 2013 Anne Giuranna Rhodes, Services Analyst HIV Care Services, Division of Disease Prevention Virginia Department of Health

  2. VA ADAP 2010-2012

  3. ADAP Waitlist History • Virginia ADAP expanded ADAP enrollment criteria and reduced the wait list throughout 2011 and 2012 • November 2011: CD4 count at or below 200 • December 2011: CD4 count at or below 350 • April 2012: CD4 count at or below 500 • July 2012: removal of clinical criteria • August 2012: began immediate processing of new applications (no longer placed any new persons on waitlist) • Eliminated the wait list as of August 30, 2012.

  4. CD4 Count Distribution of VA Waitlist Data Source: AIDS Drug Assistance Program Waitlist Data Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, December 2012

  5. VA ADAP Wait List Removals

  6. Direct ADAP Summary: 2012 • Active Clients December 31, 2012: 3,613 (2,276) • Clients Served Jan-Dec 2012: 4,001 (3,008) • Avg. Persons Served Per Month 2012: 2,118 (1,816) • Avg. Total Cost per Month 2012: $1.86M ($1.65M) • Avg. Cost Per Person Per Month 2012: $881 ($913) • Avg. New Clients Per Month 2012: 101 (14) *Numbers in parentheses are from 1 year ago (January to December 2011)

  7. Direct ADAP: Persons per MonthJanuary 2010 to December 2012 Began waitlist Data Source: AIDS Drug Assistance Program Data Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013

  8. Direct ADAP Demographics: 2012 Data Source: AIDS Drug Assistance Program Data Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013

  9. Direct ADAP Demographics: 2012 Data Source: AIDS Drug Assistance Program Data Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013

  10. Direct ADAP Demographics: 2012 Total Clients =4,001 Lab results are from 2010 and later, from Ryan White and the Electronic HIV/AIDS Reporting System (eHARS), Division of Disease Prevention, Virginia Department of Health

  11. Medicare Part D Demographics: 2012 Total Clients = 387 Data Source: Medicare Part D Assistance Program Data (MPAP) Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013

  12. Medicare Part D: Rebate Revenue

  13. Rebates Rebates allow Virginia to recoup the cost differential between the price paid for the medication at point-of-sale and the 340B price, when ADAP pays for any part of the drug cost.

  14. Medicare Part D: Rebate Revenue2011-2012 Data Source: AIDS Drug Assistance Program, Financial Tracking Data Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013

  15. VA-ADAP Value of Dispensed Drugs: Direct ADAP Only • Value of dispensed drug is the sum of all filled prescriptions for direct ADAP • Does not include any returned medication, increases in drug inventory levels, or revenue generated from ADAP (Medicaid backbilling, Rebates) Data Source: AIDS Drug Assistance Program Data Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013

  16. Pre-Existing Condition Insurance Program: VA-ADAP 2013

  17. ADAP Costs by Program: Projections April 2013 to March 2014 Exchanges $41.6M $13.2M $27.2M $1.2M Assumptions: Enrollment of Eligible Clients in Health Care Exchanges in January 2014 Rebate Total Estimates for Year = $6.8M Net Expenditures Estimate = $34.7 M Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013

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