Objective
To
assess HIV testing and factors associated with receipt of testing among persons
with Medicaid and commercial insurance during 2012.
Methods
Outpatient
and laboratory claims were analyzed from two databases: all Medicaid claims
from six states and all claims from Medicaid health plans from four other
states and a large national convenience sample of patients with commercial
insurance in the United States. We excluded those aged <13 years and >64
years, enrolled <9 of the 12 months, pregnant females, and previously
diagnosed with HIV. We identified patients with new HIV diagnoses that followed
(did not precede) the HIV test, using HIV ICD-9 codes. HIV testing percentages
were assessed by patient demographics and other tests or diagnoses that
occurred during the same visit.
Results
During
2012, 89,242 of 2,069,536 patients (4.3%) with Medicaid had at least one HIV
test, and 850 (1.0%) of those tested received a new HIV diagnosis. Among
27,206,804 patients with commercial insurance, 757,646 (2.8%) had at least one
HIV test, and 5,884 (0.8%) of those tested received a new HIV diagnosis. During
visits that included an HIV test, 80.2% of Medicaid and 83.0% of commercial
insurance claims also included a test or diagnosis for a sexually transmitted
infection (STI), and/or Hepatitis B or C virus at the same visit.
Conclusions
HIV testing primarily took place concurrently with
screening or diagnoses for STIs or Hepatitis B or C. We found little evidence
to suggest routine screening for HIV infection was widespread.
Below: Demographics and HIV testing by type of health plan, Medicaid and commercial insurance, 2012
Full article at: http://goo.gl/RMB7MB
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