The Cost and Threshold Analysis of Retention in Care (RiC): A Multi-Site National HIV Care Program

Catherine Maulsby, Kriti M. Jain, Brian Weir, Blessing Enobun, Maura Riordan, Vignetta E. Charles, Intervention Team Ric Intervention Team, David R Holtgrave

Research output: Contribution to journalArticle

Abstract

Persons diagnosed with HIV but not retained in HIV medical care accounted for the majority of HIV transmissions in 2009 in the United States (US). There is an urgent need to implement and disseminate HIV retention in care programs; however little is known about the costs associated with implementing retention in care programs. We assessed the costs and cost-saving thresholds for seven Retention in Care (RiC) programs implemented in the US using standard methods recommended by the US Panel on Cost-effectiveness in Health and Medicine. Data were gathered from accounting and program implementation records, entered into a standardized RiC economic analysis spreadsheet, and standardized to a 12 month time frame. Total program costs for from the societal perspective ranged from $47,919 to $423,913 per year or $146 to $2,752 per participant. Cost-saving thresholds ranged from 0.13 HIV transmissions averted to 1.18 HIV transmission averted per year. We estimated that these cost-saving thresholds could be achieved through 1 to 16 additional person-years of viral suppression. Across a range of program models, retention in care interventions had highly achievable cost-saving thresholds, suggesting that retention in care programs are a judicious use of resources.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Nov 21 2016

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HIV
Costs and Cost Analysis
Cost-Benefit Analysis
Economics
Medicine
Health

Keywords

  • Cost analysis
  • Retention in HIV care
  • Threshold analysis

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

The Cost and Threshold Analysis of Retention in Care (RiC) : A Multi-Site National HIV Care Program. / Maulsby, Catherine; Jain, Kriti M.; Weir, Brian; Enobun, Blessing; Riordan, Maura; Charles, Vignetta E.; Ric Intervention Team, Intervention Team; Holtgrave, David R.

In: AIDS and Behavior, 21.11.2016, p. 1-7.

Research output: Contribution to journalArticle

Maulsby, Catherine ; Jain, Kriti M. ; Weir, Brian ; Enobun, Blessing ; Riordan, Maura ; Charles, Vignetta E. ; Ric Intervention Team, Intervention Team ; Holtgrave, David R. / The Cost and Threshold Analysis of Retention in Care (RiC) : A Multi-Site National HIV Care Program. In: AIDS and Behavior. 2016 ; pp. 1-7.
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