{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T04:01:06Z","timestamp":1774584066613,"version":"3.50.1"},"posted":{"date-parts":[[2024,5,13]]},"group-title":"HIV\/AIDS","reference-count":51,"publisher":"openRxiv","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2024,5,13]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                <jats:p>Disparities in HIV care by socioeconomic status, place of residence, and race\/ethnicity prevent progress toward epidemic control. No study has comprehensively characterized the HIV care cascade among people with HIV enrolled in Medicaid \u2013 an insurance source for low-income individuals in the US. We analyzed data from 246,127 people with HIV enrolled in Medicaid 2001-2015, aged 18-64, living in 14 US states. We estimated monthly prevalence of four steps of the care cascade: retained in care\/adherent to ART; retained\/not adherent; not retained\/adherent; not retained\/not adherent. Beneficiaries were retained in care if they had an outpatient care encounter every six months. Adherence was based on medication possession ratio. We estimated prevalence using a non-parametric multi-state approach, accounting for death as a competing event and for Medicaid disenrollment using inverse probability of censoring weights. Across 2001-2015, the proportion of beneficiaries with HIV who were retained\/ART adherent increased, overall and in all subgroups. By 2015, approximately half of beneficiaries were retained in care, and 42% of beneficiaries were ART adherent. We saw meaningful differences by race\/ethnicity and region. Our work highlights an important disparity in the HIV care cascade by insurance status during this time period.<\/jats:p>","DOI":"10.1101\/2024.05.13.24307278","type":"posted-content","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:45:22Z","timestamp":1715647522000},"source":"Crossref","is-referenced-by-count":2,"title":["Retention in care and antiretroviral therapy adherence among Medicaid beneficiaries with HIV, 2001-2015"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7177-1847","authenticated-orcid":false,"given":"Jacqueline E.","family":"Rudolph","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keri L.","family":"Calkins","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueer","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiyi","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoqiang","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eryka L.","family":"Wentz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne E.","family":"Joshu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryan","family":"Lau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"54368","reference":[{"key":"2024051601551495000_2024.05.13.24307278v1.1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu044"},{"key":"2024051601551495000_2024.05.13.24307278v1.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajogmf.2022.100656"},{"key":"2024051601551495000_2024.05.13.24307278v1.3","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(18)30132-2"},{"key":"2024051601551495000_2024.05.13.24307278v1.4","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2014.0037"},{"key":"2024051601551495000_2024.05.13.24307278v1.5","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2015.1114991"},{"key":"2024051601551495000_2024.05.13.24307278v1.6","unstructured":"Centers for Disease Control and Prevention. 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