Virginia adap data report january 2013
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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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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

  • 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.


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


VA ADAP Wait List Removals


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)


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


Direct ADAP Demographics: 2012

Data Source: AIDS Drug Assistance Program Data

Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013


Direct ADAP Demographics: 2012

Data Source: AIDS Drug Assistance Program Data

Division of Disease Prevention, Office of Epidemiology, Virginia Department of Health, January 2013


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


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


Medicare Part D: Rebate Revenue


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.


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


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


Pre-Existing Condition Insurance Program: VA-ADAP 2013


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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