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HERC Health Economics Seminar

Expanded HIV Screening in the United States: What Will It Cost and Who Will Pay? A Budget Impact Analysis


by Erika Martin, Ph.D., M.P.H.
Seminar date: 9/21/2011

Description: The Centers for Disease Control and Prevention recently revised their HIV screening guidelines to promote testing and earlier entry to care. Prior analyses have examined the policy's cost-effectiveness but have not evaluated its budget impact on specific payers. In this talk, I discuss how we used simulation modeling to conduct a budget impact of expanded HIV screening to government discretionary, entitlement, and testing programs. We find that the financial burden will fall disproportionately on discretionary programs that fund care for newly identified patients, and that testing will represent a small proportion of costs.

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