January/February #185 : Comprehensive Care Is Possible - by Benjamin Ryan

POZ - Health, Life and HIV
Subscribe to:
POZ magazine
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join

Back to home » Archives » POZ Magazine issues

Table of Contents


Heart to Heart

Myths of Black MSM

From the Editor

Sowing the Seeds of Love


Letters-January/February 2013


Standing Against Stigma

POZ Planet

Storm Troopers

Say What-Fran Lebowitz

Oh No Canada

Signs of the Times

For Your Consideration...

Climb Every Mountain

Grindr IQ

Care and Treatment

Using Condoms As Directed

English Lessons

Comprehensive Care Is Possible

HIV, Meds and Booze

Research Notes

Cure: HDAC Inhibitors May Need Combos

Prevention: Revisiting HIV in Semen

Treatment: New Fusion Inhibitor, Integrase Inhibitor

POZ Survey Says

Full Disclosure

POZ Heroes

Minister of HIV

Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

email print

January / February 2013

Comprehensive Care Is Possible

by Benjamin Ryan

An inner-city HIV clinic in Baltimore has proved that a robust and dynamic health care practice can produce astonishing results even among the highest-risk populations. A recent 15-year study of patient outcomes at Johns Hopkins University’s HIV clinic found that its primarily lower-income and African-American population enjoyed a life expectancy of 73 years.

The secret to the clinic’s success is its multi-tiered approach to care. Primary care addresses lab tests and HIV treatment. Specialty care covers mental health and substance abuse counseling, among many other needs. And supportive care services focus on areas such as case management, transportation and treatment adherence.

According to the study’s lead author and the director of the clinic, Richard D. Moore, MD, Johns Hopkins receives about $3 million in Ryan White CARE Act funding each year, the majority going to his group. That federal funding is a major reason for the success of the Hopkins program.

The outcome of the presidential election means that the Affordable Care Act will continue to roll out toward its full implementation in 2014. With the clock ticking, major players in the HIV policy field are working to ensure that Ryan White funding will continue to supplement the health coverage of people with HIV even as many move onto Medicaid and private insurance rolls.

Moore, for one, isn’t worried about his own funding. “I think at the moment we’re feeling that we’ll continue to be able to provide the care to our patients as close to if not in the same fashion as we’ve been able to,” he said.

How can other health care providers achieve the success of Moore’s program? And how can the country as a whole emulate the trailblazing achievement of Massachusetts, where 99 percent of the HIV population is in care? Robert Greenwald, a Harvard Law School professor and cochair of the HIV Health Care Access Working Group, says success depends on the following:

  • States must opt into the Medicaid program.
  • Health insurance exchanges must have strong patient outreach programs to help clients navigate the system.
  • Private insurance and Medicaid must provide essential health benefits to meet the needs of people with HIV.
  • The Affordable Care Act must promote proven models of HIV health care delivery.

“If all those things happen, that would mean we are providing the overwhelming majority of people living with HIV with early access to comprehensive, high-quality health care,” Greenwald said.

Search: comprehensive health care, John Hopkins University, Richard D. Moore, Ryan White CARE Act, Affordable Care Act, Robert Greenwald, Health Access Working Group

Scroll down to comment on this story.


(will display; 2-50 characters)


(will NOT display)


(will display; optional)

Comment (500 characters left):

(Note: The POZ team reviews all comments before they are posted. Please do not include either ":" or "@" in your comment. The opinions expressed by people providing comments are theirs alone. They do not necessarily reflect the opinions of Smart + Strong, which is not responsible for the accuracy of any of the information supplied by people providing comments.)

Comments require captcha.
Please enter this number for verification:

| Posting Rules

Show comments (0 total)

[Go to top]

Facebook Twitter Google+ MySpace YouTube Tumblr Flickr Instagram
Quick Links
Current Issue

HIV Testing
Safer Sex
Find a Date
Newly Diagnosed
HIV 101
Disclosing Your Status
Starting Treatment
Help Paying for Meds
Search for the Cure
POZ Stories
POZ Opinion
POZ Exclusives
Read the Blogs
Visit the Forums
Job Listings
Events Calendar
POZ on Twitter

Ask POZ Pharmacist

Talk to Us
Did you participate in an event for National Black HIV/AIDS Awareness Day 2016?


more surveys
Contact Us
We welcome your comments!
[ about Smart + Strong | about POZ | POZ advisory board | partner links | advertising policy | advertise/contact us | site map]
© 2016 Smart + Strong. All Rights Reserved. Terms of use and Your privacy.
Smart + Strong® is a registered trademark of CDM Publishing, LLC.