The prevalence of mental health conditions among people living with HIV (PLWH) is high (23% among Medicare and 28% among Medicaid enrollees). Based on data from Medicare and Medicaid insurance claims from 2010, PLWH with mental health conditions had significantly higher treatment costs for both mental health and non-mental health conditions. These data support further examination of how managed care capitations are set and whether they account for these greater expenditures. Without adequate funding support, access for both mental health and physical health services for PLWH living with mental health conditions may be impacted.
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