  {"id":118231,"date":"2020-05-13T11:04:36","date_gmt":"2020-05-13T21:04:36","guid":{"rendered":"https:\/\/www.hawaii.edu\/news\/?p=118231"},"modified":"2020-05-13T11:04:36","modified_gmt":"2020-05-13T21:04:36","slug":"medicare-part-d-hiv-patients","status":"publish","type":"post","link":"https:\/\/www.hawaii.edu\/news\/2020\/05\/13\/medicare-part-d-hiv-patients\/","title":{"rendered":"Study calls for Medicare Part D revisions for <abbr title=\"human immunodeficiency virus\">HIV<\/abbr>"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading time: <\/span> <span class=\"rt-time\"> &lt; 1<\/span> <span class=\"rt-label rt-postfix\">minute<\/span><\/span><figure id=\"attachment_47779\" aria-describedby=\"caption-attachment-47779\" style=\"width: 620px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/07\/manoa-jabsom-exterior.jpg\" alt=\"\" width=\"620\" height=\"323\" class=\"size-full wp-image-47779\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/07\/manoa-jabsom-exterior.jpg 620w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/07\/manoa-jabsom-exterior-260x135.jpg 260w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><figcaption id=\"caption-attachment-47779\" class=\"wp-caption-text\">John A. Burns School of Medicine<\/figcaption><\/figure>\n<p>A new study led by University of <span aria-label=\"Hawaii\">Âé¶¹´«Ã½<\/span> at M\u0101noa Professor<strong> Chien-Wen Tseng<\/strong> proposes the Medicare prescription drug benefit (Part D) cost sharing of <abbr title=\"human immunodeficiency virus\">HIV<\/abbr> medications be revised. The burden of drug costs for antiretroviral therapy (<abbr>ART<\/abbr>) and preexposure prophylaxis (<abbr>PrEP<\/abbr>) treatments primarily falls on patients and is not conducive to achieving the federal 2030 goals for Ending the <abbr>HIV<\/abbr> Epidemic: A Plan for America (<abbr>EHE<\/abbr>). The study was published in the <em><a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2764374\">Journal of the American Medical Association<\/a><\/em> on April 14.  <\/p>\n<figure id=\"attachment_53077\" aria-describedby=\"caption-attachment-53077\" style=\"width: 195px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/11\/manoa-jabsom-tseng-c-195x260.jpg\" alt=\"Photo of Chien-Wen Tseng\" width=\"195\" height=\"260\" class=\"size-medium wp-image-53077\" srcset=\"https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/11\/manoa-jabsom-tseng-c-195x260.jpg 195w, https:\/\/www.hawaii.edu\/news\/wp-content\/uploads\/2016\/11\/manoa-jabsom-tseng-c.jpg 250w\" sizes=\"auto, (max-width: 195px) 100vw, 195px\" \/><figcaption id=\"caption-attachment-53077\" class=\"wp-caption-text\">Chien-Wen Tseng<\/figcaption><\/figure>\n<p>Tseng is with the <a href=\"http:\/\/jabsom.hawaii.edu\">John A. Burns School of Medicine<\/a> Department of Family Medicine and Community Health and is the Hawaii Medical Service Association Endowed Chair in Health Services and Quality Research and is a member of the U.S. Preventive Services Task Force.<\/p>\n<p>In 2019, President Donald Trump announced a 10-year plan for the <abbr>EHE<\/abbr> initiative, to be developed by agencies across the <abbr title=\"United States\">U.S.<\/abbr> Department of Health and Human Services.<\/p>\n<p>Tseng and her collaborators proposed the Medicare Part D cost sharing of <abbr>ART<\/abbr> and <abbr>PrEP<\/abbr> medicines for <abbr>HIV<\/abbr> patients be redesigned so patient out-of-pocket costs are based in stable dollar terms rather than a changing percentage of drug price. This new design should also include a ceiling for patient out-of-pocket expenses.<\/p>\n<p>&ldquo;To the extent that affordability is associated with adherence, these results have important clinical and policy implications; the federal EHE initiative will be successful only if patients have reliable access to <abbr>HIV<\/abbr> treatment and prevention,&rdquo; said Tseng. &ldquo;It seems to be apparent that achieving a 90 percent incidence reduction in <abbr>HIV<\/abbr> by 2030 will require legislation to manage the price of these drugs.&rdquo; <\/p>\n<p><a href=\"https:\/\/jabsom.hawaii.edu\/study-calls-for-hiv-medicare-part-d-cost-revisions-to-meet-federal-2030-goals\/\">Read more on the JABSOM website.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The revisions will help meet federal 2030 goals for Ending the <abbr title=\"human immunodeficiency virus\">HIV<\/abbr> Epidemic: A Plan for America.<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[30],"tags":[31,1363,158,9],"class_list":["post-118231","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research","tag-john-a-burns-school-of-medicine","tag-manoa-research","tag-publication","tag-uh-manoa","entry","has-media"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.0.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"The revisions will help meet federal 2030 goals for Ending the HIV Epidemic: A Plan for America.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Âé¶¹´«Ã½News\"\/>\n\t<meta name=\"keywords\" content=\"uh manoa,university of hawaii,john a. burns school of medicine,hiv,medicare part d,antiretroviral therapy,preexposure prophylaxis,ending the 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