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11/15/2012 1 AIDS Drug Assistance Program Improving Health. . . Promoting Wellness PCPG UPDATE

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Page 1: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20121

AIDS Drug Assistance Program

Improving Health. . . Promoting Wellness

PCPG UPDATE

Page 2: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20122

FloridaADAPADAP FUNDING & CLIENT ENROLLMENTS

$88,022,839

$87,464,142

$83,621,697$83,509,558

$83,621,697

$85,188,435

$86,207,390

14,396

15,569

18,022

15,589

15,732

15,72316,322

FY06/07 FY07/08 FY08/09 FY09/10 FY10/11 FY11/12 4/1-10/19/12-

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

18,000

20,000

FEDERAL FUNDING CLIENTS

•Source: ADAP database. 2012/2013 as reported April 01 through October 19, 2012. •ADAP waiting list implemented June 1, 2010. •FY10/11 federal funding does not include any additional supplemental funds.•Client enrollment reflects number of clients who were enrolled in ADAP in FY11/12.

Clie

nt E

nrol

lmen

ts

Fede

ral F

undi

ng

State Funding $10.5M $10.5M $10.5M $9.5M $9.5M $10.5M $14M

$81M

$82M

$83M

$84M

$85M

$86M

$87M

$88M

$89M

Page 3: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20123

1%

27%28%

9% 35%

WHITE NON‐HISPANICBLACK NON‐HISPANICHAITIANHISPANICOTHERS*

GENDER & RACE/ETHNICITY (FY11-12)

15,723 Clients Enrolled<1%

73%

26%

MALEFEMALETRANSGENDER

RACE/ETHNICITY OTHERS

FloridaADAP

Fiscal Year 2011/12 (April 1st thru March 31st)

9%14%

23%

54%

ASIANS PACIFIC ISLANDERS

NATIVE AMERICANS MULTIPLE RACES

Page 4: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20124

0% 0% 2%

29%

40%

2%0% 0% 1%

10%14%

1%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

≤2 2 - 12 13 - 24 25 - 44 45 - 64 ≥65

Male

Female

Source: ADAP database.  Transgender count of 35 counted as Male.

GENDER / AGE (FY2011-2012)

15,723 Clients Enrolled

FloridaADAP

AGE

Page 5: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20125

Client Enrollment in ADAP Based on Federal Poverty Level (FY11-12)

15,723 Clients Enrolled

1970

4941

8307

503

0

2000

4000

6000

8000

10000

0-100% 101-200% 201-300% 301-400%

Num

ber o

f Clie

nts

FPL %

Source: ADAP Database..

301-400% $ 33,511 – 44,680

201-300% $ 22,341 – 33,510

101-200% $ 11,171– 22,340

0-100% $ 0 - 11,170

HOUSEHOLD SIZE: 1ANNUAL INCOME

FloridaADAP

53%

31%

13%

3%

Page 6: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20126

0

10

20

30

40

50

Source: ADAP Database..

0-134% 135-150% 151-300% 301-400%

FEDERAL POVERTY LEVEL (FPL) %

Num

ber o

f AD

AP

Clie

nts

Age

18

and

Und

er

20 CLIENTS

0 CLIENTS 2 CLIENTS 1 CLIENTS

301-400% $ 33,511 – 44,680

151-300% $ 16,756 – 33,510

135-150% $ 14,857 – 16,755

0-134% $ 0 - 14,856

HOUSEHOLD SIZE: 1ANNUAL INCOME

FloridaADAP

Clients Enrolled Age 18 and Under FPL Category (FY2011-2012)

23 Clients

Page 7: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20127

CD4 Counts (FY2011-2012)

15,723 Clients

7334

35302846

2013

-200

1800

3800

5800

7800

9800

11800

13800

15800

≤ 200 201 -350 351-500 ≥ 501

Source: ADAP Database 

FloridaADAP

13% 18% 22%

47%

Page 8: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20128

15,594 15,72314,396

15,569

18,022

568 661843708520566 917 1094 10688940

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

2007/ 08 2008/ 09 2009/ 10 2010/ 11 2011/ 12

N EW C LIEN T S C D 4 350-500 N EW C LIEN T S C D 4 >500

CD4 Count FloridaADAP

Source: ADAP database. 

New clients with CD4 count >350

Page 9: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/20129

72%

83% 81% 79%

87%82%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2006/07 2007/2008 2008/2009 2009/10 2010/2011 2011/2012

Source: ADAP database. Please note that we have considered HAART treatment as clients on at least 3 anti‐retrovirals from at least 2 different drug classes. 

Percentage of ADAP Clients on HAART Treatment

FloridaADAPRyan White FY 2011-2012

Page 10: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/201210

31%38%

49%56%

68% 70%77%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2004

/200

5

2005

/200

6

2006

/200

7

2007

/200

8

2008

/200

9

2009

/201

0

2010

/201

1

Ryan White FY 2011-2012

NUMBER OF CLIENTS WITH SUPPRESSED VIRAL LOAD(≤ 75 copies/ml)

Source: ADAP database. 

FloridaADAP

Page 11: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/201211

Source: ADAP Database

8307

2097

2844

1970

345 1600

1000

2000

3000

4000

5000

6000

7000

8000

9000

≤ 100% 101 – 133 134 – 200 201 – 300 301 – 350 351 - 400

Num

ber o

f Clie

nts

FPL %

FloridaADAP

Client Enrollment in ADAP Based on Federal Poverty Level (FY2011-2012)

15,723 Clients Enrolled

MEDICAID 2014

66%+

53%

13%18%

13%

2% 1%

Page 12: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/201212

10841

82%

1925

15%

322

2%

45

<1%

8

<1%

3

<1%0

2 0 0 0

4 0 0 0

6 0 0 0

8 0 0 0

10 0 0 0

12 0 0 0

<$10,000

$10,001-15,000

$15,001-20,000

$20,001-25,000

$25,001-30,000

>$30,001

Drug Cost Associated with Clients

Source: ADAP Database.  Clients with at least one drug pick up.

FloridaADAP

13,144 clients served FY11-12

Page 13: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/201213

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

7,000,000

8,000,000

Without TrOOP Expenditure UnderCVS

Savings

TrOOP: Medicare Cost Savings

564 Clients

$ 6,

540,

144

$ 3,

423,

388

$ 3,

116,

756

FloridaADAP

Source: ADAP Database.  Average cost per ADAP client $892 per month.  Average cost per CVS client $467 per month.

September 2011 - September 2012

Page 14: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/201214

EN

D O

F FY

10-1

1

402

432

406

401

506

424

506

475

461

515

315546

278

294

279

223

215

236

272

296

244

242

243

222

3705 36803893

3279

1104

675

1049

377200

2216

1635

600773

862

1330

829

4033

3571

3785

0

500

1000

1500

2000

2500

3000

3500

4000

Mar‐11

Apr‐11

May

‐11

Jun‐11

Jul‐1

1

Aug

‐11

Sep‐11

Oct‐11

Nov

‐11

Dec‐11

Jan‐12

Feb‐12

Mar‐12

ADDED TO THE WL EACH MONTH NEW* APPLICANTS TO THE WL

ENROLLED EACH MONTH INTO THE PROGRAM APPLICANTS ON THE WAITING LIST

WAITING LIST (FY2011-2012) FloridaADAP

Source: ADAP database. * ‘NEW’ applicants are those who have never been on the WL or in the program at any time.FY11‐12:  6834 applicants enrolled into the program, of these 935 were ERF enrollments.

Page 15: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/201215

EN

D O

F FY

11-1

2

WAITING LIST (FY2012-2013) FloridaADAP

Source: ADAP database. * ‘NEW’ applicants are those who have never been on the WL or in the program at any time.

403 498

432

410

0 0 0 0 0

518

00

000

0

000

319

265

272

287

255

570 590

205

22 560 0

0000

424

534

835

412

1,116

601600

0

00

03180

675

0

500

1000

Mar‐12

Apr‐12

May

‐12

Jun‐12

Jul‐1

2

Aug

‐12

Sep‐12

Oct‐12

Nov

‐12

Dec‐12

13‐Jan

13‐Feb

13‐M

ar

ADDED TO THE WL EACH MONTH NEW* APPLICANTS TO THE WL

ENROLLED EACH MONTH INTO THE PROGRAM APPLICANTS ON THE WAITING LIST

Page 16: AIDS Drug Assistance Program€¦ · NEW CLIENTS CD4 350-500 NEW CLIENTS CD4 >500 CD4 Count Florida ADAP Source: ADAP database. New clients with CD4 count >350. 11/15/2012 9 72% 83%

11/15/201216

AIDS Drug Assistance Program

Improving Health. . . Promoting Wellness

Lorraine Wells 11/2012